ArticleBulletin of the World Health Organization2015
Screening for tuberculosis and testing for human immunodeficiency virus in Zambian prisons.
Article in Bulletin of the World Health Organization, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Diagnostic accuracy of active pulmonary tuberculosis screening during detention admission: a systematic review.Journal of medicine and life · 2024Pooled it
- Prevalence of tuberculosis among prisoners in sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Community-based active case-finding interventions for tuberculosis: a systematic review.The Lancet. Public health · 2021Pooled it
- Facilitators and barriers for HIV-testing in Zambia: A systematic review of multi-level factors.PloS one · 2018Pooled it
- Prisoners co-infected with tuberculosis and HIV: a systematic review.Journal of the International AIDS Society · 2016Pooled it
- Clinical mentorship and TB detection in prison health facilities.IJTLD open · 2026Article
- Alcohol Use and HIV Suppression After Release From Prison Among People With HIV in Zambia.JAMA network open · 2025Article
- Article
- Prevalence and associated factors of TB and HIV coinfections among adult inmates with presumptive pulmonary TB in a Kenyan prison.Tropical medicine and health · 2024Article
- Experiences of Justice-Involved People Transitioning to HIV Care in the Community After Prison Release in Lusaka, Zambia: A Qualitative Study.Global health, science and practice · 2023Article
- Prevalence and Predictors of Pulmonary Tuberculosis among Prison Inmates in Sub-Saharan Africa: A Systematic Review and Meta-Analysis.Tuberculosis research and treatment · 2023Article
- Analysis of the relationship between tuberculosis-related mortality and nitrous oxide emission levels in the world with the environmental Kuznets curve method.Turkish journal of medical sciences · 2022Article
- Preferences for transitional HIV care among people living with HIV recently released from prison in Zambia: a discrete choice experiment.Journal of the International AIDS Society · 2021Article
- Cross-sectional assessment of tuberculosis and HIV prevalence in 13 correctional facilities in Zambia.BMJ open · 2021Article
- Various structural factors influenced early antiretroviral therapy initiation amongst HIV infected prisoners: a qualitative exploration in South Ethiopia.BMC public health · 2021Article
- Addressing Common Mental Health Disorders Among Incarcerated People Living with HIV: Insights from Implementation Science for Service Integration and Delivery.Current HIV/AIDS reports · 2020Review
- Tuberculosis active case-finding interventions and approaches for prisoners in sub-Saharan Africa: a systematic scoping review.BMC infectious diseases · 2020Article
- "It's Not Like Taking Chocolates": Factors Influencing the Feasibility and Sustainability of Universal Test and Treat in Correctional Health Systems in Zambia and South Africa.Global health, science and practice · 2019Article
- Global View of HIV Prevalence in Prisons: A Systematic Review and Meta-Analysis.Iranian journal of public health · 2019Review
- Active and latent tuberculosis among inmates in La Esperanza prison in Guaduas, Colombia.PloS one · 2019Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
objectiveTo improve the Zambia Prisons Service's implementation of tuberculosis screening and human immunodeficiency virus (HIV) testing.
methodsFor both tuberculosis and HIV, we implemented mass screening of inmates and community-based screening of those residing in encampments adjacent to prisons. We also established routine systems – with inmates as peer educators – for the screening of newly entered or symptomatic inmates. We improved infection control measures, increased diagnostic capacity and promoted awareness of tuberculosis in Zambia's prisons.
findingsIn a period of 9 months, we screened 7638 individuals and diagnosed 409 new patients with tuberculosis. We tested 4879 individuals for HIV and diagnosed 564 cases of infection. An additional 625 individuals had previously been found to be HIV-positive. Including those already on tuberculosis treatment at the time of screening, the prevalence of tuberculosis recorded in the prisons and adjacent encampments – 6.4% (6428/100,000) – is 18 times the national prevalence estimate of 0.35%. Overall, 22.9% of the inmates and 13.8% of the encampment residents were HIV-positive.
conclusionBoth tuberculosis and HIV infection are common within Zambian prisons. We enhanced tuberculosis screening and improved the detection of tuberculosis and HIV in this setting. Our observations should be useful in the development of prison-based programmes for tuberculosis and HIV elsewhere.
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