CRC/C/KHM/CO/2-3 (a) Expand access to free primary health-care services across all provinces and allocate sufficient human, technical and financial resources for the delivery of these services in such a manner as to benefit people in both urban and rural areas; (b) Strengthen its efforts to reduce the death rates of newborn and young children and pregnant mothers, including better pre-natal and delivery care, (c) Take urgent measures to address comprehensively the problem of malnutrition in children under the age of five; (d) Take urgent action to address preventable health problems among children, including iodine deficiency, malaria, diarrhoea, acute respiratory diseases, measles and meningitis; (e) Develop a comprehensive national child mental health policy, together with all obligatory components of core recommendations by WHO, including mental health promotion, counselling, prevention of mental health disorders in primary health care, schools and communities, as well as out-patient and in-patient mental health services for children and adolescents with severe mental health problems; and (f) regard. Seek technical assistance from, inter alia, UNICEF and WHO in this Adolescent health 55. The Committee expresses serious concern about the high proportion of adolescents with problems of substance abuse, including alcohol, tobacco and drugs. Other concerns regarding adolescents relate to workplace accidents and injuries, HIV, sexually transmitted diseases and reproductive health problems. The Committee is concerned that limited measures have been taken to address these problems and implement the Committee’s previous recommendations. The Committee is further deeply concerned that suicides were the leading cause of adolescent deaths in 2009. 56. The Committee reiterates its previous recommendation to the State party (CRC/C/15/Add.128, para. 53) to undertake a comprehensive and multidisciplinary study to determine the scope of adolescent health problems, including mental health, as a basis for promoting adolescent health policies and strengthening reproductive health education. The Committee also recommends that the State party: (a) Strengthen its efforts to develop adolescent-friendly and gender-sensitive counselling services as well as care and rehabilitation facilities for adolescents; (b) Ensure that dependence, detoxification, treatment, rehabilitation and reintegration interventions for children using drugs comply with international human rights standards and to this aim, develop community-based drug treatment and rehabilitation programmes; (c) Undertake an in-depth study of youth suicide and its causes and use this information to develop and implement a national plan of action on youth suicide, in cooperation with social workers, teachers, health workers and other relevant professionals; (d) Take guidance from the Committee’s general comment No. 4 (2003) on adolescent health and development. HIV/AIDS 57. The Committee notes with satisfaction that HIV infection rates have dropped substantially in the State party. The Committee is however concerned that HIV prevention 13

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