To offer dignified and humanized treatment, health care for the prison population of Mato Grosso do Sul is guaranteed thanks to joint work between Agepen (State Penitentiary System Administration Agency), SES (State Health Department) and municipalities.
In this context, a report presented by Agepen’s Penitentiary Assistance Directorate shows that, last year, at least 139,000 healthcare services were provided to men and women deprived of their liberty in the state. This total represents an average increase of 13%, compared to the previous year, when 123 thousand services were recorded.
The data, provided by the institution’s Prison Health Care Division, includes medical consultations, dental procedures, nursing, psychology and social assistance; all carried out within penal units.
In addition, 11,257 medium-complexity consultations were carried out outside the walls under the escort of criminal police officers, with specialists; 2,787 more than was recorded in 2022, with an increase of 33%.
According to the report presented, thousands of tests were also promoted, including the simplest ones such as blood, urine and sputum tests to the most complex ones such as endoscopies, mammograms and electroencephalograms.
Health care in prison establishments is not limited to medical, dental and psychosocial consultations, it also involves lectures and special attention projects such as national campaigns for Pink October, Yellow September, Blue November and Red December, in addition to vaccination and projects specific for people with mental illness, chronic illnesses, pregnant women, anti-smoking, among others.
There is also complete medication control by the Agepen Pharmacy Center and the municipal health departments, with resources allocated by the Ministry of Health to the program aimed at the population deprived of liberty.
“In addition to treating the disease, we are also investing in preventive actions, bringing information and cleaning and hygiene campaigns to the clientele we are assisting”, highlights the director of Penitentiary Assistance, Maria de Lourdes Delgado Alves, reinforcing that health care in the prison system is a right that still has a dynamic governance action, through public plans and policies.
Currently, in the state, there are 33 basic health units operating within the PNAISP (National Policy for Comprehensive Health Care for People Deprived of Liberty in the Prison System) of the Ministries of Health and Justice, which finance multidisciplinary primary care and health teams of the area, with a counterpart from the State Government, to work on serving the prison population within the structures installed in penal establishments, as part of the CNES (National Registry of Health Establishments) of the SUS Network (Unified Health System).
“Each closed regime penal unit is equipped with a Prison UBS, with professionals qualified in their area for the basic care recommended by the SUS, which follows the care network of basic health units outside the prison system”, explains Maria de Lourdes. The director emphasizes that the care teams in prisons are hybrid, made up of professionals from the state and municipal health departments, and also from Agepen.
Find out more about PNAISP
In 2007, the State Operational Plan (POE) was drawn up, starting in the municipality of Cassilândia. The POE served as a starting point for Mato Grosso do Sul’s qualification for the National Health Plan in the Penitentiary System, established through Interministerial Ordinance 1777/2003, which defines the minimum composition of the health team.
In 2014, the Ministries of Health and Justice began implementing the National Policy for Comprehensive Health Care for People Deprived of Liberty in the Prison System, whose resources are transferred to municipalities. PNAISP involves the Union, State and Municipality.
The national policy is entirely linked to the SUS network, therefore, the UBS of the penal units follow the rules established by the external care network.
All health care in prison units concerns the basic care recommended by the SUS, therefore, medium and high complexity care is provided via Sisreg, with scheduling requested by the health sector of the prison UBS. Therefore, only the most complex services are provided outside the prison walls.