THE RIGHT TO HEALTH IN PRISON: RESULTS OF A NATIONWIDE SURVEY AND REPORT 4.86 According to the Director-General of Health in Malaysia,145 Obstetrics and Gynaecological (O&G) services are one of the core services in Malaysian hospitals.146 4.87 As at 2010,147 almost half a million women were admitted to the O&G wards annually. Despite O&G services being among the major clinical specialty services provided by Ministry of Health hospitals, the Commission found that gynaecological examinations are not routinely performed in prisons, whether at admission or at any other time during the period of imprisonment. 4.88 These include the following: • Blood pressure testing • Breasts examination • Ultrasound scan of ovaries, uterus and pelvis • Papanicolou (Pap) smear test • Urine tests (for infection, diabetes, pregnancy) • STD tests 4.89 Further, despite the Healthy Life Style Campaign against cancer in 1995,148 Women’s prisons in the country have not been involved with the strengthening of screening programmes for cervical cancer possibly due to the lack of resources. 4.90 In general, the Commission observed that diagnostic, curative and rehabilitative gynaecological services that are appropriate, effective and adequate with an aim to raise the overall health status of the public, are not in place in prison. Pregnant and Breastfeeding Prisoners 4.91 A pregnant prisoner should receive necessary prenatal and postpartum care and treatment, including an adequate diet, clothing and appropriate accommodation. Tan Sri Dato’ Seri Dr Hj Mohd Ismail Merican Operational Policy in Obstetrics and Gynecology Services, accessed via http://www.moh.gov.my/images/gallery/Polisi/ Operational%20Policy.pdf on 23/2/16 147 Ibid 148 The campaign was carried out in two phases, each running over six years with six annual themes. Accessed via http://www. infosihat.gov.my/infosihat/kchs/KCHS_1995/pdf/Man_Mesej_1995.pdf on 23/2/16 145 146 85