CAT/OP/BOL/3/Add.1
related issues and their causes in order to improve social, economic and environmental
conditions and achieve the Good Life.
120. Regarding paragraphs 21 (c), 119, 120 and 123, the Ministry of Health has
developed the 2017–2021 National Mental Health Plan and intends to strengthen the mental
health system by taking account of human rights in keeping with the principles, agreements,
statements and recommendations of international bodies to which Bolivia subscribed in the
planning of its public policy.
121. The strategy on comprehensive mental health care covers mental and intellectual
disabilities among, inter alia, street children, persons deprived of their liberty and pregnant
women and provides for measures to promote health, prevent mental disorders and deliver
care and rehabilitation under the Intercultural Community Family Health policy. A
ministerial decision on the strategy is currently under preparation to allow for its
publication in the Official Gazette and its launch nationwide from the 2018 fiscal year
onwards, as part of the mental health policy
122. In reference to paragraphs 104 (a), (b), and (c), the 2017–2021 National Mental
Health Plan provides for the drafting of a bill on mental health to define the legal
framework for implementation in keeping with human rights conventions, declarations and
recommendations, thus focusing on the Good Life philosophy in the national health system.
123. The 2017–2021 National Mental Health Plan sets the orientation for the design and
implementation of specific programmes, laws, strategies, guides and protocols at the
national and subnational levels in the area of mental health.
124. With regard to paragraph 124, the Ministry of Health, pursuant to Act No. 475 on
the provision of comprehensive health-care services by the Plurinational State of Bolivia,
provides free care to persons with disabilities at all three levels of the national health
system. There are general practitioners in prisons at the national level who meet the
correctional system’s basic accreditation requirements. In the prison establishments of La
Paz, the Ministry of Health has opened positions for doctors. There are agreements with the
Ministry of the Interior regarding the referral of prisoners to tertiary specialist services,
where warranted by the person’s health condition. The database of the Programme on the
Central National Register of Persons with Disabilities has 30 persons with disabilities listed
as being deprived of their liberty nationwide. They enjoy the same benefits, tailored to their
type of disability, as the rest of the population. Persons deprived of their liberty who have a
disability or acquire one while in prison can request the legal status of persons with
disability, without discrimination.
125. With regard to paragraphs 124, 113 (b), 125 and 114, the right to health is inherent
in the State’s recognition of the need to regulate the social relationships that arise in the
health-care process and the measures taken to promote health, prevent and cure illness, and
ensure rehabilitation and recovery.
126. From the State’s point of view, health is a fundamental human and social right, both
at the individual and collective levels, enshrined in article 18 of the Constitution, which
should be considered as the epitome of legal and other provisions on human health and its
protection.
127. In accordance with the principle of comprehensiveness, the right to health is taken
into consideration in health sector regulations and in measures to realize the right to living,
social, economic, cultural and environmental conditions that are conducive to good health.
128. Act No. 475 of 30 December 2013 on the provision of comprehensive health-care
services by the Plurinational State of Bolivia and its implementing regulations contained in
Supreme Decree No. 1984 establish and regulate the entitlement to comprehensive care and
financial protection for users defined in the Act who are not covered under the short-term
compulsory social security scheme and provide the foundation for the universalization of
comprehensive health care.
129.
Act No. 475 benefits the following groups:
• Pregnant women, from the beginning of pregnancy to six months after delivery
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