CRC/C/THA/CO/3-4
F.
Disability, basic health and welfare (arts. 6, 18 (para. 3), 23, 24, 26 and
27 (paras. 1-3) of the Convention)
Children with disabilities
56.
The Committee welcomes the State party’s efforts to improve the quality of life of
persons with disabilities by adopting the National Plan on Quality of Life Development for
Persons with Disabilities of 2007–2011 and the Persons with Disabilities Education Act of
2008. It also welcomes the growing number of schools with inclusive education for
children with disabilities. Notwithstanding, the Committee is seriously concerned about the
large number of children with disabilities who are not in school and that youth policies do
not identify them as special target groups. The Committee is also concerned at the limited
proportion of children with disabilities who receive education beyond the pre-primary level.
57.
The Committee recommends that the State party review the situation of
children with disabilities in terms of their access to education services and give
effective priority to the development of inclusive education over the placement of
children in specialized institutions. It also recommends that the State party properly
target children with disabilities in youth policies, taking into account the Committee’s
general comment No. 9 (2006) on the rights of children with disabilities.
Health care and health services
58.
The Committee welcomes the achievements of the State party in implementing the
Universal Healthcare Coverage Scheme, which ensures free medical treatment for most
diseases for all Thai nationals, including children and in improving overall child nutrition.
However, it remains seriously concerned about severe disparities in nutritional status
among children depending on their families’ economic status, mothers’ education,
linguistic background and geographic location. The Committee is also concerned that
despite some improvements, iodine deficiency remains widespread.
59.
The Committee urges the State party to accelerate measures to improve the
nutrition of all children irrespective of their families’ economic status, mothers’
education, Thai or non-Thai linguistic background and geographic location in urban,
rural or remote areas. In this regard, it encourages the State party to conduct an
analysis of the causes and extent of under-nutrition of children in disadvantaged social
groups. In addition, it recommends that the State party improve the nutritional status
of children, inter alia, through control of iodine deficiency by, inter alia, introducing
legislation and policies to achieve universal salt iodization (USI), and ensure
compliance and universal consumption of iodized salt.
Breastfeeding
60.
The Committee is concerned that the breastfeeding rate at six months in extremely
low (5 pre cent), while early initiation of breastfeeding is also at a low 50 per cent rate. It is
further concerned that although there are voluntary measures, there is no legal regulation of
the aggressive marketing and promotion of breast milk substitutes.
61.
The Committee recommends that the State party strengthen and expand its
efforts to promote the early initiation of breastfeeding, and exclusive and continued
breastfeeding for six months by raising awareness and educating the public,
particularly mothers, on the importance of breastfeeding and risks of artificial
feeding. The Committee urges the State party to adopt legal regulation of the
marketing activities for breast milk substitutes in accordance with the International
Code of Marketing of Breast-milk Substitutes and ensure effective compliance and
effective monitoring. In addition, it urges the State party to take measures to convert
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