CRC/C/RWA/CO/3-4 and resources to realize the rights of children with disabilities, including children with mental disabilities; (e) Ensure that the NCPD includes a dedicated section on children, and strengthen its capacity to introduce and monitor programmes promoting the rights of children with disabilities, deinstitutionalization and community education about the rights of children with disabilities, and provisions to support such children and their families; and (f) Repeal article 42 of Law No. 54/2011 and ensure that the placement of children with disabilities in institutions is used only as a measure of last resort, when it is absolutely necessary and in the best interests of the child. Health 45. The Committee notes as positive the adoption of the National Policy for Child Health, the three-year Multisectoral Strategy to Eliminate Malnutrition in 2009, and the implementation of the Integrated Management of Childhood Illnesses strategy since 2006, which have led to a significant improvement in child health and well-being. The Committee also notes the innovative community-based health insurance scheme aimed at increasing access to medical services for the population, including children. However, the Committee is concerned at the regional disparities in health among children living in urban and rural areas and the several existing obstacles in accessing health services for children living in remote areas and in poverty, such as lack of infrastructure, long travel distance to health centres and inability to pay for health insurance. 46. The Committee is seriously concerned at the high level of child malnutrition, particularly widespread stunting in the Northern and Western Provinces, and lack of prenatal and neonatal care, resulting in high newborn mortality. The Committee further notes with concern that the Ministry of Health has not established budgetary lines specifically for children’s health. 47. The Committee draws the State party’s attention to its general comment No. 15 (2013) on the right of the child to the enjoyment of the highest attainable standard of health, and recommends that the State party: (a) Ensure equitable access to health-care services, particularly in rural and remote areas, by improving health infrastructures, trained staff and supplies and ensuring accessibility to the health insurance scheme for children living in rural areas and children in poverty or other vulnerable situations; (b) Strengthen efforts to address, as a matter of urgency, the high rates of child malnutrition, and develop educational programmes, including educational campaigns to inform parents and families about basic child health and nutrition, hygiene and environmental sanitation; (c) Promote exclusive breastfeeding and the establishment of Baby-Friendly Hospitals and adopt a Code of Marketing of Breast-Milk Substitutes with appropriate controls on the marketing of artificial infant formula; (d) Increase the availability and accessibility of emergency obstetric care and skilled birth attendants at sector and district-level health facilities, and improve the quality of interventions to prevent newborn child mortality and strengthen neonatal care in particular. The State party should also establish monitoring mechanisms in each province and district under the Ministry of Health to monitor the implementation of various health policies and strategic plans in place; 12