P4.06 ECOMAP: AN ALTERNATIVE FOR AN INTERDISCIPLINARY ASSISTANCE 1 Ana Amélia Nascimento da Silva Bones, 1 Silvio César Cazella, 2 Luciane Salvalaggio Pires Sebastiany, 2 Stephanie Marson. 1 UFCSPA, Porto Alegre – RS, Brazil; 2 UFRGS, Porto Alegre – RS, Brazil 10.1136/sextrans-2017-053264.503 Introduction In order to obtain an unified care for the health service user, it is necessary that the caring net can have the distance between the theory and the practice reduced. The working process between the teams should be in harmony to the interdisciplinary mode, so that an individualised assistance plan among the several parts can be agreed. Ecomap is an alternative for the identification of the points in the net that are, directly or indirectly, in contact with the user to be ana- lysed. The present study aims at reflecting on the application of the illustrated instrument Ecomap from a complex case lived by the authors in order to discuss the interdisciplinary working process. Case report involving complex situations like the HIV diagnosis in pregnant homeless women that need intersection and interdisciplinary actions to avoid the vertical HIV contamination. Methods This study aims to describe the experience of using this instrument in collecting data for a research that involved 12 points of society with a gap HIV pregnant homeless, which used symbolic interactionism and grounded theory as a theoretical-methodological reference framework for under- standing these linked points. Ecomap presents the lived rela- tions graphically in the moment that the individual, who should be the main map focus, is being studied. Results The case was awarded by the vertical transmission committee of Porto Alegre for organising the network in an interdisciplinary way, guaranteeing the welfare of the pregnant and her child. The discussion of possible changes in network, the identification of each point members common and singular characteristics. Conclusion in the context of the organisation of the primary health care, it is important to count on a graphic tool that shows the patient‘s information in a practical and summarised way, using the no verbal language and also answering to all net points. Because the interpersonal relationships are unstable, the presented data are in continuous changing, and that is why, Ecomap is considered as a photograph of the studied moment. P4.07 TALKING GROUPS ABOUT STI/HIV PREVENTION WITH LIBERTY DEPRIVED GIRLS FROM THE CASA FOUNDATION OF THE STATE OF SÃO PAULO 1 Analice de Oliveira, 2 Decio Perroni Ribeiro Filho, 2 Ana Carolina Carvalho Lutfi, 2 Cintia Magalhães Neia, 3 Aline Ferreira, 3 Micaela Cyrino, 4 Heloisa Hannada, 5 Luzia Aparecida, 6 Ivone de Paula. 1 Centro de Referência e Treinamento DST/AIDS, São Paulo – SP, Brazil; 2 Fundação Casa, São Paulo – SP, Brazil; 3 Rede Estadual de Jovens Vivendo com HIV/AIDS, São Paulo – SP, Brazil; 4 Centro de Referência e Treinamento DST/AIDS, São Paulo – SP, Brazil ; 5 Articulação Nacional de Movimentos e Praticas de Educação Popular em Saúde, São Paulo – SP, Brazil; 6 Centro de Referencia e Treinamento DST/AIDS, São Paulo – SP, Brazil 10.1136/sextrans-2017-053264.504 Introduction In 2016, due to the vulnerability to IST/HIV/ AIDS of young people deprived of their liberty, a partnership was established between the STD/AIDS Referral and Training Centre (CRT-DST/Aids, of the Health Secretariat of the State of São Paulo), the Centre for Socio-educational Assistance to Adolescents (CASA) Foundation and UNICEF with the objec- tive to carry out integrated prevention actions with the employees of the Foundation and with the youngsters. Methods The actions included training, reflections, improve- ment of STI approaches and treatment with emphasis on syphilis, and access to prevention inputs (male and female condoms and HIV, syphilis, hepatitis B and C testing). A workshop was held with the employees of the Ruth Pistori Women’s Unit with the participation of the State Network of Young People Living with HIV/AIDS and representatives of the state in the Health Popular Education Movement. The aim was that the script of the talks were prepared by the staff of the CASA Foundation under the supervision of technicians of the STD/Aids State Program and that they apply to the unit every fortnight so that all the girls could have access to the information and thoughts about combined prevention. Results In October 2016, were held five Talking Groups with the participation of all 75 girls who were at the Centre at that time. The girls have built murals with prevention ways so they are posted in strategic locations and in classrooms. After the reflections, all the girls wanted to carry out the tests for HIV, hepatitis B and C and Syphilis. The Centre is developing Talking Groups with the girls every fortnight. Conclusion This experience shows that it is possible to carry out continuous prevention actions at the CASA Foundation’s deprivation of liberty units and to work with other forms of prevention besides the use of condoms. So, a Prevention Pro- gram for Syphilis with a specific protocol for diagnosis and treatment will be elaborate in 2017 in order to be imple- mented in all CASA Foundation units. P4.08 SÃO PAULO STATE STRATEGY FOR THE PREVENTION: DISTRIBUTION OF CONDOMS IN THE SCHOOLS 1 Analice de Oliveira, 2 Fabíola Santos Lopes, 3 Edison Almeida, 1 Paula Oliveira Sousa, 1 Ivone de Paula. 1 Centro de Referência e Treinamento DST/AIDS, São Paulo – SP, Brazil; 2 Centro de Referência e Treinamento DST/AIDS, São Paulo – SP, Brazil ; 3 Fundação para o Desenvolvimento da Educação – FDE, São Paulo – SP, Brazil 10.1136/sextrans-2017-053264.505 AIDS cases among young people aged 15 to 24 years have increased in Brazil 21.5% in recent years. There is a need to strengthen actions to prevent STD/AIDS in schools, especially regarding the distribution of condoms and promotion of reflec- tion related to sexual diversity, homophobia, racism, prejudice, gender equality and sexual and reproductive health. The ”Together in Prevention” strategy of the Centre for Reference and Training - STD/AIDS of the Secretary of State for Health of São Paulo in partnership with the Foundation for the Develop- ment of Education - FDE and the Secretariat of Education of the State of São Paulo, was based on the Municipality of Itaquaque- cetuba/SP, which, through the involvement of primary health care and the activities of community health agents, expanded prevention actions in the community, implementing Prevention Stations at the meeting points of vulnerable populations for HIV and organised a flow of Condom distribution both at school and elsewhere in the community. Through the articulation of actions with the Association of Parents and Teachers - APM and the School Council, and the youth participation through the Student Councils and the involvement of the parents, the condom entered the school environment consistently. The strategy details Abstracts A194 Sex Transm Infect 2017;93(Suppl 2):A1–A272 on June 2, 2020 by guest. Protected by copyright. http://sti.bmj.com/ Sex Transm Infect: first published as 10.1136/sextrans-2017-053264.504 on 8 July 2017. Downloaded from