監獄中的監獄：我見矯正機關藥癮愛滋收容人的健康處境

Prison in the prison: The right to health care of the inmates with drug addiction and HIV/AIDS in the correctional institutions

本文目的是透過與藥癮愛滋收容人進行團體衛生教育與生命故事敘說課程時，實地觀察及從收容人的回應，整理出收容人在監獄內的健康處境。自2009年2月至2012年1月及2013年7月至2016年4月的工作與觀察所見：1.藥癮愛滋收容人的處境是身在「監獄中的監獄」，許多隔閡造成衛生教育難以深入藥癮愛滋族群；2.收容人對隱私權被侵犯多沉默相對；3.收容人的健康權與自由權連坐；4.因為治療費用不足、醫療人力缺乏、設備簡陋、送外醫的戒護安全限制、醫療資源分配不均、管教人員人力及愛滋照護知識不足等因素，預防及照護的部份難以有積極的措施；5.衛生、社福與法制的資源是斷裂的。本文提出相關實務上參考策略及政策的建議。

The purpose of this paper is analyzing the field observations and the response of the inmates in the drug addiction HIV/AIDS health education programs, sorting out the situation of health situation of drug addiction HIV/AIDS inmates in prisons. The field observation is from Feb. 2009 to Jan. 2012, and July 2013 to Apr. 2016. The findings are: 1). The situation of drug addiction HIV/AIDS inmates who are ‘in prison in the prison', many structural barriers cause health education is difficult to in-depth drug addiction HIV/AIDS population. 2). The HIV/AIDS status tend to be exposured, but they used to keep silent; 3). Drug addiction HIV/AIDS inmates lost the right to freedom also lost the right to health; 4). Because the lack of medical fee, professionals and faculties, in addition lack of security members, limitation of outer medical security guard, the prevention and medical care to inmates are poor; 5). The resources of the health, welfare and legal system is a fracture. This paper put forward some practical and policy suggestions.