Table 1 Scoring method for computing adherence to international recommendations in prisons (PRIDE Europe)

Information-Education-Communication

•Availability of Information/education at entry or during prison stay

0.5

•Peer education programs available

0.5

•AND availability of clean injecting equipment + condoms (0 if not)^a

1

Testing - Counseling

•Testing for HIV, HBV, HCV systematically proposed at entry (RC) and during prison stay (all prisons)

•AND availability of clean injecting equipment + condoms (0 if not)*

1

Condoms - Lubricants

•Condoms available in various locations

1

•Water-based lubricants available

0.5

•Male condoms and lubricants accessible and female condoms accessible for prisons with female prisoners

0.5

2

Opioid Substitution Therapy

•Induction at entry (RC) + induction during prison stay + continuity of OST at entry (all prisons)

1

•No ceiling dosage

0.5

•No buprenorphine crushing or dilution

0.5

2

Bleach

•At least 2 locations/access for bleach inside prison (penitentiary distribution, purchasable inside prison, available in medical unit)

•AND Intelligible information for HR purposes accessible for all prisoners

1

HBV Vaccination^b

•Systematic HBV vaccination proposal for all seronegative prisoners

1

Post-Exposition Prophylaxis

•All prisoners informed of PEP availability inside prison

1

Needle Exchange Programs

•NEP are available

1

ARV treatment^b

•ARV are accessible

0.5

•Prescriptions follow national guidelines

0.5

1

Prevention of transmission through tattooing, piercing^b

•Existing initiatives aiming at reducing the sharing and reuse of equipment used for tattooing, piercing and other forms of skin penetration

1

TOTAL

12