GH11-005, S. Africa: Continuity of TB and HIV treatment among inmates after release from prison in Sou

GH11-005，南非：苏监狱释放后囚犯继续接受结核病和艾滋病毒治疗

• 批准号: 8491775
• 负责人: CHRISTOPHER J HOFFMANN
• 金额: $ 40万
• 依托单位: AURUM INSTITUTE NPC
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-06-01 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8491775
• 关键词: GH11; 005; S.; Africa; Continuity

Summary of the Project (Abstract) Inmates in South African correctional facilities have a high prevalence of HIV and TB and a high degree of mobility between facility and community. Within correctional facilities, inmates receive TB and HIV care; however, on release, they are not systematically linked to community care programmes. As a result, the majority of released inmates may have interruptions in either HIV or TB treatment. The net result is poorer short and long term health outcomes for the released individuals and a higher risk of transmission of acquired drug resistant HIV or TB within the community. We propose a community-based case management approach to improve linkage into care following release from correctional facilities. This operational evaluation will use a system to locate released inmates and determine clinic attendance status. The case management system will include with strengths based counselling to engender health self-efficacy. Two specific areas of focus will be skills-building to develop positive interactions with the health care system. We anticipate that through this programme we will markedly increase linkage to community- based care. This will have profound implications for the health of the reduced inmate and reduced risk of developing drug resistant HIV or TB and transmitting HIV or TB to partners or community members.

项目摘要（摘要） 南非惩教设施的囚犯的艾滋病毒和结核病患病率很高 设施与社区之间的流动程度。在惩教设施中，囚犯 接受结核病和艾滋病毒护理；但是，在发布时，它们与社区没有系统地联系在一起 护理计划。结果，大多数释放的囚犯可能会中断任何一个 艾滋病毒或结核病治疗。最终结果是较差的短期和长期健康结果 释放的个体和较高的获取药物抗药性艾滋病毒或结核病的传播风险更高 在社区内。 我们提出了一种基于社区的案例管理方法，以改善联系到护理 从惩教设施释放后。此操作评估将使用系统 找到释放的囚犯并确定诊所出勤状态。案例管理系统 将包括基于优势的咨询，以实现健康自我效能。两个具体 重点领域将是建立与医疗保健系统积极互动的技能。 我们预计，通过该计划，我们将显着提高与社区的联系 - 基于护理。这将对减少囚犯的健康和 降低了抗药性艾滋病毒或结核病的风险，并将艾滋病毒或结核病传播给伴侣或 社区成员。