Tuberculosis and HIV control in sub-Saharan African prisons: "thinking outside the prison cell"

Reid, Stewart E., Topp, Stephanie M., Turnbull, Eleanor R., Hatwiinda, Sisa, Harris, Jennifer B., Maggard, Katie R., Roberts, Sarah T., Krüüner, Annika, Morse, Jill C., Kapata, Nathan, Chisela, Chileshe, and Henostroza, German (2012) Tuberculosis and HIV control in sub-Saharan African prisons: "thinking outside the prison cell". Journal of Infectious Diseases, 205 (Supplement 2). S265-S273.

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Abstract

Tuberculosis is one of the fastest-growing epidemics in prison populations in sub-Saharan Africa (SSA), constituting a threat to both inmates and the wider community. Various factors have contributed to the breakdown of tuberculosis control in prison facilities in SSA, including slow and insensitive diagnostics, failing prison infrastructure, inadequate funding, and weak prevention and treatment interventions for human immunodeficiency virus (HIV). In this article, we describe the challenges inherent in current approaches to tuberculosis control in prisons and consider the alternatives. We argue that although improved implementation of conventional tuberculosis control activities is necessary, considerable investment in a broader range of public health interventions, including infrastructure and staffing upgrades, cutting-edge tuberculosis diagnostics, and combination prevention for HIV, will be equally critical. This combination response to tuberculosis in prisons will be essential for tackling existing and nascent prison tuberculosis epidemics and will require high-level political support and financing.

Item ID: 39623
Item Type: Article (Research - C1)
ISSN: 1537-6613
Funders: TB REACH, Stop TB Program, World Health Organization
Projects and Grants: WHO grant T9-370-114ZAM
Date Deposited: 18 Aug 2015 04:57
FoR Codes: 16 STUDIES IN HUMAN SOCIETY > 1605 Policy and Administration > 160508 Health Policy @ 60%
11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110309 Infectious Diseases @ 40%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 60%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920599 Specific Population Health (excl. Indigenous Health) not elsewhere classified @ 40%
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