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Sunday, August 01 2004

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Vol 17 No.30

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New Page 13

SHOCKING REPORT: Prison, breeding ground for HIV/AIDS

CHIOMA UMEHA

SCARY reports have shown that prison inmates constitute high risk groups for HIV/AIDS infection just as unprotected sex between the male inmates (homosexuality) had been recognised as a major problem in its transmission worldwide

The report which showed that HIV/AIDS morbidity is heightened where tuberculosis co-exist, especially in the overcrowded prison environment, was the submission of Mr. Goke Agboola, Deputy Controller of Prisons Zone "A" headquarters, Lagos.

Agboola stated this during a roundtable organised by the Journalists Against AIDS (JAAIDS) Nigeria in its office premises, Ikeja, Lagos.

He said that illicit injection without sterilised equipment, which accounts for the greatest number of new HIV infections is no less problem in African prisons.

He said that the use of condoms in prisons is not allowed except in South Africa and observed that there is general paucity of the of reliable data about the dimension and trend of HIV/AIDS in African prisons, due to under-reporting among other reasons.

The Deputy-Controller said that about 92 per cent of prisoners and 90 per cent of prison staff are however aware of the existence of the disease.

While 90 per cent are aware of ways of transmission, especially through sexual contact, three per cent have false belief about the issue.

His statistics showed that 61 per cent of prisoners and 67 per cent staff admit to knowing somebody having HIV/AIDS, adding that understanding of AIDS as a fatal disease is as high as 72.81 per cent.

Statistics revealed that there is low knowledge of assessment of personal risk, which is indicated by the report of high rate of promiscuity.

According to the report, "more than 60 per cent admit to sex with multiple partners while another 33 per cent gave a history of sexually-transmitted infections (STIs).

Reports also showed that there is low knowledge of low uptake of voluntary confidential counselling and test, VCCT services as only 20 per cent of prisons have ever had HIV test, the deputy controller said.

Sharing similar view, Dr. Eno Emah, Assistant Controller of Prisons, Maximum Prison Hospital, Lagos, confirmed the occurrence of high risk practices in the prisons.

Giving the breakdown of the statistics, Dr. Emah said that about 17 to 50 per cent of staff and prisoners engage in the use of alcohol, cigarettes and drugs 32 per cent which are sourced from friends and 14 per cent from prison wardens.

She said that both prison inmates and staff are also involved in share and use of unsterilised needles and razor blade.

About 10 per cent of staff and seven per cent of prisoners engage in the sharing or use of unsterilised needles, while 28 per cent staff and 53 per cent inmates do so with razor blades. Also three per cent of inmates engage in the sharing of injection needles while 11 per cent of youths in Borstal Institutes account for "presumed" sex between men

They also noted that there is official disapproval to any planned introduction of condoms for prison inmates with dismay, that 95 per cent of prisoners will support HIV screening in prison at all stages of custody, if permitted.

Dora Ofobrukweta, project coordinator, Life Link Organisation, a non-governmental organisation (NGO) said that her organisation over 10 years, had been involved in HIV/AIDS intervention programmes in the prisons to give information and training to the target group on the issue.

Speaking on the problems and challenges of reducing the spread of HIV/AIDS in the prisons, Ofobrukweta, said "non-diagnostic facilities are still a problem because people living with HIV/AIDS cannot easily get tested."

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