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Prisoners Portfolio


Treatment as Prevention (TasP) in correctional facilities in Zambia and South Africa

This is a study exploring the feasibility of implementing a universal test and treat (UTT) approach to address HIV and TB in selected prisons in South Africa and Zambia.

Inmates have higher prevalence of both HIV and TB than those found across the general population, and there are concerns about transmission within correctional facilities. Implementing national policies of UTT - offering testing to all inmates, and putting those that test positive onto treatment immediately - should improve the health of inmates and significantly reduce transmission.

Aurum Institute is leading this study, which is assessing issues such as the resources (financial and human) needed for UTT implementation in correctional settings, and the key enabling and constraining factors.

The study is taking place in partnership with the TB/HIV Care Association in South Africa and CIDRZ in Zambia. Working with the Department of Correctional Services in South Africa and Zambia Correctional Services, the study is focussing on prisons in Johannesburg and the Western Cape in South Africa, and Lusaka Central.  

Early findings

  • Early results of universal test and treat implementation in a large Zambian correctional facility. Poster presented at IAS2017. Read...
  • Enabling treatment as prevention in a large Zambian correctional facility through Universal Test and Treat: an interim impact evaluation. Presented at Union (International Lung) conference. Read…


HIV and TB services and surveillance in correctional facilities.
The Aurum Institute is carrying out this study to explore and assess policies and practices related to HIV and TB services and surveillance in correctional facilities in six countries in southern Africa.

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