National Preventive Mechanism the director of the Martkopi institution was in the inpatient unit, the patient’s condition, according to the physician-reanimatologist, was still severe, while, on 23/06/2012, by 1 A.M., the doctor of the intensive care unit, Jumber Bolkvadze, notified the doctor of the boarding house, T. Bedianashvili, that “the patient has recovered and has been discharged from the clinic”. He also told him/her that the Irao insurance company refused to transport the patient from the clinic. In the presence of the members of the monitoring group, the director of the Martkopi institution made another phone call to the duty doctor who said, “The patient requires continued treatment in the therapeutic unit which the insurance company refuses to fund.” The members of the monitoring group visited the patient on-site and, after their intervention, it became possible to leave the patient in the inpatient unit for two additional days. The refusal to continue funding of the patient’s treatment was caused by the small number of beds in the intensive care unit, on the one hand, and the patient’s psychic condition, on the other hand. The staff of the clinic said that the clinic did not have properly qualified caregivers with experience in communicating with and providing care for patients with mental health problems, which prevented them from carrying out adequate medical intervention. Public Defender of Georgia addresses the Ministry of Labor, Health and Social Affairs of Georgia with recommendations to: Ensure the retraining of hospital nurses and care-givers with the aim of improving the medical assistance and care for persons with mental health problems; Ensure that medical establishments have adequately qualified staff and resources to manage somatic diseases of persons with disabilities; Ensure control on the provision of quality medical service and maintenance of medical documents; Exercise control and permanent monitoring on the conditions of admission of persons with disabilities to corresponding institutions; Pay particular attention to the health condition and concrete needs of beneficiaries at the time of admission; Ensure the expansion of insurance packages to increase the funding limits for consultations of narrow specialists in different fields and medical products for beneficiaries of institutions for persons with disabilities; Ensure the simplification of the process of hospitalization with the aim of increasing the accessibility of medical service for beneficiaries of institutions for persons with disabilities; Conduct an inquiry into every individual case of failure to provide adequate medical service for children and adults with disabilities and take measures envisaged by the Georgian legislation to respond to and prevent such cases in the future. ORGANIZATION OF NUTRITION Nutrition of Infants and Diversity of Food Products In order to ensure children’s full growth and development, it is necessary that the principles of full and safe nutrition be taken into account. As indicated in the standard #10 of the State Standards of Child Care, “The service provider shall www.ombudsman.ge NPM Report

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