 Women in this study also visited the health care facility more often than their male counterparts and reported being healthy less often than men did.A lack of resources, specifically of adequate staff, within facilities is largely what contributes to the substandard care of inmates.For example, although California's prison system is the largest in the country, an obstetrician/gynecologist was not hired at the California Institution for Women (CIW) until pregnant prisoners in California filed a class action lawsuit (Harris v. McCarthy) against CIW.