62 Medical services Visits to pre-trial detention center in 2018 revealed a significant number of medical service violations. These include annual comments on the lack of medical staff in the institution, insufficient provision with medical preparations, complaints about the lack of medical support from narrow medical specialists, and ignoring the call for medical staff, lack of control over the diseases requiring continuous treatment - diabetes, HIV, tuberculosis, the poor state of the furniture in the medical wards. All the above is confirmed by the following facts revealed during the visits to pre-trial detention center in 2018. When visiting the establishment EC-166/1 of the Department of the penitentiary system in Astana according to the verbal complaint received from A. (cell No.317), the institution does not have a pediatrician and does not provide the necessary vitamin and medicine complex for a CONSOLIDATED REPORT newborn child who was born on 10.25.2017. According to the verbal complaint received from M. (cell No.413), who was diagnosed with a fracture of the first lumbar vertebra, admitted on January 05, 2018, the medical staff do not always respond promptly to a request for the painkillers. So, an anesthetic injection can be delivered not according to the schedule, but at any time (after 9.00 o’clock). Thus, suffering from severe pain, M. cannot move and, accordingly, does not attend planned walks. After suffering for some time from an intolerable pain, M. was forced to knock on the cell door so that the administration would pay attention to him. After that, the medical officer began to make injections 2 times a day. On February 8, 2018, he had a convulsive seizure and an ambulance was immediately called. According to the verbal complaint received from I. (cell No.614), he wrote a request to the medical ward, but the medical officer did not examine him. According