BRAZILIAN PRISONS AND TB A GLANCE OF OUR

BRAZILIAN PRISONS AND TB

A GLANCE OF OUR PRISON SYSTEM 2

CHALLENGES TOWARDS HEALTH AS A RIGHT GUARANTEED EQUALLY • Criminal Selectivity – Racial Bias – 70% of inmates are black; • Exponential Growth in the last decades: Currently the 3 rd Largest Prison Population in the World (in a continuous growth) ; • Mass incarceration and racism; • Overcrowding; • Limited Human and Material Resources; • Poor Nutrition, Sanitation and Hygiene conditions; • Poor Health Conditions: 10% of all TB Cases in the country are among prison population 3

HEALTH IN PRISON TOWARDS A HUMAN RIGHTS PERSPECTIVE BACKGROUND TB REACH SUS – Sistema Único de Saúde • Universality as a principle • 2013 – The NTP, in partnership with UNODC, submitted a project to TB Reach aiming the increase of TB case detection in the prison system • Since 2003 debates on scalong up the acess to health in prison system • Innovation: First national action with an UN agency focused on TB in prison facilities • 2014 – PNAISP LAW • Developed in three penitentiary complexes BRAZIL’S PUBLIC HEALTH SYSTEM: 4

SUS COVERAGE IN BRAZILIAN PRISONS ALL OVER THE COUNTRY - 2020 5

TB REACH BRAZIL: LESSONS LEARNED AND BEST PRACTICES • TB triage during routine entry screening • Health education campaign for inmates, families and prison agents • Scale up TB/ HIV detection in all inmates - 3 • Elaboration of health materials penitentiary systems and campaigns for each group • Monitoring - <importance • National resources (funding) the and <field relations and its continuation of program due its tools importance: “TB Free Prisons” Prisões livres de TB 6

TB IN BRAZILIAN PRISONS CHALLENGES • Screening • Active Case Finding • Releasing Procedures: coordination with the exiting process and health units • Funding for Health educational campaigns for inmates • Broader coverage and access to health for inmates • Promote the discussion on TB and its impact within the judiciary system • Racial-Gender responsive Approach • Recommendation 62 - COVID • Judiciary Inspections 7

Thank you Pollyanna Bezerra Lima Alves + 55 11 992404119 pollyanna. alves@cnj. jus. br