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Facilitating child-minding by family members outside the establishment can also
help to ensure that the burden of child-rearing is shared (for example, by the child’s father).
Where this is not possible, consideration should be given to providing access to creche-type
facilities. Such arrangements can enable women prisoners to participate in work and other
activities inside the prison to a greater extent than might otherwise be possible.
Hygiene and health issues
30.
The Committee also wishes to call attention to a number of hygiene and health
issues in respect of which the needs of women deprived of their liberty differ significantly
from those of men.
31.
The specific hygiene needs of women should be addressed in an adequate manner.
Ready access to sanitary and washing facilities, safe disposal arrangements for blood-stained
articles, as well as provision of hygiene items, such as sanitary towels and tampons, are of
particular importance. The failure to provide such basic necessities can amount, in itself, to
degrading treatment.
32.
It is also essential that the health care provided to persons deprived of their liberty
be of a standard equivalent to that enjoyed by patients in the outside community.
Insofar as women deprived of their liberty are concerned, ensuring that this principle of
equivalence of care is respected will require that health care is provided by medical practitioners
and nurses who have specific training in women's health issues, including in gynaecology.
Moreover, to the extent that preventive health care measures of particular relevance
to women, such as screening for breast and cervical cancer, are available in the outside
community, they should also be offered to women deprived of their liberty.
Equivalence of care also requires that a woman's right to bodily integrity should be
respected in places of detention as in the outside community. Thus, where the so-called
"morning after" pill and/or other forms of abortion at later stages of a pregnancy are available
to women who are free, they should be available under the same conditions to women
deprived of their liberty.
33.
As a matter of principle, prisoners who have begun a course of treatment before
being incarcerated should be able to continue it once detained. In this context, efforts should
be made to ensure that adequate supplies of specialist medication required by women are
available in places of detention.
As regards, more particularly, the contraceptive pill, it should be recalled that this
medication may be prescribed for medical reasons other than preventing conception (e.g. to
alleviate painful menstruation). The fact that a woman's incarceration may - in itself - greatly
diminish the likelihood of conception while detained is not a sufficient reason to withhold
such medication.
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