CRC/C/15/Add.191 page 10 44. The Committee recommends that the State party establish a mechanism that will implement and monitor more proactive, timely and effective policy for collecting maintenance from the parent responsible for paying it. Children deprived of a family environment/alternative care 45. The Committee notes that the Ministry of Education and the Ministry of Health and Housing are responsible for alternative care institutions. 46. The Committee is concerned at the predominant use of institutional responses to provide assistance to children in difficulty and that children who are cared for in institutions for many years, until the age of 18, are not given the educational and vocational skills necessary for them to make an independent living once they leave the institution. The Committee also expresses concern at the low quality of care in some institutions and at the condition of these institutions. 47. The Committee is concerned that alternative care, such as foster care, or other forms of family-based alternative care, are not sufficiently developed and available. The Committee is further concerned that children lack effective mechanisms to communicate concerns and complaints about their placement. 48. In light of article 20 of the Convention, the Committee recommends that the State party: (a) Consider establishing or strengthening at the national, regional and local levels the mechanism in charge of alternative care within the system of social welfare; (b) Take effective measures, including the development of strategies and awareness-raising activities, to prevent or reduce the abandonment of children; (c) Take effective measures to increase and strengthen foster care, family-type foster homes and other family-based alternative care and correspondingly decrease institutional care as a form of alternative care; (d) Place children in institutions only as a measure of last resort and as a temporary measure; (e) Take all necessary measures to improve conditions in institutions, in accordance with article 3, paragraph 3, of the Convention, and to increase the participation of children; (f) workers; Provide support and training for personnel in institutions, including social (g) Continue to monitor standards of care and, in light of article 25 of the Convention, establish periodic review of placement;