Exploring strategies targeting the SAVA syndemic in prisons in Malawi, Zambia and South Africa that can be transposed to the Zimbabwean context

Name: Anotidashe Moyo

keyword: SAVA syndemic

; Violence

; Substance abuse

; Prisons

; Women

; Zimbabwe

; Malawi

; Zambia

; South Africa

Abstract: SAVA syndemic is the interaction of substance abuse, violence, and alcohol use. This interaction is influenced by the environment and other dynamics like power, gender, and race within societies. Globally, the SAVA syndemic has proportionally affected women and girls. There is a rising number of incarcerated females globally. The incarcerated female population has been estimated to have more substance abuse levels than the male population. Violence against the female incarcerated population and HIV prevalence estimates are reported to be high, however most countries do not have statistics or disaggregated data on this. Following the global trajectory, the female prison population in Zimbabwe has been on a rise. The overall HIV prevalence in Zimbabwean prisons is higher than the general population, substance abuse remains an untamed problem and the female incarcerated population faces violence. The objectives of the documentary review was to 1) Document what is already being done to target the SAVA syndemic in Zimbabwean prisons for women. 2) Describe and explore sucessful interventions and policies that have helped in targetting SAVA syndemic in Malawi, Zambia and South Africa. 3) Describe capacity building activities for prison officers in Malawi, Zambia and South Africa that enable a condusive environment to implement strategies targetting the SAVA syndemic. 4) Compare strategies targetting the SAVA syndemic between Zimbabwe and 3-country (Malawi, Zambia and South Africa) to find those that can be transposed to the Zimbabawean context. South Africa, Zambia and Malawi were choosen as they are doing better in terms of policies, strategies and structures against SAVA syndemic in prisons in Southern Africa and they also have contectual factors similar to Zimbabwe. Sucessful interventions, surveys and reseach practices that can be borrowed by Zimbabwe include surveys and research to access the burden of the SAVA syndemic, developing approaches based on the generated data done in Malawi, intentional linkage to HIV/AIDS care and treatment and strengthening refferal pathways done in Malawi and Zambia, HIV testing at point of entry for all new inmates to increase early linkage to treatment done in Zambia. HIV prevention initiatives for example pre exposure prophylaxis information being offered by peer educators as in South Africa and Zambia and violence awareness using peer educators done in Zambia. Strengthening use of laws on sexual violance meant for the general population for the incarcerated population where those laws specific to that population are not available. Advocacy and litigation in response to prevention and response on sexual violence done in South Africa. Strengthening overall peer education and support to increase program buy in and success and lastly NGO support for capacity building and also bridging the gap to formulate guidelines, policies and laws in prison sexual violence, HIV and substance abuse.

Thammasat University. Thammasat University Library

Address: BANGKOK

Email: preserv@tu.ac.th

Name: Wannapa Naravage

Role: advisor

Created: 2024

Modified: 2568-05-13

Issued: 2025-04-09

วิทยานิพนธ์/Thesis

application/pdf

DOI: 10.14457/TU.the.2024.66

eng

DegreeName: Master of Public Health

Level: Master's Degree

Descipline: Global Health

Grantor: Thammasat University

©copyrights Thammasat University

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