CRC/C/MKD/CO/2 number of reported cases of physical and sexual abuse and psychological violence against children in the home and schools and that only a small number of child victims of domestic violence have actually received assistance. 51. The Committee recommends that the State party strengthen prevention, take measures to ensure that legislation is enforced, punish perpetrators of physical and sexual abuse in the home and schools, and ensure that child victims have access to specialized services for recovery, rehabilitation and family reintegration. 5. Basic health and welfare (arts. 6, 18 (para. 3), 23, 24, 26, 27 (paras. 1– 3) of the Convention) Children with disabilities 52. The Committee notes the efforts of the State party at developing day-care centres for children with disabilities but is concerned at the persisting inadequacy of educational, social and health services for children with disabilities and their families in their own living environment. In particular, the Committee notes that there remain many obstacles to ensuring equal access to education for children with disabilities. 53. The Committee recommends that the State party, in accordance with article 23 of the Convention and taking into account its general comment No. 9 (2006) on the rights of children with disabilities (CRC/C/GC/9), continue to strengthen measures to protect and promote the rights of children with disabilities, inter alia, by: (a) Developing a comprehensive policy for the protection of children with disabilities and for their equal access to social, educational and other services; (b) Undertaking greater efforts to make available the necessary resources, especially at the local level, and to promote and expand community-based and familyfocused programmes, including parent support groups; (c) Pursuing efforts to ensure that children with disabilities, including moderate and severe developmental disabilities, are able to exercise their right to education to the maximum extent possible; (d) Creating the conditions for participation of children with disabilities in the elaboration, execution and evaluation of programmes directed to them; (e) Providing training for professional staff working with children with disabilities such as teachers, social and health-care workers. Health and health services 54. While welcoming significant reductions of infant and under-5 mortality and registered infectious diseases, and the elimination of iodine-deficiency disorders in recent years, the Committee is concerned that infant mortality rates among Roma children remain higher than the national average, and that perinatal mortality is the highest in the region. The Committee is further concerned about rural-urban disparities in accessing health-care services and that refugee children and children under humanitarian protection who lack proper documentation have been refused medical treatment. 55. The Committee recommends that the State party continue raising the standard of health among children, in particular by: (a) Strengthening efforts to prevent and reduce infant mortality among the Roma community; 11