CRC/C/15/Add.190 page 9 Abuse 39. The Committee is concerned that physical and psychological abuse occurs within the family, but is not adequately monitored, reported upon or addressed. 40. The Committee recommends that the State party: (a) Establish effective child-sensitive procedures and mechanisms for the reporting, monitoring and investigation of instances of child abuse, and intervene where necessary; (b) Provide child victims of abuse with the appropriate medical and psychological support, including recovery and social reintegration assistance for their families; (c) Strengthen the education provided to young parents in the care they should give to their children and in the prevention of abuse and neglect; (d) Take into consideration the recommendations of the Committee adopted at its days of general discussion on violence against children (CRC/C/100, para. 688 and CRC/C/111, paras. 701-745); (e) Seek assistance from, among others, UNICEF and WHO. Alternative care 41. Noting the breakdown of many families and extended family networks, the Committee is concerned that there are insufficient alternative care mechanisms to provide for children in need of such care and that existing mechanisms need to be strengthened. 42. The Committee recommends that the State party: (a) Strengthen and extend alternative care mechanisms and take all necessary measures to provide children separated from their parents with family-type alternative care (e.g. by strengthening the capacity of extended family and increasing the availability of quality foster care); (b) protected; (c) Ensure that the rights of children in need of alternative care are fully Seek technical cooperation from UNICEF in this regard. 6. Basic health and welfare 43. The Committee notes the progress with regard to child immunization programmes, but remains deeply concerned at the very poor availability, accessibility and quality of basic health-care services. The Committee is concerned, among other things, at the high rates of