5 Cooperation Agreement between the Ministry of National Defense and the Asociación de Familiares Víctimas del Servicio Militar Obligatorio [Association of Relatives of Victims of Obligatory Military Service] (AFAVISEM) on July 30, 2008, which provides for the provision medical care to the soldiers who were injured and effected by Compulsory Military Service, as well as to the families of deceased soldiers, by the Central Hospital of the Armed Forces of the Nation. Furthermore, it indicated that the Human Rights Unit of the Ministry of Public Health and Social Welfare was created, which "channels requirements that arise in the area of health," and "already has the background facts for the case, so as to offer appropriate treatment when faced by any eventuality." 15. The representatives noted that "[t]he information provided by the State does not account for effective compliance" as "an agreement exclusively for the "parents, spouses and minors of military personnel killed or left disabled in the act of duty" and limited only to certain medical benefits [...] does not satisfy the State's obligations." They further stated that the hospital is based in Asunción, thus it "can hardly be useful for the provision of efficient care to victims in this case who live in Bel[l]a Vista Norte, some 570 km away from Asuncion." Finally, it indicated that at a meeting held in February 2009, the State pledged to oversee the health care in the public hospital in the city of Pedro Juan Caballero. 16. The Commission noted that the State must take significant action to give profound and adequate attention to all the victims identified in this case, and noted "worryingly that more than three years after the Judgment were issued, the State had failed to comply with these important reparation measures." 17. The President believes that the Court needs more information on the measures taken to effectively comply with the reparation measure concerning medical, psychological and psychiatric care, including the form and manner in which the due treatment will be provided to the victims, and the difficulties encountered and how they can be resolved. * * * 18. With regard to the obligation to establish training programs and courses on human rights for all members of the Paraguayan Armed Forces (operative paragraph twelve of the Judgment), the State reported that under the "Chief Program on Human Rights and Humanitarian Law Education," adopted in 20025, various institutes that make up the Commando Military Institute of Education of the Army have been implementing programs that material on human rights and international humanitarian law. These courses are aimed at officers, cadets, noncommissioned officers (NCO's), and NCO and soldiers candidates. The topics are addressed "through lectures, talks, conferences, seminars, discussions and assessments," and use the basic text "ME 33400 Humanitarian Standards Manual - Human Rights and International Humanitarian Law in Armed Forces." Finally, it noted that the educational material titled "Soldier's Guide" and "Human Rights ... everyone’s duty" has been distributed. 19. The representatives stated that the information provided by the State does not reveal whether the human rights courses being offered to all students of the various 5 Cf. Case of Vargas Areco v. Paraguay. Monitoring Compliance with Judgment. Order of the InterAmerican Court of Human Rights of October 30, 2009, Considering Clause 25.