Table 1 Scoring method for computing adherence to national and WHO guidelines in French prisons (ANRS PRI2DE)
French Guidelines* | Score | WHO Guidelines** | Score | |
|---|---|---|---|---|
Information-Education-Communication | • Distribution of information, Flyers or other tools on HIV, Hepatitis and IST prevention at prison entry • ANDHarm reduction, HIV, sexuality and hepatitis education programs in prison settings | 1 | • Availability of Information/education at entry or during prison stay • Peer education programs available • ANDavailability of clean injecting equipment + condoms (0 if not) | 0.5 0.5 1 |
Testing - Counseling | • Systematic HIV, HBV and HV testing proposed at prison entry (RC) and during prison stay (all prisons) • ANDsystematic negative test return | 1 | • Testing for HIV, HBV, HCV systematically proposed at entry (RC) and during prison stay (all prisons) • ANDavailability of clean injecting equipment + condoms (0 if not) | 1 |
Condoms - Lubricants | • Available information on condoms and lubricant access • Male condoms and lubricants accessible and female condoms accessible for prisons with female prisoners, • Condoms accessible in a place other than the medical unit | 2 if 3 items 1 if only 2 items 0 if 1 or 0 item | • Condoms available in various locations • Water-based lubricants available • Male condoms and lubricants accessible and female condoms accessible for prisons with female prisoners | 1 0.5 0.5 2 |
Opioid Substitution Therapy | • Induction at entry (RC) + induction during prison stay + continuity of OST at entry (all prisons) | 1 | • Induction at entry (RC) + induction during prison stay + continuity of OST at entry (all prisons) | 1 |
• No ceiling dosage | 0.5 | • No ceiling dosage | 0.5 | |
• No BHD crushing or dilution | 0.5 2 | • No BHD crushing or dilution | 0.5 2 | |
Bleach | • Existing and intelligible information on the use of bleach in harm reduction for all prisoners • ANDBleach renewal at least every 2 weeks | 1 | • At least 2 locations/access for bleach inside prison (penitentiary distribution, purchasable inside prison, available in medical unit) • ANDIntelligible information for HR purpose accessible for all prisoners | 1 |
HBV Vaccination | • Systematic HBV vaccination proposal for all seronegative prisoners | 1 | Not applicable | |
Post-Exposition Prophylaxis | • All prisoners informed of the PEP availability inside prison | 1 | • All prisoners informed of the PEP availability inside prison | 1 |
Hair cutting procedures/protocols | • Existing hair cutting disposal or protocol | 1 | Not applicable | |
Needle Exchange Programs | Not applicable | • NEP are available | 1 | |
TOTAL | 10 | 9 |