CAT/OP/BRA/2/Add.1
responsible for implementation of the Federal Prison Crisis Response System, with a view
to finding peaceful, negotiated conclusions to revolts, riots and uprisings.
109. The Federal Government thus considers that the creation of the Federal Penitentiary
System brought about a significant reduction in the number of rebellions and riots in all the
Brazilian states, which had been infiltrated by organized crime. It also works to prevent the
formation of crime networks and to break up gangs anywhere in the country by isolating the
gang leaders.
110. Brazil now has four federal prisons: in Mossoró, Rio Grande do Norte (102
inmates); Campo Grande, Mato Grosso do Sul (138 inmates); Catanduvas, Paraná (110
inmates); and Rondônia (129 inmates). There are also plans for a prison in the Federal
District.
H.
Health in the prison system
111. With a view to guaranteeing the constitutional right to health — equal, full and
universal access — and organizing health services and actions in correctional facilities, the
Ministries of Health and Justice launched the National Health Plan for the Prison System,
established by Interministerial Ordinance No. 1777 of 9 September 2003.
112. The Prison Health Plan provides for the installation of basic health units in
correctional facilities, with a multidisciplinary staff made up of at least five senior
professionals — a doctor, a nurse, a psychologist, a social worker and a dental surgeon —
and one mid-level professional, a nurse technician.
113. This team is involved in prevention, promotion or treatment in respect of dental
health problems, women’s health, mental illness, screening for tuberculosis, hypertension,
diabetes, leprosy, vaccination, sample gathering for laboratory tests and basic
pharmaceutical care, giving priority to comprehensive care.
114. Access to the other services of an average or high degree of complexity provided for
in the Plan is granted and defined at state level, in keeping with the Master Plans for
Regionalization and with the approval of the Bipartite Interagency Committee and the State
Health Council (CES).
115. The outlays for heath care in the prison system adhere to the following guidelines:
(a) approval, by the State, by decree; and (b) transfer of 70 per cent of the financial stimulus
to pay for the actions and services of the prison system health-care teams, from the Ministry
of Health, and of 30 per cent of the stimulus for capital outlays, from the Ministry of
Justice, which is responsible for upgrading, renewing and acquiring permanent equipment
for the health units. There are two sets of payments (latest figures from Interministerial
Ordinance No. 3343/2006):
• In correctional facilities of up to 100 inmates, the stimulus amounts to R$ 32,400 a
year. The heath-care team, in this case, works at least four hours a week;
• In correctional facilities of more than 100 inmates, the stimulus amounts to R$
64,800 a year per health-care team. One health-care team works with up to 500
inmates and has a weekly workload of at least 20 hours.
116. In addition to funds transfers, states and municipalities (and the Federal District),
that are members of the Plan receive a set of medications for primary care. Kits are
distributed in proportion to the prison population – one medical kit for every 250 persons,
and the contents vary depending on sex (Ministerial Ordinance No. 3270 of 26 October
2010).
26
GE.14-42059
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