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Preventing child sexual abuse (CSA) requires comprehensive multi-agency criminal justice and public health approaches. Yet, marginal attention has been given to secondary prevention strategies that target "at risk" populations. Thus, we carried out a scoping review examining secondary prevention interventions for people at risk of sexual offending by considering their effectiveness, challenges and barriers. We identified N = 43 sources and completed a qualitative analysis. Our appraisal found five themes: (a) essential features needed for secondary prevention programmes (plus summary of interventions); (b) barriers to examining, implementing and accessing secondary prevention programmes; (c) methodological limitations; (d) the ethical justification; and (e) economic benefits for preventing abuse before it occurs. Over the last two decades, sources report greater public tolerance to the notion of tackling CSA using public health prevention approaches. Thus, we call for policy makers to embrace this positive shift and invest resources to further examine this area. Practice impact statement Advancing clinicians' and therapists' practice is critical for those working with people at risk of harm. This review aims to strengthen current knowledge and inform practice. Further, policy makers and funders are essential to the development and progression of prevention strategies; by providing this contemporary review, we hope to assist the decision-making process for allocating resources and strengthening confidence in advancing policy that builds comprehensive prevention approaches. [ABSTRACT FROM AUTHOR]

Background: The HIV epidemic in the Sub Saharan (SSA) region disproportionately affects women and girls and is further concentrated amongst prisoners. Given the male dominated prison environment, women's health needs are frequently ill resourced. This research investigated the health inequalities of Zimbabwean women prisoners. Methods: Using multi-stakeholder qualitative and theatre performance-based practice as research methodology, within an art-based research approach, we examined the extent to which prison Forum Theatre validated prior research findings, fostered dialogic communication, and fuelled discourse to generate solutions to women prisoner rights to health and equivalence of care. Results: Analysis found five themes: female vulnerabilities and rejecting the criminal identity; group solidarity against prison security protocols and rights to confidential health care; prisoner peer hierarchies and threat to well-being; challenging the prison system; and multiple perspectives beyond the performance. Conclusions Forum theatre offers an innovative medium to empower women prisoners and actualize sexual health rights based approaches in prisons in Zimbabwe, and Africa using a transformative sustainable development approach. [ABSTRACT FROM AUTHOR]

Background: People in prison are entitled to the highest attainable standard of health and humane treatment. We report on a Theatre of the Oppressed (TO) performance theatre initiative used as transformative health rights initiative in a female prison in Malawi. Methods: 40 women prisoners devised a play using TO concepts that depicted health and prison situational injustices. Eight trained male prisoner actors performed these situations, to which the whole prison audience (facilitators, women prisoners, prison officials, policy makers) discussed and generated solutions (n=76). We analysed group work in devising the play, the performance itself, and follow-up discussions with women prisoners and officials, using a thematic analysis. Results: Three themes emerged; 'poverty precluding committal and compounding lack of access to the outside world'; 'pursuit of female dignity and sexual autonomy', and 'relational aesthetic/social jusitice'. Conclusions TO offers an innovative medium to advance and actualize sexual health rights based approaches in prisons in Malawi, and Africa using a transformative sustainable development approach. [ABSTRACT FROM AUTHOR]

To raise awareness and knowledge of the human immunodeficiency virus (HIV); information, education and communication (IEC) strategies are needed. Entertainment education (EE) uses performing arts and theatre, as form of HIV programming, and is increasingly utilised in sub-Saharan Africa (SSA), a region impacted by a generalised HIV epidemic. A scoping review was conducted mapping and describing extant performance and theatre arts literature in HIV programming in the region. 27 records (between 1999-2019) were charted and thematically analysed. Performance theatre as a health education and promotion strategy in HIV programming was reported in South Africa, Botswana, Mozambique, Namibia, Swaziland, Uganda, Malawi, Lesotho, Zambia, Nigeria and Tanzania. This innovative strategy raised awareness, enhanced knowledge and corrected community myths; was transformative in changing cultural views and attitudes; and enhancing behaviour change. This review highlights the potential for continued use of innovative performance and theatre arts in HIV interventions and HIV programming in SSA. [ABSTRACT FROM AUTHOR]