in combination with prevention checks of the inmates of Lovech Prison. The Regional Health Inspectorate (RHI) in Lovech has provided tests to the MC. The medical care at Atlant PH in the city of Troyan is provided by the following staff: a doctor-intern under a contract, who works every day, and a dental practitioner under a contract, who visits the hostel every Tuesday. During the interviews held with the inmates, there were no complaints of the health care services provided by the doctor. The main complaints were of the dental care services stemming from the impossibility some of the manipulations to be performed in the dental room of the hostel. Lovech SHATPDL provides treatment of tuberculosis and non-specific pulmonary diseases and mental diseases to all prisoners from all prisons. The structure of SHATPDL consists of the following separate structural units: Diagnostic-Consultative unit: Reception room and X-ray room; In-patient unit: Pulmonary Ward and Psychiatric Ward; Hospital Pharmacy; Administration Unit. 25 persons work at the hospital. 24-hour medical care is provided. The pulmonary ward has 50 beds (incl. the MC beds). There are separate rooms for treatment of tuberculosis and rooms for non-specific pulmonary diseases. Sanitary and hygiene conditions in the ward are good. There are rooms with two beds and rooms with more beds. Every room has a separate sanitary unit, the prescriptions for antibacterial covering of the rooms have been fulfilled. There were few patients in the ward. The number of patients tends to decrease every year. In 2018, 59 patients were treated in the ward; the hospital bed occupancy is 75 days – 21 % (lower indicators than the average for the country); the average hospital stay is 64 days. The treatment process is secured with medicines and consumables. A special dietary regime is provided to people treated for tuberculosis. Patients are treated after signing their informed consent. The staff of the ward includes the ward head; one doctor-intern without specialty; three medical auxiliaries and five nurses; two janitors who are inmates from the prison. The NPM recommends to DGEP to arrange the specialisation of the intern at the pulmonary ward of Lovech SHATPDL. During the preparation of this annual report, the Ombudsman was informed that the recommendation was fulfilled. The psychiatric ward has 55 beds. There are two separate units for women and men. The ward has good sanitary and hygiene conditions. The ward was full during the inspection. Treatment is provided on the basis of informed consent. In 2018, 230 patients were treated in the ward, and the average hospital stay is 64 days. The rate of occupation is 293 days – 83.7 %. The indicators meet the average indicators of the country for in-patient psychiatric care in medical institutions. The NPM recommends a psychiatrist to be appointed at Lovech SHATPDL. 4. Pleven Prison There are two prison hostels with Pleven Prison – “Pleven” and “Vit”, and one detention facility. а) Living conditions As of 2019, when inmates are placed in the prison, consideration is paid to the even allocation of its capacity, observing the norm of 4 sq. m. available accommodation area per person. To this end, a daily control checklist of crowdedness is being kept. An exception from the norm is allowed in case of need for inmates placed in open-type prison hostels. 18

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