CONSOLIDATED REPORT There are no rooms for smoking, according to the head physician, the hospital is a public place, and the second reason is the specificity of the medical institution that is patients should not stay together in close spaces. For the same reason, there is no library, a gym. Patients are free to play sports on the neglected, there is a volleyball court for this. Many patients neglect the ban on smoking in public places and medical contraindications and they smoke in the toilets. The condition of the sanitary facilities in the adult compartments is unsatisfactory: there is no floor covering in the toilets, ceramic tiles are broken, walls and plastic partitions are covered with brown patina (probably from tobacco smoke). Washbasins do not work in some latrines. The number of sanitary appliances does not always comply with the sanitary rules “Sanitar y-epidemiological requirements for health facilities” dated May 31, 2017 No.357, there is one shower or bath for 40 patients, 139 according to the rules there should be one shower for ten people. Conclusions and recommendations The conclusions and recommendations of the NPM members who visited health care institutions in the period under review are based on the norms of the current legislation of the Republic of Kazakhstan and international standards. Most of the recommendations of NPM members are specific proposals to the regional level administration, administration of institutions and management of departments on elimination of deficiencies in living quarters, sanitary and hygienic conditions, medical care, food conditions, conditions for sports and communications with the outer world (access to the media, visits, phone calls), etc. It seems that a set of such proposals (recommendations) in oblasts should be taken under the