Validated data regarding
HIV-transmission in prisons in developing countries is scarce. We examined
sexual and injecting drug use behavior and HIV and HCV transmission in an
Indonesian narcotic prison during the implementation of an HIV prevention and
treatment program during 2004-2007 when the Banceuy Narcotic Prison in
Indonesia conducted an HIV transmission prevention program to provide 1) HIV
education, 2) voluntary HIV testing and counseling, 3) condom supply, 4)
prevention of rape and sexual violence, 5) antiretroviral treatment for
HIV-positive prisoners and 6) methadone maintenance treatment.
During a first
survey that was conducted between 2007 and 2009, new prisoners entered Banceuy
Narcotics Prison were voluntary tested for HIV and HCV-infection after written
informed consent was obtained. Information regarding sexual and injecting risk
behavior and physical status were also recorded at admission to the prison.
Participants who tested negative for both HIV and HCV during the first survey
were included in a second survey conducted during 2008-2011.
During both
surveys, data on mortality among HIV-seropositive patients were also recorded.
All HIV-seropositive participants receive treatment for HIV. HIV/ AIDS-related
deaths decreased: 43% in 2006, 18% in 2007, 9% in 2008 and 0% in 2009. No HIV
and HCV seroconversion inside Banceuy Narcotic Prison were found after a median
of 23 months imprisonment (maximum follow-up: 38 months). Total of 484.8 person-years
observation was done. Participants reported HIV transmission risk-behavior in
Banceuy Prison during the second survey was low.
After implementation of HIV
prevention and treatment program, no new HIV or HCV cases were detected and
HIV-related mortality decreased.
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Southeast Asian J Trop Med Public Health. 2015 Sep;46(5):880-91.
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