Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Vol. 20, No. 4

Post-Release Health Insurance Utilization Among Ex-Prisoners: A Scoping Review

Khaerunnisa, Icha (Unknown)
Andriany, Megah (Unknown)
Dwiantoro, Luky (Unknown)



Article Info

Publish Date
28 Nov 2025

Abstract

The lack of health insurance coverage after prison release significantly reduces access to essential healthcare services, hindering the continuity of care during community reintegration. The evidence on studies of health insurance use following prison release is limited. This scoping review aimed to summarize research on health insurance utilization after release from prison. Literature searches were conducted across databases including ScienceDirect, PubMed, and Scopus. Relevant articles were selected through a two-stage screening process. Data were extracted from the included studies and presented in tabular and descriptive formats. The keywords used were "health insurance AND post-release" and "inmates OR prisoners." This scoping review showed that post-release health insurance utilization varied internationally. Coverage gaps, such as those in the United States, limit access to and continuity of care, whereas Canada and Australia provide more stable services. Barriers included administrative challenges, housing and employment instability, stigma, and poor coordination within the health system. The findings highlight the influence of national insurance frameworks and the need for policies supporting prerelease-release enrollment, coverage continuity, cross-sector collaboration, and adherence to the World Health Organization and Nelson Mandela Rules for equitable healthcare.

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Journal Info

Abbrev

publication:kesmas

Publisher

Subject

Health Professions Public Health

Description

The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, ...