The health system accountability impact of prison health committees in Zambia

International Journal for Equity in Health
Stephanie M ToppClement N Moonga

Abstract

From 2013, the Zambian Corrections Service (ZCS) worked with partners to strengthen prison health systems and services. One component of that work led to the establishment of facility-based Prison Health Committees (PrHCs) comprising of both inmates and officers. We present findings from a nested evaluation of the impact of eight PrHCs 18 months after programme initiation. In-depth-interviews were conducted with 11 government ministry and Zambia Corrections Service officials and 6 facility managers. Sixteen focus group discussions were convened separately with PrHC members (21 females and 51 males) and non-members (23 females and 46 males) in 8 facilities. Memos were generated from participant observation in workshops and meetings preceding and after implementation. We sought evidence of PrHC impact, refined with reference to Joshi's three domains of impact for social accountability interventions - state (represented by facility-based prison officials), society (represented here by inmates), and state-society relations (represented by inmate-prison official relations). Further analysis considered how project outcomes influenced structural dimensions of power, ability and justice relating to accountability. Data pointed to a com...Continue Reading

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May 26, 2016·Health Policy and Planning·Stephanie M ToppGerman Henostroza
Jul 9, 2016·Global Public Health·Stephanie M ToppGerman Henostroza
Jul 19, 2016·Lancet·Lilanganee TelisingheJoseph J Amon
Sep 28, 2016·International Journal for Equity in Health·Stephanie M ToppGerman Henostroza
Apr 4, 2017·Health Policy and Planning·Marta SchaafMoses Ngulube
Dec 13, 2017·Tropical Medicine & International Health : TM & IH·S HatwiindaG Henostroza
Mar 23, 2018·BMJ Global Health·Stephanie M ToppGerman Henostroza

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Citations

Feb 6, 2020·American Journal of Public Health·Masamine JimbaNancy Long Sieber
Sep 25, 2018·International Journal for Equity in Health·Stephanie M ToppKaren Daniels
Sep 25, 2018·International Journal for Equity in Health·Trisha Greenhalgh

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