Health in Prisons European Database (HIPED)
© WHO / Tina Charlotte Kiaer
The WHO Prison Health Framework for assessing prison health system performance, was developed to support Member States in improving their capacity to document and report data and was used to guide and optimize data collection in the second HIPEDS round,
conducted in 2021. The framework comprises inputs, outputs and impacts so that Member States can evaluate the impact of changing governance models or improving service provision and assess the impact that such initiatives have on the health status
of people in prison.
The survey used was structured in eight sections:
Penal statistics; Prison health systems; Health service delivery; Health outcomes; Prison environment; Health behaviours; Adherence to equivalence and other international standards; Reducing health inequalities and addressing the needs of special populations.
Inputs to prison health systems (B) were assessed under four domains:
- Responsible level of government administration and responsible organization
- Financing of prison health care
- Vision and strategic approach to prison health
- Health information system used to monitor the prison health system.
The outputs of the prison health system (C) were also assessed under four domains:
- Preventive services
- Rehabilitation
- Medical care (including primary care, secondary and tertiary care, and continuity of care)
- Performance of the health-care system (including availability of health-care staff and medicinal products; accessibility; acceptability; and quality of care).
The impact of the prison health system on health outcomes was assessed under three domains:
- Health and well-being
- Morbidity
- Mortality
Key figures
KEY STATISTICS FROM THE PUBLIC HEALTH DATASET FOR PRISONS IN THE WHO EUROPEAN REGION
Delivery of health care
7 of 36
European member states reported that the responsibility for the delivery of care lays solely in the Ministry of Health
Prison overcrowding
1 in every 5
European member states reported exceeding the official prison capacity in 2020
Mortality rate
424.9
Deaths per 100 000 people living in prison (all causes) among 36 European Member States. Suicide was the most common cause among the 35 that reported cause of death.
Mental health
32.8 %
Of people in prison live with mental health disorders among the 15 European Member States who could report this figure
Health-care staff
36.4
Staff cared for the health of every 1000 people in prison among the 31 European Member States who could report this figure
Psychiatrists
1.4
Psychiatrists cared for the mental health of every 1000 people in prison among the 30 European Member States who could report this figure
Prison statistics
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EUR PRISON DATA PRISON STATISTICS MAP TEMPLATE ZOOM
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Health system organization
Indicators in the chart
EUR PRISON DATA HEALTH SYSTEM ORGANIZATION MAP TEMPLATE ZOOM
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Availability of care
Indicators in the chart
EUR HWF COUNTRY HORIZONTAL BARS TEMPLATE
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Acceptability of care
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EUR PRISON DATA ACCEPTANCE OF CARE VACCINATIONS MAP TEMPLATE ZOOM
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Health information
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EUR PRISON DATA HEALTH INFORMATION MAP TEMPLATE ZOOM
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Quality of care
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EUR PRISON DATA QUALITY OF CARE MAP TEMPLATE ZOOM
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Provision of primary care
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EUR PRISON DATA PROVISION OF PRIMARY CARE MAP TEMPLATE ZOOM
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Health protection
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EUR PRISON DATA HEALTH PROTECTION MAP TEMPLATE ZOOM
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Health behaviours
Indicators in the chart
EUR PRISON DATA HEALTH BEHAVIOURS HORIZONTAL BARS TEMPLATE
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Morbidity
Indicators in the chart
EUR PRISON DATA MORBIDITY INDICATOR HORIZONTAL BARS TEMPLATE
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Mortality
Indicators in the chart
EUR PRISON DATA MORTALITY MAP TEMPLATE ZOOM
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