in combination with prevention checks of the inmates of Lovech Prison. The Regional
Health Inspectorate (RHI) in Lovech has provided tests to the MC.
The medical care at Atlant PH in the city of Troyan is provided by the following staff:
a doctor-intern under a contract, who works every day, and a dental practitioner under a
contract, who visits the hostel every Tuesday.
During the interviews held with the inmates, there were no complaints of the health care
services provided by the doctor. The main complaints were of the dental care services stemming
from the impossibility some of the manipulations to be performed in the dental room of the
hostel.
Lovech SHATPDL provides treatment of tuberculosis and non-specific pulmonary
diseases and mental diseases to all prisoners from all prisons.
The structure of SHATPDL consists of the following separate structural units:
Diagnostic-Consultative unit: Reception room and X-ray room; In-patient unit: Pulmonary
Ward and Psychiatric Ward; Hospital Pharmacy; Administration Unit.
25 persons work at the hospital. 24-hour medical care is provided.
The pulmonary ward has 50 beds (incl. the MC beds). There are separate rooms for
treatment of tuberculosis and rooms for non-specific pulmonary diseases. Sanitary and hygiene
conditions in the ward are good. There are rooms with two beds and rooms with more beds.
Every room has a separate sanitary unit, the prescriptions for antibacterial covering of the rooms
have been fulfilled. There were few patients in the ward. The number of patients tends to
decrease every year. In 2018, 59 patients were treated in the ward; the hospital bed occupancy
is 75 days – 21 % (lower indicators than the average for the country); the average hospital stay
is 64 days. The treatment process is secured with medicines and consumables. A special dietary
regime is provided to people treated for tuberculosis. Patients are treated after signing their
informed consent.
The staff of the ward includes the ward head; one doctor-intern without specialty; three
medical auxiliaries and five nurses; two janitors who are inmates from the prison. The NPM
recommends to DGEP to arrange the specialisation of the intern at the pulmonary ward
of Lovech SHATPDL. During the preparation of this annual report, the Ombudsman was
informed that the recommendation was fulfilled.
The psychiatric ward has 55 beds. There are two separate units for women and men. The
ward has good sanitary and hygiene conditions. The ward was full during the inspection.
Treatment is provided on the basis of informed consent. In 2018, 230 patients were treated in
the ward, and the average hospital stay is 64 days. The rate of occupation is 293 days – 83.7 %.
The indicators meet the average indicators of the country for in-patient psychiatric care in
medical institutions.
The NPM recommends a psychiatrist to be appointed at Lovech SHATPDL.
4. Pleven Prison
There are two prison hostels with Pleven Prison – “Pleven” and “Vit”, and one detention
facility.
а) Living conditions
As of 2019, when inmates are placed in the prison, consideration is paid to the even
allocation of its capacity, observing the norm of 4 sq. m. available accommodation area per
person. To this end, a daily control checklist of crowdedness is being kept. An exception from
the norm is allowed in case of need for inmates placed in open-type prison hostels.
18
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