CRC/C/PAN/CO/3-4 inclusion of questions related to disability in the 2010 census and the implementation of its cash transfer programme (Red de Oportunidades) as well as the recently launched cashtransfer programme for families of people with disabilities (Angel Guardián), acknowledging the present need for social assistance policies of this nature. However, it is concerned that the State party is not allocating enough financial and human resources to policies that aim at changing the social structures in order to achieve an inclusive society for children with disabilities or the adoption of a comprehensive policy to provide reasonable accommodation allowing children with disabilities to enjoy their rights. 53. The Committee recommends that the State party allocate sufficient resources to integrate the majority of children with disabilities into a system of inclusive education in regular schools. The Committee further recommends that the State party elaborate a comprehensive policy for people with disabilities, in such a way that all children with disabilities can access reasonable accommodations for the enjoyment of the rights enshrined in the Convention on the Rights of the Child. Health and health services 54. The Committee notes with concern that children living in remote areas have limited access to basic health services, particularly those living in the traditional territories of the Ngöbe Buglé, Emberá and Kuna, who are also less likely to have access to clean water and sanitation services. The Committee is also concerned that the highest rates of malnutrition (12.4 per cent) and child mortality (varying from 62.3 to 35.2 per 1,000 live births) are recorded amongst indigenous children. The Committee is further concerned that the last available data (1996) show that breastfeeding indicators are generally very low, in particular, exclusive breastfeeding at 6 months of age is 25 per cent, much lower than the regional average of 43 per cent. 55. The Committee reiterates its recommendation to the State party concerning the health-care system and access to basic health care for all children, while giving priority to regions and communities with the lowest coverage with a view to redressing the existing sharp inequalities in health standards. The Committee recommends that the State party review and revise current initiatives, namely the health goals of the 2010-2014 Strategic Plan (Executive Decree 197/2009) and the National Plan to Combat Child Malnutrition (2008-2015), to ensure a special focus on indigenous and Afro-Panamanian children as well as other children in need of special protection. The Committee also recommends that the State party strengthen the promotion of breast-feeding and enforce the International Code of Marketing of Breast-milk Substitutes. Adolescent health and well-being 56. The Committee continues to be concerned at the high number of teenage pregnancies in the State party, particularly amongst indigenous and Afro-Panamanian girls. The Committee is also concerned at the lack of access to information by children and adolescents regarding sexual and reproductive health and the lack of formal sex and reproductive education in schools. Moreover, the Committee is seriously concerned at proposed changes to existing legislation aimed at separating pregnant girls into special education facilities, which is a serious violation of their rights. 57. The Committee recommends that the State party ensure that children have access to sex and reproductive health education at school and that all communication means are used for the purpose, including by reaching out to parents and the population at large. The Committee further recommends that the State party address the root causes of teenage pregnancies, particularly amongst indigenous and AfroPanamanian adolescents, with a view to better understanding the issue and drawing 11

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