8. Monitoring Risk In Specific Situations • Is the door usually closed or locked during medical examinations? • Is there a panic button in the room that the patient/healthcare provider can press to get attention if they need? Are prisons guards located nearby in case they have to intervene? • Are there separate medical facilities for men/women and adults/juveniles? Assessing the conduct of healthcare professionals Information from healthcare staff • Do healthcare staff receive any training on providing healthcare in a detention setting or, on working with prisoners specifically? Information from detainees/prisoners • Do detainees/prisoners ever feel threatened, degraded or humiliated during medical examinations, including initial medical screenings? • Are there reports of medical staff having used inappropriate verbal and/or body language during medical examinations or of individuals being touched inappropriately during medical examinations? • Do detainees/prisoners feel they can complain about the actions of healthcare staff in relation to instances of SGBV if they need to? Have there been any such complaints and, if so, what was the outcome? • Are staff members or other prisoners ever present or involved in medical appointments? Focus on specific groups/individuals • Do female detainees/prisoners have the right to refuse vaginal examinations and to refuse to provide information on their reproductive health history? • Do women have the option to be screened and examined by a female healthcare professional? If this is not possible, are they given the option to be accompanied by a female chaperone of their choice for the examination? • Are transgender and intersex detainees/prisoners asked with which gender they identify, and are they then medically examined by a healthcare professional of the relevant gender? • Do female healthcare staff ever feel at particular risk when examining male patients? • If a prisoner is accompanied by a child, can they accompany the child to the health screening and any subsequent appointments? • Are female detainees/prisoners ever subjected to virginity testing? 58

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