CRC/C/CRI/CO/4 violated by private companies, and that only 10 out of 24 hospitals have been designated as baby-friendly. 60. The Committee recommends that the State party: (a) Strengthen the promotion of exclusive breastfeeding up to the age of 6 months, consider extending maternity leave accordingly while ensuring the rights of working mothers to a secure employment and salary and social security, and impose appropriate penalties on companies violating the International Code of Marketing of Breast-milk Substitutes and monitor compliance with the Code; (b) Train health professionals on the importance of initiating breastfeeding within the first hour following childbirth and on the importance of avoiding bottlefeeding or feeding with breast-milk substitutes, to the extent possible; and (c) Initiate a process of re-certification and certification of all hospitals and clinics as baby-friendly. Mental health 61. The Committee notes with concern that the State party has not provided any information and data on mental health issues related to children, adolescents and their parents, the extent of the problem, studies, research, if any, preventive measures taken, or the accessibility of relevant services. 62. The Committee urges the State party to undertake a comprehensive study on mental health of children, adolescents and their families, and to use the findings of the study as a basis for developing a national child and adolescent mental health policy and programme. Adolescent health 63. While welcoming the Health Plan for Adolescents 2010–2015, the Committee is concerned about: (a) The high rate of early pregnancies (one out of five births by mothers under 19); (b) The risk of adolescent maternal death (four times higher than among the adult population); (c) The lack of access to legal abortions, the absence of guidelines informing doctors when they can legally perform an abortion, the high rate of unsafe abortions, and the lack of adequate post-abortion care; (d) The unavailability of emergency contraception in the formal health system even for rape victims despite the high incidence of rape and intra-family sexual violence; (e) The very low condom use rate, the lack of sexual education programmes, and the limited access to sexual and reproductive health services and information for adolescents; and (f) The increase in drug and substance abuse by children and adolescents and the use of children and adolescents for the sale of drugs. 64. Referring to its general comment No. 4 (2003) on adolescent health and development in the context of the Convention on the Rights of the Child, the Committee recommends that the State party: (a) Reinforce strategies for the prevention of early pregnancies as well as the support provided to child and adolescent mothers; 14