WHO HEALTH IN PRISONS PROJECT(WHO HIPP) BEST ...

WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR EUROPE
WELTGESUNDHEITSORGANISATION
REGIONALBÜRO FÜR EUROPA
WHO HEALTH IN PRISONS PROJECT(WHO HIPP)
BEST PRACTICE AWARDS SCHEME 2009
APPLICATION FORM
ORGANISATION MONDIALE DE LA SANTÉ
BUREAU RÉGIONAL DE L'EUROPE
Before filling in the form please visit the web site of the Collaborating Centre of the
Health in Prisons Project (which is hosted by the University of Central Lancashire) at
the following web address, where you will find useful background information on the
award: http://www.uclan.ac.uk/health/schools/sphcs/wcc.php
When completed please return the form electronically to your WHO Health in Prisons
Project National Counterpart for consideration. The decision to forward applications
to the International Judging Panel rests with your National Counterpart.
Please indicate the category (you may choose only one) for your application, by
typing an X in the box against the correct category
X
Category 1: an example of best practice regarding health care services
provided to prisoners. This category includes any aspect of the clinical care
provided to prisoners by doctors, nurses or other healthcare professionals.
Category 2: an example of best practice regarding any of the following,
or a combination of the following: prevention, health education or health
promotion services provided to prisoners. For example, members of staff
(not necessarily medically trained staff) working within the prison might
provide the service, or it may involve peer education i.e. using specially
trained prisoners.
Category 3: an example of best practice, which demonstrates effective
co-operation between a prison and the outside community, in the area of
health improvement. This category includes any aspect of improving the
health and well being of prisoners.
Contact details of the person in the prison managing the application:
Name: Todts Sven
Job Title: Médecin Directeur
Address: Place de Louvain 4, 1000 Brussels
Email: sven.todts@just.fgov.be
Tel No: 02/210.56.56
Fax No: 02/210.55.62
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BACKGROUND INFORMATION
Title of your piece of work: STD prevention kit developed
Name of country: Belgium
Name of prison: Andenne
Brief description of the prison and prisoners (not more than 200 words):
Andenne is a detention facility which houses 400 male detainees. The prison
opened in 1997 and has an infrastructure adapted to general jailing guidelines.
Andenne prison is a penal institute and houses almost exclusively long term
convicts.
The prison aims at providing the prisoner with a choice of activities. In 2008, among
these activities could be found: a music festival, an event promting reading by inviting
writers into the prison for discussions and an anti-racism week.
There is a staff of 360 people. Most strikingly, the prison runs a childrens' day care
facility
PURPOSE OF THE WORK
1. What is the aim or general objective of your initiative or piece of work (in just
one sentence please)?
The general aim is to limit contamination risks of sexually transmissible infections by
providing an effective tool adapted to the target group, in this case the detainees.
2. What are the main characteristics of the target group(s)?
Is it targeted at all prisoners, or a particular group or groups? e.g a
particular age group.
Are others being targeted e.g. such as staff involvement or involvement
of families.
What is the coverage of the work e.g. how many persons are being
reached?
All detainees i must have the possibility to access suitable means of protection
against STD, to allow.safe sexual relations either with other detainess or when using
the unsupervised visits by spouses or friends.
One can imagine that such tools will create a greater sense of awareness toward
sexually transmitted deseases (amongst prisoners and their surroundings),
3. Why this initiative is important?
What is the health need you are addressing?
Has there been any form of needs assessment undertaken?
Were you drawing upon any evidence or research to inform the piece of
work? If yes please briefly refer to it here.
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During detention, the risk of contracting a sexually transmissible infection has a much
higher chance of occurring. Due to promiscuity but also because of certain actions
involving higher infection risks such as: drug-addiction, tattooing, piercing, or non
protected sexual relations.
Certain infections are much more frequent Belgian inside prison walls (e.g. 5 times
more HIV and 7 times more hepatitis C
4. What did you set out to achieve, and how successful were you? Please list
your specific objectives in order of importance, and any indicators used to help
you measure progress. (NOTE any evaluation should refer back to these
objectives and indicators, indicating progress towards meeting them.)
ACCESSIBILITY: We want a prevention kit (condom, lubricant, booklet) to be
accessible to a maximum number of detainees, but it is also important that they the
understand the message well. We therefore produced the booklet in the three
national languages (Dutch, French and German) as well as in English.
VISIBILITY: The preventive kit must be manufactured in a way so that colours are
sharp and distinguishable from any other similar or non similar product, therefore
easily locatable and thus attire the eye.
EFFECTIVENESS: The delivery of a high-quality protection kit for all detainees must
also be a priority.
DIFUSION: It is also essential that the medical departements promote the distribution
of this kit, because by doing so they will encourage the use of it.
WHO WAS INVOLVED / WHAT WAS THE TIME FRAME?
5. Please describe:
Those involved in delivery of the initiative? Give names, job titles and the
employer of key people involved.
Any prisoner involvement in the planning or delivery of the work.
The time frame: When did the work commence? What did you do and
when? Is there a finish date known yet?
The project was developed by the team of SES Hesbaye. (Project leader: ) SES
Hesbaye (president: Mme Quinet-Le Docte) is an independent organisation, funded
by the French Community Government; They offer health prevention to citizens of the
French Community in Belgium. Recently they focus exlusively on people in prison.
The person responsible for prevention in the Prison Health Care Service (Melanie
Demoitié) provided expertise and facilitated contacts with prison direction and
inmates.
Inmates from Andenne prison participated in the design of the kit.
The prison warden (Mr.Delchavalerie ) instructed his staff to cooperate and facilitate
the initiative
The national prison health care service paid for the production of the kits.
In the final phase, the health care services of the different prisons distributed the
kits.among the prisoners
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EVALUATION
6. Was there an evaluation? If yes please detail findings (not more than 300
words).
You may want to consider:
Formative or process evaluation, concerning the quality and
acceptability of your programme’s implementation with the target
group.
Summative evaluation: what were the outcomes and impacts in relation
to your Specific Objectives and indicators as listed above.
There was no formal evaluation made of the preventive kit. However, the feed-back
we received was quite positive. One of the conclusions was that its diffusion had to
remain the same as for the other preservatives before the creation of a small kit. On
a lesser note at some prisons, the kit was diverted of its proper use.
Generally the target group seemed to appreciate the quality of the small kit and the
information contained inside. However, the prison health care services did not yet
notice an increased demand by the detainees.
ABSTRACT
7. Now tell us in your own words about your piece of work or initiative and why it
is important (not more than 500 words):
The preventive kit is a small square kit (6 by 6 centimetres) made out of plasticized
paperboard. When it is opened, one finds inside a traditional condom as well as
lubricant. On the inner space there is the explanation booklet as well as other general
information. The kit also contains an illustration for usage of the kit. Furthermore all
explanations are given in 4 languages (French, Dutch, German and English)
recongnisable by 4 different colours.
The addition of a lubricant is an innovation for our prisons.
LEARNING POINTS
8. Finally, what are the most important specific learning points from your piece of
work that you would like to share with others working with prisoners? (not more
than 500 words)
Including the target group in the designing process not only created a more attractive
and appealing product but also more accessible.
The choise of colours, graphic design and other esthetical aspects were therefore
important.
It was also important to include members of the personnel to spread of the kit since
they are the closest contact point for most detainees. It was also necessary that they
understood the importance of the project so they could collaborate on the diffusion of
the product at the fullest.
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Note: please attach supporting photographs electronically to this application if you
wish. They may be used in any subsequent publication of the awards.
Thank you for filling in the application. Please send it electronically to your
WHO Health in Prisons Project National Counterpart for consideration. The
decision to forward applications to the International Judging Panel rests with
your National Counterpart. Good luck!
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