After nearly three years of activities, we closed our project in Roraima state in 2025. Our successful collaboration with the Indigenous communities created a lasting legacy for the region, and for MSF. The health facilities and services we strengthened will continue to serve local people, while the experience — including adapting medical approaches, and using traditional knowledge and learnings from Indigenous communities — will inform future MSF projects. Before our departure, we conducted training for health care staff and community members to ensure a sustainable transition.
In Portel, a town located about 16 hours by boat from Belém, the Pará state capital, MSF delivered comprehensive health care to riverside and rural communities. We also worked to improve care for victims and survivors of sexual violence, establishing two specialized reception rooms to guarantee privacy at medical facilities and offering training to health professionals and staff from other areas.
With support from MSF, post-exposure prophylaxis (PEP), an HIV prevention medication, became more readily available for both adults and children in Portel. For the first time, adults could acquire PEP at health facilities other than the hospital, and a pediatric formulation was introduced in the city.
We concluded our medical activities in Portel in June 2025. The same month, we celebrated another important MSF milestone with the establishment of a public policy on the care of children and adolescents who are victims of sexual violence.