Health and healthcare access among Zambia's female prisoners: a health systems analysis.

Background: Research exploring the drivers of health outcomes of women who are in prison in low- and middle-income settings is largely absent. This study aimed to identify and examine the interaction between structural, organisational and relational factors influencing Zambian women prisoners' health and healthcare access.

Methods: We conducted in-depth interviews of 23 female prisoners across four prisons, as well as 21 prison officers and health care workers.

Mapping the Zambian prison health system: An analysis of key structural determinants.

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.

Exploring the drivers of health and healthcare access in Zambian prisons: a health systems approach.

Background: Prison populations in sub-Saharan Africa (SSA) experience a high burden of disease and poor access to health care. Although it is generally understood that environmental conditions are dire and contribute to disease spread, evidence of how environmental conditions interact with facility-level social and institutional factors is lacking. This study aimed to unpack the nature of interactions and their influence on health and healthcare access in the Zambian prison setting.