TB HIV Care supports 95 correctional centres, which are located in the Eastern Cape, Western Cape and KwaZulu-Natal.
TB HIV Care offers inmates TB screening as well as HIV counselling and testing services when they are admitted to a correctional centre, during biannual screening campaigns, and on release. Those inmates who show a symptom of TB are tested using GeneXpert technology. In addition to this, inmates are screened using mobile X-ray trucks, which travel to correctional centres to offer the service. If an inmate’s X-ray result is abnormal, he or she will be tested for TB using the GeneXpert.
Inmates who test HIV positive are referred to correctional services health workers for initiation onto antiretroviral treatment (ART), while those who are confirmed to have active TB, are referred for TB treatment.
TB HIV Care provides information on TB and HIV to inmates as part of HIV counselling and testing and through a peer education programme, where specific inmates are trained on TB and HIV and encouraged to share information with other inmates.
Existing Department of Correctional Services (DCS) health services are strengthened through clinical mentoring provided to DCS health workers by experienced nurse mentors as well as through training in continuous quality improvement methods. This helps to improve the quality and continuity of care of inmates. TB HIV Care also works with other partners to assess and improve methods of controlling infection within centres.