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