Report on the Performance of Activities of the National Preventive Mechanism for 2016
Difficulties when it comes to exercising rights to healthcare by irregular migrants and seekers
of international protection, have been noticed, as well as a narrow scope of recognized rights,
in particular of vulnerable groups and persons whose freedom of movement has been
restricted. Right to healthcare and the scope of
The scope of right to healthcare provided
this right are laid down in the Act on Mandatory
to seekers who have been subject either
Health Insurance and Health Care of Foreigners
to rape or any other aggravated form of
in the Republic of Croatia (AMHIHCF), which
violence, as well as to those with specific
pertains mostly to the right to emergency
health needs, was planned to be
medical assistance and right to diagnostic and
determined by virtue of an ordinance, but
therapeutic services necessary to eliminate
it has been more than three years since
immediate dangers to their life and health. The
the latter should have been adopted.
scope of right to healthcare provided to
applicants who have been subject either to rape
or any other aggravated form of violence, as well as to those with specific health needs, was
planned to be determined by virtue of an ordinance, but it has been more than three years
since the latter should have been adopted. Even though a procedure for adopting Amendments
to AMHIHCF, which once again foresee passing of the said Ordinance, was initiated in June
2016, the said Amendments have not yet been adopted due to a series of difficulties. Pursuant
to the planned Amendments, healthcare for pregnant women and children is still at the level
of the right to emergency medical assistance, which is not in compliance with the Convention
on the Rights of the Child and Convention on the Elimination of All Forms of Discrimination
against Women, based on which all pregnant women should have the right to free prenatal,
intranatal and postnatal care, whereas children should have the same right to healthcare as the
country’s citizens, which would include vaccinations.
A series of difficulties have also been noticed regarding the extent to which irregular migrants
whose freedom of movement has been restricted and applicants for international protection
exercise their right to healthcare. In FRCJ, there was one team of general/family medicine
doctors that visited the centre twice a week, despite the fact that according to CPT standards,
assessing health condition of irregular migrants whose freedom of movement has been
restricted, should be a priority, given the series of factors that may have a negative impact on
their health. In addition, the Centre should have at least one healthcare professional who would
be available every day. In RFAS Zagreb and Kutina, among difficulties pertaining to exercise of
right to healthcare by applicants for international protection, was the manner in which visits to
hospitals and community health centres were organized as well as provision of accompaniment
and translation services. Ministry of Health tried to overcome these difficulties by concluding
agreements with the community health centres in Kutina and Zagreb, based on which one team
of general/family medicine doctors would provide daily healthcare services on the premises of
the Centre, which eventually failed due to lack of available physicians. In RFAS Zagreb, the
physician would visit the premises twice a week, whereas in the meantime, it was security
guards who were responsible for calling an ambulance, while volunteers and Jesuit Refugee
Service (JRS) members accompanied them to hospitals or health community centres. In
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