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The politics of prison nursing and HIV/AIDS at Pollsmoor maximum security prison 1990-2008

The purpose of this thesis is to examine histories of prison nursing and the management of HIV/AIDS at Pollsmoor Maximum Security Prison. South Africa is a country with a high HIV prevalence, with rates of infection being especially notable among prisoners. Extant studies of HIV/AIDS in prisons in S...

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Main Author: Nzuza, Mpumelelo
Other Authors: Mbali, Mandisa
Format: Thesis
Language:English
English
Published: Department of Historical Studies 2026
Subjects:
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access_status_str Open Access
author Nzuza, Mpumelelo
author2 Mbali, Mandisa
author_browse Mbali, Mandisa
Nzuza, Mpumelelo
author_facet Mbali, Mandisa
Nzuza, Mpumelelo
author_sort Nzuza, Mpumelelo
collection Thesis
description The purpose of this thesis is to examine histories of prison nursing and the management of HIV/AIDS at Pollsmoor Maximum Security Prison. South Africa is a country with a high HIV prevalence, with rates of infection being especially notable among prisoners. Extant studies of HIV/AIDS in prisons in South Africa have largely focused on inmates' experiences of receiving healthcare services in prisons. Focusing on the years 1990 to 2008, the thesis offers a social history of prison nursing over time with a focus on nurses' workplace experiences in dealing with HIV/AIDS in their patients. By investigating prison nurses' everyday realities, the thesis finds that they experience challenges because of experiencing a fraught dual-system dynamic as employees of the Department of Correctional Services (DCS) who also collaborate with those based at the Department of Health (DOH). The former also tends to prioritize security over inmates' access to quality healthcare. The thesis draws upon a range of sources, including 20 oral history interviews (16 with prison nurses, two with clinical practitioners, and two with non-clinical health practitioners from the NGO TB/HIV Care); prison laws and policies, and DCS annual reports. It reaches several conclusions, such as outlining how factors such as gangs, prison violence (including sexual assault), transactional sex, substance abuse, and overcrowding affect prisoners' vulnerability to infection and their uptake of HIV prevention services provided by the nurses. Concluding in 2008, this thesis captures the significant role played by NGOs and health activists who advocated for inmates' access to effective HIV prevention and treatment services. It describes how legal activism catalyzed the provision of antiretrovirals (ARVs); this, alongside the work of NGOs such as HIV/TB Care, dramatically improved nurses' ability to provide HIV prevention and treatment services.
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language English
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last_indexed 2026-06-10T12:48:49.769Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2026
publishDateRange 2026
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spelling oai:open.uct.ac.za:11427/42563 The politics of prison nursing and HIV/AIDS at Pollsmoor maximum security prison 1990-2008 Nzuza, Mpumelelo Mbali, Mandisa HIV Prison nursing Pollsmoor Politics The purpose of this thesis is to examine histories of prison nursing and the management of HIV/AIDS at Pollsmoor Maximum Security Prison. South Africa is a country with a high HIV prevalence, with rates of infection being especially notable among prisoners. Extant studies of HIV/AIDS in prisons in South Africa have largely focused on inmates' experiences of receiving healthcare services in prisons. Focusing on the years 1990 to 2008, the thesis offers a social history of prison nursing over time with a focus on nurses' workplace experiences in dealing with HIV/AIDS in their patients. By investigating prison nurses' everyday realities, the thesis finds that they experience challenges because of experiencing a fraught dual-system dynamic as employees of the Department of Correctional Services (DCS) who also collaborate with those based at the Department of Health (DOH). The former also tends to prioritize security over inmates' access to quality healthcare. The thesis draws upon a range of sources, including 20 oral history interviews (16 with prison nurses, two with clinical practitioners, and two with non-clinical health practitioners from the NGO TB/HIV Care); prison laws and policies, and DCS annual reports. It reaches several conclusions, such as outlining how factors such as gangs, prison violence (including sexual assault), transactional sex, substance abuse, and overcrowding affect prisoners' vulnerability to infection and their uptake of HIV prevention services provided by the nurses. Concluding in 2008, this thesis captures the significant role played by NGOs and health activists who advocated for inmates' access to effective HIV prevention and treatment services. It describes how legal activism catalyzed the provision of antiretrovirals (ARVs); this, alongside the work of NGOs such as HIV/TB Care, dramatically improved nurses' ability to provide HIV prevention and treatment services. 2026-01-13T13:24:46Z 2026-01-13T13:24:46Z 2025 2026-01-13T12:25:38Z Thesis / Dissertation Masters Masters http://hdl.handle.net/11427/42563 en eng application/pdf Department of Historical Studies Faculty of Humanities University of Cape Town
spellingShingle HIV
Prison nursing
Pollsmoor
Politics
Nzuza, Mpumelelo
The politics of prison nursing and HIV/AIDS at Pollsmoor maximum security prison 1990-2008
thesis_degree_str Master's
title The politics of prison nursing and HIV/AIDS at Pollsmoor maximum security prison 1990-2008
title_full The politics of prison nursing and HIV/AIDS at Pollsmoor maximum security prison 1990-2008
title_fullStr The politics of prison nursing and HIV/AIDS at Pollsmoor maximum security prison 1990-2008
title_full_unstemmed The politics of prison nursing and HIV/AIDS at Pollsmoor maximum security prison 1990-2008
title_short The politics of prison nursing and HIV/AIDS at Pollsmoor maximum security prison 1990-2008
title_sort politics of prison nursing and hiv aids at pollsmoor maximum security prison 1990 2008
topic HIV
Prison nursing
Pollsmoor
Politics
url http://hdl.handle.net/11427/42563
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