Reaching the WHO target of testing persons in jails in prisons will need diverse efforts and resources - Archive ouverte HAL Access content directly
Journal Articles PLoS ONE Year : 2018

Reaching the WHO target of testing persons in jails in prisons will need diverse efforts and resources

(1, 2) , (3, 1) , (2) , (2) , (4) , (5) , (1, 2) , (1, 2) , (4, 6) , (1, 6, 7)
1
2
3
4
5
6
7

Abstract

BACKGROUND: The Caribbean is the second most affected region in the world by human immunodeficiency virus (HIV), and HIV prevalence is significantly higher among persons in jails and prisons than in the free population. The aim of our study was to assess the screening rates of HIV, hepatitis B and C, syphilis and human T cell leukaemia virus type 1 among newly-arrived persons in 2014, at Ducos facility in Martinique and the testing process performance. METHODS: This is an observational monocentric study conducted within the prison's health unit. The study population consisted of all individuals incarcerated between 01/01/14 and 31/12/14. At the initial medical visit, HIV and STI testing were proposed to every newcomer. The rate of acceptance was calculated, as well as the screening process performance. RESULTS: In 2014 778 new persons were incarcerated, among those, 461 (59.3%) were tested. The main reasons for missing the testing opportunity were due to organization of the judiciary system (persons on electronic monitoring or day parole, transferred or quickly released before completion of the process) or to individual refusal. Finally, 75 persons did not get their results (all of them negative), 41 of them due to the medical staff work overload. CONCLUSIONS: HIV and STI testing rates among newcomers at Ducos have notable room for improvement. The future availability of combined (HIV, HBV, HCV and syphilis) rapid tests may be very useful in case of short term incarceration, if their cost is not prohibitive. Reaching higher levels of testing will also require more resources.
Fichier principal
Vignette du fichier
2018, Abel - Reaching the who target of testing persons in jails in prisons.pdf (1.5 Mo) Télécharger le fichier
Origin : Publisher files allowed on an open archive
Loading...

Dates and versions

inserm-01868594 , version 1 (05-09-2018)

Identifiers

Cite

Sylvie Abel, Lise Cuzin, Séverine da Cunha, Jean-Marie Bolivard, Laurence Fagour, et al.. Reaching the WHO target of testing persons in jails in prisons will need diverse efforts and resources. PLoS ONE, 2018, 13 (8), pp.e0202985. ⟨10.1371/journal.pone.0202985⟩. ⟨inserm-01868594⟩
107 View
70 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More