Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Sep:186:217-227.
doi: 10.1016/j.puhe.2020.07.008. Epub 2020 Aug 27.

Ethical guidance for health research in prisons in low- and middle-income countries: a scoping review

T Ako  1 , E Plugge  2 , R Mhlanga-Gunda  3 , M C Van Hout  4
Affiliations

Ethical guidance for health research in prisons in low- and middle-income countries: a scoping review

T Ako et al. Public Health. 2020 Sep.

Abstract

Objectives: This study examined the extent, range and nature of the published literature, prison policies and technical guidance relating to the ethical conduct of health research in prisons in low- and middle-income countries (LMICs).

Study design: Scoping Review.

Methods: We adhered to the five stages of the scoping review iterative process: identifying the research question, identifying relevant studies, study selection, charting the data, and collating, summarizing and content analysis of polices. Disagreements around allocation of content were resolved through team discussion. We also appraised the quality of the included articles.

Results: We included nine records that examined the ethical aspects of the conduct of health research in prisons in LMICs; eight of these were peer-reviewed publications, and one was a toolkit. Despite the unique vulnerabilities of this group, we could find no comprehensive guidelines on the ethical conduct of health research in prisons in LMICs.

Conclusions: The majority of the world's imprisoned populations are in LMICs, and they have considerable health needs. Research plays an important role in addressing these needs and in so doing, will contribute to the achievement of the Sustainable Development Goals. With regards to health research, imprisoned people in LMICs are 'left behind'; there is a lack of clear, prison-focused guidance and oversight to ensure high quality ethical health research so necessary in LMICs. There is an urgent need for prison health experts to work with health research ethics experts and custodial practitioners for procedural issues in the development of prison-specific ethical guidance for health research in LMICs aligned with international standards.

Keywords: Ethics; Health research; LMICs; Prison.

PubMed Disclaimer

Conflict of interest statement

We have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Prisma flow diagram.
See this image and copyright information in PMC

References

    1. Walmsley R. 12th ed. Institute for Criminal Policy Research, Birkbeck, University of London; 2019. (World prison population list).
    1. Penal Reform International . Penal Reform International; London: 2018. Global prison trends 2018.
    1. Fazel S., Seewald K. Severe mental illness in 33,588 prisoners worldwide: systematic review and meta-regression analysis. Br J Psychiatry. 2012;200(5):364–373. - PubMed
    1. Fazel S., Yoon I.A., Hayes A.J. Substance use disorders in prisoners: an updated systematic review and meta-regression analysis in recently incarcerated men and women. Addiction. 2017;112(10):1725–1739. - PMC - PubMed
    1. Dolan K., Wirtz A.L., Moazen B., Ndeffo-Mbah M., Galvani A., Kinner S.A., et al. Global burden of HIV, viral hepatitis, and tuberculosis in prisoners and detainees. Lancet. 2016;388(10049):1089–1102. - PubMed

Publication types