About Us: MISSION
"Our work is borne out of our deep concern for the rights of prisoners to life,
a healthy environment and meaningful and timely medical care."
- Michelle Karshan, Vice President, Health through Walls
Health through Walls (HtW) is a non-profit organization based in Florida whose mission is to assist low income countries in implementing sustainable improvements in the health care services of their prisons. A primary focus of this effort is the identification, prevention, and management of infectious disease, especially HIV and tuberculosis.
A Word on Public Health & Prisons
The efforts of HtW are urgent. Reducing HIV and tuberculosis worldwide requires intervention in the overcrowded prisons of nations struggling with social and economic hardship. Prisoners carry disproportionately high amounts of infectious disease. Infectious diseases such as HIV and tuberculosis are often introduced into prison by newly arriving prisoners. If these diseases are not properly identified and managed, they can spread. Even more dangerous is the potential for the development of diseases that are resistant to common treatments. This phenomenon has been documented in many prison systems throughout the world. The condition can easily transmit to correctional staff and visitors. Eventually, most prisoners return to their communities and further the risk of transmission.
Additionally, most prisoners come from poor communities or high-risk environments. They often had little prior exposure to regular health care services. Correctional health care programs are uniquely positioned to screen and identify health conditions of which the inmate might have been previously unaware. This creates an opportunity for disease education, early intervention, and adoption of healthy behaviors to reduce further health burdens.
World health experts recognize prisons as important points of intervention for the control, identification and treatment of infectious disease and other illness. Prison-based health interventions have proven to be beneficial and effective, resulting in lower disease in prisons and communities -- where prisoners live post-release and prison staff reside. Prison health professionals in most countries understand this potential, but often lack the resources to implement, and sustain, effective disease risk reduction techniques and strategies. HtW assists developing countries in creating replicable and sustainable improvements in their prison health care delivery services.