E/C.12MRT/CO/1 26. The Committee is concerned at the inadequate monitoring and control exercised by the State party over the functioning of private medical service providers as well as the pricing and the quality of medical supplies on the market. The Committee is also concerned at the absence of adequate laws regulating the practice of traditional medicine (art. 12). The Committee urges the State party to take appropriate measures for the effective enforcement of existing laws applicable to health care in the private sector as well as to the pricing and quality of medical supplies on the market. The Committee also calls on the State party to regulate traditional medicine so as to meet the requirements of quality and acceptability of the right to health. The Committee draws the attention of the State party to its general comment No. 14 (2000). 27. The Committee is concerned that, in spite of the State party’s success in containing the spread of HIV/AIDS, its prevalence is exceptionally high among sex workers and detainees. The Committee is also concerned at risk factors such as the limited knowledge of methods of prevention among women and the very low use of condoms especially among sexually active young males (art. 12). The Committee encourages the State party to pursue its efforts aimed at combating HIV/AIDS and calls on it to take specific protective measures targeted at sex workers and detainees and to disseminate information as to how HIV/AIDS can be effectively prevented, including by using condoms. The Committee also recommends that the State party decentralize the provision of antiretroviral treatment to regional hospitals and health centres. 28. The Committee notes with concern that maternal and infant mortality remains high in spite of improvement in the provision of maternal health services. The Committee is also concerned at the very low rate of contraception use in the State party (art. 12). The Committee calls on the State party to continue to expand the provision of obstetrical and neonatal care as well as of sexual and reproductive health services, in particular in rural and remote areas. 29. The Committee is concerned that access to safe drinking water remains a problem, in spite of the considerable investments made by the State party. The Committee is further concerned that the lack of adequate sanitation systems has led to the contamination of the State party’s scarce water resources in some areas (art. 12). The Committee calls on the State party to invest more resources for the improvement of access to safe drinking water and to take measures to protect water sources from contamination and to ensure the safety of water supplied to the population. The Committee also recommends that the State party improve access to safe sanitation services, particularly in rural areas, by the most disadvantaged and marginalized groups. Furthermore, the Committee calls on the State party to ensure that water and sanitation policies take account of the increase in demand in the near future in urban areas as a result of sedentarization of nomadic people and rural exodus. The Committee refers the State party to its general comment No. 15 (2002) on the right to water and its statement on the right to sanitation. 30. The Committee remains concerned at the high school dropout rate and the poor quality of education, in spite of the increase in enrolment rate in primary education. The Committee is concerned at the resulting low level of literacy in the State party. Moreover, the Committee is concerned that fewer children, especially girls, have access to secondary education (art.13). The Committee calls on the State party to continue to address the various obstacles to the enjoyment of the right to education, including the distance to school, the cost of 7