DOC/OS(XXXIII)/324c/I
40
At Oluno Rehabilitation Centre some prisoners volunteered to undergo an AIDS test
but were refused the test by the prison medical service who argued that voluntary
HIV testing is not part of the prison's aim to combat AIDS.
At Odangwa police station, prisoners brought to the attention of the Special
Rapporteur's delegation one aspect of the behaviour of police staff which favours
the transmission of the AIDS virus. In fact, the police officers in this station often use
handcuffs on the prisoners, which are blood stained from the person who last used
them. This happens because the handcuffs are closed very tight when the police
think the prisoner might escape.
At Grootfontein prison no activity to raise awareness among inmates about AIDS
has begun. However, the nurse told us that he had just finished a 6-weeks training
course after which he should be capable of carrying out such an activity within the
prison. He was only waiting to receive the necessary educational material.
At Hardap prison some inmates started drama groups to raise awareness about
AIDS among their colleagues. Their action complements the awareness raising
actions carried out by professional educators on AIDS. In spite of all these efforts,
prisoners with AIDS continue to be put in solitary confinement in this prison, in
violation of their right to non-discrimination due to their serologic status.
The mentally ill
The medical management of mentally ill prisoners in prisons in the interior of the
country leaves much to be desired. It appears that these patients, who have been
seen by a psychiatrist in Windhoek only once or twice since their detention, which
could sometimes be five years earlier, have no medical follow-up where they now
are for lack of qualified medical staff (psychiatrists) in hospitals in the countryside.
Worse still, the legal psychiatrist in Windhoek, who is overwhelmed with the
excessive number of prisoners hospitalised in his clinic or needing his services at
the police station, has no statistics on this group of sick people nor a programme of
follow up and monitoring . He told the delegation that in the near future a course of
initiation in medical care for psychiatric patients was going to be organised for some
doctors who work in the countryside.
In all, the release of 25 prisoners with psychiatric problems for reasons of health has
been recommended by the legal psychiatrist since January 2000. The 18 patients
who are in the rehabilitation unit should all benefit from the doctor's recommendation
to be sent back soon to their families for reintroduction into society.
According to the legal psychiatrist, the situation of overcrowding in his department
and the long list of patients who wait in different prisons for their transfer to this
department should improve if magistrates worked on reclassifying so-called "State
President Decision Patients", so that petty offenders might be acquitted and
followed up medically outside prison.
At Rundu police station, for instance, there were five mentally ill patients of whom
two had fallen ill over the past six months. Neither of the two recently mentally ill
patients have had a chance to be seen by the psychiatrist so far. Of the three
others, there was a juvenile who was in prison for four years for having murdered his
mother. His last visit to the psychiatrist was 16 months ago. He receives no
treatment and the prison authorities still consider him to be a mentally ill patient
awaiting transfer to the psychiatric clinic of Windhoek.
Another mentally ill patient in the group had involuntarily attracted the attention of
the delegation by his cries and threats against the police officers. In fact, this
detainee had not been isolated for lack of space and the police authorities were
concerned that he would one day become aggressive.
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