Document 0938
 DOCN  M94A0938
 TI    Promoting safe behaviour in prisons: a program directed at detainees and
       prison staff.
 DT    9412
 AU    de Jongh-Wieth FE; Schepp-Beelen JC; GGD-City Health Department, The
       Hague, Netherlands.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):246 (abstract no. PC0345). Unique
       Identifier : AIDSLINE ICA10/94371637
 AB    OBJECTIVE: To identify ways to promote safe practices and to offer
       support and care to prison inmates affected by HIV/AIDS and prison staff
       in The Hague and region where prison capacity is 606 inmates and there
       are 615 regular prison staff. In the Netherlands, one third of the
       prison population use hard drugs and 10 to 15% is an IDU, while there
       are youth with low education and a history of many sexual partners.
       METHODS: Feed back was collected from training all prison workers
       individually and in groups in dealing with HIV was collected. A working
       group was formed involving prison and rehabilitation staff and public
       health personnel RESULTS: Conditions which facilitate safe behaviour
       include a non-judgemental and non-moralising attitude by prison staff;
       the establishment of a climate where prisoners feel confident to seek
       counseling and the provision of condoms and adequate care. A
       needle-exchange service was proposed, but considered unacceptable at
       present. Training and health education also need to include TB and
       Hepatitis B. Handouts with information on HIV-control and the provision
       of condoms on discharge were deemed appropriate. The right to have a
       buddie for HIV-infected prisoners was acknowledged. CONCLUSION: There is
       potential for HIV-control and support to prisoners, many of whom are
       likely to enter into high-risk situations on discharge from prison.
 DE    Attitude  Health Education  Human  *HIV Infections/PREVENTION & CONTROL
       Netherlands  *Prisoners  Prisons/*MANPOWER  Substance Abuse  Substance
       Abuse, Intravenous  MEETING ABSTRACT

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