GH11-005, S. Africa: Continuity of TB and HIV treatment among inmates after release from prison in Sou

项目摘要(摘要) 南非教养机构的囚犯艾滋病毒和结核病感染率很高， 设施和社区之间的机动性程度。在惩教设施内，囚犯 接受结核病和艾滋病毒护理；然而，在获释时，他们没有系统地与社区联系起来 关怀方案。因此，大多数获释的囚犯在任何一种情况下都可能受到干扰 艾滋病毒或结核病治疗。最终的结果是更差的短期和长期健康结果 获释人员和传播获得性抗药性艾滋病毒或结核病的风险较高 在社区内。 我们提出了一种基于社区的病例管理方法，以改善与护理的联系 在从教养所释放后。这项业务评估将使用一个系统来 找到被释放的囚犯并确定诊所的就诊情况。案例管理系统 将包括以力量为基础的咨询，以产生健康自我效能。两个具体的 重点领域将是技能建设，以发展与卫生保健系统的积极互动。 我们预期透过这项计划，我们将显著加强与社区的联系- 以医疗为基础的。这将对减刑囚犯的健康产生深远的影响 降低出现抗药性艾滋病毒或结核病并将艾滋病毒或结核病传播给合作伙伴或 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.