CRC/C/PAN/CO/3-4 Office of the High Commissioner for Human Rights (OHCHR), World Health Organization (WHO), International Labour Office (ILO), United Nations Educational, Scientific and Cultural Organization (UNESCO), the Office of the United Nations High Commissioner for Refugees (UNHCR), the United Nations Office on Drugs and Crime (UNODC), as well as NGO partners. E. Family environment and alternative care (arts. 5; 18, paras. 1-2; 9-11; 19-21; 25; 27, para. 4; and 39 of the Convention) Children deprived of a family environment 48. The Committee takes note of the establishment of a Shelter Supervision and Monitoring Unit within SENNIAF with the view to ensuring that children placed in shelters and other institutions are provided with full support for their welfare and development. However, the Committee is concerned at the high and growing numbers of children placed in alternative-care institutions in the State party, showing a negative trend towards unnecessary institutionalization of children, rather than searching for family-based modalities. 49. The Committee recommends that the State party take all necessary steps to ensure that the number of children institutionalized decreases and that alternatives for family-based modalities are explored and developed further. It recommends that all children in alternative care, whether in families or institutions, have access to basic health and appropriate education. The Committee further recommends that the State party allocate sufficient resources to the Shelter Supervision and Monitoring Unit for it to perform its monitoring and supervisory mandate adequately as well as to provide training to those responsible of executing its mandate on the provisions of the Convention. It further recommends that the State party take into account the Guidelines for the Alternative Care of Children annexed to General Assembly resolution 64/142 of 20 December 2009. Adoption 50. The Committee welcomes the adoption of Law 61/2008 (General Adoption Act), which provides safeguards for Panamanian children in international adoptions, including the prohibition of private adoptions, and is harmonized with the Hague Convention on Protection of Children and Cooperation in Respect of Inter-country Adoption. The Committee is deeply concerned that an envisaged reform to make Law 61/2008 more flexible may hinder, if approved, its achievements within the adoption system of the State party. 51. The Committee reminds the State party that the envisaged revision of Law 61/2008 must comply fully with its international obligations, in particular with the Hague Convention on Protection of Children and Cooperation in Respect of Intercountry Adoption and the provisions of the Convention on the Rights of the Child, with any revision expanding rather than diminishing the protection of children. F. Children with disabilities, basic health and welfare (arts. 6; 18, para. 3; 23; 24; 26; 27, paras. 1-3; and 33 of the Convention) Children with disabilities 52. The Committee takes note of the State party efforts at realizing the rights of children with disabilities in equal terms as all other children. In this sense, it appreciates the 10