Prison Health Care Services and the Protection of Inmate Rights: A Case Study of Monrovia Central Prison, Liberia

Mark Karto, Susanne Nambatya, Emmanuel Tweh Friday, Rogers Barigayomwe, Patrick Mutegeki

Abstract


The study focused on examining the relationship between prison health care service provision and protection of inmate rights using the case of Monrovia Central Prison in Liberia. The study investigates how access to medical care, the treatment of diseases, and the availability of health information for prisoners influence the realization of inmates' fundamental health rights. Simple random sampling was used for the selection of the 150 inmates for the study, while purposive sampling was used to determine the 28 key informants who constituted the qualitative sample. Quantitative data analysis was based on 127 questionnaires that were complete / retrieved for the study. The findings revealed an overall low satisfaction with prison health care services, with mean scores falling within the "disagree" range on key indicators such as access to medical care (mean = 2.48), ongoing treatment (mean = 2.46), and access to health information (mean = 2.42). Respondents also expressed significant dissatisfaction with the extent to which healthcare provision upholds inmates' rights (mean = 1.89). Qualitative interviews echoed these findings, highlighting concerns such as delays in treatment, limited availability of medication, and inadequate communication about health conditions. Despite these concerns, a statistically significant and moderately strong positive correlation (r = 0.60, p < 0.01) was found between the quality of health care services and the protection of inmate rights. Regression analysis further confirmed this relationship, showing that improvements in health care provision positively predict increased rights protection (β = 0.439, p = 0.000). These findings suggest that strengthening prison health systems is critical to advancing the health rights and overall dignity of incarcerated individuals. Based on the findings, the study recommends that the prison administration enhance healthcare services by improving access to medical care, strengthening illness prevention strategies, and ensuring inmates are adequately informed about their health status. The implementation of routine health examinations and timely medical interventions is essential for safeguarding inmates' health rights.


Keywords


Prison, Health Care Services, Inmate, Right to Health, Liberia

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References


. Akiyama, M. J., Ross, J., Rimawi, F., Fox, A., Jordan, A. O., Wiersema, J., ... & MacDonald, R.

. (2020). Knowledge, attitudes, and acceptability of direct-acting antiviral hepatitis C treatment

. among people incarcerated in jail: A qualitative study. PLoS One, 15(12), e0242623.

. Amin, M.E. (2005) Social Science Research: Conception Methodology and Analysis. Makerere University

. Printeryafd, Kampala.

. Baffour (2021). Reporting guidelines for human microbiome research: the STORMS checklist.

. Nature medicine, 27(11), 1885-1892.

. Baffour, F. D., Francis, A. P., Chong, M. D., & Harris, N. (2024). Prison Overcrowding and Harsh

. Conditions: Health and Human Rights Concerns to Persons in Custody, Staff, and the Community.

. Criminal Justice and Behavior, 51(3), 375-400.

. Baillargeon, J., Giordano, T. P., Rich, J. D., Wu, Z. H., Wells, K., Pollock, B. H., & Paar, D. P. (2009). Accessing antiretroviral therapy following release from prison. Jama, 301(8), 848-857.

. Bhandari, P. (2021). Correlational Research: When & How to Use. Accessed on https://www.scribbr.com/methodology/correlational-research/

. Beeler-Stinn, S. (2021). Exploring the Service Utilization of Formerly Incarcerated Persons with

. Substance Use Disorders (Doctoral dissertation, Washington University in St. Louis).

. Bureau of Corrections and Rehabilitation (BCR) (2023). Liberia Prisons Service (LPS) Report (2023). Liberia

. Chen, L. A., Cheng, J. S., & Chu, J. C. (2019). Ensuring health equality for inmates at correctional institutions in Taiwan. Journal of the Formosan Medical Association, 118(8), 1175-1176.

. Chibaya, N. H. (2022). Voices of social workers on their perceived roles in social protest actions (Doctoral dissertation, Stellenbosch: Stellenbosch University).

. Chowdhury, J. The Dilemma Between Fundamental Rights and Human Rights in the Constitution of Bangladesh: A Comparative Analysis (Doctoral dissertation, University of Asia Pacific).

. Edelstein, J. (2019). The Prisoner Dilemma: A Bioethical Analysis of the Access to Healthcare of Incarcerated Populations. Temple University.

. Dako-Gyeke, M., & Baffour, F. D. (2016). We are like devils in their eyes: Perceptions and

. experiences of stigmatization and discrimination against recidivists in Ghana. Journal of Offender

. Rehabilitation, 55(4), 235-253.

. Fiscella, K., Wakeman, S. E., & Beletsky, L. (2018). Implementing opioid agonist treatment in correctional facilities. JAMA internal medicine, 178(9), 1153-1154.

. Fraser, J. (2016). An Exploratory Study of Male Ex-prisoners' Experiences of Health and Healthcare in Prison and the Community (Doctoral dissertation, Abertay University).

. Fujii, L. A. (2017). Interviewing in social science research: A relational approach. Routledge.

. Geegbe, D. W., Mbabazize, M., Katuramu, A. O., Barigayomwe, R., & Alloysius, T. (2022). Effects of Prison Overcrowding On the Rehabilitation of Inmates in Liberia: A Study of Monrovia Central Prison. British Journal of Psychology Research, 10(1), 1-17.

. Khorasani, M., Ghasemi, A., Rolfe, B., & Gibson, I. (2022). Additive manufacturing a powerful

. tool for the aerospace industry. Rapid prototyping journal, 28(1), 87-100.

. Link, N. W., Novisky, M. A., & Fahmy, C. (Eds.). (2024). Handbook on contemporary issues in health, crime, and punishment. Taylor & Francis.

. Massoglia, M., &Remster, B. (2019). Linkages between incarceration and health. Public health

. reports, 134(1_suppl), 8S-14S.

. McLeod, K. E., Butler, A., Young, J. T., Southalan, L., Borschmann, R., Sturup-Toft, S., ... & Kinner, S. A. (2020). Global prison health care governance and health equity: a critical lack of evidence. American journal of public health, 110(3), 303-308.

. Miley, L. N. (2023). The Contributions of Mental Health Issues, Traumatic Brain Injury, and Adverse Childhood Experiences to Recidivism Among Rural Jail Incarcerees (Doctoral dissertation, University of South Florida).

. Motlalekgosi, P., & Cilliers, C. (2020). The right to freedom and security of the person: Implications for the South African correctional system. Acta Criminologica: African Journal of Criminology & Victimology, 33(1), 20-43.

. O’Grady, J., Hoelscher, M., Atun, R., Bates, M., Mwaba, P., Kapata, N., ... & Zumla, A. (2011). Tuberculosis in prisons in sub-Saharan Africa–the need for improved health services, surveillance and control. Tuberculosis, 91(2), 173-178.

. Sabjaly, M. (2024). The root of extraction: understanding prison labor through the lens of human dignity (Master's thesis, UiT Norges arktiske universitet).

. Sarkin, J. (2008). Prisons in Africa: An Evaluation from a Human Rights Perspective. Accessed on https://sur.conectas.org/en/prisons-in-africa/

. Shomali, W., &Gotlib, J. (2019). World Health Organization‐defined eosinophilic disorders: 2019

. update on diagnosis, risk stratification, and management. American Journal of

. Hematology, 94(10), 1149-1167.

. Siedlecki, S. L. (2020). Understanding descriptive research designs and methods. Clinical Nurse Specialist, 34(1), 8-12.

. Telisinghe L, Charalambous S, Topp SM, Herce ME, Hoffmann CJ, Barron P, et al. HIV and tuberculosis in prisons in sub-Saharan Africa. Lancet. 2016; 388: 1215–27.

. Todrys KW, Amon JJ, Malembeka G, Clayton M. Imprisoned and imperiled: access to HIV and TB prevention and treatment, and denial of human rights, in Zambian prisons. J Int AIDS Soc. 2011;14:8.

. Trestman, R. L. (2014). Ethics, the law, and prisoners: protecting society, changing human behavior, and protecting human rights. Journal of bioethical inquiry, 11, 311-318.

. UNDP (2024). Protracted Pre-Trial Detention Crowding Prisons and Undermining Access to Justice in Liberia. Accessed on https://www.undp.org/liberia/blog/protracted-pre-trial-detention-crowding-prisons-and-undermining-access-justice-liberia

. Van Hout, M. C., & Mhlanga-Gunda, R. (2018). Contemporary women prisoners health experiences, unique prison health care needs and health care outcomes in sub Saharan Africa: a scoping review of extant literature. BMC international health and human rights, 18, 1-12.

. Van Hout, M. C., & Mhlanga-Gunda, R. (2019). Prison health situation and health rights of young people incarcerated in sub-Saharan African prisons and detention centres: a scoping review of extant literature. BMC international health and human rights, 19, 1-16.

. Vessellee, D. B., Yalley, A. K., Adjei, D. N., Appeaning, M., Odoom, P. N., Kyeremeh, R., &Nii- Trebi, N. I. (2023). Prevalence of hepatitis B virus infection among inmates at the Monrovia Central Prison, Liberia. Tropical Medicine and Infectious Disease, 8(3), 139.

. WHO (2014). Prisons and Health. Accessed on https://iris.who.int/bitstream/handle/10665/128603/9789289050593-eng.pdf?sequence=3&isAllowed=y




DOI: http://dx.doi.org/10.52155/ijpsat.v51.1.7310

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