Global prison health care governance and health equity: a critical lack of evidence

McLeod, Katherine E., Butler, Amanda, Young, Jesse T., Southalan, Louise, Borschmann, Rohan, Sturup-Toft, Sunita, Dirkzwager, Anja, Dolan, Kate, Kofi Acheampong, Lawrence, Topp, Stephanie M., Elwood Martin, Ruth, and Kinner, Stuart A. (2020) Global prison health care governance and health equity: a critical lack of evidence. American Journal of Public Health, 110 (3). pp. 303-308.

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The large and growing population of people who experience incarceration makes prison health an essential component of public health and a critical setting for reducing health inequities. People who experience incarceration have a high burden of physical and mental health care needs and have poor health outcomes. Addressing these health disparities requires effective governance and accountability for prison health care services, including delivery of quality care in custody and effective integration with community health services. Despite the importance of prison health care governance, little is known about how prison health services are structured and funded or the methods and processes by which they are held accountable. A number of national and subnational jurisdictions have moved prison health care services under their ministry of health, in alignment with recommendations by the World Health Organization and the United Nations Office on Drugs and Crime. However, there is a critical lack of evidence on current governance models and anurgent need for evaluation and research, particularly in low- and middle-income countries. Here we discuss why understanding and implementing effective prison health governance models is a critical component ofaddressing health inequities at the global level.

Item ID: 61469
Item Type: Article (Commentary)
ISSN: 1541-0048
Copyright Information: (C) AJPH
Funders: National Health and Medical Research Council of Australia (NHMRC)
Projects and Grants: NHMRC APP1078168, NHMRC APP1104464
Date Deposited: 12 Mar 2020 02:15
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 50%
16 STUDIES IN HUMAN SOCIETY > 1605 Policy and Administration > 160508 Health Policy @ 25%
16 STUDIES IN HUMAN SOCIETY > 1602 Criminology > 160202 Correctional Theory, Offender Treatment and Rehabilitation @ 25%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920207 Health Policy Evaluation @ 40%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920599 Specific Population Health (excl. Indigenous Health) not elsewhere classified @ 20%
94 LAW, POLITICS AND COMMUNITY SERVICES > 9404 Justice and the Law > 940408 Rehabilitation and Correctional Services @ 40%
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