E/C.12/TGO/CO/1
The Committee urges the State party to: (a) increase the resources allocated to the
implementation of the national health policy adopted in 2012 and draw up a timetable
for meeting the Abuja objective; (b) ensure that the health policy is drafted with the
aim of realizing the right to health; and (c) disseminate and ensure compliance with
the Health Code adopted in 2009. The Committee refers the State party to its general
comment No. 14 (2000) on the right to the highest attainable standard of health.
30.
The Committee is concerned by the proliferation of unauthorized private medical
practitioners and the illegal market for pharmaceutical products, the quality of which cannot
be guaranteed.
The Committee recommends that the State party ensure that no unauthorized medical
practitioners may practice medicine in the State party. It also requests that the State
party as soon as possible introduce legislation to combat the illegal market in
pharmaceutical products and launch campaigns as planned to make the public aware
of the dangers inherent in such products. The Committee further recommends that
the State party ensure that pharmaceutical products are affordable, including for
disadvantaged and marginalized groups, in order to avoid the need to resort to illegal
goods.
31.
The Committee is concerned by the high prevalence of HIV in the State party,
especially among vulnerable groups. The Committee also notes with concern that free
antiretroviral treatment is not provided throughout the country and that supplies of such
treatment were interrupted in 2009 and 2010.
The Committee urges the State party to: (a) adopt implementing legislation for Act
No. 2005-12 on the protection of persons against HIV/AIDS and ensure the effective
application of that Act, in particular by creating awareness among both the public
and the authorities responsible for its implementation; (b) extend refunding for the
cost of antiretroviral treatment to the whole country and ensure that vulnerable
groups have equal access to such treatment; and (c) ensure that stable funding is
allocated for that purpose in order to prevent any interruption in the supply of
antiretroviral treatment.
32.
The Committee notes with concern that regular visits are not made by the authorities
to psychiatric institutions, despite provisions to that effect in the Health Code (art. 12).
The Committee urges the State party to adopt and implement the implementing
legislation on the application of the Health Code with respect to the protection of
mental health as soon as possible. In particular, the Committee urges the State party
to include clear provisions in the text on visits to centres for persons with mental
disorders, as provided for in article 127 of the Health Code, and on regular
inspections and effective judicial oversight of internment. The Committee requests
that the State party provide details in its next periodic report of the mental health
situation in the State party.
33.
The Committee notes with concern that access to safe water and sanitation is
insufficient, particularly in rural areas and in certain regions. The Committee is also
concerned at inadequate monitoring of water quality and the pollution in urban areas caused
by deficiencies in waste and sewage treatment and disposal (art. 12).
The Committee urges the State party to develop public sanitation, waste and sewage
treatment services and safe drinking water distribution systems, particularly in rural
areas and in the Savanes and Kara regions, and to clean up sites that have become
polluted by wastewater. The Committee recommends that a separate and better
funded budget line be created for water management and sanitation in the budget for
the health sector. The Committee invites the State party to provide information in its
8
GE.13-44283