The monitoring also revealed a violation of a legal requirement for a medical kit in each TDF, which should always be available and replenished as and when needed. Assessment of the completeness of a medical kit was based on the list of eighteen approved medicines and healthcare products that a medical kit must contain as per the Internal Regulations. In most TDFs, medical aid kits do not have all the required medicines and healthcare products, and some facilities lack such kits entirely. Thus, the observers registered 38 (80.9%) TDFs where medical aid kits were not complete. Further, in two TDFs, medical aid kits had some medicines and healthcare products that had already expired. It must be noted that most TDFs lack basic analgesics (paracetamol, analgene), wound dressings (bandages, adhesive tape, cotton, rope, and immobilization tires) which makes it impossible to provide emergency aid when needed. In one TDF, the observers were told that the facility’s director kept the medical kit in his office, but at the time of the monitoring he was on vacation, and no one had the keys to his office. That means that emergency aid was not and will not be available to detainees until the director returns from his vacation.133 The Moscow district IAB TDF did not have a medical kid at the time the monitoring was taking place. The observers also found an absolutely empty medical kit the the Djail district IAB TDF. Medical kit. Seven TDFs in the country have fully stocked medical kits (TDFs of Panfilov, Ala-Buka, and Kara-Suu district IABs, a TDF of Osh IAB, TDFs of Kyzyl-Kiya and Naryn city IABs, and a TDF of Talas Oblast IAB). Lack of funds budgeted for re-stocking medical aid kits explains the deficiencies in healthcare products and medicines. The administration of several TDFs allocates funds for procurement of healthcare products and medicines from the local budget. In some cases, TDF members of staff have to purchase medicines for detainees at their own expense. In the seven TDFs mentioned above where the observers have noted the presence of fully equipped medical kits, healthcare products and medicines were purchased by nongovernmental or international organizations. For instance, during its previous visits to TDFs of Osh and Kyzyl-Kiya IABs, and the TDF of Kara-Suu district IAB, Luch Solomona Public Foundation replenished medical kits as part of the OSCE project. Also, in the TDF of Ala-Buka district IAB, the first aid kit was restocked with support from the National Red Cross Society. In the course of the monitoring, the observers received several complaints from detainees regarding the failure of TDFs to provide medical services. Example: from the interview with a detainee: “I have thrombophlebitis. The investigator promised to bring a surgeon, but no assistance has been provided yet.”134 Example: from the interview with a detainee: “I have a toothache, but no aid has been provided.”135 133 Monitoring Report No. 15/16-17/П. Monitoring Report No. 3/6/З/1. 135 Monitoring Report No. 10/13-15/З/4.0. 134 56

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