225. First, the Court considers that the State should implement effective mechanisms for periodic supervision and monitoring of its public hospitals to ensure that they are providing comprehensive health care to people living with HIV, in keeping wth domestic law and the provisions of this judgment (supra paras. 103 to 114). To this end, the State must set up an information system on the scope of the HIV epidemic in the country, which should contain statistical information on the people attended by the public health system, as wel as statistical information on the sex, age, ethnicity, language and socio-economic status of patients. It must also establish a system that allows a diagnosis to be made of the care provided to the population living with HIV and, to this end, it must establsh the number of establishments that treat this population, their geographical location and infrastructure. This diagnosis will provide the basis for the elaboration of the mechanism to improve the accessibility, availability and quality of the health care services for people living with HIV referred to in the following paragraph. 226. The State must design a mechanism to ensure the accessibility, availability and quality of antiretroviral drugs, diagnostic tests, and health services for people living with HIV. This mechanism must achieve the following minimum objectives, which must be reached by actions taken by State entities and its goals will be measured based on indicators established under a particiative public policy: (i) to increase the availability, accessibility and quality of antiretroviral drugs, diagnostic tests for the HIV detection, and tests for the diagnosis and treatment of opportunistic diseases; (ii) to improve programs for the care of people living with HIV and to increase the coverage of care; (iii) to increase and improve urgent and immediate measures relating to health care for people living with HIV, and (iv) to improve the information available for decision making by all the competent authorities. In addition, to ensure that the design and implementation of this mechanism are effective, the State must invite the medical community, people living with HIV who are users of the health system and the organizations that represent them, and the Guatemalan Ombudsman, to take part in establishing care priorities, taking decisions, and the planning and evaluation of strategies to improve health care. 227. Second, the Court finds that the State must implement a training program for health system offcials who work in hospitals and health care centers that treat people with HIV in Guatemala on international standards and domestic laws regarding comprehensive treatment for people living with HIV. This training must include information on best care practices, patients’ rights, and the obligations of the authorities. In addition, this training must be provided by medical and legal experts for a reasonable time and must be implemented with a gender perspective. 228. Third, the State must guarantee that pregnant women have access to HIV testing, and undergo this if they so wish. The State must provide periodic monitoring for pregnant women living with HIV, as well as adequate medical treatment to avoid vertical transmission of the virus, without prejudice to the provisions of paragraph 226 of this judgement. To this end, as it has in other cases, the Court orders the State to design a publication or a booklet with a clear and accessible summary of the ways to prevent HIV transmission and on the risk of vertical transmission of the virus, as well as on the resources available to minimize this risk. This publication should be made available in all public and private hospitals in and actions established to empower people who are vulnerable, including those living with infections such as HIV/AIDS, added to a commitment to end such epidemics by 2030. UN, General Assembly Resolution “Transforming our Word: the 2030 Agenda for Sustainable Development,” A/70/L.1 adopted on September 25, 2015, Preamble, paras. 3, 23, 26, 55 and 66, Goal 3, 3.3 and 3.8. Available at: https://undocs.org/A/RES/70/1. 75