CAT/OP/CHL/1/Add.1
personnel bring the persons deprived of their liberty to the health centre until they are
transferred from the centre and brought before the Prison Service for prosecution.
Recording this procedure would comply with the inter-agency protocol for health
examinations of persons detained in criminal proceedings, which regulates the health
examination process and has been in force since 2013.
98.
In addition, the framework agreement allows for the establishment of working
groups to bring forward measures for protecting the right to privacy and medical
confidentiality, and to limit the time spent on examining injuries, thereby avoiding
situations that might undermine the integrity of the person deprived of liberty.
99.
Paragraph 58: The Subcommittee recommends that, in all cases, attention should be
paid to the proper completion of all medical documentation. Furthermore, treatment in the
above-mentioned specialized areas, among others, should be provided at the prison
hospital. If this is not possible, the State should ensure that prompt and effective
coordination is undertaken to deal with the various pathologies concerned. The
Subcommittee believes that an independent observer, such as the representative of a
national preventive mechanism, could provide suitable follow-up in such situations.
100. Through the above-mentioned framework cooperation agreement, the institutions
party thereto recognize, within the scope of their respective competence, the importance
and necessity of strengthening the development of intersectoral policies that seek to
safeguard the right to health care. The purpose of this framework agreement is to coordinate
inter-institutional work between the entities specified in the agreement with a view to
progressively improving the sanitary conditions of prisons and the health of the general
prison population.
101. With regard to the recommendation, the Santiago prison hospital is a specialized
care centre not outsourced by the Prison Service which provides specialized care. This
centre provides dental care, emergency services and services in psychiatry, surgery, internal
medicine, nutrition and physiotherapy. In addition, midwife care is available in prisons with
a female population. In November, the number of hours of psychiatric care was increased to
33.
102. Furthermore, the following specializations are available in outsourced units:
emergency services, psychiatry, dental care and internal medicine. Gynaecologists,
midwives and paediatricians are available in prisons with a female population.
103. A unified health card has been rolled out nationally for managing the medical
information of all persons deprived of their liberty. An electronic medical card is available
at the South Santiago Pretrial Detention Centre, and a pilot plan is being put under way at
the prison hospital, with the aim of extending this initiative nationwide.
104. For its part, SENAME will enter into a cooperation agreement with the Ministry of
Health which will include specialized care and treatment. The Service will work on the
agreement with the aim of having it in place after the first half of 2017.
105. Paragraph 61: The Subcommittee recommends that a register be set up for use in
scheduling appointments on a regular basis and that steps be taken to ensure that no
discrimination of any kind is practised by officials or dentists themselves.
106. With regard to the concern expressed by the Subcommittee regarding the dental care
of persons deprived of their liberty, the Prison Service has 45 infirmaries31 delivering this
type of care within prisons, since dental care is considered primary care. In addition, the
prison hospital 32 provides specialized maxillofacial and orthodontic care. There are also
radiological systems with which to conduct dental examinations upon imprisonment, which
also serves as a means of identification. The equipment is repaired and replaced regularly to
ensure that it is fit for purpose. The amount of equipment is expected to be gradually
31
32
20
The Prison Service has 84 medical units nationwide, and 54 per cent of the infirmaries located within
the centres run by the Prison Service provide dental care.
The hospital is located in the metropolitan region of Santiago.
GE.17-07762
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