CRC/C/KGZ/CO/3-4
(e)
Provide children in care institutions with free and regular dental care,
including dental prosthetics, if necessary;
(f)
Improve and monitor living, sanitation and hygiene conditions in care
institutions;
(g)
Ensure the systematic, frequent and effective monitoring and control of
the situation of children residing in care institutions, including private care
institutions, and in family-type alternative care;
(h)
Provide children in alternative care settings with access to an
independent and confidential complaint mechanism;
(i)
Provide children leaving care institutions with the necessary support,
including accommodation, employment or further education.
Adoption
43.
While the Committee notes that the State party is in the process of accession to the
Hague Convention on Protection of Children and Cooperation in respect of Intercountry
Adoption of 1993, it regrets that the State party has not yet formally acceded to the
Convention. The Committee is also concerned that adoption procedure in the State party is
excessively bureaucratic and subject to illicit activities.
44.
The Committee recommends that the State party speed up the process of
accession to the Hague Convention on Protection of Children and Cooperation in
respect of Intercountry Adoption of 1993. It also recommends that the State party
establish effective mechanisms aimed at facilitating the adoption process by removing
unnecessary barriers, while at the same time ensuring proper screening of families by
whom children are to be adopted. In particular, it urges the State party to investigate
all cases of corruption in the adoption process and ensure that all persons responsible
are prosecuted and punished accordingly.
G.
Disability, basic health and welfare (arts. 6, 18 (3), 23, 24, 26, 27 (1–3)
and 33)
Children with disabilities
45.
The Committee notes the Education Development Strategy for 2012–2020 and the
Presidential National Sustainable Development Strategy for 2013–2017, which prioritize
inclusive education for children with disabilities. However, the Committee is concerned at:
(a)
Widespread institutionalization of children with disabilities and that
institutions are often located far from their home;
(b)
Social and economic exclusion of children with disabilities owing to
widespread stigmatization and negative attitudes towards them;
(c)
Lack of adequate support for families with children with disabilities aimed at
providing access to care at home;
(d)
Insufficient social benefits for families with children with disabilities;
(e)
Lack of access to preschool and school education for children with
disabilities owing to a lack of trained teachers, a rigid curriculum and physical and social
barriers;
(f)
Deaths of children with disabilities in care institutions reportedly owing to
the neglect of their health and the lack of monitoring mechanisms to prevent such incidents;
10