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Detention of insolvent patients in Burundian hospitals.

机译:将无力偿债患者拘留在布隆迪医院。

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摘要

Between February and June 2006, Human Rights Watch and the Association for the Promotion of Human Rights and Detained Persons conducted an investigation into the detention of insolvent hospital patients in Burundi. Of 11 hospitals visited, nine were found to be holding former patients in detention for being unable to pay their hospital bills. Thirty-seven detained patients, and key informants in government, hospital administration and health services, were interviewed. The detention of insolvent hospital patients was described as a routine practice, dating from the 1990s. Conditions of detention included overcrowding, insufficient food and water, and withholding of further medical treatment. Seventy-two per cent of patients interviewed had been detained for 1 month or longer at the time of interview. Mechanisms designed to exempt or reimburse the health fees of low-income and indigent people failed to protect patients from becoming detained. The detention of insolvent patients is a clear violation of rights established under international law, including the right not to be arbitrarily detained or detained as debtors and the right to accessible health care. The abolition of user fees for women giving birth and for small children in May 2006 has reduced the number of detained patients, but in June 2006 we visited two hospitals and found 77 detained men, older children and women with other health problems. Burundi, with the support of the international community, must immediately stop the detention of patients and address the urgent financing needs of health facilities.
机译:在2006年2月至6月之间,人权观察社和增进人权与被拘留者协会对布隆迪无力偿还住院病人的拘留进行了调查。在所访问的11家医院中,发现9家因无法支付医院帐单而被拘留的前病人。采访了37名被拘留的患者以及政府,医院管理和卫生服务部门的主要举报人。自1990年代以来,对无力偿还住院病人的拘留被描述为一种常规做法。拘留条件包括人满为患,食物和水不足,以及继续接受进一步治疗。接受访谈的患者中有72%在访谈时被拘留了1个月或更长时间。旨在免除或偿还低收入和贫困人群的医疗费用的机制未能保护患者免遭拘留。拘留无力偿债的患者显然违反了国际法规定的权利,包括不被任意拘留或作为债务人被拘留的权利以及获得医疗保健的权利。 2006年5月取消了分娩妇女和小孩的使用费,这减少了被拘留的患者人数,但是2006年6月,我们去了两家医院,发现77名被拘留的男人,年龄较大的儿童和其他有健康问题的妇女。布隆迪必须在国际社会的支持下,立即停止拘留病人,并满足医疗机构的紧急资金需求。

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