CAT/OP/MKD/1/Add.1 V. Penitentiary institutions A. “Healthcare in prisons” 31. In order to establish a sustainable healthcare insurance system for the Persons deprived of their liberty (hereinafter referred to as: PDTL) at the Penal-Correctional Institutions (hereinafter referred to as: PCI) and in the Educational-Correctional Institutions (hereinafter referred to as: ECI), the Directorate for Execution of Sanctions (hereinafter referred to as: DES) has set a working group for the preparation of draft amendments to the national legislation that regulates the healthcare insurance of the PDTL. The working group includes representatives of the Ministry of Health, the Health Insurance Fund of the Republic of Macedonia and the Ministry of Labor and Social Policy. Namely, the preparation of the new Draft Law on Execution of Sanctions is in progress, whereby the found shortcomings regarding this matter shall be implemented in the New Law on Execution of Sanctions. 32. Furthermore, the transfer of healthcare duties from the penitentiary system to the Ministry of Health is ongoing. Since mid-April 2018, 10 healthcare workers from prisons have already been taken over by the Ministry of Health that is to say by the Public Health Institution Skopje. 33. As for other health care issues, the Directorate for Execution of Sanctions continuously points to the obligation to follow all instructions, procedures and protocols in the field of health care. Regarding the increase in the medical staff, the DES constantly requests employment of new staff, and at the same time this problem is expected to be resolved with the complete takeover of healthcare by the Ministry of Health. 34. Within the activities of the Project for Reconstruction of the PCI and the ECI, financed by the Council of Europe Development Bank which is carried in 2 stages, the construction and reconstruction of the buildings of the Closed Female Unit at the PCI Idrizovo are scheduled for the Segment 2 of the realization of the project (2019 to 2022). 35. Within the second phase of PCI Idrizovo, a Healthcare Unit shall be constructed. 36. The second phase for the PCI Idrizovo envisages the construction of a Healthcare Department with all its functions, arranged on one floor/level: Unit 1 and Unit 2, rooms for hospital treatment in Unit 2, laundry and medical waste section, rooms for outpatient treatment, methadone treatment unit, and room for staff. All units and sub-units shall be separated from each other by double doors with grids. B. Overcrowding 37. As regards the overcrowding in prisons, the National Strategy for Development of the Penitentiary System of the Republic of Macedonia envisages a special Strategic Objective 1 for Improvement of the conditions of at the penal-correctional and at the educational-correctional institutions, which shall increase the accommodation capacity, the spatial conditions, the working conditions as well as the accommodation conditions of the said institutions. 38. The activities shall be carried by continuation of the Project for reconstruction of the penal-correctional institutions of the Republic of Macedonia which is financed by a loan from the Council of Europe Development Bank, in terms of renovation and construction of new buildings. As mentioned previously, the Project has two segments. Upon completion of the segment 1 by the end of 2018, the buildings from the first phase of construction at PCI Idrizovo shall be put into use, to be more precise, the new buildings of the PCI Idrizovo (The Open and the Semi-Open Unit) and the ECI Tetovo shall become fully operational. 39. Segment 2 of the project (2019–2022) envisages construction/reconstruction of buildings of the Closed Unit and the Female Unit at the PCI Idrizovo and construction and 6