CRC/C/MMR/CO/3-4
(i)
Allocate adequate resources to fully implement the Health Strategic Plan
2010–2014, in particular with regard to maternal and newborn care and
treatment of common illnesses such as acute respiratory infections, pneumonia,
diarrhoea and malaria to further reduce infant and child mortality, and
(ii)
Increase resources for reproductive health, including access to
emergency obstetric care;
(b)
Strengthen its efforts to reduce infant, child and maternal mortality;
(c)
Strengthen its programmes to reduce and eventually eliminate child
malnutrition;
(d)
Take appropriate steps to ensure free and equal access to primary health
care in all areas of its territory, including in remote areas;
(e)
Improve access to safe drinking water and sanitation; and
(f)
Strengthen its efforts to promote exclusive breastfeeding until 6 months
of age by raising the awareness of health personnel and the public of the importance
of exclusive breastfeeding.
Adolescent health
65.
While welcoming the development of a National Strategic Plan for Adolescent
Health, the Committee is concerned about the general lack of knowledge among
adolescents of sexual and reproductive health, which has an impact on the number of early
pregnancies and abortions among girls below the age of 18. The Committee is further
concerned about the limited access by adolescents to contraceptives.
66.
Referring to its general comment No. 4 (2003) on adolescent health and
development in the context of the Convention, the Committee recommends that the
State party raise awareness among adolescents about sexual and reproductive health
and the negative impact of early pregnancies and abortion, and provide access to
contraceptives.
HIV/AIDS
67.
The Committee notes the relatively low HIV infection rate and welcomes the fact
that the new national Strategic Plan on HIV/AIDS (2011–2015) includes a strategic priority
for orphans and vulnerable children infected and affected by HIV. However, the Committee
remains concerned that children are still largely absent from the HIV control programme
agenda and by the low antiretroviral therapy availability to children and mothers in need.
68.
In the light of its general comment No. 3 (2003) on HIV/AIDS and the rights of
the child, the Committee recommends that the State party:
(a)
Increase its efforts to prevent the spread of HIV/AIDS, with an emphasis
on prevention among young people, provide protection and support for orphans and
vulnerable children, and ensure universal and cost-free access to antiretroviral
therapy;
(b)
HIV; and
Undertake studies and systematic data collection to control the spread of
(c)
Seek technical assistance from, inter alia, the United Nations Joint
Programme on HIV/AIDS (UNAIDS) and UNICEF.
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