Protection of Healthcare in Penitentiary System and Torture Prevention Mechanisms is so scarce that making any kind of analysis based on the presented information is quite hard. The analysis of medical cards reveal that discussion of cases on the basis of multidiscipline approach is not carried out which in most cases creates problems of incorrect diagnosis. Various medical activities, including consultations, visits, issue of medications, injuries and others, are registered in journals of various types which represent an attempt to implement the rule of statistical registration and is welcomed although it does not correspond to the forms approved by the Georgian Ministry of Labour, Health and Social Affairs. We shall also note that every establishment keeps forms of monthly medical reports that are also provided by the Georgian Ministry of Corrections, Probation and Legal Assistance. Analysis of such fragmented and non-systematized statistical information is practically impossible and hard to use for further planning and evaluation of cost-effectiveness. It is also hard to carry out accurate evaluation and monitoring. At the same time it shall be noted that confidentiality of medical files and norms of their keeping were complied with in any of the establishment where the monitoring was held. Often they are accessible for other persons that lead to violation of confidentiality and become a pretext for conflicts between inmates. Medical personnel is not informed about the rules and relevant orders of the Georgian Ministry of Labour, Health and Social Affairs. Recommendation: To fully enforce documentation approved by the following orders issued by the Minister of Labour, Health and Social Affairs of Georgia in the penitentiary system: Order No 01-41/N of August 15, 2011 issued by the Minister of Labour, Health and Social Affairs of Georgia on “Approval of Procedure for Administration of Outpatient Medical Documentation in Medical Institutions”; Order No 108/N of March 19, 2009 issued by the Minister of Labour, Health and Social Affairs of Georgia on “Approval of Procedure for Administration of Inpatient Medical Documentation in Medical Institutions”; Order No 01-27/N of May 23, 2012 issued by the Minister of Labour, Health and Social Affairs of Georgia “on the Rules of Administration and Provision of Medical Statistical Information”; Order No 198/N of July 17, 2002 issued by the Minister of Labour, Health and Social Affairs of Georgia “Rules of Storage of Medical Records in the Medical Institutions”; ACCESS TO A DOCTOR According to international and national legislation, it is obligatory for every prisoner to pass a medical examination. The law also recommends providing inmates with information on rights and healthcare services available to them. After analyzing reports provided by the healthcare units of the penitentiary system it is hard to imagine that the above norm is complied with unequivocally. Namely, according to monthly reports, number of inmates that entered establishments and the number of primary medical examination or/ and number of patients treated in inpatient establishments N18 and N 19 (mechanism of adding together all these numbers is not clear from the reports) are the following: NPM Report 2012 Order No 338/N of August 9, 2007 issued by the Minister of Labour, Health and Social Affairs of Georgia “on Approval of Rules for Filling in the Health Status Certificate and the Form of the Health Status Certificate””.

Select target paragraph3

Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents