CRC/C/TJK/CO/2
(e)
Develop and implement a comprehensive child mental health policy
which includes all obligatory components, as recommended by WHO, inter alia,
regarding mental health promotion, prevention of mental disorders in primary health
care, outpatient and inpatient mental health services, with a view of improving mental
health of children and preventing institutionalization and stigmatization of children
with mental disorders;
(f)
Seek technical cooperation from UNICEF and WHO.
Adolescent health
54.
The Committee notes that the State party is planning to expand the youth-friendly
health services. The Committee also notes the information provided by the delegation
during the dialogue that under current legislation adolescents below the age of 16 cannot
seek confidential information and services for sexual and reproductive health. The
Committee regrets that there is no comprehensive study conducted about the barriers to
access sexual and reproductive health information. Furthermore, the Committee is
concerned at the increasing use of alcohol and drugs among adolescents and the limited
efforts made to provide them with adequate treatment and rehabilitation.
55.
The Committee recommends that the State party:
(a)
Adopt legislation to allow adolescents to seek information and services
for sexual and reproductive health;
(b)
Provide sustainable funding to youth friendly health services and adopt a
comprehensive strategy for the implementation and monitoring of these services.
(c)
Take appropriate measures to address effectively the situation of
adolescents using alcohol and drugs and to provide them with adequate medical and
psychosocial services.
(d)
Seek cooperation with, inter alia, UNICEF, WHO, and others.
HIV/AIDS
56.
The Committee welcomes the National Programme to prevent and combat
HIV/AIDS, however it remains concerned at the lack of reliable data on the number of
HIV/AIDS patients, which by all sources is increasing as well as about the low level of
awareness and knowledge among the youth, especially in rural areas about the modes of
transmitting HIV/AIDS and how to protect themselves from infection.
57.
The Committee urges the State party, taking into account the Committee’s
general comment No. 3 (2003) on HIV/AIDS and the rights of the child (and the
International Guidelines on HIV/AIDS and Human Rights (E/CN.4/1997/37), to take
measures to reduce HIV/AIDS infection in its territory, particularly with regard to
adolescents through, inter alia:
(a)
Strengthening, continuing and developing new policies and programmes
to provide care and support for children infected or affected by HIV/AIDS, including
programmes and policies to strengthen the capacity of families and the community to
care for such children;
(b)
Pursuing awareness-raising efforts in order to prevent the incidence and
spread of HIV/AIDS, by disseminating information and materials to the public on
prevention and protection methods, including safe sex practices;
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