Identify a challenge or area of improvement within your chosen area. (For example, one may choose corrections as the topic area and violence in prisons as the problem). Over the weeks of this course, you will progressively research, learn about, write and present on a solution to the challenge or area of improvement from both a tactical and administrative perspective. Receive approval from your professor on your chosen topic. Additional project expectations are described in week 8.

Write a two to three (2-3) page paper in which you address the following:

1. Outline the context of the problem or challenge, including the history and any policy decisions that have contributed to the situation

Receiving Screening (E-02) suggests inquiry into current gynecological problems and pregnancy for women and female adolescents.

Initial Health Assessment (E-04) recommends that clinical practice guidelines be followed for pelvic examinations and Pap smears.

Intoxication and Withdrawal (G-07) acknowledges the special management of pregnant inmates with opioid use disorders.

Contraception (G-08) recommends that women be provided with nondirective contraception counseling, access to emergency contraception, and continuation of current contraceptive method while incarcerated.

Counseling and Care of the Pregnant Inmate (G-09) specifies that comprehensive counseling and assistance are given to pregnant inmates in keeping with their express desires in planning for their unborn children, whether they desire abortion, adoptive service, or to keep the child. It also addresses prenatal care and the nonuse of restraints during childbirth.

2. Why is it important that the problem be addressed?

Gynecological exams are not performed upon admission, nor are they routinely provided on an annual basis. Appropriate initial screening questions about a woman’s gynecologic history often are not asked.

At any given time, approximately 6% to 10% of incarcerated women are pregnant (American College of Obstetricians and Gynecologists [ACOG], 2011). Many women first learn they are pregnant when they enter a correctional facility. At the time of their arrest and incarceration, many pregnant inmates lack prenatal care and need considerable support to improve the clinical outcomes of their pregnancies. Research has demonstrated that these women are not consistently provided counseling on options or access to termination services (Roth, 2004; Sufrin, Creinin, & Chang, 2009).

3. Who is impacted internally and externally?

Incarcerated woman and child she has in prison

4. Why do you feel the problem hasn’t already been solved?

They are treated as animals, life isn’t valued once the woman is incarcerated

Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Here’s a great one to start: https://www.ncchc.org/womens-health-care