Irish Prison Research Articles

Sworn to be free : Escapes from Irish prisons during the War of Independence

This article will place escapes during the War of Independence into the context of both the revolution as a whole and the specific context of political imprisonment. It examines the reasons the IRA engaged in escapes and how they sought to effect them. It also investigates the impact escapes had on prison staff, how the actions of staff influenced the outcome of an escape attempt, and how escapes affected the staff–management relationship within the prison service. Escapes provided numerous benefits for the IRA and the nationalist cause, ranging from material to symbolic benefits, and they were often successful thanks to various facilitating factors. For prison staff, escapes built on the demoralising effect the presence of political prisoners generally had: they increased tensions and provoked confrontations within the prison service; exposed serious deficiencies in the ability of some staff; and exhibited the impossibility of enforcing safe and secure custody in the ameliorated and highly charged atmosphere of Irish prisons. This is the first research that analyses escapes during the War of Independence collectively, and establishes that escapes were more than simply another IRA operation and another failing of Dublin Castle’s response to the nationalist movement. Instead, escapes reflect broader themes and factors that overshadow the Irish revolution in general.

Non-injection drug use among incarcerated people in Iran: Findings from three consecutive national bio-behavioral surveys

BackgroundPrisons often serve as high-risk environments for drug use, and incarcerated people are at a high risk for substance use-related mental and physical harms. This study aimed to determine the prevalence of non-injection drug use inside the prison and its related factors among incarcerated people in Iran.MethodsWe utilized data from three national bio-behavioral surveillance surveys conducted among incarcerated people in Iran in 2009, 2013, and 2017. Eligibility criteria were being ≥ 18 years old, providing informed consent, and being incarcerated for over a week. Overall, 17,228 participants across all surveys were recruited through a multi-stage random sampling approach. Each participant underwent a face-to-face interview and HIV test. The primary objective of the study was to assess self-reported non-injection drug use within the prison environment within the last month. A multivariable logistic regression model was built to determine associated covariates with drug use inside prison and an adjusted odds ratio (aOR) with 95% confidence intervals (CI) were reported.ResultThe prevalence of non-injection drug use inside the prison was 24.1% (95% CI 23.5, 24.7) with a significant decreasing trend (39.7% in 2009, 17.8% in 2013, 14.0% in 2017; p-value < 0.001). Overall, 44.0% of those who used drugs were also receiving opioid agonist therapy (OAT) and we noted that in 2017, 75.1% of those on OAT used stimulants. In the multivariable logistic regression model, the year of interview (2013: aOR = 1.43 and 2009: aOR = 5.60), younger age (19–29: aOR = 1.14 and 30–40: aOR = 1.37), male sex (aOR = 3.35), < high school education (aOR = 1.31), having a history of previous incarceration (aOR = 1.26), and having a history of lifetime HIV testing (aOR = 1.76) were significantly and positively associated with recent non-injection drug use inside the prison.ConclusionsApproximately one in four incarcerated people in Iran reported drug use within the last month inside prisons. While a declining trend in non-injection drug use was noted, substantial gaps persist in harm reduction programs within Iranian prisons. In particular, there is a pressing need for improvements in drug treatment programs, focusing on the integration of initiatives specifically designed for people who use stimulants.

Seroepidemiological Investigation of Hepatitis B and C Prevalence and Associated Factors Among People in Custody at Zahedan Central Prison.

On a global scale, approximately 350 million are affected by hepatitis B, and 71 million by hepatitis C. People in custody face elevated risks for these infections. The prevalence and risk factors in Iranian prisons are insufficiently documented. The principal objective of this study was to ascertain the prevalence of hepatitis B and C, coupled with the identification of pertinent influencing factors, within the confines of Zahedan central prison, situated in the southeastern region of Iran. In 2019, we conducted an analytical cross-sectional study involving 407 people in custody, using stratified random sampling. To definitively diagnose hepatitis C virus (HCV) infection (P<0.05), a checklist developed by the researchers, along with enzyme-linked immunosorbent assay (ELISA) and polymerase chain reaction (PCR) techniques, were employed. This study comprised 406 participants (96.3% male) with a median age of 32 years (27-38). Approximately 62% were married, and a substantial proportion of the participants had low education levels (47%), unemployment (64%), and belonged to the Baloch ethnicity (64%). The overall prevalence of hepatitis C and B infections was 2.7% and 10.6%, respectively. Tattooing (adjusted odds ratio [AOR]: 2.07, 95% CI: 1.9-4.5) and marriage (AOR: 1.78, 95% CI: 1.05-3.04) were identified as risk factors for hepatitis B. Moreover, hepatitis C showed a statistically significant association with a family history of hepatitis B and C (AOR: 3.31, 95% CI: 3.93-24.64) and intravenous (IV) drug use (AOR: 7.01, 95% CI: 1.52-32.78) according to the multivariable logistic regression analysis. The prevalence of hepatitis B and C was higher among people in custody in Zahedan central prison. Consequently, targeted interventions are vital to address and reduce viral hepatitis burden in custodial settings.

White torture: interviews with Iranian women prisoners

White torture: interviews with Iranian women prisoners

'The god of criminals is their belly': diet, prisoner health, and prison medical officers in mid-nineteenth-century English and Irish prisons.

Existing scholarship on prison diets has emphasised the role of food and its restriction as a key aspect of the deterrent system of prison discipline introduced in the 1860s. Here we suggest that a strong emphasis was placed on dietary regulation after the establishment of the reformist, but also 'testing', separate system of confinement in the mid-nineteenth century. While the impact of diet on the physical health of prisoners was a major concern, we argue that the psychological impact of food was also stressed, and some prison administrators and doctors argued that diet had an important protective function in preserving inmates' mental wellbeing. Drawing on a wide range of prison archives and official reports, this article explores the crucial role of prison medical officers in England and Ireland in implementing prison dietaries. It highlights the importance and high level of individual adaptations to dietary scales laid down centrally, as a means of utilising diet as a tool of discipline or as an intervention to improve prisoners' health. It examines the forays of some prison doctors into dietary experiments, as they investigated the impact of different dietaries or made more quotidian adjustments to food intake, based on local conditions and food supplies. The article concludes that, despite central policies geared to establishing uniformity and interest in new scientific discourses on nutrition, a wide range of practices were pursued in individual prisons, mostly shaped by practical rather than scientific factors, with many prison medical officers asserting their autonomy in making dietary adjustments.

Foreign national prisoners, discrimination and race relations in Irish prisons

Recent reports have highlighted the discriminatory treatment endured by foreign national prisoners (FNPs) in particular Irish prisons, but one key voice has been relatively absent from the discourse to date – the perspectives of the prisoners themselves. This article aims to complement these “top-down” perspectives with a comprehensive “bottom-up” analysis rooted in the experiences of 82 FNPs and explore the extent to which they were subject to racism, discrimination and differential treatment by prison staff and fellow inmates across eight Irish prisons. The article begins by outlining the methodology of the qualitative study. It then presents our findings in two parts. The first part focuses on FNPs’ personal views of their relationships with staff in Irish prisons. The second part explores the extent to which these FNPs interact with Irish prisoners and prisoners from other jurisdictions. The article reveals that forming relationships with staff and fellow inmates is challenging for certain FNPs due to racial prejudice, language barriers and segregation based on nationality.

A Phenomenological Inquiry into the Psychological Experiences of Incarcerated Pregnant Women.

With the increasing number of incarcerated women worldwide, the rate of women who experience pregnancy in prison, has also increased in this population. Exploring the unique experience of pregnant prisoners can contribute to understanding the complex world of this vulnerable population and, as a result, tailoring programs to promote their health status. The objective of this study was to understand the psychological experience of pregnancy in prison based on the lived experiences of incarcerated women. This was a qualitative inquiry using van Manen's approach to phenomenology. Seven pregnant and four early postpartum women, with experience of pregnancy during incarceration, were selected purposefully in a prison in Iran from 2019 to 2020. In-depth semi-structured interviews were used to collect data. To analyze data, six-step van Manen's descriptive-interpretive phenomenological approach was adopted using MAXQDA10 software. The main theme of "white torture", a term used to describe the psychological and emotional distress experienced by incarcerated pregnant women, emerged from the data analysis. This theme echoes the pressure and torment of pregnancy on incarcerated women and consists of two subthemes: "captive to bitter and harsh emotions" and "suffering from psychosomatic pain and injuries." As an emotional trauma, pregnancy puts incarcerated women under psychological torture. Policies should be developed towards the acknowledgment and meeting of the unique psychological needs of pregnant women in prison. It is also crucial for healthcare providers to provide women in prison with training on coping strategies to address the psychological and emotional challenges of pregnancy.

‘Violence is all he knew, and it seemed to work’: using the power threat meaning framework to explore prison officers’ understandings of violence in Irish prisons

ABSTRACT In 2018 the Irish Prison Service (IPS) opened the National Violence Reduction Unit (NVRU), becoming home to all prisoners managed under the Violently Disruptive Prisoner (VDP) policy, who were repeatedly engaged in serious violence in prison. Embedded in the NVRU is a joint operational-psychological approach, aiming to understanding the violence of these prisoners, and work with them to reduce it. This study explored NVRU prison officers’ understandings of the origins, experiences and expressions of the violence of NVRU prisoners, through the Power Threat Meaning Framework (PTMF). Prison officers (n = 13) participated in semi-structured interviews at two time-points: 6 months after the NVRU opening (n = 13), and 12 months after the NVRU opening (n = 11). From these aggregated transcripts (n = 24), 6 themes were identified: (1) power, (2) threat, (3) meaning, (4) threat response, (5) function of threat response, and (6) moderating factors. Prison officers confirmed many a priori elements of the existing provisional PTMF, whilst also contributing novel elements related to their subjective understandings of this specific cohort. These findings are interpreted in the context of existing empirical research. Implications for future research, and policy and practice within and beyond the NVRU, are suggested.

Prescription drugs with potential for misuse in Irish prisons: analysis of national prison prescribing trends, by gender and history of opioid use disorder, 2012 to 2020

BackgroundPharmacotherapy is essential for the delivery of an equivalent standard of care in prison. Prescribing can be challenging due to the complex health needs of prisoners and the risk of misuse of prescription drugs. This study examines prescribing trends for drugs with potential for misuse (opioids, benzodiazepines, Z-drugs, and gabapentinoids) in Irish prisons and whether trends vary by gender and history of opioid use disorder (OUD).MethodsA repeated cross-sectional study between 2012 and 2020 using electronic prescribing records from the Irish Prison Services, covering all prisons in the Republic of Ireland was carried out. Prescribing rates per 1,000 prison population were calculated. Negative binomial (presenting adjusted rate ratios (ARR) per year and 95% confidence intervals) and joinpoint regressions were used to estimate time trends adjusting for gender, and for gender specific analyses of prescribing trends over time by history of OUD.ResultsA total of 10,371 individuals were prescribed opioid agonist treatment (OAT), opioids, benzodiazepines, Z-drugs or gabapentinoids during study period. History of OUD was higher in women, with a median rate of 597 per 1,000 female prisoners, compared to 161 per 1,000 male prisoners. Prescribing time trends, adjusted for gender, showed prescribing rates decreased over time for prescription opioids (ARR 0.82, 95% CI 0.80–0.85), benzodiazepines (ARR 0.99, 95% CI 0.98–0.999), Z-drugs (ARR 0.90, 95% CI 0.88–0.92), but increased for gabapentinoids (ARR 1.07, 95% CI 1.05–1.08). However, prescribing rates declined for each drug class between 2019 and 2020. Women were significantly more likely to be prescribed benzodiazepines, Z-drugs and gabapentinoids relative to men. Gender-specific analyses found that men with OUD, relative to men without, were more likely to be prescribed benzodiazepines (ARR 1.49, 95% CI 1.41–1.58), Z-drugs (ARR 10.09, 95% CI 9.0-11.31), gabapentinoids (ARR 2.81, 95% CI 2.66–2.97). For women, history of OUD was associated with reduced gabapentinoid prescribing (ARR 0.33, 95% CI 0.28–0.39).ConclusionsWhile the observed reductions in prescription opioid, benzodiazepine and Z-drug prescribing is consistent with guidance for safe prescribing in prisons, the increase in gabapentinoid (primarily pregabalin) prescribing and the high level of prescribing to women is concerning. Our findings suggest targeted interventions may be needed to address prescribing in women, and men with a history of OUD.

Motherhood Experiences of Incarcerated Pregnant Women: A Phenomenological Study.

Motherhood in prison is a topic of growing importance and concern in the field of criminal justice. Incarcerated mothers face unique challenges that can have profound psychological impacts. The purpose of this study was to gain a deep understanding of pregnant prisoners' lived experiences of motherhood. This qualitative research was carried out using descriptive-interpretive phenomenology via interviews with 11 pregnant or early postpartum women in prison. The participants were purposefully selected from incarcerated pregnant women in a prison in Iran from 2019 to 2021. The MAXQDA software version 10 was used for data analysis, using Van Manen's six-step phenomenological approach. The main theme of "living in a dichotomous world "consisting of two subthemes of "moving between unity and separation" and "being subject to ambiguity and uncertainty" emerged in this study. Motherhood in prison is just like living in a shaky and chaotic world, in which mothers are confused between reaching to and separating from their children. They are ambivalent about motherhood and experience mixed emotions of attachment and abandonment to their child and cannot be confident regarding the future of themselves and their children. Incarcerated mothers experience mixed emotions of attachment and abandonment towards their children, which leaves them uncertain about the future. It is recommended that security personnel of the prisons and families offer care and support to incarcerated mothers through constructive communications and empathy to enhance their well-being. It also seems crucial to adopt a community-centered approach that provides empathetic support and implements inclusive policies.

An Exploration of the Capacity to Mentalize Following an Introductory Mentalization Based Treatment Group within an Irish Prison Service

ABSTRACT Objectives This study explored participant experience of mentalization after the completion of an introductory MBT group within an Irish prison. Methods Data were collected from four participants using semi-structured interviews which were analyzed according to IPA methodology. Results Four group experiential themes were identified from the data: making sense of difficulties with emotions in the context of early life experiences, learning to feel and manage emotions, keeping other minds in mind and mentalizing in practice. Conclusions This study adds to the wider qualitative literature on MBT and presents a unique insight into participant experiences of developing their mentalizing capacity within a prison setting.

Men placed on waiting lists for psychiatric admission from Irish Prisons over five years: Clinical outcomes during a forensic “bed crisis”

BackgroundIreland has low provision rates of general and forensic beds compared with other western countries. In recent years there have been difficulties and delays in accessing forensic beds for prisoners with severe mental illness. AimsWe aimed to determine clinical outcomes for male prisoners assessed as requiring psychiatric admission over an extended period, with time frames for admission and other outcomes. We aimed to determine whether admissions to forensic and non-forensic locations were risk-appropriate. MethodsParticipants included all male prisoners placed on psychiatric admission waiting lists in Ireland over five years 2015–2019. We described demographic, clinical and offending variables. We measured clinical outcomes including forensic admission, other admission and recovery with voluntary treatment in prison. We also measured times to clinical outcomes. Security requirements and clinical urgency were assessed using the DUNDRUM Toolkit scales 1 and 2. Results541 male prisoners were placed on admission waiting lists and spent an aggregate of over 114 years on admission waiting lists during 2015–2019. Almost one quarter improved with voluntary treatment allowing removal from waiting lists, while over 75% did not. Admission was achieved for a majority of cases, albeit after lengthy delays for some. The most frequent outcome was diversion from remand to non-forensic inpatient settings. Non-forensic admissions arranged by the Prison Inreach and Court Liaison Service (PICLS) at Ireland's main remand prison at Cloverhill contributed 54% (179/332) of all admissions achieved and 76% (179/235) of all non-forensic admissions from prison waiting list. Median delay to admission was 59 days for forensic admissions and 69 days for admissions to non-forensic hospitals from sentenced settings, compared with 16.5 days for admissions to non-forensic hospitals from remand. ConclusionsLong delays for forensic admission during a five-year period of limited access to such beds were partly mitigated by transfers to non-forensic hospitals, mainly diversion of minor offenders from remand settings.

‘I’ve lived and bred violence my whole life’: understanding violence in the Irish Prison Service through the lens of the power threat meaning framework

ABSTRACT In 2018 the Irish Prison Service (IPS) opened the National Violence Reduction Unit (NVRU), which became home to a small amount of prisoners managed under the Violently Disruptive Prisoner (VDP) policy, who were repeatedly engaged in very serious violence in prison. The NVRU shifted practice under the VDP policy to a joint operational-psychological approach, with the aim of understanding the violent behaviour of these prisoners and working with them to reduce it. This study explored NVRU prisoners’ understandings of the origins, experiences and expressions of their violent behaviour through the lens of the Power Threat Meaning Framework (PTMF). Despite difficulties engaging this cohort, half (n = 3) of all prisoners residing in the NVRU during its first year participated in semi-structured interviews. Participants identified six themes: (1) power, (2) threat, (3) meaning, (4) threat response, (5) function of threat response and (6) moderating factors. In doing so they identified many a priori elements of the existing provisional PTMF, whilst also contributing novel elements related to their specific and subjective personal experiences. These findings are interpreted in the context of existing empirical research. Implications for future research, and policy and practice within and beyond the NVRU, are suggested.

Sexual and reproductive history of female prisoners in Iran: a health care needs analysis

PurposeAccording to estimates, there are approximately 714,000 female prisoners in the world. A considerable proportion are pregnant, of childbearing age at the time of incarceration and may experience numerous reproductive health concerns. The purpose of this study is to examine the demographics and sexual and reproductive history of female prisoners in Iran.Design/methodology/approachFour hundred and thirty-four female prisoners (mean age: 39.0 ± 9.9) serving sentences at Qarchak prison, Iran, completed a questionnaire. The participants were recruited between October 2017 and September 2018 using a convenient sampling method. The questionnaire captured sociodemographic characteristics and sexual and reproductive history.FindingsMost respondents had 7–12 years of formal education, were housewives (69.9%), were either married (41.6%) or divorced (41.8%) and were literate (91.3%). History of drug use among the respondents was 34.7%. Most respondents had regular menstruation (63.5%) and were pre-menopausal (86.1%). Natural birth control was preferred (39.7%) compared to other methods, such as condoms (18%) and oral contraceptive pills (8.4%). Spontaneous and induced abortions were reported by 17.8% and 16.4% of respondents, respectively. There was 5.9% of respondents that reported having a history of sexually transmitted infections (STIs) before incarceration, with HPV the most common (12.7%).Research limitations/implicationsThis study has limitations, including the problem of following up with prisoners to shorten the average length of their imprisonment, which can leave many issues in the field of women’s health and their follow-up incomplete. Prison health care workers should also follow up on women’s health and pregnancy hygiene after their release because there is usually a high prevalence of STIs in prisoners.Practical implicationsThe findings highlight the importance of improving the quality of women’s health care and pregnancy-related care in prisons. Additionally, the importance of having a health protocol for incarcerated women in Iran. Other programs should also be implemented for women prisoners to eliminate the discrimination they may face in prison.Originality/valueThe international community has attempted to develop care guidelines for pregnant prisoners, particularly for prenatal and mental health services. However, currently in Iran no such guidelines have been developed. To date no research has explored the sexual health among female prisoners of this country. The aim of the present study was to examine the demographics and sexual and reproductive history of female prisoners in Iran. A secondary aim was to identify the health care needs of female prisoners in Iran.

Foreign National Prisoners and Religious Practice in Irish Prisons

AbstractThis policy and practice note will investigate the extent to which Foreign National Prisoners (FNPs) feel that religious expression is respected in Irish prisons and explore the degree to which the Irish Prison Service (IPS) facilitates these prisoners’ religious dietary preferences. Drawing on 82 semi-structured interviews across eight prisons, the findings demonstrate that while the IPS is generally progressive in accommodating FNPs’ religious needs, provision could be improved in certain respects. The policy and practice note briefly concludes that the IPS could potentially draw on some ‘promising practice’ that has been implemented with respect to religious expression and practice in other European prisons.

Through Hope and Struggle: The Impact of “Gaisce – The President's Award” on Young Adults in Irish Prisons

This article is an exploratory study of young adult incarcerees’ perspectives on the impact of “Gaisce,” a self-development program for youth in Irish custody. Drawing on 10 semistructured interviews with male participants and a review of previous studies of this cohort, the article highlights their perceptions of Gaisce's strengths and weaknesses, paving the way for further reflection on self-development programs in custodial settings. Taking place during COVID-19, the investigation provides unique insight into the experiences of young adults participating in such a program during a pandemic.

Prevalence of and risk factors for HCV among incarcerated people at Great Tehran Prison: a cross-sectional study

PurposeHepatitis C is one of the major health issues in both developed and developing countries. Hepatitis C virus (HCV) infection is more common in prisoners than in the general population. The purpose of this study was to determine the prevalence of HCV and its associated risk factors in Iranian male prisoners in Tehran.Design/methodology/approachIn this cross-sectional study, the authors investigated the frequency and risk factors of hepatitis C infection among male prisoners in the Great Tehran Prison. Information on risk factors including the length of imprisonment, previous history of imprisonment, history of drug injection, history of tattooing, history of piercing, history of high-risk sex and family history of hepatitis C were extracted from patients’ records. To evaluate HCV status, blood samples were collected and tested.FindingsIn this study, 179 participants were included. Nine participants (5.0%, 95% CI, 2.3-9.3) were positive for hepatitis C. HCV infection was not significantly associated with age, marital status, education, previous history of imprisonment, length of imprisonment, piercing and high-risk sex; however, there was a significant association between a history of tattooing and a history of injecting drug use and Hepatitis C.Originality/valueThe prevalence of hepatitis C among male prisoners in Great Tehran Prison was 5% in this study, similar to recent studies on prisoners in Tehran. A history of drug injections as well as tattooing were the most important risk factors for hepatitis C in male prisoners.

Serious violence in the Irish Prison Service: exploring the experiences of prison officers and prisoners under the Violently Disruptive Prisoner policy

ABSTRACT In the Irish Prison Service, prisoners repeatedly engaged in serious violence are managed under the Violently Disruptive Prisoner (VDP) policy. With the development of the National Violence Reduction Unit (NVRU), practice has shifted from being operationally-driven to the integration of a psychological perspective in the management of these prisoners. Part of an ongoing evaluation of this changing practice, this study explored the experiences of VDP policy prisoners (n = 4) and the prison officers (n = 13) working with them before practice changed. Descriptive thematic analysis of semi-structured interviews identified nine themes: (1) describing VDP policy prisoners, (2) staff characteristics and approaches, (3) describing the VDP policy regime, (4) the social environment, (5) the occupational environment, (6) function of the VDP policy, (7) impact of the VDP policy, (8) factors influencing violence, and (9) responding to violence. Results are interpreted in light of comparable research and the Power Threat Meaning Framework. Implications for policy, practice and research in the NVRU are considered.

Experiences of Sentencing and the Pains of Punishment: Prisoners' Perspectives.

Although sentencing is often described as a human process, the subjective experiences of those subject to sentencing are seldom discussed or highlighted as an important source of guidance for how sentencing might be made more fair, consistent, or proportionate. Tyler's work on the links between experiences of procedural justice and perceptions of legitimacy in the criminal justice system show that how people are treated during sentencing and/or when serving their sentence matters in that it impacts their long-term compliance with the law. However, we suggest here that it may not only be long-term compliance that is impacted; subjective experiences of imprisonment, in terms of the pains of imprisonment, may also be exacerbated for those whose experiences of the sentencing process are predominantly negative. This article draws on 37 in-depth interviews with Irish prisoners that explored their subjective experiences of their own sentencing in court and how this related to their subjective experiences of their prison sentences. Those who felt they had received unreasonably harsh or unfair sentences, or who felt they were effectively excluded from the sentencing process, were more likely to experience specific pains and increased salience of punishment. The article concludes by arguing that these findings have a role to play in educating sentencers about how their treatment of convicted persons during sentencing can have meaningful, long-term consequences on the subjective experiences of those serving prison sentences.

Prevalence of sexually transmitted infections (STIs) and related factors among female prisoners in Tehran, Iran

PurposeSexually transmitted infections (STIs) can be transferred from one person to another through sexual contact. STIs lead to substantial morbidity and mortality and affect many different aspects of human life, including quality of life, sexual health, reproductive health and even the health of newborns and children. Despite of high rates of STIs in prisons, there are not sufficient screening, prevention and treatment programs to control STIs transmission among prisoners in Iran. This study aims to evaluate the prevalence of STIs among incarcerated women in Iran for the first time, using the active case finding strategy.Design/methodology/approachThis is a cross-sectional study conducted on 438 incarcerated women in a prison in Tehran, Iran, from 2017 to 2018. A total of 438 prisoners were screened by active case findings for STI symptoms, then evaluated by complete genital and anal examination, followed by molecular testing.FindingsA total of 189 (43.2%) prisoners announced vaginal discharge, while 194 (44.3%) individuals had vaginal discharge in the genital examination. In the cervical examination, 137 individuals (31.3%) had abnormal findings, of which 83 (18.9%) individuals had cervicitis, 40 (9.1%) individuals had cervical erosion, 38 (8.7%) individuals had cervical prolapse and 17 (3.9%) individuals had bleeding originated from the cervix.Originality/valueThis study showed that it is possible to set up a system in which the diagnosis, follow-up and treatment of prisoners with STIs can be actively performed. Educating prisoners about signs and symptoms, risk behaviors and prevention routes of STIs, as much as regular screening of prisoners, and adequate treatment can help control the STIs prevalence among prisoners and in the general population.