7 unjustified delays in the implementation of alternative measures of compliance with the sentencing of those prisoners who have been convicted; vi. awful infrastructural conditions are most evident in the "female annex"; regarding the detention areas the inhumane conditions persist; in the area named “the prison”, there are no bathrooms and the prisoners are required to relieve themselves in the open and in bags. In this area, in sections 1 and 2 there are no showers for daily cleaning, and detainees are forced to bathe themselves using a hose in a physically open space; vii. the representatives recognize the State's efforts to improve health services for the prison population; the construction of a Center for Community Treatment; the implementation of an Alternative Formula of Compliance with Sentencing (“Fórmula Alternativa de Cumplimiento de la Pena”), known as Open Regime (“Régimen Abierto”), as well as the construction of a children's park, a social area for visits, and a separate section for housing inmates between the ages of 18 and 21; viii. the percentage of inmates participating in work and education programs is low considering the size of the prison population; the education programs are superficial, unsound and not sustainable over the long-term, in part because they lack the necessary tools to conduct the classes; ix. sports and cultural activities should be guaranteed on a regular basis since the activities mentioned by the State are carried out informally and infrequently; x. the State discusses plans and preparations that have not materialized into concrete measures for the physical and mental well-being of the detainees; the medical conferences do not represent a structural and concrete solution to the alarming unhealthy conditions that exist at the Confinement Center, and xi. on May 8, 2007 medical services that were provided by Cuban doctors were suspended, presumably because their work was only for a “fixed period of time”. Such a situation demonstrates the infringement by the State of the prison population's right to health in the Confinement Center. c) regarding the planning and implementing of protective measures for those deprived of their liberty in the Confinement Center with the participation of the representatives of the beneficiaries of these measures, and so that, generally, the representatives remain informed in regards to any progress in the adoption of such measures: i. the representatives look favorably upon the State's initiative to arrange meetings between the NGOs and state officials; however it is obvious that the State has not complied with this measure since several actions carried out by the State were done without the participation or awareness of the representatives of the beneficiaries, and ii. various declarations by high ranking State officials qualify as new acts of intimidation and violate the provisional measures that require the State to