CRC/C/PRY/CO/3 49. The Committee recommends that the State party continue the measures to protect and promote the rights of children with disabilities, by taking into account the general comment No. 9 (2006) on the rights of children with disabilities, article 23 of the Convention, the Convention on the Rights of Persons with Disabilities and the Inter-American Convention on the Elimination of All Forms of Discrimination against Persons with Disabilities, and by: (a) Developing a policy and adopting a specific plan of action to provide health care, comprehensive education and protection to children and adolescents with disabilities; (b) Reinforcing the policymaking instance by giving it the institutional structure and capacity required to coordinate the design and application of comprehensive policies; (c) Making available reliable and high-quality disaggregated data on the extent and causes of disability; (d) Undertaking greater efforts to make available the necessary professional (i.e. disability specialists) and financial resources, especially at the municipal level and to promote and expand community-based rehabilitation programmes, including parent support groups, to ensure that care is being taken of all children with disabilities. Health and health services 50. While welcoming the initiatives carried out by the State party to provide access to health services free of cost for all children, the Committee is concerned that many children, such as children living in rural areas and children living in extreme poverty, face difficulties in gaining effective access to health services or do not have access at all, due to an insufficient budget. The Committee is also concerned at the negative consequences of agrotoxic fumigation faced by peasant families and, particularly, the impact for children living in rural areas. 51. The Committee recommends that the State party: (a) Take all appropriate measures to extend free medical care to all children, particularly those living in rural areas and those living in extreme poverty; (b) Increase the health budget in order to make more effective the implementation of different health-care delivery models, such as those from indigenous communities; (c) Conduct systematic evaluation and impact assessment of the effect of the health programmes in place, particularly those programmes that are being implemented in areas affected by poverty; (d) Implement all the necessary measures, including studies and assessments, to tackle the extremely negative consequences of agro-toxic fumigation in rural communities. Adolescent health 52. While welcoming the National Plan on Health for Adolescents and the National Plan on Reproductive and Sexual Health, as well as the initiatives undertaken by the State party to improve adolescent health, the Committee regrets the lack of information on the assessment of these plans and is concerned at the high number of teenage pregnancies, sexually transmitted infections and the high incidence of drugs and alcohol abuse among adolescents in the State party. 12