CRC/C/15/Add.191 page 11 (h) Provide adequate follow-up and reintegration support and services for children who leave institutional care. Adoption 49. The Committee regrets that its previous recommendation that the State party consider ratification of the Hague Convention on Protection of Children and Cooperation in Respect of Intercountry Adoption of 1993 has not yet been followed up (ibid., para. 28). The Committee is concerned that adopted children do not have the right, as far as possible, to know the identity of their biological parents. 50. The Committee reiterates its recommendation that the State party ratify the Hague Convention on Protection of Children and Cooperation in Respect of Intercountry Adoption, of 1993. In light of articles 3 and 7 of the Convention, the Committee recommends that the State party undertake all necessary measures to allow all adopted children to obtain information on the identity of their parents to the extent possible. 6. Basic health and welfare 51. The Committee is deeply concerned at the severely reduced quality and accessibility of heath-care services. The Committee is further concerned at the inaccessibility of medical assistance to children who have left their homes; the increase in child morbidity; the high maternal mortality rates; the increase in the number of disabled children; and the high incidence of iodine deficiency and nutrition problems, especially among children from low-income households. 52. The Committee urgently recommends that the State party: (a) Ensure that all children, especially from the most vulnerable groups, have access to primary health care; (b) Develop a national policy in order to ensure an integrated and multidimensional approach to early childhood development, with a focus on health and nutrition; (c) and WHO. Continue to operate with and seek assistance from, among others, UNICEF Children with disabilities 53. The Committee is concerned at the prevailing poor situation of children with disabilities and the increase in the number of disabled children in the period 1993-1997. In particular, it is concerned at: (a) The practice of institutionalizing children with disabilities;