CRC/C/TJK/CO/2 (a) Take measures to decrease the level of institutionalisation of children with disabilities and to assist families with children with disabilities with appropriate care, inter alia, by strengthening their parenting skills and providing adequate financial resources and necessary support in order to decrease institutionalization of children with disabilities; (b) Increase its effort to carry out awareness raising campaigns to sensitize the public about the rights and special needs of children with disabilities and promote their inclusion in the system of education and in society; (c) Support development of community based early intervention services; (d) Improve the physical access of children with disabilities to public service buildings, including recreational infrastructures and schools; (e) Improve conditions in residential institutions for children with disabilities and establish mechanisms of independent monitoring of standards of care and children’s rights in these institutions, as well as establish a system of training special education professionals; (f) Consider ratifying the Convention on the Rights of Persons with Disabilities and its Optional Protocol; (g) Take into account article 23 and the Committee’s general comment No. 9 (2006) on the rights of children with disabilities as well as the United Nations Standard Rules on the Equalization of Opportunities for Persons with Disabilities (General Assembly res. 48/96). Health and health services 52. The Committee welcomes the national programmes and strategies in the area of the right to health, including immunization programmes and the research carried out on children’s health. The Committee also welcomes the reduction of the child mortality rate achieved by the State party during the reporting period. The Committee however remains concerned about very low percentage of GDP allocated to the health care sector and limited access to quality medical services in remote rural areas due to the absence of medical establishments in those areas and shortage of medical personnel. The Committee is concerned about the lack of information in the State party report on the situation in the field of mental health of children and adolescents and services available for children with mental health problems. The Committee is also concerned about high rates of malnutrition among children and the lack of access to sanitation and clean, sufficient, reliable and affordable drinking water. 53. The Committee recommends that the State party: (a) Increase substantially the proportion of GDP that is directed to health care and prioritize health services for children and, in particular, primary health care; (b) Improve the health care infrastructure, recruit and train more health care workers to serve the needs of children throughout the country, primarily at the level of the primary health care; (c) Take further measures to reduce infant and child mortality, especially by focusing on preventive measures and adequate treatment; (d) Provide financial sustainability and ensure effective management of programmes aimed at child survival interventions, such as immunisation, prevention and treatment of malnutrition and access to safe drinking water; 11