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“监狱设施的设计没有考虑到女性”:马拉维监狱中女性状况的多方利益攸关者探索性研究。

'Prison facilities were not built with a woman in mind': an exploratory multi-stakeholder study on women's situation in Malawi prisons.

机构信息

Department of Medicine, University of Malawi, Zomba, Malawi.

Department of Social Research, University of Malawi, Zomba, Malawi.

出版信息

Int J Prison Health. 2020 Apr 27;16(3):303-318. doi: 10.1108/IJPH-12-2019-0069.

Abstract

PURPOSE

Sub-Saharan African prisons have seen a substantial increase in women prisoners, including those incarcerated with children. There is very little strategic literature available on the health situation and needs of women prisoners and their circumstantial children in Malawi. The study aims to explore this issue.

DESIGN/METHODOLOGY/APPROACH: A qualitative exploratory study using in-depth key informant interviews with senior correctional stakeholders (commissioner of prison farms, senior correctional management staff, senior health officials and senior officers in charge) (=5) and focus group discussions (FGD) with women in prison of age between 18 and 45 years (=23) and two FGD with correctional staff (=21) was conducted in two prisons in Malawi, Chichiri and Zomba. Narratives were transcribed and analysed using thematic analysis.

FINDINGS

Three key themes emerged and are as follows: "hygiene and sanitary situation across multiple prison levels and subsequent health implications for women"; "nutritional provision and diets of women and children in prison"; and "women's access to prison-based and external health services". Divergence or agreement across perspectives around sanitation and disease prevention, adequacy of nutrition for pregnant or breast-feeding women, health status and access to prison-based health care are presented.

PRACTICAL IMPLICATIONS

Garnering a contemporary understanding of women's situation and their health-care needs in Malawian prisons can inform policy and correctional health practice change, the adaptation of technical guidance and improve standards for women and their children incarcerated in Malawi.

ORIGINALITY/VALUE: There is a strong need for continued research to garner insight into the experiences of women prisoners and their children, with a particular emphasis on health situation.

摘要

目的

撒哈拉以南非洲的监狱中女性囚犯人数大幅增加,包括与子女一同入狱的女性。关于马拉维监狱中女性囚犯及其随遇子女的健康状况和需求,几乎没有可供参考的战略文献。本研究旨在探讨这一问题。

设计/方法/方法:采用定性探索性研究,对高级惩教利益攸关方(监狱农场专员、高级惩教管理人员、高级卫生官员和负责的高级官员)进行深入的关键知情人访谈(5 人),并对年龄在 18 至 45 岁之间的监狱中的女性进行焦点小组讨论(23 人)和对惩教人员进行两次焦点小组讨论(21 人)。在马拉维的奇奇里和宗巴的两个监狱中进行了研究。使用主题分析对叙述进行转录和分析。

发现

出现了三个关键主题,如下所示:“多个监狱层面的卫生和卫生状况以及对女性的后续健康影响”;“妇女和儿童在监狱中的营养供应和饮食”;“妇女获得监狱内和外部卫生服务的机会”。展示了对卫生和疾病预防、孕妇或哺乳期妇女营养充足、健康状况和获得监狱内医疗保健的看法分歧或一致。

实际意义

了解马拉维监狱中妇女的状况及其医疗保健需求,可以为政策和惩教卫生实践变革提供信息,调整技术指南,并为被监禁的妇女及其子女提高标准。

原创性/价值:需要持续进行研究,以深入了解女性囚犯及其子女的经历,特别关注健康状况。

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