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Best practice guidelines for viral hepatitis service delivery in prisons
Yumi Sheehan1, Akhil Garg2, Julia Sheehan3
1Viral Immunology Systems Program, Kirby Institute, University of New South Wales, Sydney, NSW, Australia.
Global guidelines for viral hepatitis services in prisons were developed to address the significant health burden and poor access to care. These guidelines aim to standardize care and support global elimination efforts for viral hepatitis.
Area of Science:
- Public Health
- Infectious Diseases
- Prison Health
Background:
- Viral hepatitis presents a substantial global health challenge, particularly within correctional facilities.
- Limited access to and prioritization of viral hepatitis services in prisons hinder global elimination initiatives.
Purpose of the Study:
- To present the first Global Guidelines for Viral Hepatitis Service Delivery in Prisons.
- To establish best practice recommendations for managing viral hepatitis in incarcerated populations.
Main Methods:
- A narrative review synthesizing findings from a systematic review and an expert-led GRADE process.
- Inclusion of 703 articles to inform the development of recommendations.
Main Results:
- Development of 30 recommendations across eight key domains: policy, testing, treatment, continuity of care, prevention, education, special populations, and M&E.
- Evidence and recommendation strengths were systematically rated (A1, B1, C1, D1, expert opinion).
Conclusions:
- The guidelines provide a standardized global framework for viral hepatitis elimination in prisons.
- Implementation of consistent policy, practice, and reporting is crucial for improving prison-based viral hepatitis care.
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