Joint Action and Learning Initiative on National and Global Responsibilities for Health (JALI) is the beginning of a global coalition of civil society organisations and academia collaborating to challenge inequality in access to health care around the world and to develop strategies to promote and fulfill the human right to health. JALI’s ultimate goal is to develop and see implemented a Framework Convention on Global Health that will serve to guide all countries on their global responsibilities – both individually and collectively – to ensuring access to health care.
The ALP and Treatment Action Campaign made a submission to the Jali Commission in March 2004 entitled “HIV/AIDS in Prison: Treatment, Intervention, and Reform” [NOTE: LINK TO EARLIER SUBMISSION]. The submission dealt with the origins and causes of HIV infection in prisons, HIV prevalence in prisons, the HIV/AIDS policy of the Department of Correctional Services, including early release, and finally made recommendations, including several on the early release of prisoners with HIV/AIDS.
In prison, HIV/AIDS exacerbates existing problems and also creates new ones, yet the potential for far-reaching positive impact remains. Prisons are an intervention opportunity to reach a segment of the population, which is most likely to need government services related to HIV/AIDS and is also least likely to receive them through any other channel. Most people who end up in prison come from marginalised communities with limited access to health, education, and/or other sources of social welfare. For many of these people, their interaction with the criminal justice system will be their most extensive exposure to public services of any kind. Without an appropriate response to HIV/AIDS in prisons, the potential consequences will be increasingly tragic for both prisoners and the communities they represent.