CRC/C/BGD/CO/4
page 14
6. Basic health and welfare
(arts. 6; 18, para. 3; 23; 24; 26; 27, paras. 1-3, of the Convention)
Children with disabilities
57.
While noting the different initiatives to ensure the equal rights of children with
disabilities, the Committee notes difficulties in translating the policies into concrete actions and
is concerned that children with disabilities, in particular girls, experience discrimination and
prejudicial treatment throughout their development. Furthermore, the Committee is concerned
that services for early detection of disabilities are inadequate.
58.
The Committee recommends that the State party, taking into account article 23 of
the Convention and general comment No. 9 (2006) on the Rights of Children with
Disabilities, continue to protect and promote the rights of children with disabilities, and:
(a) Take appropriate measures to implement the Convention on the Rights of
Persons with Disabilities;
(b) Make available reliable and disaggregated quality data on the extent and
causes of disability;
(c)
in children;
Institute measures and medical procedures for early detection of disabilities
(d) Review the Policy for People with Disabilities (PWD) under consideration for
approval and update the measures and actions needed for implementing a comprehensive
policy for children with disabilities;
(e) Ensure that the role and responsibilities of the National Foundation for
Development of the Disabled under the Ministry of Social Welfare are clear, and facilitate
coordination with other relevant ministries;
(f) Undertake greater efforts to make available the necessary professional (i.e.
disability specialists) and financial resources, especially at the local level, and to promote
and expand community-based rehabilitation programmes, including parent support
groups, to ensure that the rights of all children with disabilities are addressed.
Health and health services
59.
The Committee notes with appreciation the progress in child and maternal health
including a reduction in the under-five mortality rate, increased measles coverage rate, and
decreased underweight prevalence in children under five. Similarly, the Committee notes that
access to safe drinking water for children and access to sanitation facilities have increased.
Nonetheless, the Committee remains concerned that health improvements have not yet reached
the most vulnerable children, that the neonatal mortality rate and child malnutrition rate are still
very high and that the number of cases of preventable waterborne and communicable diseases
still continues to be high. It also notes with concern the high incidence of child accidents and
injuries, especially drowning, the growing inequity in access to health services and the
dependence on donor funds for the procurement of vaccines.