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