CRC/C/COL/CO/3
page 13
69.
(e)
Mental health services are generally inadequate;
(f)
The rate of breastfeeding is low.
The Committee recommends that the State party:
(a)
As a matter of priority increase public expenditure assigned for the health
sector and ensure that its distribution takes into account disadvantaged population groups
and regions;
(b)
Ensure that all children are adequately insured in order to have access to
health services, in accordance with article 24;
(c)
Take all possible measures to improve access to health services and
strengthen its efforts to urgently tackle infant, child and maternal mortality throughout
the country by the provision of quality care and facilities;
(d)
Continue to address the problem of malnutrition and low vaccination
rates, with special emphasis on rural and remote areas and among the displaced, the
Afro-Colombian and the indigenous populations;
(e)
Increase resources for mental health services;
(f)
Increase awareness and encourage support for breastfeeding programmes.
Adolescent health
70.
The Committee takes note of the ruling by the Constitutional Court on 10 May 2006 to
liberalize the criminalization of abortion in certain cases, which is likely to lower the maternal
mortality rates among adolescent girls. Nevertheless, the Committee is seriously concerned over
the high and increasing rate of teenage pregnancies and at the lack of adequate and accessible
sexual and reproductive health services, also due to inadequate allocation of resources in these
sectors. In addition to causing risks to physical and mental health, the incidence of adolescent
pregnancies also limits the personal development of the individual, has a detrimental affect on
young women’s ability to sustain themselves financially and creates a poverty trap with overall
negative effects for society. Furthermore, the Committee is concerned over the rate of
adolescent suicides.
71.
The Committee recommends that the State party promote and ensure access to
reproductive health services for all adolescents, including sex and reproductive health
education in schools as well as youth-sensitive and confidential counselling and health-care
services, taking into due account the Committee’s general comment No. 4 on adolescent
health and development in the context of the Convention (CRC/GC/2003/4). Given the
ruling of the Constitutional Court on 11 May 2006 to allow abortions in certain cases, the
Committee encourages the State party to ensure that safe medical facilities are available
for such instances. Furthermore, the Committee recommends that an appropriate strategy
dedicate adequate resources to awareness-raising, counselling services and other measures
in order to prevent adolescent suicides.