Abstract:Coordenação do cuidado às pessoas que vivem com HIV no sistema prisional Coordination of care for people living with HIV in the prison system Coordinación del cuidado a las personas que viven con el VIH en el sistema penitenciario
“…Although the prison unit is a favorable environment for DOT, it is worth reflecting on the difficulties involved in complying with the proposal, namely: occupation above its capacity and with no adequate professional sizing (55)(56) ; supremacy of actions aimed at the security/surveillance of inmates and prison professionals to the detriment of actions aimed at health, which prevents the daily attendance of inmates in prison health units for such supervision and limits the access of healthcare professionals to cells and pavilions (55,57) ; penitentiary health agents participate in the regulation of access to health actions without adequate knowledge to do so (58) .…”
Objective: to analyze factors associated with unfavorable outcome of tuberculosis treatment in people deprived of liberty. Method: systematic review, carried out in March 2021 in seven databases, with no delimitation of period of publication. The selection process of publications and data extraction was carried out by two independent reviewers. Results: a total of 1,448 publications was identified and nine were included in the study. Unfavorable outcome was higher among those who were men; had low level of education; were living in a rural area before detention; had longer prison time; received occasional visits; had been transferred between prisons; with no sputum smear microscopy or with a positive result at the diagnosis; with no follow-up sputum smear microscopy, previous history of tuberculosis; having both clinical forms of the disease, HIV/AIDS; alcoholics; smokers; low body weight; and self-administered treatment. Treatment default was associated with young people and death with older people. Conclusion: prison health managers and professionals are expected to establish mechanisms of surveillance and health actions innovation aimed at the population deprived of liberty, making efforts to reduce the unfavorable outcomes of tuberculosis treatment.
“…Although the prison unit is a favorable environment for DOT, it is worth reflecting on the difficulties involved in complying with the proposal, namely: occupation above its capacity and with no adequate professional sizing (55)(56) ; supremacy of actions aimed at the security/surveillance of inmates and prison professionals to the detriment of actions aimed at health, which prevents the daily attendance of inmates in prison health units for such supervision and limits the access of healthcare professionals to cells and pavilions (55,57) ; penitentiary health agents participate in the regulation of access to health actions without adequate knowledge to do so (58) .…”
Objective: to analyze factors associated with unfavorable outcome of tuberculosis treatment in people deprived of liberty. Method: systematic review, carried out in March 2021 in seven databases, with no delimitation of period of publication. The selection process of publications and data extraction was carried out by two independent reviewers. Results: a total of 1,448 publications was identified and nine were included in the study. Unfavorable outcome was higher among those who were men; had low level of education; were living in a rural area before detention; had longer prison time; received occasional visits; had been transferred between prisons; with no sputum smear microscopy or with a positive result at the diagnosis; with no follow-up sputum smear microscopy, previous history of tuberculosis; having both clinical forms of the disease, HIV/AIDS; alcoholics; smokers; low body weight; and self-administered treatment. Treatment default was associated with young people and death with older people. Conclusion: prison health managers and professionals are expected to establish mechanisms of surveillance and health actions innovation aimed at the population deprived of liberty, making efforts to reduce the unfavorable outcomes of tuberculosis treatment.
“…Regarding the performance of the prison units, studied by Cadamuro et al (2020), all need to improve their performance with regard to the development of actions to monitor the use of ART (Antiretroviral Therapy), inform and discuss test results with inmates and take them to care outside the prison unit, as reported by Ravanholi et al (2019) reported, highlighting the need for prison health teams to conduct actions aimed at monitoring the regularity of ART use in the logic of the cascade of care, supporting subjects to retain care and resulting in clinical improvement and viral suppression.…”
This study aimed to analyze which look and care to the HIV patient in people deprived of freedom, through electronic research in the databases Virtual Health Library (VHL), BIREME, LILACS. To obtain the data, a crossing was made with the Boolean operators, and and or, using the following descriptors: AIDS, Care and Person Deprived of Liberty, in order to facilitate the search, where 59 articles were found. The inclusion criteria were: articles available for reading in full and published in Portuguese or English, in the period between 2012 and 2022. Literature reviews, editorial letters, theses and dissertations were excluded, as well as full texts with controlled access. For the study selection stage, after the searches, duplicate studies were excluded and an evaluation of the titles and abstracts of the selected studies was started in order to verify if they fit the pre-defined criteria. Finally, the search resulted in 29 articles, most of which reported the difficulty of care for inmates who receive freedom in continuing the AIDS treatment, in addition to the need for public policies for this public as well as a rigorous work of health education and testing in the population deprived of freedom.
“…In Brazil, the prison population exceeds 800,000, with 392 incarcerated people per 100,000 population (10,11). With the prevalence of diseases, mainly sexually transmitted infections (STIs) and tuberculosis, health in prison settings has become a public health emergency (12)(13)(14)(15). Therefore, several strategies and public policies directed at the prison system were adopted in order to tackle this public health crisis in the country.…”
Education, with an emphasis on prison health, has acted as a policy inducing changes in work processes, which the Brazilian National Health System (SUS) has used, and which is present in permanent health education, which promotes health care for people deprived of liberty. This article aims to present an analysis of the impacts of the strategy of massive education on prison health in Brazil from the perspective of health professionals and other actors operating in the Brazilian prison system. The data used in the study come from a questionnaire consisting of 37 questions applied nationwide between March and June 2022. Responses were collected from students who completed the course “Health Care for People Deprived of Freedom” of the learning pathway “Prison System”, available in the Virtual Learning Environment of the Brazilian Health System (AVASUS). This course was offered nationally, whose adhesion (enrollment) occurred spontaneously, i.e., the course was not a mandatory. The data collected allowed us to analyze the impacts of massive education on prison health. The study also shows that the search for the course is made by several areas of knowledge, with a higher incidence in the health area, but also in other areas, such as humanities, which also work directly with the guarantee of the rights of people deprived of liberty, which are professionals in the areas of social work, psychology, and education. The analysis based on the data suggests that the massive education mediated by technology through the courses of the learning pathway, besides disseminating knowledge–following the action plan of the 2030 Agenda of the United Nations Educational, Scientific and Cultural Organization (UNESCO)–, are an effective tool to promote resilience in response to prison health and care demands of people deprived of liberty.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.