Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Imprisoned and imperiled: access to HIV and TB prevention and treatment, and denial of human rights, in Zambian prisons | Todrys et al. Journal of the International AIDS Society 2011 14 8 http content 14 1 8 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access Imprisoned and imperiled access to HIV and TB prevention and treatment and denial of human rights in Zambian prisons Katherine W Todrys1t Joseph J Amon2 t Godfrey Malembeka3 Michaela Clayton4 Abstract Background Although HIV and tuberculosis TB prevalence are high in prisons throughout sub-Saharan Africa little research has been conducted on factors related to prevention testing and treatment services. Methods To better understand the relationship between prison conditions the criminal justice system and HIV and TB in Zambian prisons we conducted a mixed-method study including facility assessments and in-depth interviews with 246 prisoners and 30 prison officers at six Zambian prisons a review of Zambian legislation and policy governing prisons and the criminal justice system and 46 key informant interviews with government and non-governmental organization officials and representatives of international agencies and donors. Results The facility assessments in-depth interviews and key informant interviews found serious barriers to HIV and TB prevention and treatment and extended pre-trial detention that contributed to overcrowded conditions. Disparities both between prisons and among different categories of prisoners within prisons were noted with juveniles women pre-trial detainees and immigration detainees significantly less likely to access health services. Conclusions Current conditions and the lack of available medical care in Zambia s prisons violate human rights protections and threaten prisoners health. In order to protect the health of prisoners prison-based health services linkages to community-based health care general prison conditions and failures of the criminal justice system that exacerbate overcrowding must be immediately improved. International donors should work with the Zambian .
