Community-based organizations and HIV prevention for incarcerated populations: three HIV prevention program models.

Inevitably, challenges result from the disconnect between the objectives of correctional facilities, which are safety and conformity, and community-based organizations (CBOs), whose primary function is to provide inmates with primary and secondary HIV prevention and information. This is cause for concern because prisons have a high potential for serving as a reservoir for HIV transmission. CBOs, when accessible, may be the only source of HIV/AIDS prevention, education, and information for incarcerated populations. People living with HIV/AIDS in correctional settings face unique challenges. Among other populations, condoms and bleach kits have been successful in reducing HIV transmission. However, because these prevention tools are not available to incarcerated populations, new HIV prevention strategies are needed. This article focuses on successful intervention practices such as peer-led education and discharge planning services that have been essential components of HIV prevention and provides a context for operating such programs within correctional facilities. The article also highlights the challenges CBOs encounter in providing HIV prevention in various correctional institutions throughout the United States.