CAT/OP/BRA/2/Add.1
(d)
Respect for racial and ethnic diversity, special mental and physical
limitations and needs, socioeconomic conditions, cultural and religious practices and
concepts, gender, sexual orientation and gender identity;
(e)
Intersectoral action for integrated and rational administration and to
guarantee the right to health.
120. Under this new framework, each prison will be a centre for care in the health-care
network. The prison population will be covered by local health policies, and thus by
national health-care provision. It is hoped that the Ordinance will contribute to an
organized, effective and structured increase in the prison population’s access to health
services and actions, from 30 per cent to 50 per cent in 2014, with the expectation of
reaching 100 per cent in 2019, in keeping with the SUS model.
1.
Medical examinations on admission and release
121. The Subcommittee recommended that inmates be examined by a health professional
as soon as possible after admission. This procedure is provided for in the Basic Guidelines
on Health Care in Prison Systems, published in National Council on Criminal and
Penitentiary Policy Resolution No. 7 of 14 April 2003.
122. The application of minimum “entry” and “exit” obligations complies with
international standards for the treatment of convicted prisoners, which guarantee an
examination of the individual by a health professional, noting of symptoms, diagnosis,
notification of diseases to epidemiological mechanisms, completion of forms, initiation or
continuation of treatment plans, use of reference networks, distribution of pharmaceutical
products, and guidance. The confidentiality of medical assistance is compulsory for all
doctors, without discrimination, as established by the Code of Medical Ethics.
2.
Medical assistance; suspected torture, ill-treatment or reprisals
123. Having noted that inmates were subject to punishment for requesting medical
assistance, the Subcommittee recommended that clear instructions should be imparted
prohibiting this practice.
124. The health-care teams’ protocols give guidance on this matter and, as part of the
process of affirmative education in prison contexts, teams try to promote respect for the
human rights of persons deprived of their liberty by other teams (chiefly members of the
administrative and security staff).
125. In keeping with the recommendation, the Ministry of Health defined “agravo” in
Order No. 104 of 25 January 2011 as any damage to the physical, mental or social integrity
of the individual as a result of such noxious circumstances as accidents, poisoning, drug
abuse or injury self-inflicted or inflicted by others. Domestic, sexual and other forms of
violence are classified under “notifiable conditions” and must therefore be reported and
recorded in the Notifiable Conditions Information System, in accordance with the norms
and conventions established by the Health Monitoring Secretariat of the Ministry of Health.
3.
Health care for pregnant women
126. According to the most recent survey taken by the National Penitentiary Department,
from December 2012, there are 35,039 women in prison, corresponding to approximately 6
per cent of the country’s prison population.
127. In keeping with the Subcommittee’s recommendation to improve health services for
women prisoners, Brazil has sought to equip correctional facilities with mother and child
health units, ensuring 100 per cent coverage in all federal entities. With a view to realizing
this strategy, the Federal Government will guarantee financial support for the acquisition of
28
GE.14-42059
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