This document aims to provide national and subnational authorities involved in prison health and
prison health-care services with practical principles and actions for addressing five management
phases: prepare, prevent, detect and respond to infectious diseases, further strengthened by
building connectedness of prisons with wider health systems. This document also aims to enhance
capacity to tackle social determinants of health and to accelerate progress towards achieving the
sustainable development goals, including universal health coverage. The document was developed
through evidence review, remote expert consultation and interaction with experts during a dedicated
international conference. The evidence review focused on the five management phases applied to
the prison setting, leading to a draft collating the evidence, which was then used to identify key
questions to be addressed and discussed during an international conference of stakeholders in
prison health and global experts in infectious diseases in June 2023. A second evidence review was
conducted during which identified evidence gaps were further searched. Although this document
is primarily intended for policy-makers and policy-makers, it is expected that the document is
also useful for the health-care workforce in prisons and other places of detention. Thus, all core
principles presented are supported by recommendations for implementatio
