CRC/C/VNM/CO/3-4 56. The Committee recommends that the State party: (a) Expeditiously undertake the ratification of the Convention on the Rights of Persons with Disabilities to provide legal protection for children with disabilities; (b) Review existing policies and programmes to develop a rights-based approach in relation to children with disabilities, and effectively implement inclusive education and free-tuition policies in order to further facilitate children with disabilities in having access to school; (c) Provide all schools with sufficient numbers of teachers who have skills in inclusive education so that all children with disabilities can enjoy access to highquality inclusive education, with a particular focus on children with disabilities living in rural areas; (d) Raise public awareness, and include children with disabilities in these awareness-raising and social-change interventions, to address widespread stigma and discrimination. In addition, reduce the trend to institutionalize children with disabilities and seek community-based child care solutions; (e) Take into account the Committee’s general comment No. 9 (2006) on the rights of children with disabilities in this respect. Health and health services 57. The Committee appreciates the improvement in health indicators in the State party, inter alia, the decreasing rate of maternal mortality and under-five and infant mortality rates, as well as the increase in the average life expectancy in the State party. However, the Committee remains highly concerned at the lack of progress in certain critical areas of child survival and development, as follows: (a) Stunting and malnutrition rates among children under the age of 5 years, with much higher rates in rural areas and among children of ethnic minorities; (b) Higher frequency of neonatal mortality in rural areas and among ethnic minority populations reportedly attributed to a lack of quality services and clinics; (c) Exclusive breastfeeding rates that remain very low, at 19 per cent with regional disparities, and a lack of parental awareness of infant and young-child feeding practices; (d) Ethnic and geographic disparities in immunization rates. 58. The Committee recommends that the State party take immediate steps to promote common standards in health-care services for all children in all regions, and: (a) Develop nutrition strategies, policies and legislation relating to positive infant and young-child feeding practices, aimed at reducing regional disparities relating to acute and chronic undernutrition; (b) Increase the resources available for district health centres and commune health stations and ensure that they have adequate human and material resources, particularly in relation to maternal health care and care of newborns, infants and preschool children; (c) Take immediate action to improve the practice of exclusive breastfeeding for the first six months, through awareness-raising measures including campaigns, information and training for relevant Government officials, training of staff working in maternity units, and education for parents; and strengthen the monitoring of existing marketing regulations relating to the marketing of breast-milk substitutes, 14