The RTD concluded that the lack of a budget allocation could not justify the
prolongation of this health problem. Instead, all relevant agencies should
work together and formulate short, medium, and long-term solutions to
address the problem effectively.
Hence, SUHAKAM recommends the setting-up of a special committee to
discuss all the recommendations proposed at the discussion. The committee
shall review and plan the implementation of the recommendations in stages
to reduce the problem of scabies in detention centres and its prevention in
the long run.
8. ROUNDTABLE DISCUSSION ON ACCESS TO HEPATITIS C VIRUS (HCV)
TREATMENT IN PRISON SETTING
SUHAKAM, Positive Malaysian Treatment Access and Advocacy Group
(MTAAG+) organised an RTD on access to Hepatitis C treatment in a prison
setting on 3 December. This was a follow-up to MTAAG+’s findings from
its random research/survey on three prisons, namely Pengkalan Chepa
Prison, Bentong Prison and Seremban Prison which revealed that HCV is
highly prevalent – an average of 41% - among prisoners, especially those
with a history of intravenous drug abuse. The findings from the 180 prisoners
who volunteered for the survey from the three prisons (60 per prison) fit the
high-risk HCV criteria.
The RTD was an opportunity to raise awareness of HCV in Malaysian prisons
and what needs to be done. A total of 96 participants from MOH, Malaysian
Prisons Department, National Anti-Drugs Agency, SUHAKAM, and various
NGOs working with ‘People Who Inject Drugs’9 attended the discussion
During the discussion, it was explained that Malaysia’s current practice
is to screen for HCV only if there are symptoms or signs of the virus. This
contrasts with international standard policy where the screening is done
proactively. Another potential problem in Malaysian prisons is that, even if
screening is done properly, there are high chances the treatment will not
be available because of limited supply or the high cost of treatment. The
Prisons Department’s role in giving access to Hepatitis C treatment in prison
settings is limited to its capacity, based on the existing policy guidelines.
9
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https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/populations/people-who-injectdrugs
ANNUAL REPORT 2020