All modes of transmission occurring in the broader community (blood-borne, sexual and vertical transmission) also occur in prisons. HIV is transmitted in prison settings through the sharing of contaminated injecting equipment among people who inject drugs; consensual or coerced unsafe sexual practices including rape; unsafe skin piercing and tattooing practices as well as body modifications; and blood-borne transmission resulting from the sharing of shaving razors, so-called brotherhood blood-sharing rituals and the improper sterilization or reuse of medical or dental instruments.
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This policy brief provides an overview of key findings, data and figures of the new consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations. In addition, it offers an overview of the comprehensive package on interventions and a table summarizing WHO recommendations concerning key populations.
Keywords: HIV, men who have sex with men (MSM), people who inject drugs (PWID), sex workers, transgender, testing, treatment | |
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Objective of the evaluation | |
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Background: HIV in prisons is a serious public health concern. People in prison are at risk of contracting HIV through injecting drug use, unprotected sex and tattooing. However, most countries have largely neglected HIV prevention and care in prisons. Objectives: The aim of this study is to review HIV prevention and care in Nepal’s prisons Download this publication |
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The purpose of this document is to provide a framework for mounting an effective national response to HIV/AIDS in prisons* that meets international health and human rights stan- dards, prioritizes public health, is grounded in evidence-based interventions and best practices,** and supports the good management of custodial institutions. Download this publication |
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The purpose of this document is to provide a Framework for mounting an effective national response to HIV/AIDS in prisons that meets international health and human rights standards, prioritizes public health, is grounded in best practice, and supports the management of custodial institutions. Download this publication |
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The rates of HIV infection among inmates of prisons and other detention centres in many countries are significantly higher than those in the general population. Examples include countries in Western and Eastern Europe, Africa, Latin America and Asia. The available data on HIV infection rates in prisons cover inmates who were infected outside the institutions before imprisonment and persons who were infected inside the institutions through the sharing of contaminated injection equipment or through unprotected sex. Certain populations that are highly vulnerable to HIV infection have a heightened probability of incarceration because of their involvement in behaviours such as drug use and sex work. Download this publication |
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These guidelines were prepared on the basis of technical advice provided to WHO prior to and during a consultation of experts convened in Geneva in September 1992. The consultation included representatives of international and nongovernmental organizations and government departments with a wide range of experience and background in the health, management, and human rights aspects of HIV/AIDS in prisons. The guidelines provide standards - from a public health perspective - which prison authorities should strive to achieve in their efforts to prevent HIV transmission in prisons and to provide care to those affected by HIV/AIDS. It is expected that the guidelines will be adapted by prison authorities to meet their local needs. Download this publication |