45 according to the agreements entered into between the Ministry of Health and Sports and the two national public hospitals.131 Moreover, the State informed that in the act of acknowledgment of international responsibility performed on September 10, 2008, the State delivered the credentials132 for the provision, free of charge, of medical care to the relatives of Renato Ticona, in compliance with the agreements entered into. 168. The Court considers, as in other cases,133 that it is necessary to order a measure of reparation aiming at reducing the suffering that the facts of this case has caused to the victims, since as has been established in this chapter, all the relatives of Renato Ticona have suffered from mental and moral distress due to the disappearance of a loved one. In this sense, the expert opinion suggested that even though the psychiatric care that the parents received was important, all the relatives of Renato Ticona should receive therapy. Besides, they consider it is appropriate, taking into account the ailments of each member of Ticona Estrada’s family, to carry out a medical examination of the somatic consequences caused (supra para. 32(e)). 169. The Court positively values the progress made by the State when providing, free of charge, medical and psychological treatment to the next-of-kin of Renato Ticona's. Based on the foregoing, this Tribunal considers that the State should effectively provide, previous a signed informed consent, the medical and psychological so requested to Honoria Estrda de Ticona, César Ticona Olivares, Hugo Ticona, Betzy Ticona and Rodo Ticona; such treatment should be provided by personnel specializing in the treatment of physical and mental health care problems that such people suffers from to ensure they are provided with the most appropriate and effective treatments. This medical and psychological treatment must be provided for the necessary time, free of charge and it must include the provision of the necessary medications, taking into consideration the ailments of each of them, following an individual evaluation. d) Guarantees of Non-Repetition. i) Improvement of the operation of the Inter-Institutional Council for the Clarification of Forced Disappearance (CIEDEF)134 131 Cf. Inter-Institutional Agreement for the Provision of Medical Care Nº 001 of 2008, entered into by the Ministry of Health and Sports and General San Juan de Dios Hospital in the city of Oruro, on June 26, 2008, whose beneficiary is Hugo Ticona Estrada; Inter-Institutional Agreement for the Provision of Medical Care Nº 002 of 2008 entered into by the Ministry of Health and Sports and VIEDMA, Hospital Complex of the city of Cochabamba on June 26, 2008, whose beneficiaries are César Ticona Olivares, Honoria Estrada de Ticona and Rodo Ticona Estrada; and Inter-Institutional Agreement for the Provision of Medical Care Nº 003 of 2008, entered into by the Ministry of Health and Sports and Municipal University Hospital, San Juan de Dios, on June 26, 2008, whose beneficiary is Betzy Ticona Estrada. 132 Cf. Credentials of July 14, 2008 that certify that beneficiaries Honoria Estrada de Ticona, César Ticona Olivares, Hugo Ticona Estrada, Rodo Ticona Estrada and Betzy Ticona Estrada “are allowed to receive medical and psychological care and treatment in the [respective health centers] according to” the Inter-Institutional Agreements entered into by the Ministry of Health and Sports on June 26, 2008 (Documentation presented by the State during the public hearing, evidence 4. p. 4985-5005). 133 Cf. Case of Cantoral Benavides v. Perú. Reparations and Costs. Supra note 131, para. 51; Case of Heliodoro Portugal v. Panamá, supra note 13, para. 256; and Case of Bayarri v. Argentina, supra note 16, para. 143. 134 The Inter-Institutional Council for the Clarification of Forced Disappearances (CIEDEF) was created by means of Supreme Decree Nº 27089 of June 28, 2003. It is within its authority to: “Coordinate measures with the Ministry of Foreing Affairs so that Bolivia promotes the approval of an International Covenant on Forced Disappearances [based] on the project presented to the United States; to carry out the follow-up of the decisions made by the Inter-American Court of Human rights, of the Organization of American States [...] or of other international bodies related to Bolivia; to process the information for the