agreements, as can be deduced from their content, were arranged under the administrative
Reparation Program implemented based on the Law for the reparation of victims (supra para 32).
185. Doing follow-up on the agreements reached, on November 25, 2015, a psychological
evaluation was carried out on Mr. Andrés Alejandro Casierra Quiñonez, who, on March 31, 2016,
at the meeting to “return” the respective report, in response to the recommendation to start
psychological treatment, stated that it was not his wish to make use of the psychological care
provided by the Ministry of Public Health.155 While a psychological evaluation was made on
Sebastián Darlin Casierra Quiñonez on the same date, there is no evidence that the recommended
treatment was initiated.156
186. As far as medical care, it was also proven that an evaluation was carried out and services
have been provided to Mr. Andrés Alejandro Casierra Quiñonez. Similarly, information reflects that
the Ombudsman's Office forwarded the corresponding information to the Ministry of Public Health
to provide care to Sebastián Darlin Casierra Quiñonez. Information was provided that Ms. María
Ingracia Casierra Quiñonez has received medical care that has included cross consultations with
psychology and dentistry professionals,157 and a wheelchair was provided "to aid in [her]
mobilization," given her health conditions.158
187. Facing this reality, the Court was not informed by the representatives of any reason that
would show why the services offered by the Administrative Reparation Program and, in particular,
by the Ministry of Public Health, would be inadequate to satisfy the claimed rehabilitation
measures. In any case, the Court confirmed that the aforementioned victims have recently
received medical services.159
188. To this effect, the Court positively values the efforts undertaken by Ecuador within the
framework of the administrative reparations program. On this account, due to the declared
violations, should the victims require it, the State is ordered to provide or continue to provide
medical, psychological, and/or psychiatric treatment to Andrés Alejandro Casierra Quiñonez,
Sebastián Darlin Casierra Quiñonez, and Maria Ingracia Quiñonez Bone. Likewise, if required and
necessary, to provide psychological and/or psychiatric treatment to Jonny Jacinto Casierra
Quiñones and Shirley Lourdes Quiñonez Bone. Such treatments must be provided free of charge
and on a priority basis, and must include the provision of any medications that may be required
and, where appropriate, transportation and other directly related and necessary expenses.
Likewise, and insomuch as possible, the treatments must be provided in health centers located
closest to the beneficiaries’ places of residence, for as long as necessary. When providing the
treatments, the particular circumstances and needs of each victim must be considered, based on
what is agreed with them and following an individual evaluation.160
Cf. Follow-up report on measures in favor of Andrés Alejandro Casierra Quiñonez, issued by the Ombudsman
on March 21, 2021 (evidence file, volume X, annex 54 to the answering brief, folio 5067).
156
Cf. Follow-up report on measures in favor of Sebastián Darlin Casierra Quiñonez, issued by the Ombudsman
on March 21, 2021 (evidence file, volume X, annex 55 to the answering brief, folio 5084).
157
Cf. Follow-up reports exist on measures provided to Andrés Alejandro Casierra Quiñonez, Sebastián Darlin
Casierra Quiñonez, and María Ingracia Quiñonez Bone, issued by the Ombudsman on March 21, 2021 (evidence file,
volume X, annexes 54, 55 and 56 to the answering brief, folios 5068, 5087, 5087 and 5096 to 5098), and a report
on the health care provided to Andrés Alejandro Casierra Quiñonez, Sebastián Darlin Casierra Quiñonez, and María
Ingracia Quiñonez Bone, signed by authorities of the 08D03 MAS Health District on February 25, 2022 (evidence file,
volume XIII, folios 11097 to 11100).
158
Cf. Compliance report presented to the Inter-American Commission on Human Rights, signed by the Director
of Protection, Comprehensive Reparation and Central Authority of the Secretariat for Human Rights on December 4,
2019 (evidence file, volume X, annex 57 to the answering brief, folio 5115).
159
Cf. Report on health care provided to Andrés Alejandro Casierra Quiñonez, Sebastián Darlin Casierra Quiñonez,
and María Ingracia Quiñonez Bone, signed by authorities of the 08D03 MAS Health District on February 25, 2022
(evidence file, volume XIII, folios 11097 to 11100).
160
Cf. Case of the “Las Dos Erres” Massacre v. Guatemala, 1999 . supra, para. 270, and Case of Maidanik et al.
v. Uruguay, supra, para. 227.
155
42