A/HRC/39/CRP.2 must then get permission to travel, arrange transport, organize a police escort, and pay the associated costs.1178 Even when all arrangements are in place, ambulances reportedly may refuse to go to Rohingya villages, camps or sites, and ultra-nationalist Rakhine groups sometimes prevent patients from reaching Sittwe General Hospital.1179 549. In central Rakhine, the Aung Mingalar ghetto in Sittwe town is located only a short distance away from Sittwe General Hospital. Mobile health clinics operated by international organizations visit on certain days of the week and can facilitate more rapid referrals. However, those requiring medical treatment outside those times, including those requiring emergency treatment, must first travel to a health centre at the Sittwe displacement camp to obtain a medical referral. If successful, they are then referred back to Sittwe General Hospital.1180 Adverse consequences 550. The movement restrictions and lengthy bureaucratic procedures have led to numerous undue delays in reaching medical facilities. 1181 Restrictions have been enforced strictly, even in the case of women in obstructed labour, infants needing emergency oxygen, people suffering from heart attacks, and people with severe disabilities. In some cases, the delays caused by these restrictions have been fatal.1182 One researcher told the Mission: “Almost every Rohingya village in Rakhine State that I have visited has a story about someone who died due to not being able to receive medical care, and not being able to get transferred out”.1183 Discrimination in health facilities 551. Even when they manage to access government health facilities, Rohingya in Rakhine State face discriminatory treatment, including further delays. 1184 Interviewees also reported having to pay bribes or higher fees to receive treatment. One interviewee from Maungdaw stated: The treatment depends on the amount of money you have. If you pay more you will receive medicine and proper care. They charge more from Muslims than from the Rakhine.1185 552. Rohingya must also pay additional costs such as a “guard fee” for medicine and for food, phone fees, as Rohingya are not allowed to use their own phones, and translator and “guardian” fees.1186 553. According to credible reports,1187 both ethnic Rakhine and Muslim (Rohingya and Kaman) patients experience unacceptable behaviour from hospital staff in Sittwe General Hospital, including requests by nurses for bribes to receive “better communication”. Patients also reported verbal abuse, inattention and, in some cases, physical abuse and medical neglect. However, according to further credible information,1188 certain discriminatory practices at Sittwe General Hospital are only faced by Muslim patients. For example, they are placed in a small segregated ward of only 20 beds, under constant surveillance by security guards, and they can only leave under supervision. To be admitted to the hospital, a patient needs an accompanying “guardian”. In the case of the Rohingya, this can only be a woman 1178 1179 1180 1181 1182 1183 1184 1185 1186 1187 1188 DM-005. K-076.12. K-113.1. K-076.12. DI-013, K-076.12, K-113, DM-005, QM-005. It is very difficult to quantify the number of preventable deaths. Some humanitarian actors estimate that there have been hundreds of preventable deaths in central Rakhine since 2012 (DM-005). K-120. CI-061, CI-064, CI-078, CI-079, CI-080, CI-173, CI-174, DI-001, DI-002, DI-004, DI-038, DI-051. CI-173. K-113.1, K-120. K-113.1. K-113.1 131