1. DRAFT POLICY MANAGEMENT STRATEGY: HIV/AIDS IN PRISONS

2. INTRODUCTION HIV/AIDS IN PRISONS IS NOT ONLY A HEALTH PROBLEM FOR DCS, BUT ALSO A PUBLIC HEALTH AND NATIONAL CONCERN. DCS HAS DEEMED IT NECESSARY TO REVIEW THE 1996 POLICY TO KEEP IN LINE WITH DEVELOPMENTS AND TO PROVIDE FOR THE NEEDS OF OFFENDERS AND CHILDREN OF FEMALE OFFENDERS.

3. PURPOSE OF POLICY
TO PROVIDE FOR STRATEGIC AND OPERATIONAL FRAMEWORK
TO SERVE AS A GUIDE IN PREVENTION, CARE AND SUPPORT
TO GUIDE EXTERNAL SUPPORT ORGANISATIONS

4. PURPOSE OF POLICY
FOR ALLOCATION OF RESOURCES
TO PROVIDE GUIDELINES FOR MONITORING

5. PRINCIPLES
CONFIDENTIALITY, RESPECT, SENSITIVITY AND KINDNESS
PERFORMANCE OF FULL MEDICAL CHECK ON ALL OFFENDERS ON ADIMISSION
PROMOTION AND ENCOURAGEMENT OF VOLUNTARY TESTING
NON-SEGREGATION OF HIV/AIDS OFFENDERS FROM OTHERS
AVAILABILITY OF COUNSELLING SERVICES

6. PRINCIPLES
INVOLVEMENT OF OFFENDERS, FAMILY AND COMMUNITY
ADEQUATE MANAGEMENT OF STDs
AVAILABILITY OF CONDOMS
PROVISION OF POST EXPOSURE PROPHYLAXIS FOR HEALTH WORKERS

7. PRINCIPLES
ACCESSIBILITY TO ADEQUATE HEALTH CARE SERVICES
CONSIDERATION FOR EARLY RELEASE OF THE TERMINALLY ILL
PROPER HANDLING OF DEAD BODIES
EFFECTIVE SURVEILLANCE OF HIV AND STDs

8. PRINCIPLES
MONITORING OF HIV/AIDS ACTIVITIES
INTERDISCIPLINARY APPROACH AND ACCOUNTABILITY
MULTISKILLING OF PERSONNEL
SERVICES MEETING THE NEEDS OF THE YOUTH AND FEMALE OFFENDERS

9. PRINCIPLES
HIV/AIDS FOCAL PERSON IN EACH PRISON FOR CO-ORDINATION OF PROGRAMMES
CREATION OF A SUPPORTIVE ENVIRONMENT AT ALL LEVELS

10. PRINCIPLES
ACTIVE INVOLVEMENT OF MANAGEMENT AT ALL LEVELS
PROTECTION OF OFFENDERS AGAINST POSSIBLE INFECTION

11. GUIDELINES
1. CONFIDENTIALITY
INFORMATION NOT DIVULGED WITHOUT THE CONSENT OF THE OFFENDER
INFORMATION KEPT CONFIDENTIAL AT ALL TIMES
PRINCIPLES OF NEED -TO- KNOW BASIS

12. 2. HIV TESTING
NO COMPULSORY TESTING
WRITTEN INFORMED CONSENT
PRE AND POST COUNSELLING OF ALL CASES
PARENT OR GUARDIAN TO GIVE CONSENT FOR CHILDREN

13. HIV TESTING
SPOUSE, PARENT OR APPOINTED CURATOR AD LITEM TO GIVE CONSENT FOR MENTALLY ILL
ANONYMOUS SURVEYS, WRITTEN CONSENT TO BE SOUGHT
CONFIRM HIV POSITIVE RESULTS
COUNSELLING BY TRAINED PROFESSIONALS

14. 3. SEGREGATION
HIV POSITIVE OFFENDERS WILL NOT BE SEGREGATED
TREATMENT TO BE THE SAME AS IN THE GENERAL PUBLIC
MEDICAL ISOLATION ONLY IN ACTICE TB, INCONTINENCE, PERSISTENT BLEEDING, SORES AND OTHER INFECTIONS

15. SEGREGATION
MEDICAL ISOLATION WITHOUT REFERENCE TO ONE’S HIV STATUS
HIVPOSITIVE OFFENDERS MUST HAVE ACCESS TO WORKSHOPS AND WORK IN THE KITCHEN, FARMS,ETC
HIV POSITIVE OFENDERS MUST PARTICIPATE IN PROGRAMMES WIHOUT DISCRIMINATION

16. 4. HEALTH AWARENESS AND INFORMATION TO OFFENDERS
PRISONS AN IDEAL INVIRONMENT FOR PREVENTIVE PROGRAMMES
INFORMATION ABOUT HIV/AIDS & STDs MUST BE GIVEN TO ALL OFFENDERS ON ADMISSION AND AT REGULAR INTERVAL
MOTHER-TO-CHILD SPREAD INFORMATION TO FEMALE S

17. HEALTH AWARENESS AND INFORMATION TO OFFENDERS
AVAILABILITY OF REPRODUCTIVE SERVICES
HEALTH EDUCATION TO ALL PERSONNEL
NEW RECRUITS TO RECEIVE INFORMATION ABOUT HIV/AIDS
USE OF VARIOUS STRATEGIES

18. HEALTH AWARENESS AND INFORMATION TO OFFENDERS
YOUNG OFFENDERS TO BE TRAINED IN LIFE SKILLS
PARTICIPATION OF SECURITY STAFF IN HIV/AIDS ACTIVITIES
DURING WORLD AIDS DAY & OTHER COMMEMORATIONS PROMOTE AWARENESS

19. 5. SCREENING ON ADMISSION
ALL OFFENDERS MUST BE MEDICALLY EXAMINED ON ADMISSION FOR EARLY IDENTIFICATION OF HIV/AIDS,STDs AND OTHER DISEASES
TAKE COGNISANCE OF SIGNS SUCH AS LOSS OF WEIGHT AND OTHERS

20. 6. UNIVERSAL PRECAUTIONS
ALL BODY FLUIDS MUST BE TREATED AS POTENTIALLY INFECTIOUS
OPEN WOUNDS TO BE TREATED AS POTENTIALLY INFECTIOUS
USE OF PROTECTIVE EQUIPMENTS
NEEDLE PRICKS TO BE HANDLED ACCORDING TO PROTOCOLS

21. UNIVERSAL PRECAUTIONS
IN THE EVENT OF EXPOSURE TO BODY FLUIDS, GUIDELINES SHOULD BE FOLLOWED
SOILED LINEN SHOULD BE CONSIDERED DANGEROUS- USE GLOVES AND DISINFECT THE LINEN PRIOR LAUNDERING

22. UNIVERSAL PRECAUTIONS
LABORATORY SPECIMENS SHOULD BE HANDLED WITH CARE
PROTECTION AT ALL TIMES DURING MESSY PROCEDURES
SENSITIZE OFFENDERS WORKING AS CLEANERS IN HOSPITAL
UNIVERSAL PRECATIONS TO BE DISPLAYED IN ALL SECTIONS

23. 7. AVAILABILITY OF CONDOMS
CONDOM AVAILABILITY AN INTEGRAL PART OF PREVENTION
CONDOM DISPENSERS TO BE SECURED IN ACCESSIBLE PLACES
PROVIDE INFORMATION ABOUT THEIR USE
NURSES TO KEEP RECORD OF NUMER OF CONDOMS DISPENSED

24. 8. MANAGEMENT OF STDs
ENCOURAGE OFFENDERS TO SEEK HELP EARLY
PROPER TREATMENT IN ACCORDANCE WITH GUIDELINES
HEALTH EDUCATION
TRAINING OF NURSES IN STDs MANAGEMENT
TRACE CONTACTS

25. 9. NON-CONSENSUAL SEX
SENSITIZE ALL OFFENDERS ABOUT THE FACT OF SEX IN PRISONS
SENSITIZE OFFENDERS AND PERSONNEL ABOUT THE DANGERS OF UNPROTECTED SEX, VIOLATION OF HUMAN RIGHTS AND CRIMINALISATION OF RAPE

26. NON-CONSENSUAL SEX
REPORT, RECORD,INVESTIGATE ALL RAPES
ALL RAPE VICTIMS SHOULD RECEIVE MEDICAL ATTENTION

27. 10. MANAGAMENT OF HIV/AIDS AND OPPORTUNISTIC DISEASES
CARE AND SUPPORT TO SUFERERS, FAMLIES AND RELATIVES
24 HRS SERVICES AND REFERRAL SYSTEM
USE OF AZT AND OTHER ANTIRETROVIRAL DRUGS IN LINE WITH POLICY

28. MANAGAMENT OF HIV/AIDS AND OPPORTUNISTIC DISEASES
MANAGEMENT OF OPPORTUNISTIC DISEASES TO BE IN LINE WITH THE DEPARTMNET OF HEALTH GUIDELINES
HIGH PROTEIN AND HIGH KILOJOULE DIET FOR THOSE WHPO ARE HIV P

29. 11. PARTNERSHIP
EXTERNAL ROLE PLAYERS TO BE ENCOURAGED TO PARTICIPATE IN HIV/AIDS PROGRAMMES
ACCESSIBILITY OF PRISONS TO EXTERNAL SERVICE PROVIDERS
CO-OPERATION AND INVOLVEMENT OF EXPERTS

30. PARTNERSHIP
OFFENDER PARTICIPATION AS PEER EDUCATORS
INTERDISCIPLINARY APPROACH IN HIV/AIDS
CARE AND SUPPORT OF CARE GIVERS
DCS PARTICIPATION IN COMMUNITY ACTIVITES

31. 12. CAPACITY BUILDING
HIV/AIDS FOCAL PERSONS IN EACH PRISON
TRAINED COUNSELLORS IN EACH PRISON
ALL CATEGORIES OF PERSONNEL TRAINED
NEW RECRUITS TRAINED IN HIV/AIDS

32. CAPACITY BUILDING
TRAIN NURSES IN HOME CARE
COMMITTEES AT HEAD OFFICE, PROVINCE AND PRISON LEVEL
EACH PRISON MUST HAVE HIV/AIDS PLAN
ALLOCATION OF RESOURCES
PEER EDUCATION

33. CAPACITY BUILDING
BUDGET PROVISION
WORK HAND-IN -HAND WITH THE DOH

34. 13. PROMOTION OF THE RIGHTS OF OFFENDERS
OBSERVANCE OF HUMAN RIGHTS FOR PROTECTION OF THE VULNERABLE
TRANING OF OFFENDERS AND PERSONNEL IN HUMAN RIGHTS
CUSTODIAL STAFF TO TAKE RESPONSIBILITY TO PROTECT OFFENDERS AGAINST ABUSE

35. PROMOTION OF THE RIGHTS OF OFFENDERS
SEXUAL ASSAULTS TO BE REPORTED, RECORDED, INVESTIGATED
EMPOWER OFFENDERS TO BE ABLE TO PROTECT THEMSELVES
SEPARATE THOSE WHO SODOMISE OTHERS
DELIBERATE SPREAD IS A CRIME

36. 14. CONTACT TRACING
MEASURES TO BE TAKEN TO TRACE CONTACTS
CONTACTS TO INCLUDE THOSE SHARING ITEMS SUCH AS SHAVING SETS

37. 15. PLACEMENT ON MEDICAL GROUNDS
TERMINALLY ILL TO BE CONSIDERED FOR EARLY RELEASE
INFORM AND INVOLVE RELATIVES IN EARLY STAGE OF THE DISEASE
IDENTIFY COMMUNITY SERVICES TO ASSIST WITH PLACEMENT AFTER RELEASE

38. 16. FUNERAL ARRANGEMENTS
USE OF PROTECTION DURING HANDLING OF ALL DEAD BODIES
SENSITISE THE UNDERTAKERS

39. 17. CARE OF CARE GIVERS
CONSTANT CARE AND SUPPORT

40. 18. COMPLIANCE WITH POLICY
FAILURE TO COMPLY WILL RESULT IN DISCIPLINARY ACTION
INFORM ALL PERSONNEL AND OFFENDERS ABOUT THE POLICY
POLICY ACCESSIBLE AT ALL TIMES