ANNUAL REPORT ON THE RESULTS OF THE ACTIVITIES OF THE INSTITUTION OF THE HUMAN RIGHTS OMBUDSMAN OF BOSNIA AND HERZEGOVINA In Republika Srpska and the Federation of Bosnia and Herzegovina the following prison establishments have a permanently employed doctor: Foča Prison, Banja Luka Prison, Istočno Sarajevo Prison, Zenica Prison, Tuzla Prisona and Sarajevo Prison. In Republika Srpska the prisons in Doboj, Trebinje and Bijeljina engage a medical doctor based on a temporary contract, while in the Federation of Bosnia and Herzegovina the prisons in Mostar, Orašje, Bihać and Busovača engage medical doctors from the closes health institutions based on temporary service contracts. Although the rights of persons deprived of liberty are defined by a number of international legislation acts and by-laws, in practice they are often violated. Example: Chair of the Joint Commission of Human Rights of the Parliamentary Assembly of Bosnia and Herzegovina forwarded to the Ombudsman a complaint 261 of a prisoner serving her sentence in Tuzla Prison. The complaint related to the putting her health in jeopardy, non-provision of adequate health care and the general poor hygiene conditions in semi-open Tuzla Prison. After the investigation Ombudspersons issued their recommendation to Director of semi-open prison facility in Tuzla 262. Since he failed to provide his feedback to the Ombudsman within the defined deadline, Ombudspersons informed the Ministry of Justice of Bosnia and Herzegovina that the Ombudsman's recommendation was not implemented. Example: The Ombudsman received a complaint 263 lodged by an inmate dissatisfied with health care in detention unit of Tuzla Prison. Based on reply of Tuzla Prison management 264, and after the insight into the health records of the complainant, Ombudspersons could not establish a violation of the rights of the complainant. Namely, since his arrival to prison he was checked in the infirmary as much as 23 times. Prison psychiatrist checked him six times, and he was several times referred to the University Clinic Tuzla for several specialistic examinations. Representatives of the Ombudsman talked to the complainant during their visit to Tuzla Prison and presented him these facts after which he said that he was an ex phycho-active substance user (heroin and cocaine), and that he was treated since his arrival to prison. He pointed out that he received adequate health care, that he had been using the appropriate therapy and feeling excellent. Every weekend he visits psychiatrist, does not has objections to the detention conditions and does not require further interventions of the Ombudsman. Example: A complainant 265 who serves his sentence in Foča Prison complained that he had diabetes 1 established upon his arrival to prison, but that he had not experienced any particular health problems. However, he started having problems after his doctor changed his therapy so that his sugar levels vary between 1 to more than 35. He cannot undergo surgery as his sugar levels cannot be stabilized. His food is not adequate for persons with diabetes which significantly contributes to his health difficulties. During the investigation Ombudspersons established that he was referred to the University Clinic Center Banja Luka to be examined with a specialist who Ž-SA-07-484/18 dated 17 April 2018 P- 191/19 of 15 August 2019 263 Ž-SA-07-544/19 264 Reply of Tuzla Prison no. 03-11-4505-2/19 dated 10 September 2019 265 Ž-SA-07-461/19 261 262 67