“Your son, your brother, my wife” Research identifies high incidence of forced sexual encounters between male prisoners in Malawi resulting in high vulnerability to HIV and AIDS infection. Institutions VSO, Policy Group, London, United Kingdom VSO, Malawi, Lilongwe, Malawi with full cooperation from the Government of Malawi VSO RAISA (Regional AIDS Initiative of Southern Africa) Background Results The existence of homosexual activity in Malawian prisons is widely denied. The research aimed to identify the extent of sexual activity between male prisoners and the implications for the spread of HIV and AIDS. All prisoners interviewed had witnessed homosexual activity in prison and observed injuries in others consistent with forced anal sex. Young offenders were particularly vulnerable. Nine out of 12 young offenders and 15 out of 25 adult male prisoners reported being coerced or forced. Methods The research took place in 2010. Thirty seven male inmates (25 adults/12 young offenders) and six staff members from three Malawian prisons were individually interviewed. A standard questionnaire was used to ask prisoners and staff about their general and personal risk perception and their understanding of available HIV and AIDS services. Amongst prison officers, two reported homosexuality was common. However, four reported it was not suggesting a level of denial or a lack of awareness amongst staff. Twenty adult males in two of the prisons where HIV testing is available were asked about their HIV status. Twelve knew they were HIV positive and had taken the test in prison where they believed they were infected. Prisoners on ARVs reported that access to treatment was good. Authors C. Ingleby, S. Tahuna, C. Muchungu “When I came into the prison, I was put in the main wing – housing adults. Here I was quickly offered a place to sleep in a crowded cell. I did not know that the favour was in exchange for sex. At night, the ordeal began. I was raped repeatedly. That became a daily thing until the prison authorities transferred me to the juvenile wing” Young offender, Malawian prison “The situation [rape and sexual abuse] is very bad... Every time I see a young offender being brought in I feel bad, I say to myself – there is another one. He is just going to be infected by HIV” Malawian prison officer Research conclusions and subsequent action by Malawian prisons authorities Research conclusions Male to male sexual activity in Malawian prisons exists and should be recognised. Existing privilege systems favouring long-term prisoners should be dismantled as they encourage a hierarchy which results in increased sexual exploitation of younger prisoners. Young offenders must be separated from adult males to reduce the risk of sexual coercion/violence. Overcrowding in prisons must be reduced. HIV services, including condom programming, need to be scaled up. VSO International Carlton House, 27a Carlton Drive London SW15 2BS, UK +44 (0)20 8780 7500 www.vsointernational.org Contact Clive Ingleby - [email protected] Steve Tahuna - [email protected] Government responses as a result of the research Introduction of three meals a day (adequate food) to reduce the use of food in exchange for sex. Reviewed the positions of ‘Nyampala’ (hard core criminals as head boys) and later abolished . Only disciplined inmates now chosen as leaders. Converting one prison to a full juvenile prison and moving the majority of juvenile prisoners in Malawi to this prison. ‘At risk’ juveniles in existing prisons moved to new prisons.
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