Background HIV prevalence in Uganda among inmates is 11.2%, making it almost twice as high as the national prevalence rate estimated at 7.3%. The Uganda prisons Services accommodates over 2,000 inmates living with HIV/AIDS with in its 224 units. Finding prisons with a holistic HIV/AIDS package are uncommon. Lack of accreditation of the clinic at the prison to provide HIV services, security threats to the public and service providers, overwhelming prevalence and inability of other service providers to have a package for inmates was the spring board for TASO Jinja in partnership with Kirinya Prisons to start the outreach.

Program description TASO services in Kirinya came as a result of a needs assessment and signing of a memorandum of understanding with the office of the Jinja District Health Office and Kirinya Prison services management. The out reach was inaugurated in 2009. Since then TASO Jinja has cared for 408 cumulative number of inmates where 42 females and 365 males of which 2.5% and 46% of males and females respectively are on ART.

TASO Jinja provides; a holistic HIV/AIDS care package. Lessons learned Offering healthcare to prisons is an entry point for HCT to the vulnerable groups thus the inmates. More prisons in Uganda are in need of urgent intervention for scaling up HIV/AIDS prevention in prisons.

No HIV services in most Ugandan prisons Few trained service providers to cater for the HIV/AIDS needs of inmates in prison Transfer of the inmates to and from other units without supportive documentation makes monitoring of the progress difficult.

Recommendations The government to upgrade and accredit prison health units to offer comprehensive HIV/AIDS services Policies that enforce the rights of inmates to health services should be rejuvenated. Increase funding to improve service delivery.

Conclusion HIV/AIDS prevention can be scaled up among the inmates.