CRC/C/15/Add.154
page 9
“The rights of children with disabilities” (see CRC/C/69), it is also reiterated (ibid.,
para. 38) that the State party should further encourage the integration of disabled children
into the regular educational system and their inclusion in society, including by providing
special training to teachers and by making schools more accessible. The Committee
recommends that the State party seek technical assistance from, among others, WHO.
Health and health services
40.
Measures such as the launching of a Comprehensive Health Care System (SIAS), the
Friendly Hospitals initiative, a national plan for the reduction of maternal and perinatal mortality
and a national mother and child programme are positive steps. However, the Committee is
concerned that the health standard of the children living in Guatemala, especially children living
in the rural areas and in poor urban areas, is inadequate. It notes in particular the high infant
mortality rates due, inter alia, to nutritional deficiencies, lack of sanitation facilities and limited
access to preventive and curative health services, with wide differences between urban and rural
areas and between the different ethnic groups; the Committee also notes the high maternal
mortality rates, due largely to a high incidence of illegal abortion.
41.
In light of article 24 of the Convention, the Committee recommends that the State
party allocate appropriate resources and develop comprehensive policies and programmes
to improve the health situation of all children without discrimination, in particular by
focusing more on primary-level care and decentralizing the health-care system. In
particular, to prevent child mortality and morbidity and to address the high maternal
mortality rate, the Committee recommends the provision of adequate antenatal and
postnatal health-care services and the development of campaigns to provide parents with
basic knowledge about child health and nutrition, the advantages of breastfeeding, hygiene
and environmental sanitation, family planning and reproductive health. The Committee
encourages the State party to look to international cooperation for the full and efficient
implementation of the immunization programme. Further, it recommends to the State
party to seek technical assistance from, among others, WHO, UNICEF and UNFPA.
Malnutrition
42.
The Committee notes that the State party has implemented a number of food and
nutrition programmes for children in schools such as the “Happy Heart” programme, as also
recommended (ibid., para. 36). However, by noting the high rates of both chronic and severe
malnutrition still affecting in particular children under five in rural areas, especially those
belonging to indigenous groups, the Committee expresses its deep concern that there are no
governmental policies to reduce and combat malnutrition among babies and children under five.
43.
The Committee reiterates its recommendation that the State party develop a
comprehensive nutritional programme in order to prevent and combat malnutrition, in
particular among children under five (ibid., para. 36), and assess the impact of the
programme on those affected, with a view eventually to improving its effectiveness. The
Committee recommends that the State party seek international cooperation from, among
others, UNICEF and WHO.