CONSOLIDATED REPORT enforced. NPM participants in East Kazakhstan province also made a suggestion to UZ EKP to consider replacing the management of the EKP narcological dispensary which failed to address problems related to the activities of this healthcare institution. The problems are not being resolved and recommendations are ignored. At the same the recommendations are not hard to fulfill: equip the dispensary with infrastructure for people with special needs (ramps). There is a call button for people with special needs at the doors, but there is no infrastructure for the movement of this category of citizens; place the menu in the cafeteria every day; make the entertainment rooms more appealing (board games); resolve the issue of quality cleaning in the rooms because disorder was noted in many rooms; equip the territory of the yards with benches, gazebos, install waste bins. As for SPE REM “Oblast narcological dispensary” of the Almaty province, in 119 the opinion of the group members, patients’ stay in such an institution cannot be productive. The premise itself is not up to the established standards, which is noted in the report. Expensive drug therapy does not generate results; in the opinion of specialists, patients relapse as soon as they return home, and many spend years in it. In the opinion of the group participants, the ministries of health and justice should pay special attention to this entity because it is in need of drastic changes. Same conclusions were made by NPM participants for NKP after visiting the “Oblast narcological dispensary” of the Akimat of North Kazakhstan province: Patients have low motivation to get well, the assistance of relatives is limited. Rehabilitation programs are needed. One should note that based on the results of inspections in 2016 no problems were identified in GKP PHV “ONRC” “Department under the Akmola oblast narcological hospital”, Seleta v., Ereymentaussky district.

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