<p>As the global population ages, understanding the implications of older persons within correctional facilities has become increasingly urgent. This study explores the complex relationships between ageing and mortality among older prisoners in Ghana, focusing on qualitative semi-structured interviews conducted with 26 prison officers. The research highlights the interplay of age-related vulnerabilities and systemic factors that exacerbate health risks. The findings identify critical factors influencing mortality, including underlying health conditions, the psychological impacts of incarceration, and social isolation. While some forms of care are available, they are often fragmented and reactive, lacking a comprehensive, preventative strategy to address the ongoing health needs of older inmates. Additionally, the study underscores the necessity of psychosocial support and the importance of creating age-responsive policies within the prison system. By illuminating the challenges older prisoners face, this research contributes to the growing discourse on health care in correctional settings and calls for targeted interventions to improve the well-being of this vulnerable population. The study also suggests avenues for further research to enhance understanding and inform effective policy development aimed at addressing the unique needs of older inmates.</p>