CAT/OP/CHL/1/Add.1
increased in different regions of the country in order to achieve national coverage or to
ensure the necessary coordination with the corresponding health services.
107. With regard to the Subcommittee’s recommendation, the Prison Service has stated
that all health care should be assessed on the basis of urgency and continuity of dental
treatment through the registration system that includes a record of appointments and shows
whether or not the patients received care.
108. Furthermore, while the recommendation is expressly addressed to the Prison Service,
SENAME will include dental care and special treatment for children and adolescents
subject to protection and the adolescent criminal system, in the context of the agreement
being drawn up with the Ministry of Health, to ensure that they receive appropriate dental
care without discrimination.
109. Paragraph 63: [T]he Subcommittee recommends that particular attention be paid to
the provision of medication to people with HIV, other chronically ill patients and other
prisoners who require treatment. In all cases, a register should be signed by prisoners to
confirm that they received their medication. The Subcommittee recommends that prison
health services adapt their protocols and facilities to ensure that persons deprived of their
liberty who wish to do so can use traditional knowledge and medicines as an alternative or
supplement to the treatments that the health services normally dispense.
110. In April 2016, the Prison Service and the Ministry of Health entered into a
cooperation agreement to provide preventive care and comprehensive treatment to prisoners
living with HIV/AIDS.33 The agreement allows them access to antiretroviral treatment. It
also provides for education programmes focused on HIV prevention targeted at officials
and persons deprived of their liberty, as well as the handing out of condoms.
111. In addition to the above, with the aim of providing timely care to prisoners living
with HIV/AIDS, regulations on performing HIV tests on persons deprived of their liberty
were published in March 2016.34 In addition covering the procedure for taking samples, the
regulations stipulate that prisoners who test positive cannot be discriminated against or
segregated within the prison, the outcome of the test must remain confidential, and the test
must be taken voluntarily.35 They also lay down the conditions under which tests are to be
conducted.
112. With regard to the provision of medicines, medications brought in to prisons by
family members are now monitored. Medicines supplied by the Prison Service are recorded
on the bin card.36 Work is currently under way on a pilot project to automatically record
medicine stocks through software installed in the central pharmacy, which will be rolled out
nationwide when the necessary IT support system is in place.
113. While the recommendation is focused on centres run by the Prison Service, it should
also be noted that an inter-agency cooperation agreement is in effect between SENAME
and the Ministry of Health. 37 The aim of the agreement is to promote sexual health and to
prevent and control HIV/AIDS and sexually transmitted infections (STIs) in a context of
non-discrimination. In that regard, the role of both institutions is to help achieve the health
objectives in terms of promoting sexual health and preventing and controlling HIV/AIDS
33
34
35
36
37
GE.17-07762
Exempt resolution No. 123 of 5 April 2016, adopting a cooperation agreement between the Ministry
of Health and the Prison Service.
Decree No. 927 of the Ministry of Justice and Human Rights, published on 3 March 2016.
The regulations establish three exceptions to voluntary testing. The test is mandatory for prisoners
who donate blood or who undergo a transfusion; those who are exposed to medical treatment in the
workplace that may allow the virus to spread between prisoners and prison officers and, finally,
victims of rape or sexual abuse.
A manual medicine stock record and dispensing system which has been used nationwide for more
than 20 years.
Exempt resolution No. 05415, of 27 November 2013, approving the inter-agency cooperation
agreement between SENAME and the Ministry of Health, for the promotion of sexual health and the
prevention and control of HIV/AIDS and sexually transmitted infections in a context of nondiscrimination.
21
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