88 Towards the Effective Protection of LGBTI Persons Deprived of Liberty who practiced sex work outside of prison may be compelled to continue doing so within the prison environment. Sexual health and the prevention of STIs should be an integral part of healthcare provision in prisons. Public health should take precedence over alleged security and/or moral concerns and authorities should ensure that detainees have access to information about safe sex and sexual health in a variety of languages, and that condoms or other prophylactics are available to detainees. In female prisons, similar protection should be made available, including dental dams and information specific to the needs of detainees. In contexts where same-sex relationships are criminalised, making condoms or other prophylactics available may be perceived as tantamount to promoting conducts deemed as offenses. Nevertheless, this does not preclude authorities’ obligation to ensure that public health considerations prevail at all times. In the absence of safe-sex materials, detainees may use improvised condom alternatives that can endanger their health. Condoms and other protective materials should be made available without exposing or “outing” detainees. When detainees are obliged to make a request to healthcare staff in order to obtain condoms or other prophylactics, they may in fact be dissuaded from doing so, as in prisons men who have sex with men frequently do not identify as gay. Confidential STI testing and counselling services should also be made available. In some contexts, detainees deemed to be vulnerable are segregated form the rest of the prison population and housed together with HIV-positive inmates, purportedly as a means to control the spread of HIV. This practice only further stigmatise those populations. Good practice Access to information about sexually transmitted diseases and condoms in prison In 2016, a decree on epidemics entered into force in Switzerland72, which 72 Ordonnance sur la lutte contre les maladies transmissibles de l’homme (Ordonnance sur les épidémies, OEp) du 29 avril 2015 (Etat le 1er janvier 2016), Art. 30.