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 | ||
* References are the1996 French Ministry of Health/Ministry of Justice joint circular and the 2004 Ministry of Health/Justice National Guidelines
**Reference is the 2007 WHO report untitled "Effectiveness of interventions to address HIV in prisons. Evidence for action technical papers. Geneva, WHO-UNODC-UNAIDS"