4.  The applicant was born in 1978. According to the most recently available information, at the time of the events in June 2016 the applicant was detained in Kirovograd pre-trial detention facility no. 14 (“the SIZO”).
5.  In January 2013 the applicant started serving a sentence of ten years’ imprisonment for murder. In February 2013 he was placed in Kirovograd prison no. 6 (“the Prison”).
6.  In April 2014 the applicant’s health deteriorated. He complained of fever, abdominal pain and vomiting. Following his examination in Kirovograd Regional Hospital, the applicant was diagnosed with chronic calculous cholecystitis (calculi within the gallbladder) and acute chronic gastroduodenitis.
7.  On 11 April 2014 the applicant complained of feeling unwell to the Prison medical unit. He was examined immediately and diagnosed with acute gastroduodenitis and chronic calculous cholecystitis. According to the case-file material, he was not prescribed medical treatment.
8.  On 22 August 2014 the applicant further complained to the Prison medical unit of feeling unwell. He was diagnosed with acute chronic gastroduodenitis and was prescribed dietary treatment for three days.
9.  On 6, 8 and 13 October and 5 November 2014, and 6 March 2015, in response to further complaints by the applicant, he was prescribed outpatient treatment. According to the Government, the outpatient treatment consisted of medicine, which was administered to the applicant in various combinations, notably, papaverine, co-trimixazole, azithromycin, and bromhexin.
10.  Following another such complaint, on 16 April 2015 the Prison doctor diagnosed the applicant with acute chronic gastroduodenitis and recommended that he be further examined at a specialist institution with a view to deciding whether he required surgery. The parties did not inform the Court whether the applicant had undergone the recommended examination.
11.  From 2 to 29 May and from 3 to 11 June 2015 the applicant underwent inpatient treatment for acute chronic gastroduodenitis in the Prison medical unit. According to the Government, he was administered the prescribed medication and his state of health improved.
12.  On 10 July 2015 he was examined by a general practitioner of Kirovograd City Hospital, who confirmed the earlier diagnoses and recommended inpatient treatment and dietary treatment.
13.  From 28 July to 10 September 2015 the applicant underwent inpatient treatment for calculus cholecystitis in unstable remission at the hospital in Bucha prison no. 85. The applicant alleged that the treatment which he had received there had been inadequate and had led to an aggravation of his condition. He also alleged that surgery for his calculus cholecystitis had been scheduled but had not been performed owing to lack of funds.
14.  On 21 September 2015 he was transferred back to the Prison. In the meantime he had been detained in the Kyiv SIZO and the Odessa SIZO. During his detention from 14 to 21 September 2015, he complained to the SIZOs’ administration of abdominal pain and vomiting, but allegedly to no avail.
15.  On 8 October 2015 the applicant was placed in a disciplinary cell in the Prison for three months as a penalty for consumption of alcohol. According to the applicant, the conditions of his detention there were very poor: he suffered from lack of fresh air, low temperatures, unsanitary conditions and high humidity. Furthermore, he allegedly had no mattress to sleep on.
16.  According to the Government, on 8 October 2015 the Prison governor issued a decision on the applicant’ placement in a disciplinary cell for consumption of alcohol. On 30 December 2015 he was early released from the disciplinary cell.
17.  On 12 October 2015 the applicant’s lawyer complained to the Kirovograd regional prosecutor’s office that the applicant was not receiving the requisite medical care in detention. He submitted, in particular, that the surgery which the applicant required had been postponed owing to the lack of funds.
18.  On 23 October 2015 the Prison doctor examined the applicant once again and diagnosed him with chronic calculous cholecystitis in unstable remission. He prescribed the applicant medication and recommended elective surgery.
19.  On 9 November 2015 the prison service of Kirovograd Region sent a request for the applicant’s placement in the hospital in Bucha prison no. 85. On 9 December 2015 this request was refused owing to the lack of available places in the hospital.
20.  On 11 December 2015 and 16 January 2016 the prison service again requested the applicant’s placement in the hospital at correctional colony no. 4 of Dnipropetrovsk Region. On 27 January 2016 the prison service took a decision on the applicant’s transfer to the hospital for the required surgery.
21.  On 12 February 2016 the applicant informed the Prison governor that he had refused the treatment offered to him in the hospitals within the Dnipropetrovsk and Kharkiv SIZOs because of lack of trust in the doctors of those facilities. On the same day the applicant gave his consent to receive treatment at any other medical institution.
22.  On 22 April 2016 following deterioration of his health, the applicant was transferred by ambulance to Kirovograd Regional Hospital, where he was examined by a surgeon and diagnosed with calculous cholecystitis, chronic pancreatitis and “diffusive changes” of the liver (дифузні зміни печінки).
23.  According to the Government, as of November 2016 the applicant’s state of health was satisfactory. The Government did not provide documentary evidence in respect of that statement.