CRC/C/HND/CO/3 page 14 (d) Malnutrition - despite some slight progress having been made - remains one of the main causes of child mortality; and it is very high, especially in rural areas; 59. (e) Homes, especially in rural areas, lack clean drinking water; (f) Breastfeeding to the age of six months has significantly decreased since 2001. The Committee recommends that the State party: (a) Ensure basic health care and services to all children throughout the country, including by finalizing the reform of the health sector so as to improve the quality and accessibility of services; (b) Continue to address the problem of malnutrition and expand the supply of clean drinking water in homes, with special emphasis on rural and remote areas; (c) Strengthen its efforts to urgently tackle infant, child and maternal mortality throughout the country; (d) Develop and approve a special law for the protection and promotion of breastfeeding. Adolescent health 60. The Committee welcomes the 2002 National Programme for the Integral Care of Adolescents. However, it is concerned at the following: (a) services; High rate of teenage pregnancies and the still insufficient reproductive health (b) Much higher risk of maternal mortality to which pregnant girls are exposed, inter alia since girls often recur to clandestine forms of abortion; (c) High consumption of alcohol and tobacco among adolescents; (d) High rate of substance abuse, and increase in the suicide rate. 61. The Committee recommends that the State party, taking into account the Committee’s general comment No. 4 on adolescent health and development in the context of the Convention (CRC/GC/2003/4): (a) Ensure access to reproductive health services to all adolescents and carefully address the issues of teenage pregnancy, clandestine abortions and substance abuse; (b) Provide adequate access to mental-health services for all children and take all necessary measures to fight drug, alcohol and tobacco addictions, including by providing specific rehabilitation services;