39. – Health issues would need to be considered for all parties engaging in sexual activity; 39. – Conjugal or partner visits might result in unwanted pregnancies and children that cannot be afforded by women already struggling to survive without their partners to provide for them and any existing children; 39. – The authorities might find it difficult to decide who is eligible, and who is not, to have such visits. For example, would it be only married couples, or all people who said they were couples, including homosexuals?; 39. – There would always be the risk of institutional prostitution if the system were abused; 39. – If the prison director had to make the decision, it could lead to complaints and unrest and possibly security difficulties; 39. – There would always be security considerations because of the unsupervised nature of these visits; 39. – If conjugal or partner visits are allowed, they must be organized so that privacy is assured and there is no possibility of exploitation by anyone. The environment must be clean, suitable and dignified; 39. – Women prisoners would need to have access to contraception and medical advice to ensure that unwanted pregnancies did not occur; 39. – The prison authorities would need to consider how they might cope with pregnant prisoners and the children of serving prisoners; 39. – Visiting arrangements are an important area of work for prison staff; it is not always easy to make the environment right and prisoners do not always cooperate; 39. – A prisoner who seems worse after a visit with a particular individual may be being abused in some way; 39. – Without the prisoner’s cooperation or a definite security problem, it is difficult for prison staff to intervene; 39. – It might be appropriate for a member of the prison medical or welfare team to ask to speak to the visitor with a view to finding out if there is a problem; 39. – It might be possible to persuade the prisoner to talk to a member of the medical team about the staff concerns; 39. – If the medical staff are concerned, it might be appropriate for any correspondence between the two to be monitored. CASE STUDIES Methodology: A round-table discussion is suggested, with members of the training team taking part for the first study. 118