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Extra resources for FINAL Declaration and background paper Women's health in Prison for in-house approval _2_

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35. Sexually transmitted infections other than HIV (such as Chlamydia infection, gonorrhoea and syphilis), which are quite common among women in prison and often undetected, are a major factor in the spread of HIV, as they enhance transmission and diminish people’s general resistance (Reyes, 2000). 36. Prison systems should ensure that prisoners living with HIV receive prevention, treatment, care and support equivalent to that available to people living with HIV in the community, including antiretroviral therapy (WHO, 2007a).

According to WHO recommendations, pregnant women in prison living with HIV should always receive antiretroviral therapy. 13. Support for breastfeeding. Women in prison should never be discouraged from breastfeeding their child unless the woman is living with HIV. When replacement feeding is acceptable, feasible, affordable, sustainable and safe, women living with HIV are recommended to avoid all breastfeeding (WHO, 2009c). The prison must meet the particular health and nutritional needs of a breastfeeding woman.

Privacy and adequate bathing and washing facilities are often not provided (Penal Reform International, 2007). Menstrual products of a type that the woman finds easily acceptable and proper disposal possibilities need to be freely available and easily accessible to women in prison at all times. Frequent access to showers needs to be provided (WHO Regional Office for Europe, 2007a). 30 Pregnancy, postnatal care and breastfeeding 58. To protect the health of the mother and of the newborn child, pregnancy should in principle be an obstacle to incarceration, both pre-trial and post-conviction, and pregnant women should not be imprisoned except for absolutely compelling reasons.

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