CAT/C/CRI/CO/2 page 5 Conditions of detention 14. The Committee notes with satisfaction the efforts made by the State party to improve the prison infrastructure, solve problems of overcrowding and ensure better health care and better nutrition for prisoners, as well as guaranteeing the right to education and the right to work, including the opening of the Care Centre for Young Adults in September 2005 and the setting up of a unit for prisoners’ children aged under 3 (the “Casa Cuna”). 15. The Committee regrets the inadequate budget of the Department, which leads to problems with equipment, allocation of technical and administrative staff and security personnel requirements. 16. The Committee reiterates the concern it expressed on the occasion of the damage to communal centre F in the La Reforma centre and the detention regime comprising 23 hours of confinement and 1 hour outside (A/56/44, paras. 130-136). 17. The Committee expresses concern at the general conditions governing access to health care for prisoners. The Committee is particularly concerned that when medical care is not provided in detention centres, security personnel are responsible for decisions on transfers to hospitals without having the necessary technical skills. The Committee also expresses concern at the conditions facing women prisoners. 18. The Committee expresses concern at the reports of sexual abuse and physical violence against homosexual and transsexual prisoners. The State party should ensure that the Department has the funds it needs so that conditions of detention are in keeping with international rules and principles relating to the rights of persons deprived of their liberty. The State party should also take steps to improve the infrastructure of communal centre F in the La Reforma centre. The Committee recommends that the State party should take steps to boost protection for the most vulnerable population against sexual violence, through such measures as the use of confidential machinery for reporting such violence. The State party should continue its efforts to reorganize the health service so that the conditions in which health care is provided are appropriate and the requisite medical personnel are available in prisons. The National Institute of Criminology should apply a gender-specific policy for women prisoners. It should also pursue the regionalization of women’s prisons so as to avoid the uprooting of women prisoners. The Committee notes with satisfaction the establishment of the Casa Cuna centre for prisoners’ children aged under 3, and recommends the establishment of similar units in the regional centres.