Interventions to improve hepatitis C virus care among people in prisons is lacking, according to a recent review. The systematic review examined evidence on the effectiveness of interventions to increase HCV testing, linkage to care, and treatment uptake among persons in prisons. Researchers found:

• 475 articles were identified, 29 were eligible for full text review, and 6 studies were included.
• Interventions to enhance HCV testing in prison settings included combination risk-based and birth-cohort screening strategies, on-site nurse-led opt-in screening clinics with pre-test counseling and educations, and systematic dried blood spot testing.
• All interventions increased HCV testing, but risk of study bias was high in all studies.
• Interventions to enhance linkage to care included facilitated referral for HCV assessment and scheduling of specialist appointments.