Time should be allowed for a brief reporting back session. This is a useful exercise because it allows prison staff to consider the difficulties faced by some of their specialist colleagues. It is important to have health-care specialists on the facilitating team to answer specific questions. Points to be highlighted/suggested areas for discussion: 39. – The care in the prison should be similar to that available in the community; 39. – The same checks can be imposed on the prison facilities if the two services are linked; 39. – A link also allows for movement of staff between the two, ensuring that a similar standard of personnel is maintained; 39. – The importance of controlling infectious diseases can be emphasized if the prison population is seen as part of the general community; 39. – Prison health-care staff can be included in training programmes arranged for their professional colleagues in the community. CASE STUDY Methodology: This should be discussed by a panel and may be organized as a role-play, with trainees joining specialist members of the training team to discuss the problem from every angle. Others would speak for the prison director and the local community. Points to be highlighted/suggested areas for discussion: 39. – In the absence of the necessary facilities in the immediate community, the prison director is likely to have to look elsewhere and perhaps to non-governmental organizations; 39. – The issue may then arise as to why prisoners should receive better health care than the law-abiding community; 39. – Reference to the international instruments should be encouraged during the discussion. 66

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