Report on the State of Human Rights in Institutions for Persons with Disabilities symptomatic generalized epilepsy,” often has serial cramps (convulsions); The cramps are only removed by giving the child the prescribed dose of a combination of Carbamazepine and Difinin. Difinin is not included in the list of the State Care Agency. It is also necessary to pay particular attention to medicines received as a humanitarian gift. A physician-pediatrician of the Makhinjauri Infant House, D.J., gave the institution 200 mg. of Carbamazepine (250 tablets), whose price was estimated as GEL 0 and 40 tetri in the acceptance-delivery act, and Perscindol ointment estimated at GEL 15. In both cases, the production and expiry dates were missing, which gives rise to doubts in terms of children’s health. In conclusion, we would emphasize that it is necessary to conduct monitoring on the health of newly borns, infants, and children at an early age and to ensure that the multidisciplinary teams conduct assessment and develop individual development plans, or introduce programs of further rehabilitation/habilitation. Particular attention should be paid to early diagnosis of diseases (hydrocephaly) and timely and purposeful surgical intervention with newly born children. Public Defender of Georgia addresses the Ministry of Labor, Health and Social Affairs of Georgia with recommendations to: Ensure the assessment of newly born children in the case of hydrocephaly and other serious inborn diseases and disorders in the framework of the State Program of Prevention of Diseases with the aim of carrying out timely and complete intervention; Develop and introduce unified electronic systems, taking into consideration the health and psychosocial condition of children with disability status, with the aim of improving their further rehabilitation and social integration from their birth to adulthood; Exercise effective control and supervision on the health condition of beneficiaries of infant houses and on the quality of medical care provided for them; Ensure the assessment of all beneficiaries in infant houses by a multidisciplinary team and implementation of programs of rehabilitation/habilitation in the framework of an individual development program; Ensure fast and timely provision of medical service by simplifying the procedures of communication with insurance companies; Ensure that infant houses are provided with all necessary medicines included in the insurance packages, taking into consideration the age-related specifics of diseases and the disability status. HEALTH CARE IN SPECIALIZED BOARDING SCHOOLS The Internal Rules of the Akhaltsikhe Boarding School indicates that “The nurse shall ensure that all treatment, preventive, and recovery measures are taken, maintain order and cleanliness in the medical isolation ward, and provide primary medical care for children.” In spite of this, the members of the monitoring group were practically unable to obtain information about the health condition of the beneficiaries and medical assistance provided to them (the nurse was absent at the time of the monitoring). School No. 202, which serves children with visual impairment, does not employ an ophthalmologist. Consequently, in this case, the children who require an ophthalmologist’s consultation most often are provided with this service with considerable delay. ANNUAL REPORT OF THE PUBLIC DEFENDER OF GEORGIA NPM Report 2012 Ensure that beneficiaries of infant houses are provided with a different insurance package of medical services that are tailored to their needs with the aim of increasing access to medical care;