Mapping the Zambian prison health system
An analysis of key structural determinants
Bibliographic Data
| ID | 15541617 |
|---|---|
| Authors | Stephanie M Topp (0000-0002-3448-7983, James Cook University, corresponding author), Clement N Moonga (Centre for Infectious Disease Research in Zambia), N Luo, Michael Kaingu, Chisela Chileshe, George Magwende, German Henostroza (Centre for Infectious Disease Research in Zambia) |
| Year | 2016 |
| Volume | 12 |
| Issue | 7 |
| Pages | 858-875 |
| Publication date | 2016-07-08 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2016.1202298 |
| PMID | 27388512 |
| OpenAlex | W2474694687 |
| Language | EN |
| Citations received | 10 |
| References cited | 10 |
Health and health service access in Zambian prisons are in a state of 'chronic emergency'. This study aimed to identify major structural barriers to strengthening the prison health systems. A case-based analysis drew on key informant interviews (n = 7), memos generated during workshops (n = 4) document review and investigator experience. Structural determinants were defined as national or macro-level contextual and material factors directly or indirectly influencing prison health services. The analysis revealed that despite an favourable legal framework, four major and intersecting structural factors undermined the Zambian prison health system. Lack of health financing was a central and underlying challenge. Weak health governance due to an undermanned prisons health directorate impeded planning, inter-sectoral coordination, and recruitment and retention of human resources for health. Outdated prison infrastructure simultaneously contributed to high rates of preventable disease related to overcrowding and lack of basic hygiene. These findings flag the need for policy and administrative reform to establish strong mechanisms for domestic prison health financing and enable proactive prison health governance, planning and coordination
Business · Corporate governance · Environmental health · Overcrowding · Political science · Prison · Public health · Criminal Justice and Corrections Analysis · Global Maternal and Child Health · Homelessness and Social Issues · Law · Medicine · Nursing · Health Policy
Prison Overcrowding and Harsh Conditions
Contemporary women prisoners health experiences, unique prison health care needs and health care outcomes in sub Saharan Africa
The health system accountability impact of prison health committees in Zambia
Health and healthcare access among Zambia’s female prisoners
Tuberculosis treatment outcomes among prisoners and general population in Zomba, Malawi
Análise do cuidado em saúde no sistema prisional do Pará, Brasil
Analysis of health care in prisons of Pará state, Brazil
Beyond a Good Head and a Good Heart for Prison Health
Global Prison Health Care Governance and Health Equity
Tuberculose no sistema prisional brasileiro
| Unique citing works | 10 |
|---|---|
| Citations per year | 1 |
| Citation span | 2016 - 2024 (9) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 10 |