CRC/C/MDA/CO/3
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(h)
Monitoring and evaluating the quality of services for children with disabilities and
raising awareness about all services available;
(i)
Considering the ratification of the Convention on the Rights of Persons with
Disabilities and its Optional Protocol;
(j)
Developing and strengthening early identification and early intervention
programmes.
Health and health services
52. The Committee welcomes the various measures taken by the State party in the area of health,
including the adoption of the Single Compulsory Medical Insurance for children under 18 years old.
The Committee also welcomes the reduction in the child mortality rate achieved by the State party
during the reporting period. However, the Committee is concerned at the lack of financial resources
available to parents and medical institutions for child health care, the lack of necessary equipment
or its non-correspondence with the needs of patients, the widespread failure to observe appropriate
standards of hygiene and the poor levels of training and inadequate number of health-care staff.
53. The Committee recommends that the State party:
(a)
Fully implement the National Health Policy;
(b)
Ensure equitable access for children and families to the Single Compulsory Medical
Insurance scheme;
(c)
Develop a comprehensive child and adolescent mental health policy which includes
all obligatory components, as recommended by WHO, inter alia, regarding mental
health promotion, prevention of mental disorders in primary care, outpatient and
inpatient mental health services, with a view to reducing rates of suicide, managing
destructive behaviours and preventing institutionalization;
(d)
Ensure adequate financial and other resources to support the delivery of healthcare services to children.
Adolescent health
54. The Committee welcomes the adoption of the National Reproductive Health Strategy (2005) to
improve adolescent sexual and reproductive health, and the establishment of the Network of
Healthcare Services for Adolescents (2005). The Committee is concerned at the absence of an
effective adolescent health promotion strategy and programme and a comprehensive child and
adolescent mental health policy. Furthermore, the Committee notes with concern the increase in
alcohol consumption and drug abuse among adolescents, the high rates of teenage pregnancies and
abortions as well as the rates of suicide.
55. The Committee recommends that the State party:
(a)
Fully implement the National Reproductive Health Strategy;
(b)
Continue extending the Network of Healthcare Services for Adolescents and
undertake a comprehensive study in order to understand the nature and extent of
adolescent health problems, with the full participation of adolescents;