HIV/AIDS education programs.
SEA-AIDS Network, January 23,
Posted in response to:
Rachel Sacks, PDA, Bangkok, Thailand
I am seeking
information on prison-based HIV/AIDS education programmes and
support groups for positive people. I'm working in Bangkok, where I've been
contacted by an inmate who would like to initiate a peer-led programme, and
I've had a terrible time trying to find out about any such programmes in
Bangkok, Thailand, or the region.
would be greatly appreciated - whether from Thailand, the
region, or beyond!
Thanks in advance for your assistance.
Community Development Association (PDA)
8 Sukhumvit 12
Rachel Sacks asked about information on prison-based HIV/AIDS education
programs and support groups for those infected with the virus. Unfortunately,
there have not been many articles on this topic published in the international
literature. Few countries have come to grips with whether HIV-infected
prisoners have a right to have intimate contact with others that might
lead to sexual or blood transmission, and if the virus is spread within
a prison setting, who is responsible? Should a cell-mate be warned that
in the next bed is an HIV-infected person or should everyone be told only
that anal sex is to be avoided? Should wives (the largest group) or husbands
of HIV infected prisoners be told of the infection, or is it their responsibility
to find out for themselves? Until many of these issues are resolved, few
people with HIV will routinely be identified in prisons, unless of course
they have the signs and symptoms of AIDS.
Once prison officials accept that disclosure is the right thing to do,
then the type of support and care programs that Ms. Sacks asked about become
essential. I am not sure about the situation in Thailand, either regarding
prison testing or how prisoner would know which peers to counsel. Nevertheless
I wish her well in this important effort and am enclosing a few references
that might be of help.
Dixon PS, et al. "Infection with the human immunodeficiency virus in prisoners:
meeting the health care challenge." Am J Med 1993 Dec;95(6):629-35.
Lee JT. "Sexual behaviour of male inmates of a detention facility in Singapore:
risks of intraprison human immunodeficiency virus transmission." Ann
Acad Med Singapore 1995 Sep;24(5):685-90.
Polonsky S et al. "HIV prevention in prisons and jails: obstacles and opportunities."
Health Rep 1994 Sep-Oct;109(5):615-25.
CDC. "HIV prevention in the U.S. correctional system, 1991" MMWR Morb
Mortal Wkly Rep 1992 Jun 5;41(22):389-92, 397 [published erratum appears
in MMWR Morb Mortal Wkly Rep 1992 Jun 12;41(23):415]
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