In judicial decisions are highlighted individual and general prevention, but not the educational supervision. During the inspections in both boarding schools where girls are accommodated the experts of the Ombudsman found that a significant proportion of them are victims of pimping and trafficking and prior to their placement in boarding schools they have been forced into prostitution. This fact is a serious test of the system of child protection and its interaction with the sanctioning system. Lack of psychological support to these children to overcome the trauma of violence and coercion against them was established. This problem is related to the perception of such children as "offenders" but not as "victims". During interviews with the staff representatives the NPM stated that they are not perceived as defenders of children and conveniently displayed the idea that girls are prostituted on their own. There is a lack of skills and techniques in the staff to deal with the consequences of violence. Another systemic problem in working with victims of pimping and trafficking is the lack of a mechanism for prevention, protection and isolation of these children from the pimping network while staying in boarding schools. The system does not provide adequate measures to reintegrate these girls in society in a way that will not make them become again victims of trafficking and pimping. Medical care Much of boarding schools do not employ a medical professional. All inmates are included automatically in the list of patients of a GP from the respective location. Once a year, mandatory standard screening with anthropometric examinations are carried out. Inmates are examined by a physician only on a specific occasion. There were no medical equipment, no separate manipulation and emergency cabinet in most boarding schools inspected. In reviewing the medical records the NPM found that sometimes no outpatient cards of all primary and secondary medical examinations and consultations of the girls and boys accommodated in the boarding schools were available. Furthermore, the existing medical documents – discharge summaries, outpatient cards, test results, etc., are not stored in separate individual medical files but are "scattered" among other medical documents in a common file. Some of the children arrive at the boarding school without accompanying medical documents. Therefore, almost half of them are of unclear health and especially immunization status. In some of the cases, letters to the municipalities from which the inmates come are written, requesting additional medical information. Such letters, however, rarely works - the most frequent answer is "no information available". Under current legislation such lack of information should not exist. All children and persons living or staying in the territory of Bulgaria are included in the patients' list of GPs. Such lists in electronic format are stored in the database of the National Health Insurance Fund (NHIF) and its subsidiaries. The same applies to all examinations and immunizations for which information is transferred on a monthly basis in the units of NHIF. Much of the girls accommodated in RBS - village of Podem, are at risk in medical sense. About 30% of them were involved in prostitution and in the taking and/or distribution of psychoactive substances (drugs). These two factors, even individually, represent exceptional health risk, and the combination of them is particularly worrying. During the inspections the experts of the Ombudsman found cases of children with chronic diseases. Some of them are diagnosed with epilepsy, and often have seizures. One case of HIV-positive child was established as well. The practice of 36