7. 9 12 7 8. 11 15 11 9. 12 81 48 10. 14 112 67 11. 15 164 120 12. 17 224 119 The figures in the above table have been calculated by dividing the number of prisoners in each institution by the number of doctors and nurses according to the institution’s staffing table. These data are valid for 2014. The table does not take into account the duty schedule of doctors and nurses but, nevertheless, it is clearly visible that the number of nurses is clearly insufficient in the institutions nos. 2, 8, 14, 15 and 17. Our monitoring visits carried out in 2014 revealed that it is difficult for the inmates to access staff doctors both in the daytime and at night, in some of the institutions. Also, the penitentiary healthcare personnel have been mentioning problems related to overcrowding and hard working conditions. Thus, in the penitentiary institution no. 17, one family doctor in the day shift and one family doctor in the night shift have to serve more than 400 prisoners; likewise, one nurse serves more than 200 prisoners. In the Institution no. 8, there are up to 300 prisoners per each primary healthcare doctor. The number of nurses is clearly insufficient: one nurse per 430 prisoners. In the Institution no. 14, 3 primary healthcare doctors, 3 nurses and 1 doctor on duty work in the day shift. Accordingly, one doctor and one nurse have to serve more than 250 and 340 prisoners in the day shift, and one doctor and one nurse have to serve more than 1,000 prisoners in the night shift. The doctors and especially nurses have hard working conditions at Institution no. 3. During a whole day, the institution is served by only one primary healthcare doctor and one nurse. In this situation, it is simply impossible for the doctor to provide fullfledged healthcare services to the patients in the medical unit and the residential cells while properly maintaining the required medical documentation at the same time. Dental services in the penitentiary institutions are a matter of concern. Dentists do not have assistants and have to serve 25 to 30 patients each day. Orthopedic services are provided with some impediments. During our visits to the institutions no. 2 and no. 3, the monitoring group revealed a somewhat new practice of provision of healthcare services to prisoners: in particular, for a prisoner to receive treatment, he/she writes up an application for medical services and hands the application in to the controlling officer on duty. The controlling officer collects such applications during the day and files them with institution’s chancellery where the applications get registered and get sent to the institution’s NATIONAL PREVENTIVE MECHANISM OF GEORGIA 93