The lack of a unified system that allows documenting facts of violence and the algorithm of following actions for effective investigation, leads to the fact that victims often do not receive the necessary assistance and protection. The lack of a standard medical examination greatly reduces its quality and the continued use of medical certificates for further forensic examination and trial. Thus, it can be concluded that the practice of a medical examination does not meet the requirements of this procedure for the effective documentation of torture and ill-treatment. In order to conform with international standards (Istanbul Protocol) of existing medical documentation and normative legal acts, and development of practical recommendations and an algorithm of the actions for the documentation of torture and ill-treatment, a practical guide on "Effective documentation of violence, torture and other cruel, inhuman or degrading treatment or punishment” had been developed under the auspices of the Ministry of Health. In accordance with this guide in order to promptly identify and describe in more detail the medical aspects of violence/torture and ill-treatment, a medical examination is carried out. The main tasks of the medical worker in connection with the medical examination are: 1) inform the patient about the goals and objectives of the medical examination, the volume of the examination, the necessary measures for preparation; 2) immediate medical examination of the patient with his/her consent; 3) diagnosis of the disease (assessment) of the patient; 4) provision of primary health care to the patient, if necessary, and the appointment of necessary treatment; 5) assignment to additional diagnostic examination in case of medical indications or for receiving specialized, including high-tech, health care; 6) timely, correct and complete filling of the Form of medical examination in case of receipt of information about violence/torture and ill-treatment (hereinafter, the “Form”) and design (management) of other accounting and reporting of medical documentation; 7) immediately inform the territorial authority of the prosecutor's office about the registered cases of torture and ill-treatment, and the territorial IAB about the fact of use of violence, by telephone, followed by written notice within 24 hours, signed by the head of the medical organization or one of his/her deputies and stamped by the medical organization; 8) to inform the patient of the results of a medical examination; 9) to inform the patient about the right to appeal to law enforcement agencies on the fact of violence/torture and ill-treatment, with the legal address and contact details of these bodies; 10) to inform the patient about the right to a judicial medical, psychiatric, psychological examination and the manner of its implementation. National Centre of the Kyrgyz Republic on the Prevention of Torture | 71

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