CRC/C/15/Add.173
page 10
(i)
Seek, in this regard, international cooperation and technical assistance from,
among others, UNICEF and WHO.
6. Basic health and welfare
Health and health services
39.
While noting the decrease in the infant and child mortality rates and the reform process
which has been under way since the early 1990s, the Committee is nevertheless concerned at the
great disparities existing within these rates, in particular with regard to indigenous children,
those living in rural areas, those with a lower socio-economical origin and those with a mother
with a low level of education. It further notes that maternal mortality rates may not reflect actual
cases related to complications resulting from illegal abortions, in particular those affecting
pregnant adolescents.
40.
The Committee recommends that the State party:
(a)
Allocate appropriate resources and develop comprehensive policies and
programmes to improve the health situation of all children without discrimination, in
particular by focusing more on primary health care and decentralizing the health-care
system;
(b)
In order to prevent child mortality and morbidity and lower the maternal
mortality rate, provide adequate antenatal and postnatal health-care services and develop
campaigns to inform parents about basic child health and nutrition, the advantages of
breastfeeding, hygiene and environmental sanitation, family planning and reproductive
health, especially in rural areas.
Adolescent health
41.
While noting the development of a National Policy for Adolescent Health in 1999, the
Committee is concerned at the limited availability of programmes and services in the field of
adolescent health, including mental health, especially in rural areas, and the lack of sufficient
prevention and information programmes in schools. Further, it expresses its concern about the
high rates of early pregnancy and the lack of information, counselling and preventive
programmes on reproductive health, including the lack of adequate access to contraceptives, in
particular in rural areas. It also notes the rise in the number of children and youths using drugs,
and the growing number of cases of HIV/AIDS among the youth.
42.
The Committee recommends that the State party:
(a)
Implement in an effective way the National Policy for Adolescent Health,
especially in rural areas, and increase its efforts to promote adolescent health, including
mental health, policies, particularly with respect to reproductive health and substance
abuse, and strengthen the programme of health education in schools;