TAILIEUCHUNG - Imprisonment and women’s health: concerns about gender sensitivity, human rights and public health

Because there is significant variation and overlap in the appearance of dif- ferent etiologies of vaginitis, objective testing should always be undertaken. Any symptomatic, colored, or foul-smelling discharge should be sampled from the lateral vaginal wall for microscopic examination. Such specimens usually are obtained before other testing to decrease the presence of red blood cells. Secretions are mixed with a small amount of normal saline either in a test tube or on a slide with a protective cover slip to prevent air-drying. The saline wet mount is examined under the microscope for trichomonas, excess leukocytes, and “clue cells.” . | Policy practice Imprisonment and women s health concerns about gender sensitivity human rights and public health Brenda J van den Bergh a Alex Gatherer a Andrew Fraserb Lars Mollera Abstract The health of prisoners is among the poorest of any population group and the apparent inequalities pose both a challenge and an opportunity for country health systems. The high rates of imprisonment in many countries the resulting overcrowding characteristics of prison populations and the disproportionate prevalence of health problems in prison should make prison health a matter of public health importance. Women prisoners constitute a minority within all prison systems and their special health needs are frequently neglected. The urgent need to review current services is clear from research expert opinion and experience from countries worldwide. Current provision of health care to imprisoned women fails to meet their needs and is in too many cases far short of what is required by human rights and international recommendations. The evidence includes a lack of gender sensitivity in policies and practices in prisons violations of women s human rights and failure to accept that imprisoned women have more and different health-care needs compared with male prisoners often related to reproductive health issues mental health problems drug dependencies and histories of violence and abuse. Additional needs stem from their frequent status as a mother and usually the primary carer for her children. National governments policy-makers and prison management need to address gender insensitivity and social injustice in prisons. There are immediate steps which could be taken to deal with public health neglect abuses of human rights and failures in gender sensitivity. Abstracts in 3j ft1 Frangais PyccKMM and Espanol at the end of each article. Background The public health importance of imprisonment is insufficiently recognized. This is despite the high numbers held in prisons in many parts ofthe

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