The adherence to these laws and rules varies from one prison to the other and there is no uniform method of medical examination that is followed at every prison. During inspections it was observed that, except in BATRP, prisoners in all other prisons are subjected to a medical examination upon admission. A medical examination upon admission was not done in BATRP at the time of the Commission’s inspections since there was no designated doctor for the prison. However, during a follow up visit, the Commission was informed that two doctors have been assigned to treat prisoners in BATRP and that they visit the prison on weekdays, for one hour. If a prisoner is brought to BATRP during the weekend, the usual practice is to examine the prisoner the following Monday. According to the quantitative data, 73% of female remandees and 64% of male remandees were provided medical assistance upon request, at the time of their admission. Among the male respondents, 50% in GRP, 50% in PCP and 47% in NMRP received medical assistance upon request, as opposed to 87% in KGRP and 77% in JRP. The lack of a medical examination of prisoners upon entrance, therefore, also prevents inmates from being able to receive medical attention, if they require it at the time of admission. MOs of each prison follow different practices with regard to the medical examination process upon admission. During inspections it was observed that an individual medical file is maintained for each prisoner by the MO of the NRP to record the medical details of the prisoners upon admission to the prison. However, it cannot be concluded that this process is being followed in all other prisons, as it was only observed at the NRP. Furthermore, as the MO of NRP informed the Commission, all the details required by file, such as the medical investigations (page 4 of the File- photo 6.20), are not completed because the prisoner is only subject to a basic medical examination and not an extensive medical screening. The MO at GRP stated that when prisoners are released on bail the morning after the day they were remanded and admitted to prison, they would not be subjected to a medical checkup due to the short duration spent in prison. When questioned about the medical conditions for which the person is examined, such as pregnancy, elevated lipids/blood sugar, high blood pressure, mental health problems and traumatic brain injuries, 86% MOs interviewed stated that they test for mental health problems, 71% check for elevated lipids/blood sugar and 43% MOs interviewed stated that they check whether the prisoner is pregnant. The MOs of all prisons stated that they examine the blood pressure upon admission of a prisoner. The details recorded during the initial medical check-up are now regulated according to the “Initial Health Screening Form for Inmates”, which was introduced by the International Committee of Red Cross (hereinafter referred to as ICRC) as a Pilot Prison Health Project in MCP and CRP. The process, which is still in the pilot stage, aims to ensure that an initial health screening will be carried out by a doctor or a nurse within the first twenty-four hours of an inmate’s arrival at the prison. The form helps identify acute healthcare needs, including illnesses, injuries, contagious diseases, severe mental health conditions and suicidal 63

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