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This document is an outcome of a process to establish a regional framework defining the key elements of a comprehensive response to HIV among MSM and transgender persons (TGs) in the Asia Pacific Region. Along with UNDP and USAID, this regional process has been supported by WHO, UNESCO, UNAIDS, the Association of South East Asian Nations (ASEAN), Asia Pacific Coalition on Male Sexual Health (APCOM) and Family Health International. It has involved government sector and community representatives from over 20 countries.
This review of four countries including India, Indonesia, Nepal and Thailand shows that very few interventions have been implemented in prisons for the prevention, care and treatment of HIV and other sexually transmitted infections, despite a higher prevalence of HIV among those incarcerated. It highlights that such services are not only feasible in resource-poor settings, but also provides some excellent examples of innovative and positive action that can be taken to arrest the spread of HIV in prisons.