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Reach Out

Integrated community healthcare and out-reach services for hard-to-reach populations

Project Background

General Factors

  • Lack of access to systematic prevention initiatives;
  • Contractions connected to the right to health, in particular access to care;
  • Limited presence of culturally sensitive healthcare provision;
  • Direct and indirect costs.

Context Specific Factors

  • Italy, Malta and Greece are the gateways to Europe’s Southern border. Migrants, asylum-seekers and refugees reaching their borders originate from countries with high TB, hepatitis B and C, HIV and STIs incidence. 
  • Strong presence of informal workers and undocumented migrants. This condition of irregularity has a strong impact on access to the healthcare system
  • Malta is the highest HIV incidence country in Europe
  • Limited presence of dedicated SGBV services and of organized testing and health monitoring activities
  • Limited awareness about sexually transmitted infections (STIs) including HIV, hepatitis B and C
  • Difficulty navigating health systems in destination countries
  • Stigma connected to homesexuality, sex worker and in general regarding STIs testing
  • One third of reported HIV cases contracted through sexual contact in Europe are migrants from countries with generalized HIV epidemics, mainly sub-Saharan Africa. 
  • Contributing factors to STIs/HIV infection are social inequalities associated with migration, human trafficking, HIV‐related stigma and discrimination, and changes in sexual behavior after migration
  • Low level of enrollment with the Regional Health System (RHS) 
  • General lack of knowledge of how the health system works
  • Particoluarly vulnerable categoris such as migrant women or sexual minorities due to the prevalence of gender biases and norms that inhibit access to information
  • Number and proportion of TB cases detected among immigrant
  • Health is tightly connected with easy access to services, decent housing and regular employment
  • Migrant men who have sex with men (MSM), transgender people and sex workers may be at particular risk of HIV acquisition and transmission post-migration.

Short term impact​

Improved infections detection

Increased community awareness and access to services

Improved social inclusion

Long term impact

Improved diagnosis and better prevention/treatment

Improved strategies and cooperation

What is Reach Out?

FOCUS: improve global health outcomes for migrants and local disadvantaged local population groups through prevention, early detection and access to care for TB, HIV, STIS, Hepatitis B and C.

PARTNERS: Intersos, Digivis, Praksis, PIN, Ministry for Health – Government of Malta, European Health and digital Executive Agency.

GEOGRAPHIC COVERAGE: Greece, Malta, Italy.


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