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General Situation (Overview)


Title: Slide 1 Author: betrbio Last modified by: bmg Created Date: 7/5/2007 10:50:17 AM Document presentation format: Bildschirmpr sentation Company – PowerPoint PPT presentation

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Title: General Situation (Overview)

General Situation (Overview)
HIV, TB and HCV cases within Prison settings

1 During period from 01-01-2008 until
01-09-2008 in penitentiary system was detected 30
new TB cases
2 During period from 01-01-2008 until
01-09-2008 were detected 2 new HCV cases.  
PH EG Meetings
  1. May (Riga) - Estonia, Finland, Latvia, Lithuania,
    Norway, Sweden, Poland, Germany, WHO, UNODC
  2. September (Oslo) - Estonia, Finland, Latvia,
    Poland, Germany, Sweden, Norway, Belarus, Canada,
    WHO, LHL (Norway)

PH EG activities
  • Seminar on HIV/AIDS and TB Prevention within
    Prison system Olaine Prison Hospital, Latvia
  • Evaluation for National Response to HIV/AIDS in
    prison settings in Estonia.(organized by UNODC)
  • Round Table meeting in London. Discussion on a
    draft background paper on Prisons and Womens
    health and a draft agreement of a WHO Conference
  • HIPP Annual Conference Prisons and Womens
    Health and Network Meeting 2008, in Kiev,

PH EG activities (continuation)
  • XVI BSSSC Annual Conference in Kaunas.
    Presentation of Project proposal at Project Idea
  • Establishment of Contacts with Belarus and
    Canadian Prison authorities
  • Preparation of NDPHS fact sheets (both the
    English and the Russian version)

Planned activities for 2009
  • Develop a project proposal on HIV/AIDS Prevention
    among the female prisoners, covering Estonia,
    Lithuania, Latvia, Poland and Belorussia
  • Development of NDPHS strategy on Prison Health.
  • Development of project proposals for Belarusian
    prisons, with the involvement of SEEC
  • Health Review and comment on the draft Strategic
    Goals of participant countries including
    coordination of review by Partner countries and
    organizations as appropriate

Planned activities for 2009 (continuation)
  • Review, analyze, and evaluation of technical
    reports, research publications and other relevant
    materials on the issues related heath in prison
  • Advocacy and communication efforts directed to
    place Health in Prisons near the top of the
    health and development agendas
  • Development of project proposals for Belarusian
    prisons, with the involvement of SEEC
  • close collaboration with the WHO Health in
    Prisons Project (HIPP) in supporting NDPHS
    Partner Countries to address health and health
    care in prisons

HIV incidence rates in prisons
  • Incidence of HIV in prison
  • Latvia 1/4 of HIV in the country have been
    infected in prison and prisons host 1/5 of HIV
    total population
  • outbreaks in prisons documented in Lithuania (299
    in 4 months) and Russia.
  • Other infections
  • STIs
  • High TB prevalence in prison
  • High Hepatitis C and B prevalence
  • HIV prevalence rates are generally higher among
    women in prisons

Epidemiology HIV prevalence rates in prisons
  • Universal and important problem
  • HIV prevalence in prison higher than in the
  • 1.5 to 2 times prevalence in the community
  • Countries with high prev. and heterosexual
    transmission predominant
  • Few /no IDUs in the community
  • 5, 10, 20, times prevalence in the community
  • Country with IDUs in the community
  • Lack of reliable data on HIV prevalence in prison
  • From researches no monitoring

Possible Project Proposal HIV/AIDS prevention,
treatment and care for female prisoners
  • To improve the legal and policy frameworks with
    the view to establish favourable environments for
    rapid, large-scale and comprehensive
  • Gender-sensitive HIV/AIDS and TB prevention and
    care materials
  • Capacity development. Strengthen of
    organizational and operational capabilities of
    institutions, in order to better perform their
  • To document and disseminate lessons learned
    within the country and to a wider audience in the
    Northern Dimension region and beyond 

Goal of the Project
  • To overview and to analyse internationally
    available and nationally implemented guidelines
    on HIV/AIDS and TB case management for female
    prisoners, to support ongoing activities in
    Lithuania, Latvia, Estonia, Poland and Belarus
    prison settings and to strengthen those services
    through training and interactive workshops. To
    advice on HIV/AIDS and TB case management policy
    for female prison through Nordic Dimension
    partnership and to promote the development of
    National policies

Proposed Objectives
  • Objective 1 To develop an enabling environment,
    which provides conditions that support gender
    sensitive approaches to HIV prevention,
    treatment, care and support services to female
  • Objective 2 Improve availability and quality of
    gender sensitive comprehensive packages for
    prevention of HIV and TB within Prison settings
  • Objective 3 Sharing the lessons learned
  • Objective 4 Monitoring and evaluation

Major activities
  • Develop gender sensitive training materials and
    manuals, locally adapted to specific social and
    cultural contexts
  • Conduct training and skills-needs assessment
    among existing and potential service providers,
    including primary health care nurses and doctors,
    social workers
  • Provision of sexual and reproductive health
    services, general health services, maternal and
    child health services, HIV and TB services
  • Carry out intensified TB case finding, in
    particular among drug users with HIV who are at
    particular risk of TB
  • Drafting recommendations for HIV/AIDS and TB case
    management implementation for female prisoners
  • Drafting ND strategy on HIV/AIDS and TB
    management within Prison settings