ABSTRACT

Consensual same-sex relations and transgender expression are prohibited in Malawi. In-depth interviews (eight professionals, 30 former prisoners) were conducted to garner unique insights into the dynamics and complexities of prison conditions, human immunodeficiency virus (HIV) transmission, same-sex sexual activity and sexual violence. Reflexive thematic analysis yielded six themes: Covert same sex sexual activity behind the walls of the Malawi Prison System; Survival-based sexual transactions; Consensual and forced same-sex sexual activity; Sexual urges and crossing the homosexual Rubicon; Health consequences; and Inadequate and insufficient vocational development and rehabilitation. The government is recommended to repeal its laws and improve standards of detention (safety, space, food), healthcare and provide trauma-informed rehabilitation/reintegration for all. Advocacy efforts are warranted to scale up the HIV comprehensive package.

PRACTICE IMPACT STATEMENT

The Malawi prison system is advised to resource, deliver and scale up the United Nations HIV comprehensive package of 15 interventions in order to uphold the humane treatment of prisoners and protect them from sexual violence and sexually transmitted infections.

中文翻译：

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“Shamba”：了解和应对马拉维监狱系统中同性性行为、性暴力和艾滋病毒风险的驱动因素和动态

摘要

马拉维禁止双方同意的同性关系和变性表达。我们进行了深入访谈（8 名专业人员，30 名前囚犯），以获得对监狱条件、人类免疫缺陷病毒 (HIV) 传播、同性性活动和性暴力的动态和复杂性的独特见解。反思性主题分析产生了六个主题：马拉维监狱系统墙后的秘密同性性活动；基于生存的性交易；自愿和强迫的同性性行为；性冲动和跨越同性恋卢比孔河；健康后果；职业发展和康复不足和不足。建议政府废除相关法律，提高拘留标准（安全、空间、食物）、医疗保健，并为所有人提供创伤知情康复/重返社会服务。需要开展宣传工作来扩大艾滋病毒综合方案的规模。

实践影响声明

建议马拉维监狱系统提供资源、提供和扩大由 15 项干预措施组成的联合国艾滋病毒综合方案，以维护囚犯的人道待遇并保护他们免受性暴力和性传播感染。