CAT/OP/BRA/2/Add.1 (d) Respect for racial and ethnic diversity, special mental and physical limitations and needs, socioeconomic conditions, cultural and religious practices and concepts, gender, sexual orientation and gender identity; (e) Intersectoral action for integrated and rational administration and to guarantee the right to health. 120. Under this new framework, each prison will be a centre for care in the health-care network. The prison population will be covered by local health policies, and thus by national health-care provision. It is hoped that the Ordinance will contribute to an organized, effective and structured increase in the prison population’s access to health services and actions, from 30 per cent to 50 per cent in 2014, with the expectation of reaching 100 per cent in 2019, in keeping with the SUS model. 1. Medical examinations on admission and release 121. The Subcommittee recommended that inmates be examined by a health professional as soon as possible after admission. This procedure is provided for in the Basic Guidelines on Health Care in Prison Systems, published in National Council on Criminal and Penitentiary Policy Resolution No. 7 of 14 April 2003. 122. The application of minimum “entry” and “exit” obligations complies with international standards for the treatment of convicted prisoners, which guarantee an examination of the individual by a health professional, noting of symptoms, diagnosis, notification of diseases to epidemiological mechanisms, completion of forms, initiation or continuation of treatment plans, use of reference networks, distribution of pharmaceutical products, and guidance. The confidentiality of medical assistance is compulsory for all doctors, without discrimination, as established by the Code of Medical Ethics. 2. Medical assistance; suspected torture, ill-treatment or reprisals 123. Having noted that inmates were subject to punishment for requesting medical assistance, the Subcommittee recommended that clear instructions should be imparted prohibiting this practice. 124. The health-care teams’ protocols give guidance on this matter and, as part of the process of affirmative education in prison contexts, teams try to promote respect for the human rights of persons deprived of their liberty by other teams (chiefly members of the administrative and security staff). 125. In keeping with the recommendation, the Ministry of Health defined “agravo” in Order No. 104 of 25 January 2011 as any damage to the physical, mental or social integrity of the individual as a result of such noxious circumstances as accidents, poisoning, drug abuse or injury self-inflicted or inflicted by others. Domestic, sexual and other forms of violence are classified under “notifiable conditions” and must therefore be reported and recorded in the Notifiable Conditions Information System, in accordance with the norms and conventions established by the Health Monitoring Secretariat of the Ministry of Health. 3. Health care for pregnant women 126. According to the most recent survey taken by the National Penitentiary Department, from December 2012, there are 35,039 women in prison, corresponding to approximately 6 per cent of the country’s prison population. 127. In keeping with the Subcommittee’s recommendation to improve health services for women prisoners, Brazil has sought to equip correctional facilities with mother and child health units, ensuring 100 per cent coverage in all federal entities. With a view to realizing this strategy, the Federal Government will guarantee financial support for the acquisition of 28 GE.14-42059

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