INTRODUCTION=

Brazil is the fourth country with the largest female prison population in the world, second only= to countries like the United States, China and Russia^=
(¹⁾, having shown growth especially between the years 2000 and 2016, totaling ab= out 37 thousand women⁽²⁾. This increase draws attention to the needs= and impasses of women living in deprivation of liberty, related to legal, educational, social, religious and health issues, which, according to the Criminal Enforcement Law of 1984 (LEP) and the Federal Constitution of 1988, constitute a duty of the State⁽^3=
).

Prisons in Brazil usual= ly have an androcentric posture, which does not allow for full attention direc= ted to the needs of the female public. Added to this, the overcrowding of these institutions favors imprisonment in inhuman and unhealthy circumstances, increasing women's vulnerability to the damage resulting from the prison situation⁽^3-4). In this context,= the access of the prison population to health is a growing and emerging public health problem, especially when it comes to sexually transmitted infections (STIs).

Worldwide, the prevalen= ce of STIs in the incarcerated population is higher when compared to the unconfined population. In a study carried out in Bolivia with the aim of determining the prevalence of STIs among incarcerated women, the prevalence= of women with HIV was 1.4%, while in the general population this figure was 0.= 15%. Syphilis presented values three times higher when compared to= the general population and other countries. Herpes showed a prevalence of 62.6%= and hepatitis B of 0.5% when in prison populations in Mexico and Brazil they present values ranging from 0.3 to 7.4%(⁵⁾.

Added to the lack of information on ways to prevent STIs, there is low adherence to condom use a= mong people in prison, whether due to lack of interest, lack of guidance, lack of encouragement from health teams and lack of condom dist= ribution⁽⁶⁾.

It is noteworthy that prison institutions are opportune spaces for health care, as this population would probably not receive such services if they were not confined⁽⁷⁾. These environments, when structured in relation to sexual and reproductive health (SSR), provide STI/AIDS prevention, health promotion and educational= activities⁽⁸⁾, and confinement c= an be a facilitator for these actions.

Notwithstanding the insertion of the National Plan for Integral Attention to Women's Health (PNAISM), in 2004, whose guideline is to reach women in all life cycles and= in different population groups - including prisoners⁽⁼⁹⁾ -, it is observed that access to quality health care for women deprived of liberty is limited⁽⁶⁾. In view of this scenario, in 2014 the National Policy for Comprehensive Health Care for Persons Deprived of Liber= ty in the Prison System (PNAISP) was created, with the objective of guaranteei= ng the access of these people, in the prison system, to comprehensive care in = the System Health Service (SUS). In the same year, the National Policy for Attention to Women Deprived of Liberty and Released from the Prison System (PNAMPE) was created, with the aim of improving the quality of life and hea= lth of this population⁽^10-11).=

However, there is a fai= lure to comply with laws and policies aimed at the rights of prisoners, including the scope of health⁽¹²⁾. A= cross the national territory, only 14.2% (54) of the prisons that receive the fem= ale public have adequate cells/dorms for pregnant women, 3.20% (48) units with nurseries and/or mother and child reference center, and 0.66% (10) crèche, = in contrast to what is recommended in basic assistance actions determined by <= span class=3DGramE>PNAMPE(2).

It is justified to anal= yze the health care of women deprived of liberty in the Brazilian context, base= d on the contradiction between what is proposed in the legislation and the pract= ice carried out in prisons, recorded by studies, which little explore health actions specifically aimed at STIs. and to the female gender. Furthermore, = the importance of establishing/intensifying promotion and prevention actions, s= ince the prevalence of STIs in women in prison is higher when compared to women = in general.

In this sense, the objective is to identify actions for the promotion, prevention and treatmen= t of sexually transmitted infections offered to women deprived of freedom in Bra= zil.

METHOD

This is an integrative literature review on actions for the promotion, prevention and treatment of STIs/AIDS in women deprived of liberty, developed in six stages: elaboratio= n of the guiding question; literature search; data collect; critical analysis of included studies; discussion of results; and presentation of the integrativ= e review⁽¹³⁾.

This review adopted the= PICO⁽¹⁴⁾ strategy to define the guiding research question: Patient: women deprived of liberty; Intervention: actions to promote, prevent and treat STI/AIDS; Comparison: not applicable; Outcomes: promotion, prevention and treatment of STI/AIDS in prison institutions. Thus, the research question was defined: “What is the scienti= fic evidence available in the literature regarding actions for the promotion, prevention and treatment of STIs/AIDS offered to women deprived of liberty = in the Brazilian context?”.

Then, a literature sear= ch was carried out on February 3, 2020, in the electronic databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Literature in Health Sciences (LILACS), PubMed and Web of Science= .

The following descripto= rs were selected, according to the controlled descriptors Medical Subject Headings (MeSH) and Descriptors in Health Sciences (DeCS), being combined with the Boolean operators AND/OR: women, prisons, HIV, sexually transmitted diseases and syphilis. Synonyms and keywords were inserted according to the particularities of each database. Thus, the search strategy proceeded as sh= own in Chart 1.

Chart 1- Description of the sea= rch strategy according to the selected databases. <= span style=3D'font-size:12.0pt;font-family:"Times New Roman",serif;mso-bidi-font= -family: Arial'>Brasilia, Federal District,= Brazil, 2020

DATA BASE=	SEARCH STRATEGY	ARTICLES<= o:p>
CINAHL	((women OR female)) AND ((prison OR jail OR penitentiary OR correction facilities)) AND ((hiv OR "human immunodeficiency virus" OR aids OR "acquired immunodeficiency syndrome" OR syphilis OR "sexually transmitted disease" OR "sexually transmitted infection" OR syphilis))=	318<= /o:p>
LILACS (B= VS)	(mulheres OR women OR mujeres)= AND (prisons OR prisões OR prisiones = OR cárcere= OR presídios OR penitenciária<= /span>) AND (hiv<= span lang=3DEN-US style=3D'font-size:12.0pt;font-family:"Times New Roman",seri= f; mso-bidi-font-family:Arial;mso-ansi-language:EN-US'> OR vih OR "doenças sexualmente transmissíve= is" OR "infecções sexualmente transmissíveis" OR "sexually transmitted disease" OR "sexually transmitted infection" O= R “enfermedades de transmisión sexual” OR aids OR sífilis OR syphilis= ) AND (fulltext:("1") AND db:("LILACS")) AND (year_cluster:[1984 TO 2019])	17
PUBMED	(("women"[MeSH Terms] OR "women"[All Fields]) AND (("prisons"[MeSH Terms] OR "prisons"[All Fields]) OR ("prisons"[MeSH Terms] OR "prisons"[All Fields] OR "jail"[All Fields]) OR corre= ctional[All Fields] OR ("prisons"[MeSH Terms] OR "prisons"[All Fi= elds] OR "penitentiary"[All Fields]))) AND (("hiv"[MeSH Terms] OR "hiv"[All Fields]) OR "human immunodeficiency virus"[All Fields] OR ("acquired immunodeficiency syndrome"[MeSH Terms] OR ("acquired"[All Fields] AND "immunodeficiency"[All Fields] AND "syndrome&q= uot;[All Fields]) OR "acquired immunodeficiency syndrome"[All Fields] OR "aids"[All Fields]) OR "acquired immunodeficiency syndrome"[All Fields] OR ("syphilis"[MeSH Terms] OR "syphilis"[All Fields]) OR (("sexual behavior"[MeSH Terms] OR ("sexual"[All Fields] AND "behavior"[All Fields]) OR "sexual behavior"[All Fields] OR "sexually"[All Fields]) AND transmitted[All Fields])) AND (&quo= t;loattrfree full text"[sb] AND ("1984/01/01"[PDAT] : "2019/12/31"[PDAT]))=	158<= /o:p>
WEB OF SCIENCE	T= OPIC: ((women) AND (prisons OR jails OR correctional OR pe= nitenciar) AND (hiv OR “human immunodeficiency vírus” OR aids OR “acquired immunodeficiency syndro= me” OR syphilis OR “sexually transmistted infection”= OR syphilis)) Refined by: OPEN ACCESS<= /i> Indexes =3DSCI-EXPANDED, SSCI, A&HCI, CPCI-S, CPC-SSH, ESCI Estimated time=3D1984-2019	267<= /o:p>

Source: Prepared by the authors (2020)<= /o:p>

Studies that addressed = the actions of promotion, prevention and treatment of STI/AIDS in women deprive= d of liberty were included, in Portuguese, English or Spanish, in the period from 1984 to 2019; the choice of the starting year is due to the occurrence of L= EP implementation. As exclusion criteria, publications were considered that: (= 1) did not address the topic of interest; (2) were not available for full read= ing; (3) presented, as type of publication, letter to the editor, editorial, monographs, course conclusion works, theses, dissertations, abstracts, book= s, review articles, theoretical, experience reports, case studies and abstracts published in annals of scientific events.

In addition, documents = such as letters to the editor, editorial, monographs, course completion papers, theses, dissertations, abstracts, books, review methods, papers presented at scientific events, case studies and experience reports, in addition to publications repeated between the databases.

After the first selecti= on of references that met the inclusion and exclusion criteria, the studies we= re exported to the Mendeley reference manager, aiming at the removal of duplic= ates and the paired analysis by two reviewers; in cases of disagreement, a third reviewer performed the selection.

In order to facilitate = and synthesize the information from the selected articles, an adapted instrument⁽¹³⁾ was used for data collection to standardize the results and ensure that all the necessary information would be organized in a reliable and secure manner. Data were organized into: author/year, area of publication/type of study/level of evidence, objectives and results that answered the question = in this review.

Subsequently, a critical analysis of the included studies was performed. This analysis is based on t= he levels of evidence defined according to the methodology used. Thus, there is level 1: evidence resulting from the meta-analysis of multiple controlled a= nd randomized clinical studies; level 2: evidence obtained in individual studies with experimental design; level 3: evidence from quasi-experimental studies; lev= el 4: evidence from descriptive studies (non-experimental) or with a qualitati= ve approach; level 5: evidence from case reports or experience; level 6: evide= nce based on expert opinions⁽^13).

In the next step, the interpretation and discussion of the results obtained through the analysis = and synthesis of the selected articles were carried out, with the studies being used as a theoretical framework for the review. For the discussion of the articles included, the vulnerability framework was adopted, that is, the exposure of people to individual, collective and contextual factors that ma= ke them susceptible to infections and illness, in addition to greater or lesser availability of resources for protection, being analyzed in three dimension= s: individual, social and programmatic⁽<= sup>15).

The individual dimensio= n is related to the degree and quality of information that the person holds about the problem and their ability to transform it into protected and protective attitudes and actions. It also involves personal characteristics such as ag= e, sex, gender, race, among others. The social dimension concerns access to in= formation and the ability to process it and incorporate it into practical changes in daily life. This depends, in addition to the individual, on public policies such as education and health, availability of material resources, power to influence political decisions, being free from violent coercion or being ab= le to defend against them. Finally, the programmatic dimension involves the de= gree and quality of commitments, resources, management and monitoring of nationa= l, regional or local prevention and care programs, important to channel existi= ng social resources, optimize their use and identify the needs of other resources⁽¹⁵⁾.=

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)= ⁽¹⁶⁾flowchart was used to present the results, and it is possible to obta= in the analysis of this review in Figure 1, in which the steps are illustrated= .

DISCUSSION

After analyzing the selected articles⁽^17-18), = when comparing the sample of this review, it was identified that both described = the reasons for not using condoms by women, for the prevention of STIs/AIDS, su= ch as trust in the sexual partnership, multiple partnerships and the difficult= y of negotiating use, indicating individual and social aspects of vulnerability,= as gender relations involve power and cultural relations. In this aspect, it i= s up to institutions at different levels of government to develop actions that reduce such vulnerabilities⁽^15)<=
/sup>.

As a result of this situation of inequity, by influencing unprotected sexual practice and contributing to vulnerability, article B highlighted the need for public policies to consider gender issues, corroborating a study that reported the importance of this issue when recommending an appropriate gender program capable of recognizing the needs of incarcerated women and revealing risk factors for HIV infection⁽^19).

In this context, health services, in addition to distributing condoms, should advise on the correct= use of this method and other forms of prevention, provide information that helps women in communication and negotiation of condom use(²⁰⁾.

Counseling is a care technology related to risk management in the STI/AIDS scenario, which encompasses individualized and patient-centered active listening, has the dimensions of emotional support, educational support and risk assessment, a= nd can be offered in different moments within a service(²¹⁾. Therefore, counseling is an action that can be brought to the field of heal= th promotion as it enables health care based on information provided based on identified health needs⁽^22).

In this sense, pre- and post-test STI/AIDS counseling carried out by the health team is highlighted= in the care of patients with suspected or diagnosed STI/AIDS, given the educational actions that provide information for risk management, forms of transmission, prevention and screening for STI/AIDS(¹⁷⁾. This feature of the service refers to actions that reduce the vulnerability= of these women, due to existing programmatic activities.

In line with health promotion actions, health education is understood as a set of practices that favor the construction of knowledge in the area for the population, through= the incorporation of different knowledge - such as common, popular and scientif= ic sense -, which contributes to the development of autonomy and empowerment of individuals in relation to their care⁽²³⁾. Therefore, health education favors the development of knowledge, attitudes = and behaviors that enable proper care, better living conditions and well-being⁽²³⁾. In this way, health education actions contribute to reducing vulnerability.

Health education portra= yed in article B is a fundamental point in accessing information and knowledge about SSR and STI/AIDS by women deprived of liberty. Thus, it is noteworthy that the practices found contribute to the promotion of SSR and the confrontation of vulnerabilities in its three dimensions. Such actions are = in line with the Bangkok Rules (United Nations rules for the treatment of imprisoned women and non-custodial measures for women offenders), within the scope of human rights, which establish that health services carry out activities with this population on education and information related to prevention activities in health care in general, including STI/AIDS⁽²⁴⁾.

That said, these preven= tive actions provided by the penitentiary – offering consultations, tests (serological testing for STI/AIDS and oncotic Pap smear) and condoms – are pointed out in article B as factors that reduce the programmatic vulnerabil= ity of women deprived of liberty to STI/AIDS . A stu= dy carried out with 56 inmates of the Public Jail in the municipality of Tangará da Serra, Mato Grosso, aiming to identify the sexual profile of women deprived of liberty, showed that, with the implemen= tation of preventive and health-promoting measures, there is greater effectiveness= in reducing of STI/AIDS cases in the population, corroborating the assertion in article B that these practices reduce the vulnerabilities of services⁽⁴⁾.

The two articles⁽^17-18) report the care offered by the health team to women deprived of freedom in terms of prevention and health promotion. In addition, they bring the importance of the prison institution in providing this care, since the space facilitates access and must provide health as a right. Thus, it is essentia= l to enhance the programmatic actions provided for in current policies and proto= cols (PNAISP and PNAMPE), which focus on the actions investigated in this review⁽^10-11).=

The articles included b= ring expected experiences regarding policies and programs, unveiling actions consistent with the guarantee of human rights and coping with vulnerabiliti= es. However, the reality of other Brazilian prison institutions is different fr= om what was presented in this review, especially when it comes to the SSR approach. According to women imprisoned in the penal complex in Bahia⁽³⁾, health services are inefficient and/or non-existent, and these women lack knowledge of elementa= ry topics, such as family planning⁽²⁵⁾.

The reproductive and se= xual rights of incarcerated women are not recognized due to the devaluation of motherhood with the precariousness of prenatal care and disrespect for righ= ts, added to the gender inequality in guaranteeing intimate visits. It exemplif= ies the longer time that women must wait after entering the prison system to ea= rn this right; therefore, access to SSR within the prison institution is arduo= us and unsatisfactory⁽²⁶⁾.

It should be noted that= the role of nursing in the prison environment was raised in the two articles included. The authors of this review argue that nurses are prominent in the= se institutions, especially in the context of health promotion and disease prevention, emotional support and the reduction of vulnerabilities. In this way, it contributes to the reduction of the transmission chain, promotes de= bate about SSR and offers humanized care.

Even though the results cannot be generalized due to the small number of articles included, the relevance of the study is highlighted due to the topicality of the theme and for showing the limited approach to the subject, reflected by the inefficie= ncy in the execution of existing public policies, which helps for the maintenan= ce of the three dimensions of vulnerability. This statement demonstrates the u= rgency of more studies on the subject, with an emphasis on prevention, promotion a= nd treatment actions, in order to point out the weaknesses and potential of women's care within the prison system, and thus to support the effective implementation of policies public services.

Despite the search for articles carried out in four databases, in Portuguese, English and Spanish,= it is subject to limitations, as other studies that address the subject may ha= ve been published in other languages and in databases not includ= ed in this work.

CONCLUSION

From the analysis of the articles included, it was identified that health education and pre- and post-test STI/AIDS diagnosis counseling, service and input offerings - such= as consultations, exams and condoms and availability of medications - were the actions of health promotion, disease prevention and treatment in women depr= ived of liberty, related to STIs/AIDS found in the national literature. It is evident that the aforementioned actions provided opportunities to reduce th= ese women's vulnerabilities to STI/AIDS, through health education strategies and access to health care.

Analyzing the results f= rom the adopted framework allowed to identify not only the vulnerabilities of w= omen deprived of liberty, but mainly the prison institutions, revealing the high programmatic vulnerability, reflected in the scarcity of studies that answe= red the question in this review.

It is concluded that on= e of the biggest challenges, point of intersection of the three aspects of vulnerability, to promote SRH of women deprived of liberty, is the inequity= in gender relations. Thus, it is a sine qua non condition to rethink strategies for the effectiveness and breadth of actions provided for in public policies aimed at caring for women deprived of freedom.

Promotion: There was no financing.

REFERENCES

1. Alcântara RLS, Sousa CPC, Silva TSM. Infopen Mulheres de 2014 e 2018: Desafios para a Pesq= uisa em Psicologia. Psicol cien= c prof. 2018; 38(spe2): 88-101. DOI: 10.1590/198= 2-3703000212154

2. Ministério da Justiça (BR). Departamento Penitenciário Nacional. Relatório temático sobre mulheres privadas de liber= dade junho de 2017. Brasília (DF) [Internet]. 2019 [acesso 2020 jul. 31]. Available from: = http://depen.gov.br/DEPEN/depen/sisdepen/infopen= -mulheres/copy_of_Infopenmulheresjunho2017.pdf <= /span>

3. Moreira M, Souza H. Vivências de mulheres aprisionadas acerca das ações de saúde prestadas no sistema penitenciário. Mundo Saúde. 2014; 38(2):219–27. DOI: 10.15343/0104-7809.20143802219227

4. Borges AP, Arenhardt K, Terças ACP, Cabral JF, Lucietto GC, Nascimen= to VF do, et al. Socioeconomic and sexual profile of incarcerated women. Rev enferm UFPE on Line. 2018;12(7):1978–85.= DOI: 10.5205/198= 1-8963-v12i7a231408p1978-1985-2018

5. Villarroel-Torrico M, Montaño K, Flores-Arispe = P, Jeannot E, Flores-León A, Cossio= N, et al. Syphilis, human immunodeficiency virus, herpes genital and hepatitis B in a women’s prison = in Cochabamba, Bolivia: prevalence and risk factors. Rev Esp Sanid Penit [Internet]. 2018 [cited 2020 Aug 17]; 20(= 2): 47–54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30231151 <= o:p>

6. Vasconcelos ACCG, Souza M, Lima KR, Silva BA= K, Vasconcelos DFP. Atenção à saúde de indivíduos privados de liberdade = no sistema prisional brasileiro: uma revisão integrativa. Rev ciênc saúde. 2019; 9(4):28-6. DOI: 10.21876/rcshci.v9i4.847

7. Audi CAF, Santiago SM, Andrade MGG, Francisco PMSB. Survey on the health conditions of incarcerated women. Saúde debat= e. 2016 Jun; 40(109):112-14. DOI: 10.1590/0103-11042016109= 09

8. Bezerra ATAF. HIV/aids e demais infecções se= xualmente transmissíveis em população carcerária brasileira: uma revisão sistemática [Mestrado] Escola Nacional de Saúde Pública Sérgio Arouca; 2015 [cited on 2= 019 dec. 10]. Available from: https://bvssp.icict.fiocruz.br/lildbi/docsonline= /get.php?id=3D4520

9. Ministério da Saúde (BR). Política Nacional = de Atenção Integral à Saúde da Mulher:
princípios e diretrizes. [Internet]. 2004 [cited on 07 may 2020]. Available from:
https://bvsms.saude.gov.br/bvs/publicacoes/politica_nac_atencao_mulh= er.pdf

10. Ministério da Saúde (BR). Política Nacional= de Atenção Integral à Saúde das Pessoas Privadas de Liberdade no Sistema Prisi= onal (PNAISP). 2014a [cited 2019 Dec 1= 0]. Available from: http://www.as.saude.ms.gov.br/wp-content/uploads= /2016/06/Cartilha-PNAISP.pdf

11. Ministério da Justiça (BR). Política Nacion= al de Atenção às Mulheres em Situação de Privação de Liberdade e Egressas do Sistema Prisional. [Internet]. 2014b [cited on 2019 dec 10]= . Available from: http://www.lex.com.br/legis_25232895_PORTARIA_IN= TERMINISTERIAL_N_210_DE_16_DE_JANEIRO_DE_2014.aspx

12. Arruda AJCG, Oliveira MHB, Guilam MC, Vasconcelos DIB, Costa TF, Leite IF. Direito à saúde no sistema prision= al: revisão integrativa. Rev enferm UFPE on-line. 2013; 7(esp): 6646-54. DOI: 10.5205= /reuol.ISSN: 1981-89635058-41233-3-M.0711esp201312

13. Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it. Einstein (São Paulo). 2010; 8(1):102–6. DOI: 10.1590/s1679-45082010rw= 1134

14. Santos CMC, Pimenta CAM, Nobre MRC. = The PICO strategy for t= he research question construction and evidence search. Rev latinoam enferm. 2007; 15(3):508–11.= DOI: 10.1590/S0104-1169200700= 0300023

15. Ayres JR, Paiva V, França Júnior I. Conceit= os e práticas de prevenção: da história natural da doença ao quadro da vulnerabilidade e direitos humanos. In: Paiva V, Ayres JR, Buchalla CM. Vulnerabilidade e direitos humanos. Curitiba: Juruá; 2012. p. 71-94.

16. Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar revisões sistemáticas e metanálises= : A recomendação PRISMA. Epidemiol Serv Saúde. 2015 Apr<= /span>/June;24(2):335-42. DOI: https://doi.org/10.5123/S1679-49742015000200017<= /span>

17. Fernandes MA, Bezerra MM, Moura FMJSP, Alen= car NES, Lima FFF, Castro AED. Infecções sexualmente transmissíveis e as vivênc= ias de mulheres em situação de reclusão. Rev enferm UERJ. 2016; 24(6):e27774. D= OI: 10.12957/reuerj.2016.277= 74

18. Lôbo MP, Penna = LHG, Carinhanha JI, Vilela ABA, Yarid SD, Santos CS.= Actions to prevent and = cope with the STI/AIDS experienced by women in prison. Rev enferm UERJ. 2019. DOI: https://doi= .org/10.12957/reuerj.2019.40203

19. Strazza L, Massad E, Azevedo RS, Carvalho HB. Estudo de comporta= mento associado à infecção pelo HIV e HCV em detentas de um presídio de São Paulo, Brasil. Cad saúde pública. 2007; 23(1): 197–205. DOI: 10.1590/s0102-311x200700= 0100021

20. Silva TCF, Sousa LRM, Jesus GJ, Argolo JGM,= Gir E, Reis RK. Factors associated with the consistent use of the = male condom among women living with hiv/aids. Texto & contexto enferm. 2019; 28: e20180124. DOI: 10.1590/1980-265x-tce-20= 18-0124

21. Ministério da Saúde (BR). Diretrizes para organização do CTA no âmbito da Prevenção Combinada e nas Redes de Atenção à Saúde. [Internet]. 2017 [cited= on 2020 may 7]. Available from:https://telelab.aids.gov.br/index.php/biblioteca= -telelab/item/download/124_36a7c54e6b69f9cf44cbf77b8315ee4e=

22. Buss PM. Uma introdução ao conceito de prom= oção da saúde. In: Czeresnia D, Freitas CM (org.). Promoção da saúde: conceitos, reflexões, tendências. 2 Ed. Rio de Janeiro: Fiocruz; 2009.

23. Ramos CFV, Araruna RC, Lima CMF, Santana CL= A, Tanaka LH. Education practices: research-action with nurses of Family Health Strategy. Rev bras enferm. 201= 8; 71(3):1144-51. DOI: 10.1590/0034-7167-2017-0284

24. Nações Unidas. Unit= ed Nations Rules for the Treatment of Women Prisoners and Non-custodial Measur= es for Women Offenders (the Bangkok Rules) [Internet]. 2016 [cited 2020 May 7]. Available from: https://cdn.penalreform.org/wp-content/uploads/2= 016/07/BangkokRules-Updated-2016-with-renumbering-SMR.pdf&nbs= p;

25. Bispo TCF, Oliveira CAD, Neto EAF, Carvalho= ER, Lino NN, Santos SM. Saúde sexual e reprodutiva no contexto da prisão: Vivên= cias de presidiárias de Salvador-BA. Rev enferm contemp. 2015; 4(2): 109-20. DOI= : 10.17267/2317-3378rec.v4= i2.747

26. Reis CA, Zucco = LP. Saúde sexual e saúde reprodutiva no cárcere: Uma discussão necessária para garantia de direitos das mulheres privadas de liberdade. FRCH-ANPUHSC. 2019; (33):66. DOI: 10.36661/2238-9717.2019n= 33.10827

Corresponding author

Juliane Andrade. University of Brasília, Department of Nursing, Campus Darcy Ribeiro, s/n, Asa Norte, Brasília-DF, Brazil. CEP: 70910-900. Contact: +55(14)997077671. E-mail: juenf_andrade@yahoo.com.br

Submission on: 2021-06-10

Aproved2021-10-09<= /span>

ID^*	RESULTS<= /b>
A	The reasons for the absence of STI prevent= ion mentioned by the women were: trust in the partnership, drug use and multi= ple partnerships. The diagnosis of STI/AIDS occurred on admission and was an episode causing “negative” emotions. Most infected women claimed to have received the diagnosis and information about ways of transmission and tre= atment. Pre- and post-test counseling carried out by the health team – especially= by the nurse – for women with a suspected or diagnosed STI/AIDS is essential= due to their educational actions on risk management, forms of transmission, prevention and screening of STIs/AIDS, in addition to minimizing the feel= ings experienced. Incarceration is considered an opportunity for the professio= nal to work with these women.
B	Condom use is not routine, being used when there is suspicion of the health condition of the sexual partner, require= ment of the partnership in extramarital relationships, anal intercourse, to prevent unplanned pregnancy and STI/AIDS. The knowledge that women have in relation to SSR and STI/AIDS was acquired in the media, schools, informal conversations, health education activities offered by the team inside and outside the institution. The prison environment provides opportunities for learning and providing tools for the care of your health more than outside it, through the provision of services such as consultations and exams aim= ed at SSR, provision of condoms, medications and health guidance. The speech= es brought the effort of the prison unit's health team to provide access to = the necessary health services for diagnosis and treatment, including the partnership with the territory's care network, providing comprehensive ca= re to incarcerated women.