Prison authorities are beginning to respond to the growing epidemic. In 1996 the state government of Sao Paulo began distributing about 100,000 condoms a month in its prisons. This year, the government has promised to finance a further 15 such projects. The appalling treatment of prisoners is not universal in Brazil. The Penitentiary Hospital in Niteroi in Rio de Janeiro state, with 28 beds for 200 patients a year, is considered a model of good treatment.
Doctors are present at all times, as are nurses, a psychologist and social worker.
Basic materials, diagnostic tests and medicines, including a range of anti-HIV drugs are available. However, if the patient's health improves, he is returned to the prison, where the continuation of treatment is uncertain.