Background Sex Workers (SW) present greater vulnerability to sexually transmitted infections. There is a need to stimulate an active screening in the vulnerable population in the área covered by a Primary Health Care (PHC) team. The main goal of this study is to present an alternative healthcare assistance approach, applied to a specific area where a high index of SW can be found within the Southern Region of Brazil.

Methods Experience case from a Brazilian PHU regarding adhesion to the unit, local interventions, and rapid test triage in SW was carried out in the health post, in order to promote sexual and reproductive healthcare in an interval of 5 years.

Results Work related to the depicted area started with weekly visits as an approach strategy while offering health care services. Later on, a family planning was conducted and it included provinding access to condom. The SW didn’t accept the activities proposed by the PHC. The acceptance of the professional team amongst the community was slow, there was mistrust on the real interest for SW healthcare. The continuity of care was regarded as one os the strategies that was more effective to improve the quality of life of SW. Adhesion to prenatal services, offer of family planning and application of rapid testing for STIs were the most relevant activities that had been implemented. Within 173 applied tests, 135(78%) were women, of these 27(15,6%) presented pregnancy, and 11(6,3%) were trans women. 38(21,9%) were men. Within these tests, 10(6,3%) were positive for HIV, 35(20,3%) for syphilis and 1(0,6%) for HCV.

Conclusion An effective intervention was possible when the health professional had the following scope: action at local level, engagement of local commerce, improve housing, and to involve the whole community in promoting better healthcare. Future studies should be designed to investigate the role of PHC in the SW healthcare.

Disclosure No significant relationships.