CRC/C/MKD/CO/2 (b) Increasing the quality and availability of health services to eliminate urban-rural disparities; (c) Ensuring the provision of necessary medical assistance and health care to all children with emphasis on the development of primary health care, in particular by extending coverage to children belonging to the most vulnerable segments of the population; and (d) Raising the quality of pre- and postnatal health care for mothers with a view to preventing perinatal mortality. Breastfeeding 56. The Committee welcomes the insertion of provisions of the International Code of Marketing of Breast-milk Substitutes in the Law on Food Safety and the Law on Consumer Protection and that paid maternity leave and breastfeeding breaks are guaranteed by law. The Committee, nevertheless, regrets that the rate of exclusive breastfeeding is declining; that the paediatric association, which controls breastfeeding guidelines, accepts sponsorship from the baby-food industry; and that baby-food products are marked “for 4 months” and are widely promoted in private maternity clinics and available in pharmacies and supermarkets. 57. The Committee recommends that the State party enforce existing legislation, enhance efforts to promote exclusive breastfeeding practices and comply with the International Code of Marketing of Breast-milk Substitutes. Adolescent health 58. The Committee notes that the safe motherhood programme prioritizes ensuring access to information and counselling on preventing adolescent pregnancies and abortion, as well as the State party’s plans to introduce sex education in schools. The Committee is, nevertheless, concerned at the high rate of teenage births and abortions, particularly among girls belonging to the Roma and other minority communities, the significant drop in availability of reproductive health care for adolescent girls in rural areas, and the lack of respect for confidentiality. In addition, the Committee is concerned about the absence of prevention measures and rehabilitation services for children using drugs or alcohol. 59. The Committee recommends that the State party: (a) Ensure that adolescents have access to age-appropriate and confidential counselling services and life-skills training programmes in all regions and communities of the country; (b) Strengthen efforts to increase information and knowledge on reproductive health and rights in order to reduce the number of teenage pregnancies, and develop adolescent-friendly programmes to assist teenage mothers and their children; (c) Develop prevention measures and rehabilitation services for children abusing drugs and alcohol; (d) Take further measures, including the allocation of adequate human and financial resources to support the development of culturally and adolescent-sensitive, confidential counselling, care and rehabilitation for children, taking into account the Committee’s general comment No. 4 (2003) on adolescent health and development in the context of the Convention (CRC/GC/2003/4). 12