E/C.12/DJI/CO/1-2 The Committee calls on the State party to expedite the reform of the social security system to establish universal health-care coverage. The Committee recommends that the State party expand the scope of social security by guaranteeing a minimum income for the elderly and for persons who are of working age but incapable of earning sufficient income, particularly those who are unemployed, ill or have suffered an accident. In addition, the Committee recommends that the State party take the necessary steps to recover the outstanding amounts owed to the National Social Security Fund and to ensure that social protection systems are based on financially sustainable institutions and procedures that are accessible to all. The Committee refers the State party to its general comment No. 19 (2007) on the right to social security. The Committee recommends that the State party ratify the Social Security (Minimum Standards) Convention, 1952 (No. 102), the Social Policy (Basic Aims and Standards) Convention, 1962 (No. 117) and the Equality of Treatment (Social Security) Convention, 1962 (No. 118) of the International Labour Organization (ILO). 22. The Committee is concerned about the large number of children living or working on the street in the State party and regrets that their care is managed entirely by civil society organizations, whose capacity is limited (art. 10). The Committee calls on the State party to take care of children living or working on the street, to provide them with access to shelter, education and health care and to reintegrate them into society and the school system. 23. The Committee is concerned about the fact that approximately one quarter of births in the State party are not registered, including the birth of refugee children born outside refugee camps (art. 10). The Committee calls on the State party to ensure that all children born in its territory are registered systematically and are issued birth certificates, including refugee children born outside refugee camps. 24. The Committee is concerned about the fact that, under the State party’s Nationality Code, children born to foreign parents may end up stateless (art. 10). The Committee calls on the State party to revise the Djiboutian Nationality Code so that all children born in its territory who would otherwise be stateless can obtain Djiboutian nationality at birth. 25. The Committee regrets that poverty reduction strategies have not lowered the incidence of poverty and extreme poverty in the State party (art. 11). Noting that the Social Development Initiative and the sectoral projects to establish social safety nets target the most disadvantaged and vulnerable groups, the Committee calls on the State party to ensure that the safety nets and the procedures for determining indigent status and the associated benefits are accessible to all, including to households in rural and remote areas or households in which the adults are illiterate. The Committee also calls on the State party to incorporate economic, social and cultural rights into the structural reforms and projects implemented with international financial institutions, and to develop clear regulations and guidelines to assess the social and environmental impact of infrastructure development projects. 26. While commending the State party’s programme to eliminate slums, the Committee notes with concern that the majority of the population, particularly in rural areas, does not have adequate shelter (art. 11). The Committee encourages the State party to continue its efforts to improve living conditions in slums and shanty towns and to ensure that any relocation is carried out 6 GE.13-49993