163 3 8 9 11 10 7 6 4 3 2 5 1 METHODS & RGANISATION      RISK REDUCTION STRATEGIES IN PRISONS - WHY AND HOW ? It is evident that strategies have to be setting, to address problems such as the unprotected sexual contacts and tattooing ment, lack of knowledge about transmission AIDS and the dynamics of addiction. The limited possibilities in prison call ventional solutions. �eSecond best�f or �ebetter which are effectively pragmatic solutions to be considered. Sometimes, prison-based can be followed. We know for instance, that, drugs without having a syringe available the act, in some prisons the inmates will positive inmates inject last. Another example is cleaned by simply drawing up several because of a lack of effective means of disinfecting. To reduce health risks, own forms of risk assessment, sometimes entifically proven inmates select their needle sharing partners eyes in order to try and see whether the tive or not. Trust plays an important role culture and hierarchy. These onsets of risk as a starting point for risk reduction drug use, prison conditions and the spread reduction should integrate the existing the target groups: drug users will often trainer from outside, and staff have already gies for tackling intoxicated prisoners. form the basis for further discussions. When developing information material on ons one has to keep in mind the specifics Medical staff require different information cers). Inmates have their own specific language. Prevention material designed for community cannot simply be transferred to relevant target groups require prison-adopted it necessary to get input from each of the cerned. This information can be collected focus-group discussions. Initial drafts and and approved. The WHO states that: �git is 1