Preventive Group identified similar problems in other penitentiary institutions too. In the Institution no. 18, the numbering in the patient admission and discharge journals and in the inpatient files have been arbitrarily “corrected” by the healthcare staff. The monitoring group revealed that patients are not given the prescribed treatment. Thus, in the Institution no. 17, a prisoner was prescribed treatment with electrophoresis but, because there is no such device in the Institution, no treatment was provided. Also, another prisoner who was diagnosed with occluded veins on the lower extremities at the “Aversi” Clinic back in 2012 while serving his sentence and was recommended to undergo a relevant angiological surgery, has not been operated on yet and experiences difficulty in movement. Timely access to appropriate medications is a key to achieving success in treatment. Provision of generic medications to prisoners in penitentiary institutions is, in general, satisfactory but the prisoners are unable to buy the so-called branded medications because there are no pharmacies in the institutions. The only exception is the Institution no. 15 which has a pharmacy. We believe the principle of equivalency is therefore breached in the sense of accessibility of medications. It should be stated that the Medical Activity Regulation Agency of the Ministry of Corrections conducted inspection visits to penitentiary institutions and revealed flaws in the provision of medications. Thus, it was with difficulties that prisoner E.M. managed to receive a branded medication prescribed by the doctor. Prisoner N.M. was not provided with a neuroleptic drug prescribed before his detention. Hence, a recommendation was issued urging the Medical Department to buy and provide this drug to the prisoner. G.N. was receiving the following medications for post-surgery treatment: Nucleo-forte, Solkoseryl, Mildronate, Neuromidin and Omega. Drug named “Gangleronum” is not on the list of basic medications approved by the Ministry of Corrections; despite this, the Logistics Unit of the Medical Department tried to buy this drug for the prisoner in observance of the relevant procedure but none of the contracted pharmaceutical companies had the drug in stock at that moment. Gangleronum does not have a registration code at the pharmaceutical market presently. For this reason, the Medical Department could not provide the patient with Gangleronum. Prisoner G.N. was offered to buy the drug on his own money instead. In case of prisoner Z.Kh., the existing documents did not contain a confirmation that the prisoner was provided with some of the medications. Prisoner V.Ts.’s medical file does not contain a prescription paper to help find out whether the treatment prescribed after the surgery was complied with. In the interests of fairness, we have to mention that the Medical Activity Regulation Agency of the Ministry of Corrections is itself making efforts to rectify the flaws in provision of healthcare services within the penitentiary system. This was one of 104 NATIONAL PREVENTIVE MECHANISM OF GEORGIA

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