CRC/C/BTN/CO/2 page 11 special needs and focus on day care services for these children in order to prevent their institutionalization; (b) Ensure that all children with special needs receive the appropriate care; (c) Support activities of NGOs (including organizations of parents) and cooperate with them in the process of developing community based day care services for children with special needs; (d) Consider ratifying the Convention on the Rights of Persons with Disabilities and its Optional Protocol; (e) Undertake a survey on the causes and extent of disabilities of children; (f) Seek technical assistance from relevant international organizations and agencies. Health and health services 52. The Committee welcomes the reduction of infant mortality and the measures the State party has undertaken to expand and improve access to the public health-care system. It also welcomes that article 9.21 of the Constitution provides for free access to basic public health services. However, the Committee is concerned about the number of children who continue to be malnourished and over the lack of trained health workers and medical practitioners. 53. The Committee recommends that the State party: (a) Continue to make efforts to give free access to health services and ensure equitable access for the entire population; (b) Develop a strategy to combat malnourishment and food insecurity; (c) Build national capacities to train health workers and medical practitioners. Adolescent Health 54. The Committee notes the introduction of the Adolescent Reproductive Health Education and Life Skills Programme in 2002. However, the Committee remains concerned that further measures are required in order to address adolescent sexual and reproductive health issues. 55. The Committee recommends that the State party: (a) Take all necessary measures, including by providing information and education, with respect to adolescent reproductive health and by making a comprehensive range of contraceptives widely available and by increasing knowledge about family planning;