Unfortunately, this is a temporary measure since in the absence of financial support from international
organizations, activities of medical personnel cease in detention facilities. For example, a TDF of the Talas
Oblast IAD has had a medical officer on staff for three years sponsored by the OSCE. After the funding ended,
he left.
A fact to note is that TDF’s medical personnel should report to the Ministry of Health of the Kyrgyz Republic
and not to be part of the KR Interior Ministry, which does not rule out a risk of unwanted influences.
In a setting with limitations placed on freedom of movement and communication, guaranteed access
to health care and medical examinations directly depends not only on the availability of health care
workers in TDFs, but also on the existence of procedures for dealing with health complaints or reports of
bodily injuries, or any other related complaints (see the section on “The Right to Make Complaints”).
The monitoring findings showed that medical certification does not happen in all cases of initial admission to a
detention facility or upon a return to detention after being taken out for investigatory processes.
For instance, 66 (34%) of the respondents held in TDFs said they had not undergone any medical certification
when initially admitted to a detention facility.
Example: An accused person: “A physician has not examined me upon my initial admission, only on
my fourth day in detention, an examination was performed.” 129
Diagram 15.
Performance of medical certification during initial admission to a detention facility .
According to the respondents, at the time of admission to a detention facility, 28 (14.5%) required medical aid,
while 17 (60.7%) of them received appropriate care, 3 (10.7%) did not receive appropriate care, and 8 (28.6%)
patients suffered from ailments but did not report it.
Diagram 16.
Provision of medical aid to those in need at the time of admission to a detention facility.
According to members of TDF staff, physicians on duty at local hospitals conduct medical examinations.
However, when surveyed, 92 (72.4%) detainees reported having been examined by the TDF director and
members of staff.
129
Monitoring Report No. 1/6-7/З/1.3.
54
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