Continuity of TB and HIV treatment among inmates after release from prison in Sou

项目概要（摘要） 南非惩教机构的囚犯艾滋病毒和结核病的流行率很高， 设施和社区之间的流动程度。在惩教设施内，囚犯 接受结核病和艾滋病毒治疗;然而，在释放后，他们没有系统地与社区联系起来， 护理方案。因此，大多数被释放的囚犯可能会在两个方面都受到干扰。 艾滋病或结核病治疗。最终结果是， 释放人员和获得性耐药艾滋病毒或结核病传播的风险更高 在社区内。 我们提出了一个以社区为基础的个案管理方法，以提高联系到照顾 从监狱释放后。这一业务评估将使用一个系统， 找到刑满释放人员并确定诊所出勤情况。案件管理系统 将包括基于优势的咨询，以产生健康自我效能。两个具体 重点领域将是技能建设，以发展与保健系统的积极互动。 我们预计，通过这一方案，我们将显著增加与社区的联系， 基础护理。这将对减少囚犯的健康产生深远的影响， 降低产生耐药性艾滋病毒或结核病以及将艾滋病毒或结核病传播给伴侣的风险， 社区成员。

Summary of the Project (Abstract) Inmates in South African correctional facilities have a high prevalence of HIV and TB and a high degree of mobility between facility and community. Within correctional facilities, inmates receive TB and HIV care; however, on release, they are not systematically linked to community care programmes. As a result, the majority of released inmates may have interruptions in either HIV or TB treatment. The net result is poorer short and long term health outcomes for the released individuals and a higher risk of transmission of acquired drug resistant HIV or TB within the community. We propose a community-based case management approach to improve linkage into care following release from correctional facilities. This operational evaluation will use a system to locate released inmates and determine clinic attendance status. The case management system will include with strengths based counselling to engender health self-efficacy. Two specific areas of focus will be skills-building to develop positive interactions with the health care system. We anticipate that through this programme we will markedly increase linkage to community- based care. This will have profound implications for the health of the reduced inmate and reduced risk of developing drug resistant HIV or TB and transmitting HIV or TB to partners or community members.