Revision and Implementation of "Clinical Guideline for Tuberculosis and HIV in Prisons", Great Tehran Prison, Iran

Infectious Disorders Drug Targets
Behnam FarhoudiMehrzad Tashakoriyan

Abstract

To evaluate the feasibility of the revised "Clinical Guideline for HIV and TB" in the Great Tehran Prison during October 2013 to June 2014. The guideline includes all aspects of HIV/TB diagnosis based on active case finding (ACF), treatment and care services. Before the implementation, a focus group discussion was conducted, and attended by experts on prison health. The objective was to identify defects and limitations of the guideline. After the discussion, the guideline was revised. The Great Tehran Prison contains three separate units; all prisoners are taken first to "reception and identification unit (quarantine)" and then send to two housing units according to their legal status. An HIV ACF strategy was employed in the quarantine, and two units through a voluntary provider-initiated HIV testing. Three staff of the triangular clinic trained the prisoners about common routes of HIV transmission and the symptoms of TB in the units. In the quarantine, all prisoners were examined for all HIV-risk factors, HIV testing and symptoms of TB. In unit one, healthcare staff continued the ACF process, while in unit two, the peers of prisoners were assigned as the healthcare communicators to proceed with the strategy. At this caring pro...Continue Reading

Citations

Oct 30, 2018·The Open AIDS Journal·Raheleh GolrokhiFabrício Azevedo Voltarelli
Dec 19, 2020·Revista brasileira de enfermagem·Nanci Michele SaitaAline Aparecida Monroe
Jan 12, 2021·Global Public Health·Ilsa Louisa HaeuslerLouis Grandjean
Dec 1, 2020·AIDS·SeyedAhmad SeyedAlinaghiAli Mirzazadeh

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