CRC/C/NGA/CO/3-4
(f) To adopt the National Health Bill, which provides for direct funding line for
primary health care, at its earliest possible and ensure that it guarantees the
right of the child to the best attainable state of physical and mental health, as
stipulated in the Child Rights Act;
(g) To amend the Constitution with a view to guarantee the right of the child to
the best attainable state of physical and mental health as a constitutionally
protected right, and with a view to specify the respective powers and
responsibilities of federal, state and local governments in the delivery of health
care;
(h) To fulfil its commitment, as set out in the 2006 WHO Regional Committee
for Africa resolution “Health Financing: A Strategy for the African Region”, to
allocate a minimum of 15 per cent of its annual budget to improve the health
sector, and continuing to seek technical cooperation and assistance from
UNICEF and WHO;
(i) To ensure the provision of free maternal and child health services to all
states of the federation and take measures to ensure nation-wide coverage of
the implementation of the National Health Insurance Scheme (NHIS).
Adolescent health
61. The Committee notes the development of a National Policy on Adolescent Health and
Development (2006) as well as the Adolescent Health, HIV/AIDS Prevention, Care and
Support project and of adolescent health guidelines. It further welcomes the identification
of adolescent health as one of the indicators of the National Strategic Health Development
Plan and the agreement signed by all state governors to implement the plan as well as
efforts to secure funding to strengthen access to contraceptives. The Committee also
welcomes information that reproductive rights and maternal health education has been
introduced in the school curricula. The Committee remains concerned however at
remaining health challenges facing adolescents, such as abortion complications and deaths
of girls as a result of unsafe abortions, the lack of access to information and services
relating to reproductive health for adolescents, the very low percentage of adolescents who
use condoms at their first sexual encounter, restrictive abortion law, the existence of user
fees and prevalence of HIV and sexually transmitted diseases (STIs).
62. The Committee recommends that the State party, taking into account the
Committee’s general comment No. 4 (2003) on adolescent health and development,
continue to strengthen activities and services under its national adolescent health
policy and other projects. It strongly recommends that the State party, among other
things:
(a) Abolish user fees and take other measures to increase adolescent girls’
access to affordable health-care services, including reproductive health
services, and other measures to prevent unwanted pregnancies;
(b) Take all necessary measures to involve civil society, especially the local
community and grass-root NGOs, in the implementation of the National Policy
on Adolescent Health and Development from a bottom-up approach;
(c) Ensure free and easily accessible contraceptives for adolescents, including
condoms, in health facilities and in schools, and develop and implement childfriendly awareness-raising programmes on the use of contraceptives;
(d) Introduce sex education for boys and girls in the school curricula and
undertake sensitization programs at community level on reproductive health
and rights;
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