Organisation of health care
Access to health care
Health care is free
Prisoners may also consult a doctor of their choice, at their own expense (Article 42 of the PBW).
A medical examination is performed upon admission
The medical examination is carried out by a team formed of authorised psychiatrists, psychologists, doctors and nurses. The team assesses whether any care is needed and whether placement in the institution’s psychiatric care unit or in a specialised penitentiary facility is required.
Screening for tuberculosis is carried out on a routine basis. A chest x-ray is taken for high-risk inmates.1
Eveline Thoonen, “Death in State Custody”, Maklu Uitgevers N.V, 2017, p.182. ↩
A medical file is opened upon admission
Prior to the first medical examination, prisoners must complete a form in which they detail, for example, any medical treatment that they receive a regular basis.
Prisoners can access health care units after
a written request
Every morning, the nursing staff pre-select the inmates who will be seen by the doctor that day.
Medical examinations are carried out on a confidential basis
Physical health care
There is no specific data on HIV/AIDS, syphilis, chlamydia, hepatitis B and C or the co-infection of tuberculosis and HIV (TB-HIV). The prevalence of any given disease can therefore not be established.
In 2016, the number of arrivals tested, who were either born or who had been convicted within the last five years in a country particularly affected by tuberculosis1, was 12,222. Thirteen tested positive.
more than 10 cases per 100,000 people ↩
Testing for HIV, hepatitis B and C, and sexually transmitted infections (STIs) is available in all facilities. These tests are not mandatory.
Infectious diseases other than tuberculosis are not routinely screened for. Only tests for tuberculosis are regularly carried out.1.
Council of Europe, “Report to the Government of the Netherlands on the visit to the Netherlands from 2 to 13 May 2016”, January 2017, p.28. ↩
Measures are taken to prevent communicable or epidemic diseases. Vaccination against hepatitis B is available to men who having homosexual relations.
According to several lawyers, quarantined inmates were not allowed to take showers or wear masks. Health Minister Sander Dekker indicated that this ban was taken for safety reasons. According to the minister, prison staff must be able to see the faces of inmates to “gauge their mood”.
Mental health care
The guards assigned to the dedicated units (EZVs) within prisons receive training in patient care. The CPT observes that “they work in cooperation with psychologists and social workers”. The staff/prisoner ratio here is higher than elsewhere1.
Council of Europe, “Report to the Government of the Netherlands on the visit to the Netherlands carried out from 2 to 13 May 2016”, January 2017, p.24 . ↩