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Hepatitis C in Wisconsin Jails: Barriers to Testing and Treatment During Incarceration
Emily Hacker1,2, Kailynn Mitchell3, Caroline Mohr3
1University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Background:
Justice-involved individuals are disproportionately affected by hepatitis C virus (HCV) infection. Wisconsin's viral hepatitis elimination plan prioritizes this population, yet little is known about jail capacity for testing and treatment.
Methods:
A 10-item survey was emailed to administrators of 71 county jails and 1 Tribal detention facility to assess HCV testing and treatment practices and barriers. Responses were analyzed descriptively.
Results:
Thirty facilities (41.7%) responded. Ten jails (33.3%) offered HCV testing; 15 (51.7%) provided treatment. Common barriers to testing included lack of contracted services (40%) and staffing constraints (23.3%). Barriers to treatment included financial restrictions (66.7%) and short incarceration periods (33.3%).
Discussion:
Limited testing and treatment capacity persists despite Medicaid coverage and effective therapies.
Conclusions:
Partnerships with local health agencies and policy changes addressing cost and contractual limitations are essential to expand HCV services in Wisconsin jails.
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