The public health establishment referred to in article R. 6111-27 coordinates the prevention and health education activities organised in the prison. To this end, it draws up a programme in agreement with this establishment and with the regional and departmental prefects and the president of the departmental council for actions and services for which the State and the department are respectively responsible. The health insurance bodies and other local authorities and associations concerned are associated with this programme, on which the Director General of the Regional Health Agency gives his opinion.