CRC/C/ROM/CO/4 page 16 Health and health services 62. The Committee, while welcoming the fact that Law No. 272/2004 guarantees the access to medical and recovery services and medication free of charge for all children, the costs of which are born by the National Health Insurance Fund, is concerned that medication granted with the assistance of this fund to children with chronic diseases is sometimes discontinued. Furthermore, despite the efforts made by the State party to tackle inequalities in access to health services, this remains a problem, especially in rural areas, as well as for the Roma, as has been noted by the Special Rapporteur Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health (E/CN.4/2005/51/Add.4). The Committee is concerned that the low number of family doctors in the State party may lead to the neglect of certain regions and segments of the population. 63. The Committee notes that despite the adoption, in 2001, of the National Programme for Women’s and Children’s Health and other efforts, high rates of infant and under-5 mortality persist. With respect to infant health and early childhood development, the Committee is concerned that infant formula is intensively advertised, while there is a very low rate of exclusive breastfeeding continuing up to the first 6 months from birth. The Committee is concerned about the inadequate conditions in different health facilities in rural areas, especially in deprived sub-regions. 64. The Committee recommends that inequalities in access to health services are addressed through a coordinated approach across all government departments and greater coordination between health policies and those aimed at reducing income inequality and poverty. The Committee, in particular recommends that the State party improve sanitation and quality of care in health facilities (out patient clinics, hospitals) in deprived areas. 65. The Committee further recommends that the State party increase efforts to improve the health of infants and young children, particularly through paying more attention to pre-natal and postnatal care, increasing the number of baby-friendly hospitals and specially trained social workers in hospitals, setting up of a home visitation service aiming to prevent abandonment, neglect and abuse, as well as the promotion and awareness raising on the benefits of breastfeeding and the adoption of the International Code for Marketing of Breast-milk Substitutes. Mental health 66. The Committee is concerned that, despite various initiatives taken in this respect, care and living conditions of mentally ill patients in institutions, including children, has not improved. The Committee is in particular concerned that there are no psychiatric departments for children with mental disabilities and that such children are placed in adult institutions where they are not supervised, they are sedated and at risk of being aggressed and intimidated by adult patients. The Committee is further concerned at suicides and violent behaviour among children and adolescents and the lack of prevention programmes in this respect. 67. The Committee recommends that the State party develop a comprehensive mental health policy, including, mental health promotion, prevention of suicidal and violent behavior, outpatient day care and inpatient services for adolescents with mental health