52 Community to attend is the Hospital Regional de Concepción [Hospital Regional de Concepción] (Concepción Regional Hospital)141 located 46 kilometers away (from Santa Elisa settlement).142 According to the Paraguayan legislation, medical, dental, hospital, laboratory services and other medical procedures should be provided by the State to the members of the Indigenous Communities of Paraguay free of charge.143 However, when they are ill they generally resort to the traditional medicine or to “household remedies.” The greatest material obstacle the members of this indigenous community have to face in order to have access to medical care is the lack of financial means to travel to the hospitals and to buy medicines.144 73(73) Likewise, the members of this Community have obstacles to register their births, deaths, and changes in their civil status, as well as to obtain any other identification document.145 Particularly, the members of the Community NN Galarza, Rosana López, Eduardo Cáceres, Eulalio Cáceres, Esteban González Aponte, NN González Aponte, NN Yegros, Jenny Toledo, Guido Ruiz-Díaz, NN González, Luis Torres Chávez, Diego Andrés Ayala, Francisca Britez, Silvia Adela Chávez, Derlis Armando Torres, Juan Ramón González, Arnaldo Galarza and Fátima Galarza died whose acts command full faith and credit on January 17, 2006, supra note 44, and book titled “Atlas de las Comunidades Indígenas in el Paraguay" [Atlas of the Indigenous Communities in Paraguay],” Dirección General de Estadística, Encuestas y Censos [Bureau of Statistics, Surveys and Censuses] of the Secretaría Técnica de Planificación de la Presidencia de la República [Office of the Technical Secretary of State for Planning to the President of the Republic]." Paraguay, 2002. Volume II, pages 400 and 401. 141 Cf. statement rendered by Ms. Elsa Ayala before a public official whose acts command full faith and credit on January 17, 2006, supra note 119; statement rendered by Ms. Mariana Ayala before a public official whose acts command full faith and credit on January 17, 2006, supra note 120; statement rendered by Ms. Gladys Benítez-Galarza before a public official whose acts command full faith and credit on January 17, 2006, supra note 28; statement rendered by Mr. Pablo Balmaceda before a public official whose acts command full faith and credit on January 17, 2006, supra note 44, and statement rendered by Mr. Bernardo Jacquet in 2005 according to a certified copy of the original document as attested by Notery Public José Cayo Estigarribia (case file on the merits, reparations, and costs, Volume III, folio 557). 142 Cf. statement rendered by Ms. Gladys Benítez-Galarza before a public official whose acts command full faith and credit on January 17, 2006, supra note 28. 143 Cf. form letter S.G No. 1/95 on “integral, deferential and gratituous medical care provided to indigenous communities” issued by the Ministry of Public Health and Social Welfare on February 24, 1995 (case file on the merits, reparations, and costs, Volume III, folio 867), and resolution No. 280/92 issued by the Ministry of Public Health and Social Welfare on April 15, 1992 (case file on the merits, reparations, and costs, Volume III, folios 864 to 865); statement rendered by Mr. César Escobar-Cattebecke before a public official whose acts command full faith and credit on February 18, 200 (sic) (case file on the merits, reparations, and costs, Volume III, folios 560 to 564). 144 Cf. statement rendered by Ms. Elsa Ayala before a public official whose acts command full faith and credit on January 17, 2006, supra note 119; statement rendered by Ms. Mariana Ayala before a public official whose acts command full faith and credit on January 17, 2006, supra note 120; statement rendered by Ms. Gladys Benítez-Galarza before a public official whose acts command full faith and credit on January 17, 2006, supra note 28; statement rendered by Mr. Pablo Balmaceda before a public official whose acts command full faith and credit on January 17, 2006, supra note 44. 145 Cf. statement rendered by Ms. Mariana Ayala before a public official whose acts command full faith and credit on January 17, 2006, supra note 120; statement rendered by Ms. Gladys Benítez-Galarza before a public official whose acts command full faith and credit on January 17, 2006, supra note 28; statement rendered by Mr. Carlos Marecos before a public official whose acts command full faith and credit on January 17, 2006, supra note 27; statement rendered by Mr. Leonardo González-Fernández before a public official whose acts command full faith and credit on January 17, 2006 (case file on the merits, reparations, and costs, Volume III, folios 728 to 731), and response of the State to the request for evidence to facilitate the adjudication of the case made by the President of the Court on January 20, 2006 (case file on the merits, reparations, and costs, Volume III, folios 610 and 611).