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The Deep South is the epicenter of the HIV-epidemic in the United States, with rural AAs bearing the greatest burden. Traditional efforts to improve testing efforts have been largely unsuccessful due to their failure to recognize and leverage the sociopolitical and cultural factors that affect the uptake of HIV-screening interventions at the community level. The purpose of this study was to gain a deeper understanding of the socio-cultural contexts impacting HIV-testing in the rural South, and to assess strategies to increase testing in rural, Southern communities. Focus groups (n = 8) and semi-structured interviews (n = 31) were conducted among community and faith-based leaders in Alabama and Mississippi, to inform our understanding of local perceptions of HIV infection, barriers and facilitators impacting HIV-testing, and best strategies for improving testing efforts at the local level. Interviews and focus groups were audio-recorded, transcribed verbatim, and analyzed to extract major themes. While both faith-based and community leaders reported at least some stigmatizing attitudes towards HIV infection, faith-based leaders were more likely to report discomfort being around someone with HIV and were more likely to link the spread of HIV to immoral behaviors. The combination of the cultural importance of the Church, deep-seated religiosity among community members, and faith-based messages associating HIV infection with immorality directly impacted HIV stigma within the community-in turn, decreasing willingness to participate in HIV-testing, disclose positive HIV serostatus, or openly discuss transmission protection behaviors. The Church was identified as crucial to include to improve HIV-testing efforts in the rural South, due to their prominent sociopolitical roles within communities and ability to influence community members' perceptions of HIV stigma. Faith-based leaderships should be included in initiatives to increase improve HIV-testing and awareness of status and reduce HIV disparities in the Deep South.

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BACKGROUND: Community health workers represent a critical part of the health outreach and services for migrant and seasonal farmworkers ('farmworkers') in rural areas of the United States. PURPOSE: We sought to identify adaptations to farmworker patient engagement and health outreach made by community health workers during the first 18 months of the COVID-19 pandemic. METHODS: In this qualitative study, we used semi-structured interviews with community health workers from August 2020 to February 2022 (n = 21). Two coders used thematic analysis to identify three themes related to the experiences of community health workers in conducting health education and outreach to farmworkers prior to and following the onset of the pandemic. FINDINGS: We found themes related to pre-pandemic outreach efforts to provide health education resource sharing with farmworkers and pandemic-related outreach efforts that included adoption of porch drops and distanced delivery of health education, adaptation of modes of health education and communication through technology and the internet, and taking on new roles related to COVID-19. Finally, we identified changes that reverted after the pandemic or will continue as adaptations. CONCLUSIONS: Community health workers created practice-based innovations in outreach in response to the COVID-19 pandemic. These innovations included new COVID-19 related roles and new modes of health education and outreach, including the use of digital resources. The changes developed for emergency use in COVID-19, particularly related to internet and technology, have likely altered how community health workers conduct outreach in North Carolina going forward. Funders, community health worker training programs, and researchers should take note of these innovations. PATIENT OR PUBLIC CONTRIBUTION: Community health workers who typically come from patient populations and provide critical navigation and connection with the health care system advised on the design and creation of this research project, including serving on an advisory board. Two authors have experience working as community health workers.

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In response to the rise in mental disorders, psychosocial and community approaches have been proposed, complementing traditional clinical services. The present research aimed to understand the perception of individuals attending community-based strategies regarding mental health services as part of the approach to mental disorders in Colombia. Two workshops were conducted with 30 individuals with mental disorders (depression, anxiety and bipolar disorder), who were members of community strategies. A thematic analysis was conducted. The theme resulting from the analysis shows Community mental health within the healthcare system, which consisted of categories such as Group Amplifying Actions for Health and Groups as Complementary to Other Forms of Care. It is emphasized that the healthcare system should establish bridges with community mental health strategies and actively engage in their strengthening processes to enhance the outcomes of pharmacological interventions and even psychotherapeutic interventions. Bidirectional learning approach is proposed between community-based mental health services and clinical settings within the healthcare system. Community strategies can make an important contribution to complex processes in the health system.

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Resumo Introdução: a participação social é o pilar da implementação da Política Nacional de Saúde do Trabalhador e da Trabalhadora que estabelece as ações de atenção à Saúde do Trabalhador no Sistema Único de Saúde, a partir da Rede Nacional de Atenção Integral à Saúde do Trabalhador (Renast). Objetivo: descrever a parceria ensino-serviço para fortalecer a atenção à Saúde do Trabalhador em um município, em consonância com os princípios da Renast, a partir da formação e mobilização social em saúde. Métodos: trata-se de um relato do projeto de extensão desenvolvido por demanda da Comissão Intersetorial de Saúde do Trabalhador e da Trabalhadora municipal. Foram realizadas três oficinas de trabalho que utilizaram o diálogo em grupos de discussão como método para produção de conhecimento associado a estratégias de ensino-aprendizagem. Resultados: profissionais de saúde, estudantes, trabalhadores e representantes de entidades participaram das oficinas, que versavam sobre: organização da Renast; a epidemiologia e papel dos diversos atores para fortalecimento da Renast; a articulação intra e intersetorial da Renast, suas fragilidades e potencialidades; e a relevância de cada ator no sentido de mobilizá-los para mudança de suas realidades. Conclusão: as oficinas apresentaram-se como estratégia possível de formação e ponto de partida, visando à mobilização social para fortalecer a Renast.

Abstract Introduction: social participation is a cornerstone in implementing the National Policy for Occupational Heath, which establishes care actions for worker's health within the Unified Health System, based on the National Network for Comprehensive Occupational Healthcare (Renast). Objective: to describe the educational-service partnership aimed at strengthening occupational care in a municipality according to Renast principles by education and social mobilization in health. Methods: This experience report focuses on the outreach project developed to answer the demands of the municipal Intersectoral Commission on Occupational Health. Three workshops were conducted using discussion groups as a method for knowledge production associated with teaching and learning strategies. Results: health professionals, students, workers, and representatives of entities participated in the workshops, which addressed Renast organization; epidemiology and the role of various actors in strengthening Renast; Renast intra and intersectoral articulation, its weaknesses and potentialities; and the relevance of each actor in changing their realities. Conclusion: the workshops proved to be a feasible strategy for education and social mobilization aimed at strengthening Renast.

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Fundamento: los proyectos de vinculación con la sociedad efectuados por las universidades ecuatorianas son una oportunidad de servicio y una alternativa de acercamiento de sus estudiantes a la comunidad. Objetivo: describir el valor conferido por docentes a la vinculación entre universidad y comunidad en el proceso formativo de los estudiantes de odontología. Métodos: estudio observacional, descriptivo y transversal, en docentes de odontología de la Universidad Regional Autónoma de Los Andes en el periodo enero-junio de 2022. La población quedó constituida por los 15 docentes de la sede Santo Domingo. Resultados: el 100 % de los docentes consideró que la vinculación universidad comunidad permite la aplicación de los conocimientos adquiridos. Señalaron como debilidades la corta duración de los periodos (100 %) y la falta de empoderamiento de los docentes (100 %); y como elementos positivos la promoción de los microemprendimientos entre los estudiantes (100 %) y el desarrollo integral en el futuro profesional (100 %). Se identificaron como necesidades la retroalimentación entre la universidad y la comunidad (100 %) y los cambios de los paradigmas formativos (100 %). Conclusiones: los docentes identifican el vínculo universidad-comunidad como una oportunidad de gran valor en la formación del estudiante de odontología, preparándolos en función de la solución de los problemas sociales propios de la práctica profesional. Se reconocen como debilidades la falta de empoderamiento y la concepción de proyectos de corto plazo, lo cual demanda transformaciones en las dinámicas docentes actuales, basadas en una retroalimentación entre la academia y la sociedad.

Foundation: the connection projects with society carried out by Ecuadorian universities are an opportunity for service and an alternative to bring their students closer to the community. Objective: to describe the grant value by teachers on the link between university and community in the dental students training process. Methods: observational, descriptive and cross-sectional study of dentistry teachers at the Los Andes Regional Autonomous University from January to June 2022. The population of 15 teachers at the Santo Domingo campus. Results: 100% of the teachers considered that the university-community connection allows the application of the acquired knowledge. The short duration of the periods (100%) and the lack of empowerment of teachers (100%) were indicated as weaknesses; and as positive elements the promotion of microenterprises among students (100%) and comprehensive development in the professional future (100%). Feedback between the university and the community (100%) and changes in training paradigms (100%) were identified as needs. Conclusions: teachers identify the university-community link as an opportunity of great value in the dental students training, preparing them based on the social problems solution typical of professional practice. The lack of empowerment and the conception of short-term projects are recognized as weaknesses, which demands transformations in current teaching dynamics, based on feedback between academia and society.

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Resumo Enquadramento: A Escola Superior de Enfermagem de Coimbra, ciente do valor das unidades de extensão na articulação do tripé Ensino-Investigação-Extensão tem na sua estrutura a Unidade de Prestação de Serviços à Comunidade e Coordenação das Atividades de Extensão na Comunidade (UPSCCAEC). Objetivo: Descrever o trabalho desenvolvido pela UPSCCAEC em 2019 e 2020, destacando a sua capacidade adaptativa mediante a pandemia pela COVID-19. Principais tópicos em análise: Utilizaram-se como fonte de dados os relatórios de atividades realizadas no contexto da UPSCCAEC nos anos civis de 2019 e 2020, e realizou-se a comparação com achados nos dois anos, os quais foram discutidos à luz do referencial teórico disponível, considerando a pandemia COVID-19 e o impacte a nível das Instituições do Ensino Superior (IES) em seus processos formativos, de investigação e extensão. Conclusão: A atividade da UPSCCAEC nos referidos anos contribuiu para a afirmação da instituição, do desenvolvimento académico, e constituiu recurso de excelência na resposta aos atuais desafios da sociedade, particularmente num período caracterizado por enorme turbulência resultante da pandemia COVID-19.

Abstract Background: The Nursing School of Coimbra knows the importance of extension units in the articulation between teaching, research, and extension. For this reason, the School has a Service Provision and Community Extension Activities Coordination Unit (UPSCCAEC). Objective: To describe the work developed by the UPSCCAEC in 2019 and 2020, highlighting its adaptive capacity in the face of the COVID-19 pandemic. Main topics under analysis: The reports of activities carried out within the scope of the UPSCCAEC in 2019 and 2020 were used as a data source. A comparison was made with findings in the two years, discussed based on the available theoretical framework and considering the COVID-19 pandemic and its impact on Higher Education Institutions' training, research, and extension processes. Conclusion: The UPSCCAEC's activity in those years contributed to the institution's excellence and academic development and successful response to the current societal challenges in a time of great instability due to the COVID-19 pandemic.

Resumen Marco contextual: La Escuela Superior de Enfermería de Coímbra, consciente del valor de las unidades de extensión en la articulación del trípode Enseñanza-Investigación-Extensión, cuenta en su estructura con la Unidad de Prestación de Servicios a la Comunidad y Coordinación de Actividades de Extensión Comunitaria (UPSCCAEC). Objetivo: Describir el trabajo desarrollado por la UPSCCAEC en 2019 y 2020, y destacar su capacidad de adaptación frente a la pandemia por COVID-19. Principales temas en análisis: La fuente de datos utilizada fueron los informes de las actividades realizadas en el marco de la UPSCCAEC en los años civiles de 2019 y 2020, y se realizó una comparación con los hallazgos en ambos años, los cuales se discutieron considerando el marco teórico disponible, la pandemia del COVID-19 y el impacto en las Instituciones de Educación Superior (IES), en sus procesos de formación, investigación y extensión. Conclusión: La actividad de la UPSCCAEC en estos años contribuyó a la afirmación de la institución, al desarrollo académico y constituyó un recurso de excelencia para responder a los desafíos actuales de la sociedad, particularmente en un período caracterizado por enormes turbulencias derivadas de la pandemia del COVID-19.

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A prática predominantemente individual, curativa e de caráter liberal alicerçou, por muitos anos, a Odontologia, afastando-se de aspectos fundamentais de promoção da saúde e do atendimento humanizado. Nesta perspectiva, no cotidiano dos serviços em saúde bucal, ainda é possível perceber abordagens e ações fragmentadas, que prejudicam a prática de humanização e integralização do SUS e o processo de Educação Popular em Saúde. Dessa forma, a promoção da saúde evidenciada pela educação em saúde se torna uma ferramenta essencial, a qual promove a integração do ensino-serviço-comunidade. O objetivo do estudo é descrever um relato de experiência de graduandos em Odontologia da Universidade Federal de Juiz de Fora, desenvolvido por meio de ações de educação em saúde bucal para a população infantil e seus respectivos cuidadores assistidos pela Atenção Primária à Saúde do município de Juiz de Fora, com base nos preceitos de Educação Popular em Saúde, no período de março a setembro de 2022. Além disso, busca realizar uma reflexão crítica sobre a importância da integração ensino-serviço-comunidade. Para isso, foi elaborado um cronograma de visitas, seguido pelo planejamento das ações e o desenvolvimento das atividades educativas em saúde bucal, que incluíram estudos prévios do território, capacitação de funcionárias, além de palestras, atividades, jogos, teatros e cartilhas educativas sobre saúde bucal, utilizando-se de linguagem adequada de acordo com a população-alvo. Conclui-se que a integração ensino-serviço-comunidade representa uma estratégia relevante, ao articular a formação profissional e o serviço de atenção à saúde ofertado no SUS. Além disso, ações de educação em saúde em consonância com os ideais de humanização do SUS favorecem a autonomia dos indivíduos, de modo que devem ser estimuladas.

For many years, dentistry was based on predominantly individual, curative and liberal practices, moving away from the fundamental aspects of health promotion and humanized care. From this perspective, in the daily routine of oral health services, it is still possible to see fragmented approaches and actions, which hinder the practice of humanization and integralization of the SUS and the process of Popular Health Education. In this way, health promotion, as evidenced by health education, becomes an essential tool, which promotes the integration of teaching-service-community. The aim of the study is to describe an experience report of undergraduate students in Dentistry at the Federal University of Juiz de Fora, developed through oral health education actions for the child population and their respective caregivers assisted by Primary Health Care in the municipality of Juiz de Fora, based on the precepts of Popular Education in Health, from March to September 2022. It also seeks to critically reflect on the importance of teaching-service-community integration. To this end, a schedule of visits was drawn up, followed by action planning and the development of oral health education activities, which included previous studies of the area, training of staff, as well as lectures, activities, games, plays and educational booklets on oral health, using appropriate language according to the target population. The conclusion is that teaching-service-community integration is an important strategy for linking professional training and the health care services offered by the SUS. In addition, health education actions in line with the humanization ideals of the SUS favour the autonomy of individuals and should therefore be encouraged.

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INTRODUCTION: Structural aspects of community-engaged research are not well measured yet have critical implications for community research empowerment. This is particularly so with people who use drugs. We introduce the Structural Indicators of Community-Based Participatory Action Research (SI-CBPAR) to measure structural indicators of community-research entity relationships. METHODS: A three-phased process of iterative development, feasibility and applicability assessment was used to examine the instrument with community-engaged studies as a first stage of instrument development. The development team included people with university, non-government organisation and lived/ing drug use experience. Four studies on the health of people who use drugs were reviewed for indicator evidence followed by iterative discussion about construct and item discrepancies. Indicators were measured for the degree to which they were observed using a three-point scale. RESULTS: All but two constructs were confirmed for meaning. Constructs of 'community' and 'coalition' required revision and explanation. The need for further exploration of power differentials between community and community-based organisations was identified. Indicator evidence was found for all six categories across studies. The instrument was deemed applicable and easy to use. It was observed that categories could apply to studies with various degrees of community engagement and to other research focal areas. DISCUSSION AND CONCLUSIONS: SI-CBPAR applicability testing and initial category confirmation indicate its potential utility for community research collaboratives. The next phase of development involves cognitive interviewing with researchers from across community engaged research orientations, and with communities engaged in research beyond drug user health.

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INTRODUCTION: Inherited bleeding disorders (IBD) are genetic conditions that affect blood clotting, leading to complications such as prolonged or spontaneous bleeding into muscles or joints. Early identification and treatment are crucial to prevent complications and improve outcomes. However, effective patient outreach and identification programs for IBD face significant challenges globally. AIM: This study aimed to identify successful patient outreach initiatives for IBD, barriers encountered during implementation, and approaches used to overcome them. METHODS: The World Federation of Haemophilia (WFH) conducted a survey of its national member organizations and other patient associations, totalling 153 organizations, to identify common strategies, barriers to their implementation, and solutions for outreach and the identification of people with IBD. The survey consisted of both closed-ended and open-ended questions, and the data were analysed using descriptive statistics and thematic analysis. RESULTS: Common challenges included resource and sustainability-related aspects such as financial constraints, limited lab equipment for diagnosis, and inadequate government commitment. Significant barriers also encompassed physical/geographical challenges like difficulty accessing remote areas, and inadequate logistical support and transportation. Seven themes emerged to enhance patient outreach: resource mobilization; awareness-raising and advocacy; knowledge and capacity building; collaboration and partnership; decentralization of services; improved logistical support and infrastructure; utilization of technology and innovation; and financial aid and incentives. CONCLUSION: Multistakeholder collaboration, coupled with secured government commitment, is crucial for improving global outreach, diagnosis rates, and access to care for individuals with IBD. Customized outreach programs should consider regional contexts, financial constraints, and prioritize innovation.

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O Coronavírus da Síndrome Respiratória Aguda Grave 2 (SARS-CoV-2), causador da pandemia de COVID-19, tem causado problemas mundiais para além da doença, como na Educação, que, na impossibilidade da promoção de encontros presenciais, precisou encontrar formas de oportunizar a continuidade dos processos de ensino-aprendizagem. Desse modo, a Liga de Enfermagem em Saúde da Família, considerando o cenário pandêmico e a necessidade de seguir com as atividades, teve que se adequar ao formato remoto e usar da sua criatividade para transpor as barreiras físicas da sala de aula.Objetivo:Relatar as ações extensionistas desenvolvidas virtualmente pela Liga de Enfermagem em Saúde da Família, demonstrando sua importância para a formação acadêmica em Enfermagem.Metodologia:Trata-se de um estudo descritivo, do tipo relato de experiência,sobre atividades desenvolvidas por acadêmicos de Enfermagem na Liga de Enfermagem em Saúde da Família vinculada ao Curso de Enfermagem da Universidade Estadual Vale do Acaraú, Sobral, Ceará.Resultados:A extensão foi desempenhada de forma onlinepor meio do Instagrame Youtube, com a criação de vídeos, imagens educativas e eventos com temas atuais e relevantes para a promoção da saúde, considerando a realidade sanitária, divididos em eixos: cooperação social, integração interprofissional, acadêmica e comunitária, politização acadêmica, datas comemorativas e vacinação.Conclusões:Esse relato reforça a interação universidade-sociedade frente a momentos de reestruturação, e a relevância das Ligas como estratégias extracurriculares de ensino, integrando-se à pesquisa e à extensão (AU).

The Coronavirus (SARS-CoV-2) of Severe Acute Respiratory Syndrome, which caused the COVID-19 pandemic, has been causing worldwide problems beyond the disease itself, for instance in Education, which became unable to provide face-to-face meetings, it had tofind ways to make possible to continue the teaching-learning processes. Considering the pandemic scenario and the need to continue their activities, the members of Academic Nursing League in Family Healthhad to adapt to a remote format and use their creativity to bridge the physical barriers of a classroom. Objective:To report academic extension actions developed virtually by members of the Nursing League in Family Health, demonstrating its importance for college education in nursing.Methodology:This is a descriptive study, an experience report developed from the activities performed by members of theAcademic Nursing League in Family Health, bounded to the Nursing College of Vale do Acaraú State University, in Sobral city, Ceará state.Results:Extension actions were performed using Instagramand Youtubeplatforms, by creating videos, educational images, and events approaching current and relevant topics for health promotion. Taking into consideration the sanitary reality of the population, topics werecategorized in the following groups: social cooperation; professional, academic, and community integration; academic politization; special dates; and vaccination.Conclusions:This report reinforces the university-society interaction facing restructuring moments and the relevance of academic leagues as an extracurricular strategy of teaching, integrating it to research and extension actions (AU).

El Síndrome Respiratorio Agudo Severo Coronavirus 2 (SARSCoV-2), provocador de la pandemia del COVID-19, ha ocasionado a nivel mundial problemas más allá de la enfermedad, como por ejemplo en la Educación, que, ante la imposibilidad de ofrecer citas presenciales, ha necesitado encontrar formas de generar oportunidades para la continuidad de los procesos de enseñanza-aprendizaje. De esa forma, la Liga de Enfermería en Salud de la Familia, considerando el escenario de la pandemia y la necesidadde seguir con las actividades, ha tenido que adaptarse al formato remoto y a echar creatividad para rebasar las barreras físicas del aula. Objetivo:Informar las acciones de extensión desarrolladas virtualmente por la Liga de Enfermería en Salud de la Familia, demostrando su relevancia para la formación académica en el curso de Enfermería. Metodología: Se trata de un estudio descriptivo, del tipo relato de experiencia, desarrollado a partir de las actividades de los estudiantes de Enfermería de la Liga de Enfermería en Salud de la Familia vinculada al Curso de Enfermería de la Universidad Estatal Vale do Acaraú, Sobral, Ceará. Resultados: Se ha realizado la extensión en línea a través de Instagramy Youtube, con la creación de videos, imágenes educativas y eventos con temas actuales y relevantes para la promoción de la salud, considerando la realidad de la salud, divididos en ejes: cooperación social, interprofesional, académica e integración comunitaria, politización académica, fechas conmemorativas y vacunación.Conclusiones: Este informe refuerza la interacción universidad-sociedad frente a momentos de reestructuración, y la relevancia de lasLigas como estrategias de enseñanza extracurricular, integrándose con la investigación y la extensión (AU).

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Objetivo: develar las tensiones percibidas por los actores comunitarios en el poblamiento y conformación del territorio durante la práctica de la Facultad de Medicina de la Universidad de Antioquia en la vereda Granizal entre 2009 y 2018. Metodología: estudio hermenéutico que usó técnicas de la teoría fundamentada para recolección y análisis. Se realizaron once entrevistas en profundidad a líderes y dos grupos focales a madres comunitarias, docentes y líderes y se analizaron con técnicas de codificación abierta, axial y selectiva. Resultados: existe una tensión permanente entre un liderazgo de diferentes matices y la unidad comunitaria, que recibe diversas amenazas por el desalojo persistente de sus espacios vitales por actores fuera de la ley ligados al narcotráfico, al vacío de Estado y a los intereses internos por el poder. Dicha tensión busca ser superada mediante el esfuerzo colectivo para aprender a subsistir y a través de los vínculos que nacen de la confianza generada con la Universidad y la Facultad de Medicina con su práctica, que han apoyado la comprensión progresiva de la determinación social del proceso salud-enfermedad, lo que ha permitido lograr mayor bienestar. Conclusiones: en Granizal existen unas luchas comunitarias constantes por vencer las privaciones de los mínimos vitales de subsistencia, en las cuales, la autonomía y el desarrollo humano se debaten entre la esperanza y la desesperanza por mantener la firmeza en la construcción del tejido social y en la búsqueda de salidas que posibiliten la vida y el bienestar.

Objective: to reveal the tensions perceived by community actors in the settlement and conformation of the territory during the internship of the School of Medicine of Universidad de Antioquia in the rural settlement Granizal between 2009 and 2018. Methods: Hermeneutic study that used Grounded Theory techniques to collect and analyze data. Eleven in-depth interviews with leaders were conducted and two focus groups with community mothers, teachers and leaders were carried out which were analyzed with open, axial and selective coding techniques. Results: there is a permanent tension between leadership with different shades and the community unity which receives various threats due to the permanent eviction of their vital spaces by outlaw actors linked to drug trafficking, to the absence of the State and to internal interests for power. This tension seeks to be overcome through the collective effort to learn to survive and through the links that are born from the trust generated with the University and the internship of the Faculty of Medicine that has supported the progressive understanding of the social determination of the health-disease process which has allowed for greater wellbeing. Conclusions: There are constant community struggles in Granizal to overcome the deprivations of subsistence vital minimums, in which autonomy and human development are debated between hope and despair to maintain firmness in the construction of the social fabric and in the search for solutions that make life and wellbeing possible.

Objectivo: amostrar as tensões percebidas pelos atores comunitários no povoamento e conformação do território durante a prática da Faculdade de Medicina da Universidade de Antioquia no vilarejo Granizal entre 2009 e 2018. Metodologia: estudo hermenêutico que usou técnicas da teoria fundamentada para coleta e análise. Realizaram-se onze entrevistas a fundo a líderes e dois grupos focais a mães comunitárias, docentes e líderes e se analisaram com técnicas de codificação aberta, axial e seletiva. Resultados: existe uma tensão permanente entre uma liderança de diferentes matizes e a unidade comunitária, que recebe diversas ameaças pelo despejar persistente de seus espaços vitais por atores fora da lei e conectados com o narcotráfico, a o vazio do Estado e aos interesses internos pelo poder. Esta tensão procura ser superada mediante o esforço coletivo para aprender a subsistir e a través dos vínculos que nascem da confiança gerada com a Universidade e a Faculdade de Medicina com sua prática, que tem apoiado a compreensão progressiva da determinação social do processo saúde-doença, o que tem permitido lograr maior bem-estar. Conclusões: em Granizal existem umas lutas comunitárias constantes por vencer as privações dos mínimos vitais de subsistência, nas quais, a autonomia e o desenvolvimento humano, se debatem entre a esperança e a desesperança por manter a firmeza na construção do tecido social e na busca de saídas que possibilitem a vida e o bem-estar.

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Introdução:Às medidas de segurança da COVID-19 direcionaram a adoção do modelo remoto de ensino, inclusive para ações de extensão universitária realizadas no ambiente escolar. A extensão contribui para a promoção da saúde ao abordar temas como a Educação Alimentar eNutricional. Objetivo:O objetivo deste trabalho é relatar a experiência da extensão universitária e a adaptação de ações de Educação Alimentar e Nutricional ao modelo remoto, com escolares de ensino fundamental do interior da Paraíba em 2020. Metodologia:O projeto "#Tecnologias da Informação e da Comunicação: Educação Alimentar e Nutricional em Casa" foi realizado com escolares do ensino infantil ao 5º ano de uma escola pública de Cuité, Paraíba. Utilizou-se o whatsapp como ferramenta para as atividadesbaseadas no incentivo a brincadeiras com movimentação física, o desenvolvimento cognitivo, os vínculos intergeracionais e a alimentação de baixo custo. Foram desenvolvidas 12 ações, adaptadas à idade escolar e de fácil execução no domicílio, através de vídeos explicativos, plataforma de jogos e atividades impressas. Resultados:Observou-se os desafios: desigualdade no acesso à internet, fragilidade na manutenção do vínculo entre a equipe universitária com a comunidade escolar, sobrecarga dos professores e diversos contextos no ambiente familiar como, por exemplo, a vulnerabilidade social e violência doméstica. Conclusão:Contudo, é possível a realização da extensão universitária no modelo remoto a partir da diversificação de estratégias e ferramentas digitais, apesar dos desafios enfrentados para manter o vínculo entre equipe universitária-comunidade escolar (AU).

Introduction:Security measures against COVID-19 led to the adoption of a remote teaching model, including university extension actions carried out in the school environment. The extension contributes to health promotion by addressing topics such as Food and Nutrition Education. Objective:This study aims to report the experience of a university extension and the adaptation of Food and Nutrition Education actions to the remote model applied to elementary school students from the interior of Paraíba in 2020. Methodology:The "#Information and Communication Technologies: Food and Nutrition Education at Home" project was carried out among elementary school students in the fifth grade of a public school in Cuité, Paraíba. Whatsapp was used as a tool for activities that involved encouraging play with physical movement, cognitive development, intergenerational bonds, and low-cost food. Twelve actions were developed and were adapted for school-age students. They were made easy to perform at home through explanatory videos, game platforms, and printed activities.Results:Challenges were observed in terms of unequal internet access, weakness in maintaining the connection betweenthe university team and the school community, overload of teachers, and different contexts in the family environment such as social vulnerability and domestic violence. Conclusions:Despite the challenges faced in maintaining the connection in the university­school community team, it is possible to carry out university extensions in the remote model based on the diversification of digital strategies and tools (AU).

ntroducción:Las medidas de seguridad del COVID-19 orientaron la adopción del modelo de enseñanza a distancia, incluso para acciones de extensión universitaria realizadas en el ámbito escolar. La extensión contribuye a la promoción de la salud al abordar temas como laEducación Alimentaria y Nutricional. Objetivo:El objetivo de este trabajo es relatar la experiencia de extensión universitaria y la adaptación de las acciones de la Educación Alimentaria y Nutricional al modelo a distancia, con estudiantes de enseñanza básica del interior de Paraíba en 2020.Metodología:El proyecto "#Tecnologías de la Información y la Comunicación: Educación Alimentaria y Nutricional en Casa" fue realizado con alumnos de jardín de infantes a 5o grado de una escuela pública de Cuité, Paraíba. Se utilizó WhatsApp como herramienta para realizar actividades basadas en fomentar el juego con el movimiento físico, el desarrollo cognitivo, los vínculos intergeneracionales y la comida a bajo costo. Se desarrollaron 12 acciones, adaptadas a la edadescolar y fáciles de realizar en casa, através de videos explicativos, una plataforma de juegos y actividades impresas. Resultados:Se observaron desafíos: desigualdad en el acceso a internet, fragilidad en el mantenimiento del vínculo entre el equipo universitario y la comunidad escolar, sobrecarga de docentes y diversos contextos en el entorno familiar, como vulnerabilidad social y violencia intrafamiliar. Conclusiones:Sin embargo, es posible realizar la extensión universitaria en el modelo a distancia a partir de la diversificación de estrategias y herramientas digitales, a pesar de los desafíos que se enfrentan para mantener el vínculo entre el equipo universitario y la comunidad escolar (AU).

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O presente artigoobjetiva relatar a experiência da aplicação de ferramentas digitais em encontros virtuais para o acolhimento de alunos ingressantes do curso de Odontologia da Universidade Estadual do Piauí (UESPI)durante a fase de isolamento social advinda da pandemia do novo coronavírus no ano de 2020. A ação extensionista foi realizada em cinco encontros virtuais por meio da plataforma de reuniões Google Meete foram aplicadas ferramentas colaborativas como Padlet, Mentimetere Google Formspara integração do grupo. A participação dos ingressantes foi integral, 100% dos estudantes matriculados no primeiro período do curso se fizeram presentes nos encontros. Diante das incertezas relativas ao início do período letivo no ano de 2020, a proposta realizada obteve êxito no objetivo principal de acolher os ingressantes e estabelecer o vínculo com a família do curso de Odontologia da UESPI. Desta forma a experiência mostrou-se positiva, proporcionando uma acolhida dos discentes durante o período mais crítico da pandemia de COVID-19 e forte isolamento social (AU).

Este artículo tiene como objetivo relatar la experiencia de aplicación de herramientas digitales en reuniones virtuales de bienvenida a estudiantes que ingresan a la carrera de Odontología de la Universidad Estadual de Piauí (UESPI) durante la fase de aislamiento social derivada de la pandemia del nuevo coronavirus en 2020. La acción de extensión se llevó a cabo en cinco reuniones virtuales utilizando la plataforma de reuniones Google Meet y se aplicaron herramientas colaborativas como Padlet, Mentimeter y Google Forms para la integración del grupo. La participación de los estudiantes de primer año fue plena, en las reuniones estuvo presente el 100% de los estudiantes matriculados en el primer periodo del curso. Ante las incertidumbres respecto al inicio del periodo académico del año 2020, la propuesta realizada tuvo éxito en su objetivo principal de dar la bienvenida a nuevos estudiantes y establecer un vínculo con la familia de carreras de Odontología de la UESPI. De esta manera, la experiencia resultó positiva, brindando a los estudiantes una acogida durante el período más crítico de la pandemia de COVID-19 y de fuerte aislamiento social (AU).

The present article aims to report the experience of applying digital tools in virtual meetings to welcome students entering the Dentistry course at the State University of Piauí (UESPI) during the social isolation phase resulting from the new coronavirus pandemic in 2020. The extension action was carried out in five virtual meetings using the Google Meet meeting platform and collaborative tools such as Padlet, Mentimeter and Google Forms were applied to integrate the group. The participation of freshmen was full, 100% of students enrolled in the first period of the course were present at the meetings. Given the uncertainties regarding the start of the academic period in 2020, the proposal made was successful in its main objective of welcoming new students and establishing a bond with the UESPI Dentistry course family. In this way, the experience proved to be positive, providing students with a welcome during the most critical period of the COVID-19 pandemic and strong social isolation (AU).

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Introdução: As Ligas Acadêmicas (LAs) são organizações universitárias muito presentes nos cursos de medicina no Brasil, são de caráter extracurricular e complementar, fundamentadas no tripé ensino, pesquisa e extensão (EPE). Suas atividades tendem a aprofundar os conhecimentos sobre determinado tema, estimular a criatividade, o autoaprendizado e o espírito crítico dos estudantes a fim de proporcionar uma melhor formação profissional. Objetivo: Relatar o histórico e a atuação da HemoLiga (HL) com foco na produção científica e compará-la com outras LAs de Medicina do Brasil descritas na literatura. Material e Métodos: Leitura e análise das atas de reuniões da HL para a documentação histórica da liga associada a busca dos Currículos Lattes dos atuais e ex-integrantes da HL para levantamento de dados sobre a produção científica da liga. As informações obtidas foram tabeladas em planilhas de acordo com os subtipos de trabalhos. Foram realizados análises e cruzamento de variáveis para confecção de gráficos. Resultados: A HL é uma liga vinculada a três faculdades de medicina e possui 14 anos de existência. Ela atua no ensino através de reuniões e estágios práticos na área de Hematologia. A pesquisa constitui sua principal atuação, integrando, inclusive, linha de pesquisa internacional. Assim, desde a sua fundação, a HL consta de uma lista de 217 trabalhos científicos produzidos, sendo 32 artigos científicos, 180 resumos, três capítulos de livros e dois livros. Na extensão, a liga agrega os projetos Unir para Cuidar, Doador do Futuro, Triagem Neonatal e Amigo de Sangue. Conclusão: A HL por meio do seu escopo de atuação, em consonância com outras LAs, contribui através de seu perfil de iniciação científica na formação acadêmica de seus membros, além de beneficiar a sociedade através de seus projetos de extensão.

Introduction: The Academic Leagues (ALs) are very present organizations in Medicine courses in Brazil. They are extracurricular and complementary activities which are based on tripod education, research, and extension, aiming to promote a more profound knowledge on a given topic. As a result, it stimulates creativity, self-learning, and critical thinking to provide better professional training. Objective: Report the history and performance of HemoLiga (HL), focusing on scientific production and compare it with other Brazilian Medicine ALs presented in the literature. Material and Methods: Reading and analysis of HL meeting minutes for the league's historical documentation associated with the study of the Lattes Curriculum of current and former HL members to collect data on the league's scientific production. The information obtained was tabulated in spreadsheets according to the subtypes of work. Analysis and crossing of variables were performed to produce graphics. Results: HL has been functioning for 14 years and it is linked to three Medicine courses in Juiz de Fora. The aim of education is obtained through meetings and internships in the area of Hematology. Research is its main activity, including an international line of research. Since its foundation, HL has produced a list of 217 scientific works, including 32 scientific articles, 180 abstracts, three book chapters, and two books. Regarding the extension aspect, the league worked on the projects Unir para Cuidar, Doador do Futuro, Triagem Neonatal and Amigo de Sangue. Conclusion: Through its scope of action, as other ALs, HL contributes through its scientific initiation profile to the academic training of its members, in addition to benefiting society through its extension projects.

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While rural-urban cancer disparities persist, the research building capacity between rural communities and high-quality cancer centers remains limited. Thus, we describe how a National Cancer Institute-designated cancer center partnered with rural community stakeholders to adapt a cancer prevention-focused research and community capacity-building workshop. The workshop's goal was to strengthen community-academic partnerships and facilitate the development of sustainable well-resourced rural cancer-focused research. Researchers from the Siteman Cancer Center partnered with community leaders from rural counties in southern Illinois. We adapted the workshop from an existing evidence-based program. We analyzed changes in knowledge and research capacity and relevance to their community work. From February to May 2019, community partners guided all elements of the workshop development. Workshop participants were mostly White race (93%), had a college degree or beyond (75%), reported living in a rural community (93%), and represented an academic, faith-based, or healthcare institution (78%). Participants' mean knowledge scores of the presented content increased significantly after each session, from 9.3 to 9.9 for session 1 (p = 0.05) and 6.8 to 9.7 (p < 0.001) for session two. Through the workshop, participant scores also increased in research capacity skills, confidence, and their understanding of conducting research in the community. The workshop, co-curated and led by rural community leaders and researchers from Siteman Cancer Center, successfully increased knowledge of and interest in building cancer research capacity. Lessons from our work can inform the implementation of similar programs that address rural cancer health through research and community capacity building between rural community partners and urban cancer centers.

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Objetivo: relatar as experiências obtidas com a Capacitação Virtual em História da Enfermagem no período de distanciamento social da pandemia da COVID-19. Método: relato de experiência da construção e execução de uma Capacitação por meio de mídia virtual, desenvolvida no ano de 2020, em uma parceria entre ações extensionistas dos museus das Escolas de Enfermagem de Universidades Públicas Federais/Brasil, com apoio da Associação Brasileira de Enfermagem. As experiências foram discutidas nos campos da História da Enfermagem e da Educação. Resultados: com um total de 132 inscritos, a Capacitação foi realizada por meio de quatro transmissões ao vivo através do Instagram. A utilização de lives de acesso livre ao público possibilitou alcançar em média 358 pessoas. Os formulários elaborados e distribuídos aos inscritos subsidiaram a estruturação dos conteúdos abordados durante os encontros, a criação de metodologias ativas disponibilizadas aos participantes para apoiar o ensino de História da Enfermagem e também a avaliação final da Capacitação. Conclusão: a Capacitação permitiu contornar as dificuldades impostas pelo distanciamento social e contribuiu para dar protagonismo aos envolvidos, constituindo uma rede de apoio ao ensino de História da Enfermagem.(AU)

Objective: to report the experiences obtained in the Virtual Training in Nursing History in the period of social distancing resulting from the COVID-19 pandemic. Method: experience report on the construction and implementation of training through virtual media, carried out in the year 2020 in a partnership between extensionist actions of the museums of the Schools of Nursing of federal public universities in Brazil, with the support of the Brazilian Association of Nursing Section Minas Gerais (ABEn). In the experiences, the fields of History of Nursing and Education were discussed. Results: with a total of 132 subscribers, the Training was carried out through four live broadcasts on Instagram. The use of lives with free access to the public made it possible to reach, on average, 358 people. The forms prepared and distributed to those enrolled supported the following steps: structuring the content addressed during the meetings; the creation of active methodologies available to participants to support the teaching of History of Nursing; and the final evaluation of the Training. Conclusion: training made it possible to overcome the difficulties imposed by social distancing and contributed to giving prominence to those involved, constituting a support network in the teaching of Nursing History.(AU)

Objetivo: contar las experiencias de la Formación Virtual en Historia de la Enfermería en el período de distanciamiento social de la pandemia del COVID-19. Método: relato de cómo fue la experiencia de la creación y ejecución de una Formación a través de medios virtuales, desarrollada en el año 2020, en una alianza entre acciones extensionistas de los museos de las Escuelas de Enfermería de las Universidades Públicas Federales/Brasil, con apoyo de la Asociación Brasileña de Enfermería. Las experiencias fueron discutidas en los campos de Historia de la Enfermería y de la Educación. Resultados: con un total de 132 inscritos, la Formación se llevó a cabo mediante cuatro transmisiones en directo a través de Instagram. El uso de ''en directos" de libre acceso al público permitió llegar a una media de 358 personas. Los formularios elaborados y distribuidos a los participantes apoyaron la estructuración de los contenidos abordados durante los encuentros, la creación de metodologías activas a disposición de los participantes para apoyar la enseñanza dela Historia de la Enfermería y también la evaluación final de la Formación. Conclusión: la Formación permitió superar las dificultades impuestas por el distanciamiento social y contribuyó a dar protagonismo a los implicados, constituyendo una red de apoyo a la enseñanza de la Historia de la Enfermería.(AU)

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RESUMO Este relato de experiência trata da descrição das vivências durante o projeto de extensão 'Multicampi Saúde' na cidade de Abaetetuba, Pará, em janeiro de 2020, sob o olhar de uma acadêmica do Curso de Medicina. O projeto propôs o fortalecimento da Política Nacional de Atenção Integral à Saúde da Criança, da integração ensino-serviço, da educação permanente, e a qualificação da formação profissional dos graduandos de dez cursos da área da saúde da Universidade Federal do Pará. As atividades extensionistas realizadas no município abrangeram ensino, pesquisa, experiência de gestão de pessoas e de serviços, com oportunidade de atuação interprofissional e prática colaborativa de acadêmicos de outros cursos e de atores locais do serviço e da comunidade, resultando em ações de intervenção e construção de materiais para educação em saúde da criança. A relação ensino-serviço possibilitou novos olhares sobre o aprendizado e a formação dos alunos, qualificou a prática dos profissionais nos serviços, possibilitando reflexão de práticas inadequadas. Essa inserção na atenção primária durante a graduação influenciou sobremaneira a formação médica e a escolha da especialidade de medicina de família e comunidade após a finalização do curso.

ABSTRACT This experience report addresses the description of experiences for the extension project 'Multicampi Saúde' in the city Abaetetuba, Pará, in January 2020. This experience report has been written from the perspective of a medical student. The project proposes the strengthening of the National Policy of Integral Care for Child Health, Teaching-Service Integration, Permanent Education, and the Professional Qualification of Graduates of 10 Health Courses from the Federal University of Pará. The extension activities carried out included teaching, research, human resources with experience of different professionals and collaborative practice together with bachelors from other courses and local actors from work and from the community. The results were actions of the intervention and construction of material for education on child health. The Teaching-Service Integration made possible new eyes on the learning and 'training of students, qualified the practice of the professionals in their work, making it possible to reflect upon ineffective practices. This insertion in primary health care throughout the bachelor's course has major influence on medical training and choice of the specialty of family and community doctor after the completion of the course.

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Objectives: This study aimed to assess the knowledge of and attitude toward cervical cancer and human papillomavirus (HPV) among Omani women aged 18 years and older. Methods: This cross-sectional survey was conducted between September 2019 and February 2020 in primary healthcare facilities throughout Oman. A self-administered questionnaire was distributed to assess women's knowledge and attitude regarding cervical cancer and HPV. Results: A total of 805 women participated in the study (response rate: 89%). Two-thirds of the participants had heard about cervical cancer (67.5%) while fewer were aware of HPV (15.8%). Approximately one-third of the women identified HPV as a risk factor for developing cervical cancer (38.9%). Very few participants knew of HPV vaccines (10.1%). A major source of information regarding both cervical cancer and HPV was social media (33.0%), as compared to healthcare providers (16.9%). Despite the poor knowledge, almost half of the participants were open to having their daughters (47.0%) and other schoolgirls (41.2%) vaccinated. Conclusion: Most participants had poor knowledge of cervical cancer and HPV, even those with a personal or family history of cervical cancer. The main source of knowledge was social media. Most participants were open to the idea of offering the HPV vaccine to their daughters and middle school-aged girls. Incorporating information about cervical cancer and HPV into school curricula and improving access to trusted medical knowledge through social media may help in enriching the public's knowledge and, possibly, correcting misinformation and related myths.

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Objetivo: descrever a experiência de educação em saúde nas mídias sociais sobre cuidados domiciliares com recém-nascidos no contexto da pandemia da COVID-19. Método: relato de experiência sistematizadoem cinco tempos conforme Holliday (ponto de partida, perguntas iniciais, recuperação do processo vivido, reflexão de fundo, pontos de chegada) sobre a atuação de projeto de extensão universitária em mídias sociais, frente ao distanciamento social na pandemia, referente ao período de junho/2020 a agosto/2021. O projeto apoia-se na educação problematizadora freiriana, tendo como público-alvo gestantes, puérperas e familiares. Resultados:criou-se uma página na rede social Instagrame um canal no Youtube, culminando na adaptação do projeto ao meio virtual, melhor formação acadêmica das extensionistas e idealização de pesquisas científicas. Conclusão: a educação em saúde por meio das mídias sociais foi uma estratégia eficiente e de baixo custo, cujas implicações podem ter impactos significativos no cuidado do recém-nascido no processo de alta da maternidade.

Objective: to describe the experience of health education in social media about home care for newborns in COVID-19 pandemic. Method: experience report systematized in five stages according to Holliday (starting point, initial questions, recovery of the process experienced, background reflection, arrival points) on the performance of a university extension project in social media, facing the social distancing in the pandemic, referring to June/2020 to August/2021. The project is based on problem-solving education from Freire, having as its target audience pregnant women, postpartum women and family members. Results: a page was reated on the social network Instagram and a channel on Youtube, culminating in the adaptation of the project to the virtual environment, better academic training for extension workers and idealization of scientific research. Conclusion: health education through social media was an efficient and low-cost strategy, whose implications can have significant impacts on newborn care during the maternity discharge process.

Objetivo: describir la experiencia de educación en salud en redes sociales sobre cuidados domiciliarios con recién nacidos en la pandemia COVID-19. Método: relato de experiencia sistematizado en cinco etapas según Holliday (punto de partida, preguntas iniciales, recuperación del proceso vivido, reflexión de fondo, puntos de llegada) sobre la realización de un proyecto de extensión universitaria en redes sociales, frente el distanciamiento social en la pandemia, entre junio/2020 a agosto/2021. El proyecto se basa en la educación resolutiva de Freire, teniendo como público mujeres embarazadas, puérperas y familiares. Resultados: se creó una página en Instagramy un canal YouTube, culminando con la adaptación del proyecto al entorno virtual, mejor formación académica de extensionistas y nuevas investigaciones científicas. Conclusión: la educación en salud mediante las redes sociales fue estrategia eficiente y debajo costo, que puede tener impacto en el cuidado del recién nacido en el proceso de alta de la maternidad.

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