Integrating the Issue of Sexual and Gender-Based Violence in Detention Monitoring Preparatory research and reviewing existing documentation • Are prison healthcare staff independent of prison management? Who directly manages them, and to whom do they have to report? • Is there a procedure in place for steps healthcare professionals should take if they suspect that SGBV has occurred? • At what stage of the admission procedure are prisoners given their initial medical screening? Does the initial medical screening include anything about past experiences of SGBV? • Does the template for medical records contain any section relating to torture and other ill-treatment, or SGBV in particular? • Does the healthcare team compile periodic statistics on incidents of abuse that come to their attention, or incidents of SGBV in particular? • Is there a requirement that prisoners are given another medical screening in cases where they are returned to police custody for investigations? • Are there any available statistics of the number of instances of SGBV recorded by medical staff, including during initial medical screenings and subsequent healthcare appointments? Inspecting healthcare facilities and the location of medical files • In what conditions do medical examinations take place? Do the locations of doors and windows allow for full privacy and confidentiality? • Are prison health facilities in a location where all detainees can access them if they need to? How does access to health facilities work in facilities where both men and women, or adults and juveniles are located? • Where are medical files stored, and who is allowed to access them? Are the files locked securely? Are they kept separately from the main prisoner file? • Are there any other measures in place to ensure medical confidentiality? Information from healthcare staff • Do healthcare staff receive any specific training on identifying incidents of SGBV and/or appropriate ways of dealing with victims of SGBV? Are there any members of the healthcare staff specialized in dealing with SGBV? • Are prison healthcare staff trained in applying the Manual on the Effective Investigation and Documentation of Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (the Istanbul Protocol)?21 21 OHCHR, The Istanbul Protocol: Manual on the Effective Investigation and Documentation of Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, op. cit., note 15. 61