TCE Guinea-Bissau / DOD

Early Diagnosis And Referral Of Hiv, Tb And Hepatitis

Access to timely diagnosis remains a major challenge in Guinea-Bissau, where limited resources and gaps in service coverage contribute to the continued spread of preventable diseases. To address this, the project adopts a community-centred approach that ensures equitable access to safe, confidential, and dignified testing services, particularly for underserved and hard-to-reach populations.

Health SafeSpace

Through a community-based testing model, the project strengthens prevention, early diagnosis, and linkage to care, contributing to national efforts to reduce infection rates and improve health outcomes.

By bringing services closer to communities, it reduces barriers to testing and increases early detection of HIV, Hepatitis B and C, and syphilis.

A total of 20 fixed hubs and 88 mobile hotspots were established across six regions, operated by trained community activists in close coordination with regional health facilities. These platforms provide confidential, stigma-free testing and facilitate referral to treatment and psychosocial support services, strengthening continuity of care.

By the end of the project, the expected impact includes increased uptake of testing in underserved communities, improved early diagnosis rates, and a more effective referral system connecting individuals to appropriate care and support. Addressing stigma and discrimination remains a key priority.

Health SafeSpace

In collaboration with Community- Based Organisations, the project conducted a stigma and discrimina tion survey to better understand barriers and inform targeted interventions.

The project is implemented in partnership with key national and international stakeholders, including the Ministry of Public Health, RENAP+GB, AGUIBEF, ENDA, GAT, Community-Based Organisations (CBOs), ISPUP, INSA, CCM, SNLS, IMC, local health structures and laborato ries, and the Ministry of Justice (CAJ).

Supported by:

Expertise France, GAT, and Humana People to People partners.