One of the things that struck me with the situation with the woman I knew who was pregnant in prison was how difficult she found it to get access to any medical care.
I knew her well and I am not going to argue in her case about whether she should have been in prison. I know the ins and outs of her situation, and yeah, she was overdue a prison visit. She had been about, and was in her late 30s. She was tough as old boots and never afraid to be pushy. She was from a good supportive extended family though she had some immediate family problems.
But things in prison were tough and even she struggled. She'd be someone I'd have said would have coped well.
I can not imagine what that means for a less confidence or less street wise 18 or 19 year old, from a difficult family background and no support on the outside or long term once they get out.
She couldn't just ask for a pregnancy test, or to see a doctor. The protocol it took to do that and the pressure from prison officers and other prisoners not to put your head above the parapet to get the help you needed was intense. You are taught to put your head down, and shut up and not make a fuss.
That needs to be kept in context. If she had been offered health care appointments as standard as part of routine - eg: a pregnancy test on arrival, or a daily/weekly routine it would help normalise health care.
The mental health problems of prisoners in general are huge. We don't have good services outside prison. Pregnancy is seen as a good time to intervene in all sort of wider health and social issues because women are in contact with service providers. Yet prison isn't seen in this context or this way. Yes its about punishment. But if society wants to reduce its problems (and expenses) it has to start seeing prison as more than a holding cell for difficult people who we'd rather forget or wished were invisible.
Health care should not be an after thought for people in prison. It should be THE priority. Other things relating to life outside and freedom are the things that should go.
These are people who have slipped through the cracks of society previously. Its an opportunity to reverse that but we don't view it in that way. Why not?
Why is health in prison, seen as a something thats low priority and more of a privilege than a basic right and building block for a better life situation?