HIV prevention, treatment and care in prisons and other closed settings: a comprehensive package of interventions‏

United Nations Office on Drugs and Crime

This briefing paper is designed to support countries in implementing an effective response to HIV and AIDS in prisons and other closed settings. It takes into consideration principles of international law, including international rules, guidelines, declarations and covenants governing prison health, international standards of medical ethics and international labour standards.

The report outlines the Comprehensive Package of 15 Key Interventions, including: 

  • Information, education and communication
  • Condom programmes
  • Prevention of sexual violence
  • Drug dependence treatment, including opioid substitution therapy
  • Needle and syringe programmes
  • Prevention of transmission through medical or dental services
  • Prevention of transmission through tattooing, piercing and other forms of skin penetration
  • Post-exposure prophylaxis
  • HIV testing and counselling
  • HIV treatment, care and support
  • Prevention, diagnosis and treatment of tuberculosis
  • Prevention of mother-to-child transmission of HIV
  • Prevention and treatment of sexually transmitted infections
  • Vaccination, diagnosis and treatment of viral hepatitis
  • Protecting staff from occupational hazards

The report also outlines additional interventions that have not been included in the package of 15 key interventions but nevertheless are important and should not be overlooked. These include the distribution of toothbrushes and shavers in basic hygiene kits, adequate nutrition, intimatevisit programmes, palliative care and compassionate release for terminal cases.

July 6, 2015
Year of publication
Resource types
Briefs, Guidelines and Policies, Reports and Fact sheets, Tools
prisons, comprehensive interventions, Education and Communication (IEC), HIV prevention, treatment, ART, ARVs, antiretroviral therapy, research, antiretroviral drugs, condom programs, sexual violence, post-exposure prophylaxis (PEP), HIV testing and counselling, HIV treatment, care and support, TB, PMTCT

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