124 NPM members, were located in buildings and premises in need of major reconstruction or of a transfer to generic purpose-built medical buildings. Minor refurbishment is needed in 80% of the visited institutions. A large portion of the visited institutions are located in the buildings built in the second half of the previous century, and are not in line with the contemporary sanitary and epidemiological norms for patient residency in medical institutions. One of the most widespread problems of closed institutions are the unsatisfactory sanitary and hygienic conditions. Most managers of treatment and prevention institutions are in no hurry to apply the provisions of the sanitary rules “Sanitary and epidemiological requirements for healthcare institutions” dated May 31, 2017 No.357. At the same time it is important to understand that the insufficient number of sanitary facilities and sinks, lack of personal hygiene resources, presence of outside toilets in anti- CONSOLIDATED REPORT sanitary condition and other limitations of the normal sanitary and hygienic conditions are one of the forms of cruel and degrading treatment. Despite numerous petitions to the MoH RoK, the issue of extra pay for psychological and emotional pressure remains unresolved healthcare personnel continuously works in immediate contact with patients, whose alcoholism and drug addiction are exacerbated by psychological disorders, but the healthcare professionals receive no mark-ups to the salaries. It is necessary to re-initiate the request to the Ministry of health to introduce extra pay for psychological and emotional pressure for healthcare personnel. It is also important to note such a tendency as a violation of the product procurement to the established norms of nutrition, approved by the Order of the Minister of Health and Social Services of the Republic of Kazakhstan dated April 1, 2015 No.197. There is a substitution of