簡介：菲律賓曾被認為是世界上被監禁婦女和女童人數最多的國家之一。 並且大多數觸犯法律的婦女都是還需要撫育小孩的母親他們被迫和小孩分離或者是在入獄期間已經懷孕的母親。 因此，這些懷有身孕或是還需撫育小孩的受刑婦女們需要在服刑期間得到懷孕或育兒相關的需求。 然而，由於在菲律賓監獄服刑的女性僅佔10%，因此他們並未像男性一樣得到同等的重視。綜上所述，本研究採用紮根理論方法，深入了解擁有小孩或懷孕的受刑婦女在服刑期間獲取醫療保健服務的經歷
方法：從2022 年 7 月至 2023 年 4 月，對馬尼拉大都會監獄中懷有身孕或是還需撫育小孩的受刑婦女們進行了 1 至 2 小時的半結構化線上深度訪談。 並且為了獲得更全面的了解，我們還採訪了女子監獄內提供醫療保健的人員，以及在這些婦女重返社會時為她們提供服務的人員。將收集的數據使用紮根理論的恆定比較方法對其進行分析。
結果：研究結果表明，儘管入獄服刑對婦女的健康有一些負面影響，但通過獄警和工作人員提供的支持和社區意識，秩序依舊能維持。 因此，在有關監禁對婦女所造成的影響的研究討論中，焦點著重在對懷孕婦女所造成的影響，而不是被關進監獄的負面影響。隨著母親和孩子的分離，女性受刑者依賴遠距離母親的概念來重申自己的身份。與小孩心靈上的連結也被認為是他們的應對機制之一，來降低其因無法陪伴在小孩身邊的焦慮感或是罪惡感，達到撫慰劑的效果。最後，研究結果還說明了針對擁有小孩或在懷孕期間受刑的婦女在重返會會時，社會對該群體的偏見和家庭的支持是至關重要的。
結論：針對具體情況和促進性別平等的醫療保健計劃可以滿足女性受刑者的心理健康需求，並且該醫療保健計劃應須妥善分派資源提供女性受刑者在日後能與出生後的小孩接觸。

Introduction: The Philippines has once been considered as having one of the highest number of women and girls incarcerated worldwide. Most of those women in conflict with the law are mothers who have left behind a child when they got incarcerated, or who were pregnant while they were in jail. Thus, they have pregnancy and parenting-related needs that must be attended to. However, since women only make up 10% of the whole jail population in the Philippines, their situation has not received as much attention as those of men. Thus, this study aims to employ a grounded theory methodology in order to comprehensively understand the experiences of female detainees with children, when accessing health care services inside jails
Method: One to two-hour online semi-structured in-depth interviews were conducted from July 2022 to April 2023 with women currently or formerly in jail in Metro Manila, who were pregnant or who have left behind a child while they were incarcerated. To gain a more holistic understanding, interviews were also conducted with the personnel involved in the provision of healthcare inside female jails, and with people serving them as they transition back into the community. Data was analyzed using grounded theory’s constant comparative method.
Results: The study findings reflect that although there are several negative impacts of incarceration on the health of women, order is maintained through the support and sense of community provided by the jail brigade and personnel. As such, instead of the negative effects of being put bars, having a more monitored pregnancy has been the more salient feature of the discourse regarding the impact of imprisonment. Furthermore, with the separation of mothers from their children, the findings manifest that female detainees have relied on the concept of distant mothering to reaffirm their identity. Spirituality has also been identified as one of their coping mechanisms that provides a cooling effect to the dense cell environment. Lastly, the results of the study also provided an account of how stigma from the community and support from the family are important factors in the reintegration of female detainees back into society.
Conclusion: Context-specific and gender-responsive healthcare programs are needed to adequately attend to the mental health needs of women detainees. Resources should also be allotted to support the contact of female detainees with their children after birth.

REFERENCES
Abad, M. (2021, March 12). What you should know about women prisoners in the Philippines. Rappler. https://www.rappler.com/newsbreak/iq/things-to-know-women-prisoners-philippines/
Barnes, S. L., & Stringer, E. C. (2014). Is motherhood important? Imprisoned women’s maternal experiences before and during confinement and their postrelease expectations. Feminist Criminology, 9(1), 3-23.
Bernard, C. L., Rao, I. J., Robison, K. K., & Brandeau, M. L. (2020). Health outcomes and cost-effectiveness of diversion programs for low-level drug offenders: A model-based analysis. PLoS medicine, 17(10), e1003239.
Bureau of Jail Management and Penology. (2020). Pregnant Data CY 2019-2020 (Jan-Oct)[Data file]. https://www.gmanetwork.com/news/specials/content/176/a-river-of-sorrow/
Bureau of Jail Management and Penology. (2022a). BJMP Actual Jail Population Data as of July 31, 2022 [Data file]. https://www.bjmp.gov.ph/images/data_and_stats/07-31-22/Jail_Population_Data.png
Bureau of Jail Management and Penology. (2022b) Pregnant PDL for the month of May 2022 [Data file].
Cabato, R. (2021). The Philippines’ drug war is putting more pregnant women behind bars. What happens to their children? . The Washington Post. https://www.washingtonpost.com/world/2021/04/06/women-jail-births-philippines-duterte/
Candaliza-Gutierrez, F. (2012). Pangkat: Inmate gangs at the New Bilibid prison maximum security compound. Philippine Sociological Review, 193-237.
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Sage.
Chesney-Lind, M. (2000). What to do about girls? Thinking about programs for young women. In (Maeve W. McMahon, ed.). Assessment to Assistance: Programs for Women in Community Corrections.
Commission on Human Rights of the Philippines. (2018, October 26). Submission on deprivation of liberty of women and girls (unpublished report). Retrieved September 26, 2022 from: https://www.ohchr.org/sites/default/files/Documents/Issues/Women/WG/DeprivedLiberty/NHRI/Commission_on_Human_Rights_of_the_Philippines.docx
Commission on Human Rights of the Philippines. (2022). Inside stories: A report on the situation of women deprived of liberty from select detention facilities (unpublished report). Retrieved September 26, 2022 from: https://chr.gov.ph/wp-content/uploads/2022/01/Inside-Stories-A-Report-on-the-Situation-of-Women-Deprived-of-Liberty-from-Select-Detention-Facilities.pdf
Crewe, B., Hulley, S., & Wright, S. (2017). The gendered pains of life imprisonment. British Journal of Criminology, 57(6), 1359-1378.
Dolan, K., Wirtz, A.L., Moazen, B., Ndeffo-Mbah, M., Galvani, A., Kinner, S.A., Courtney, R., Mckee, M., Amon, J., Maher, L., Hellard, M., Beyrer, C., Altice, F. (2016). "Global burden of HIV, viral hepatitis, and tuberculosis in prisoners and detainees." The Lancet 388(10049): 1089-1102.
Douglas, N., Plugge, E., & Fitzpatrick, R. (2009). The impact of imprisonment on health: what do women prisoners say?. Journal of epidemiology and community health, 63(9), 749–754. https://doi.org/10.1136/jech.2008.080713
Elumn, J. E., Keating, L., Smoyer, A., Wang, E. (2021). "Healthcare-induced trauma in correctional facilities: a qualitative exploration." Health & Justice 9(1): 14.
Enano, J. (2018, October 8). Female detainees also suffer from QC jail congestion. Inquirer. https://newsinfo.inquirer.net/1040104/female-detainees-also-suffer-from-qc-jail-congestion
Freudenberg, N., Daniels, J., Crum, M., Perkins, T., Richie, B. (2008). "Coming home from jail: the social and health consequences of community reentry for women, male adolescents, and their families and communities." American journal of public health 98(9 Suppl): S191-S202.
Friedman, E., Burr, E., & Sufrin, C. (2021). Seeking recognition through carceral health care bureaucracy: Analysis of medical care request forms in a County Jail. Soc Sci Med, 291, 114485. https://doi.org/10.1016/j.socscimed.2021.114485
Fulkerson, A. (2009). The drug treatment court as a form of restorative justice. Contemporary Justice Review, 12(3), 253-267.
Galtung, J. (1969). Violence, Peace, and Peace Research. Journal of Peace Research, 6(3), 167–191. http://www.jstor.org/stable/422690
Galtung, J. (1990). Cultural violence. Journal of peace research, 27(3), 291-305.
Granja, R., da Cunha, M. I. P., & Machado, H. (2015). Mothering From Prison and Ideologies of Intensive Parenting:Enacting Vulnerable Resistance. Journal of Family Issues, 36(9), 1212-1232. https://doi.org/10.1177/0192513x14533541
Harner, H. M., & Riley, S. (2013). The impact of incarceration on women’s mental health: Responses from women in a maximum-security prison. Qualitative health research, 23(1), 26-42.
Human Rights Watch (2018). Philippines: Duterte’s ‘Drug War’ Claims 12,000+ Lives
Government Harassment, Threats Against Rights Defenders. Retrieved June 12, 2023 from https://www.hrw.org/news/2018/01/18/philippines-dutertes-drug-war-claims-12000-lives
Karandinos, G., & Bourgois, P. (2019). The structural violence of hyperincarceration—A 44-year-old man with back pain. New England Journal of Medicine, 380(3), 205-209.
Kennedy, S. C., Mennicke, A. M., & Allen, C. (2020). ‘I took care of my kids’: mothering while incarcerated. Health & Justice, 8(1), 12. https://doi.org/10.1186/s40352-020-00109-3
Lagrimas, N.-A. C. (2020). A River of Sorrow. GMA News Online. https://www.gmanetwork.com/news/specials/content/176/a-river-of-sorrow
Lindquist, C. H., & Lindquist, C. A. (1997). Gender differences in distress: Mental health consequences of environmental stress among jail inmates. Behavioral Sciences & the Law, 15(4), 503-523.
Minton, T. D., & Zeng, Z. (2021). Jail inmates in 2020—statistical tables. Washington, DC, Bureau of Justice Statistics.
Morrow, S. L., & Smith, M. L. (1995). Constructions of survival and coping by women who have survived childhood sexual abuse. Journal of counseling psychology, 42(1), 24.
Narag, R. E., & Jones, C. R. (2017). Understanding prison management in the Philippines: A case for shared governance. The Prison Journal, 97(1), 3-26.
Narag, R. E. (2019). Exploring the consequences of prolonged pretrial incarceration: Evidence from a local jurisdiction in the Philippines. International Journal of Comparative and Applied Criminal Justice, 43(2), 117-134.
Norris, W. K., Allison, M.K., Fradley, M.F., Zielinski, M.J. (2022). "'You're setting a lot of people up for failure': what formerly incarcerated women would tell healthcare decision makers." Health Justice 10(1): 4.
Palma, D. M., & Parr, J. (2019). Behind prison walls: HIV vulnerability of female Filipino prisoners. Int J Prison Health, 15(3), 232-243. https://doi.org/10.1108/ijph-12-2017-0060
Parole and Probation Administration. (2023). Restorative Justice. Retrieved from: https://probation.gov.ph/restorative-justice/#:~:text=WHAT%20IS%20RESTORATIVE%20JUSTICE%3F,victims%20and%20to%20the%20community.
Penal Reform International & Thailand Institute of Justice. (2022). Global prison trends. Retrieved from: https://cdn.penalreform.org/wp-content/uploads/2022/05/GPT2022.pdf
Rose, S. J., & LeBel, T. P. (2020). Confined to obscurity: Health challenges of pregnant women in jail. Health & Social Work, 45(3), 177-185.
Salisbury, E. J., & Van Voorhis, P. (2009). Gendered pathways: A quantitative investigation of women probationers' paths to incarceration. Criminal justice and behavior, 36(6), 541-566.
Sbaraini, A., Carter, S. M., Evans, R. W., & Blinkhorn, A. (2011). How to do a grounded theory study: a worked example of a study of dental practices. BMC Medical Research Methodology, 11(1), 128. https://doi.org/10.1186/1471-2288-11-128
Schonberg, D., Bennett, A. H., Sufrin, C., Karasz, A., & Gold, M. (2015). What Women Want: A Qualitative Study of Contraception in Jail. American journal of public health, 105(11), 2269-2274. https://doi.org/10.2105/AJPH.2015.302765
Shamai, M., & Kochal, R. B. (2008). "Motherhood starts in prison": the experience of motherhood among women in prison. Fam Process, 47(3), 323-340. https://doi.org/10.1111/j.1545-5300.2008.00256.x
Starks, H., & Trinidad, S. B. (2007). Choose your method: a comparison of phenomenology, discourse analysis, and grounded theory. Qual Health Res, 17(10), 1372-1380. https://doi.org/10.1177/1049732307307031
Strauss, A., & Corbin, J. (1990). Basics of qualitative research. Sage publications.
Sykes, G.M. (2007). The society of captives: A study of a maximum security prison. Princeton University Press.
Twelfth Congress of the Philippines. (2002). Comprehensive Dangerous Drugs Act of 2002 (Republic Act no. 9165). https://lawphil.net/statutes/repacts/ra2002/ra_9165_2002.html
United Nations General Assembly. (2015). United Nations Standard Minimum Rules for the Treatment of Prisoners (the Mandela Rules): Note/ by the Secretariat, UN Doc A/C.3/70/L.3 (29 September 2015). Retrieved from: https://www.refworld.org/docid/56209cd14.html
United Nations Office on Drugs and Crime. (2012). Introductory handbook on the prevention of recidivism and the social reintegration of offenders. In: United Nations EBook. Available online at Vienna.
Villanueva, S. M. P., & Gayoles, L. A. M. (2019). Lived experiences of incarcerated mothers. Philippine Social Science Journal, 2(1), 37-52.
Walker, S. and Worall, A. (200). Life as a woman: The gendered pains of indeterminate imprisonment. Prison Service Journal, 132, 27-32.
Walmsley, R. (2017). World prison brief: World female imprisonment list (4th ed.). London: Institute for Criminal Policy Research at Birkbeck, University of London.
Wennerstrom, A., Sugarman, M., Martin, D., Lobre, C. B., Haywood, C. G., & Niyogi, A. (2021). 'You have to be almost dead before they ever really work on you in prison': A qualitative study of formerly incarcerated women's health care experiences during incarceration in Louisiana, U.S. Health Soc Care Community. https://doi.org/10.1111/hsc.13556
World Prison Brief, Institute for Crime & Justice Policy Research. (2022) Philippines: World prison brief data. Retrieved August 28, 2022 from: https://www.prisonstudies.org/country/philippines