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In addition, many inmates come from marginalized populations – such as injecting drug users (IDU) – and already experience an elevated risk of HIV.

In contrast, other western European countries introduced successful prevention interventions targeting IDU early in the epidemics.

According to sentinel surveillance in Tajikistan, the HIV prevalence among prisoners exceeded 8% in 2007.

In 2009, the Republic of Moldova reported an HIV prevalence rate of 3.5% among the incarcerated population.

Some (pilot) HIV prevention (harm reduction) programmes have been introduced in prisons in eastern Europe and central Asia.