Weekly outline

  • Welcome to the course "Condom Distribution Program in Prison"!

    This course is designed as a self-study online. To begin we recommend taking a few minutes to explore our platform. Read the manual included below, review the material and preview the assignments.

    Since there are variations in policy and guidelines by country, the course cannot reflect country- specific regulations. This course presents general principles, to complement, not replace, national and international guidelines.

    If you have questions about course content, please send email to address: info@harmreduction.eu

    Good luck as you get started, and I hope you enjoy the course!

  • Introduction

    HIV hit prisons early and hit them hard. The rates of HIV infection among prisoners in many countries are significantly higher than those in the general population. HCV seroprevalence rates are even higher. While most of the prisoners living with HIV in prison contract their infection outside prison before imprisonment, the risk of being infected in prison, in particular through sharing of contaminated injecting equipment and through unprotected sex, is great. Studies from around the world show that sexual activity, including rape and other forms of sexual violence, occur in prisons and result in transmission of HIV and other STIs.

  • Evidence from prison studies part 1

    Only a small number of studies in developed countries have evaluated condom distribution programmes in prison. The following questions guided the review and analysis of these studies and other published and unpublished data on the effectiveness of condom provision in prisons:

    1. Is distribution of condoms feasible in prisons, and has it resulted in any negative consequences for safety and security in the institutions? Do prisoners and staff accept condom distribution programmes?
    2. Does provision of condoms in prison lead to decreased risk behaviour and is this associated with lower rates of infection in prison?

    In this section we will present examples of implementation of the programs of prisons with their assessment of the prisoners and the prison service.

  • Evidence from prison studies part 2

    In this part, we presented the long-term effects of condoms in New South Wales prison in Australia

  • Conclusion and recommendation regarding condom provision

    The available research and the experience of the many prison system in different parts of the world in which condoms have been provided to prisoners for many years, without any reported problems, suggest that providing condoms in prison is feasible in a wide range of prison settings.