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Table 1 Summary of barriers and enablers to HCV screening and treatment in prisoners

From: Hepatitis C virus screening and treatment in Irish prisons from a governor and prison officer perspective - a qualitative exploration

Barriers Enablers
Increased security needs reduce allocated time for supporting medical services In-reach medical services reduce requirement for hospital visits
Inadequate staffing and resources Provision of education and training
Lack of knowledge about HCV among security staff and prisoners Reassuring prisoners regarding confidentiality
Misinformation regarding historical HCV treatments circulating among prisoners Opt-out HCV screening on committal
Concerns regarding medical confidentiality Utilisation of ‘down-time’ in the prison timetable
Prisoners’ fear of treatment side effects and liver biopsy Prison peer workers
Prisoners’ experience and fear of stigma On-site hepatology and Fibroscan