CRC/C/GTM/CO/3-4 62. The Committee welcomes the 2007 Adoption Act which established judicial adoption proceedings, eliminated notary adoption proceedings, and incorporated the Hague Convention (1993) provisions in domestic law. However, the Committee remains concerned at the persistence of private adoptions, and at the fact that the National Adoption Council is only present in the capital city, which makes it difficult to provide an adequate response throughout the country. 63. The Committee recommends that the State Party decentralize the services of the National Adoption Council, in order to make it accessible in all parts of the country, raise awareness among the population on the new adoption system in order to promote adoptions at national level, and continue suspension of international adoptions until child rights can be totally guaranteed in the adoption proceedings. 64. While noting that Article 14 of the PINA Law establishes the right of children to identity, the Committee remains concerned at the lack of an adequate mechanism to search for the origin of children deprived of their identity, especially those who have been subject to international adoption and whose rights to preserve their identity have been violated. 65. The Committee recommends that the State party establish an adequate mechanism to deal with identification of children deprived of their identity in order to protect them from illegal adoptions and other human rights violations. Abuse and neglect 66. The Committee is concerned at the high level of sexual abuse of children, in most cases committed at home. It is also concerned at the high level of underreporting of this offence. 67. The Committee recommends that the State party carry out special investigations into sexual abuse and provide adequate victim care and programmes for the target population. These measures and programmes should be established throughout the country. The participating agencies should coordinate their efforts to prevent re-victimization. These should include entities such as public health or education offices. 6. Basic health and welfare (arts. 6, 18, para. 3; 23; 24; 26; 27, paras. 1-3, of the Convention) Children with disabilities 68. The Committee is concerned at the limited access to education, health, community and cultural life and services for children with disabilities, as well as at the lack of sufficient measures undertaken by the State party in this regard. 69. The Committee recommends that the State party guarantee the rights of all children with disabilities in order to prevent them from becoming victims of abuse, exclusion and discrimination and to give them the necessary support to enable them to exercise their rights as active members of their communities. The State party should take into account the Committee’s general comment No. 9 (2006) on the rights of children with disabilities. Health and health services 70. The Committee is concerned about the fragmented and segmented health service delivery system in the State party, and at the lack of supplies of medicines, medical equipment and technical and medical staff in hospitals. It is also concerned that economic, 12