Promoting sexual health and accessible HIV Prevention, Treatment, Care and Support services for women prisoners in Zimbabwe and Malawi.

撒哈拉以南非洲区域仍然是艾滋病毒流行的中心，感染艾滋病毒的妇女和女孩的比例仍然不成比例，艾滋病毒主要集中在监狱中的囚犯身上。由于卫生不达标、获得性与生殖服务的机会有限以及监禁期间必要服务的中断，女性囚犯中的艾滋病毒感染率较高。《可持续发展目标》（可持续发展目标3、5和16）、《联合国囚犯待遇最低限度标准规则》（《纳尔逊·曼德拉规则》）、《关于女性囚犯的曼谷规则》以及将建立伙伴关系的南部非洲发展共同体《监狱中艾滋病毒最低限度标准》规定了监狱中适当的保健服务。建立这种新伙伴关系的理由基于联合国最近的一项评价，该评价报告说，津巴布韦和马拉维监狱系统目前为妇女提供的服务远远达不到规定的平等护理标准。这一独特的伙伴关系将挑战和解决女性囚犯在性健康和生殖健康方面的不平等问题，她们是津巴布韦和马拉维易受艾滋病毒/艾滋病影响的人群。这两个国家都受到监狱中缺乏强有力的对性别问题敏感的艾滋病毒/艾滋病监测系统的影响，关于女性囚犯的经历和需求的战略信息也很少。它将为强有力的国际合作努力奠定基础，以监测、调查、了解和促进津巴布韦和马拉维女囚犯的人权和性健康和生殖健康需求。监狱中的艾滋病毒/艾滋病问题既是一个人权问题，也是一个公共卫生问题，需要采取战略方针，防止艾滋病毒传播，改善所有人的健康，同时确保尊重感染者和需要治疗者的人权和尊严。这一伙伴关系是跨学科和跨部门的，汇集了发展、法律、性别和人权以及表演艺术方面的主要伙伴，并结合公共卫生和临床学科。其研究、传播和政策改革活动符合通过跨学科和多部门伙伴关系的工作和合作来实现终结艾滋病的全球目标（可持续发展目标，可持续发展目标17）。了解影响两国监狱工作人员和监狱长对女性囚犯性健康和生殖健康需求的理解和反应的监狱环境文化，对于为女性囚犯及其子女的政策变化和提高标准提供信息至关重要。与民间社会组织合作，项目活动将支持专家和地方知识分享，建立国家和国际合作，以产生研究兴趣、研究能力和专门知识，并制定用于传播艾滋病毒/艾滋病和性健康和生殖健康信息的参与性戏剧方案。当地文化是监狱设计和试点的核心。利用论坛和图像剧场的参与式艾滋病毒传播从未适用于监狱环境中的妇女。通过剧院，女囚犯既是创作者，也是观众。这对于在公共卫生和人权领域向囚犯和工作人员传播艾滋病毒和性健康和生殖健康信息至关重要。该伙伴关系通过其活动将促进健康公民意识和对公民意识在两个层面（即性别层面和监禁层面）被贬低的人民社区的归属感。这一伙伴关系是国际可持续发展工作的一种形式，将在两国为解决女性囚犯性健康和生殖健康方面的差距迈出第一步，并确保利用她们的意见，促进重新制定对性别问题敏感和基于人权的监狱对策和监狱卫生政策，并在需要时增加她们获得高质量和无耻辱感的性健康和生殖健康和艾滋病毒监狱服务的机会。

The Sub Saharan African region remains at the epicentre of the HIV epidemic, with a continuing disproportionate level of HIV infected women and girls, and concentration of HIV among inmates in prisons. HIV prevalence among women prisoners is higher due to sub-standards in hygiene, limited access to sexual and reproductive (SRH) services, and interruption of the necessary services during incarceration. Adequate health services in prisons are mandated under the Sustainable Development Goals (SDG 3, 5, and 16), as well as under the United Nations Standard Minimum Rules for the Treatment of Prisoners (Nelson Mandela Rules), the Bangkok Rules for Female Prisoners and in the SSA region, where the partnership will take place, the Southern African Development Community Minimum Standards for HIV in Prisons. The rationale for this new partnership is grounded in the recent United Nations evaluation, which reported that current provisions for women in Zimbabwean and Malawian prison systems currently fall far short of mandated equivalence care standards.This unique partnership will challenge and address the SRH inequalities of women prisoners, who are a vulnerable HIV/AIDS population in Zimbabwe and Malawi. Both countries are compromised by a lack of robust gender sensitive monitoring systems for HIV/AIDs in prisons, and little strategic information available around women prisoner's experiences and needs. It will set the scene for a strong international collaborative effort to monitor, investigate, understand and promote women prisoner's human rights and SRH needs in Zimbabwe and Malawi. The issue of HIV/AIDS in prisons is both a human rights and public health issue, which requires a strategic approach to prevent HIV transmission and improve health for all, whilst at the same time ensuring the respect of human rights and dignity of those infected and requiring treatment. The partnership is interdisciplinary and inter sectoral, and brings together key partners from development, law, gender and human rights, and the performing arts, in conjunction with public health and clinical disciplines. Its research, communication and policy reform activities sit within the global aim of leveraging the end of AIDS through working and collaborating in an interdisciplinary and multi-sectoral partnership (sustainable development goal, SDG 17). Understanding prison environmental cultures which shape prison staff and wardens' understanding and responsiveness to female prisoners' SRH needs in both countries is vital to inform policy change and improved standards for women prisoners and their children. In partnership with CSOs, the project activities will support expert and local knowledge sharing and build national and international collaboration to generate research interest, research capacity and expertise, and develop participatory theatre programmes used to disseminated HIV/AIDS and SRH messages. Local cultures are central to design and piloting in prisons. Participatory HIV communication using forum and image theatre have never been applied to women in the prison setting. Using theatre, women prisoners are both creators and spectators. This is central to communication of HIV and SRH messages to prisoners and staff, both within the public health and human rights domains. The partnership through its activities will foster health citizenship and a sense of belonging to a community of people whose citizenship has been devalued at two levels, namely that of gender, and that of incarceration. The partnership represents a form of international sustainable development work which will create a first step in both countries towards addressing female prisoner SRH disparity, and ensure that their views are utilized to contribute to reframing of gender sensitive and human rights based prison responses and prison health policies, and enhance their access to high-quality and stigma-free SRH and HIV prison services when needed.