E/C.12/DJI/CO/1-2
The Committee urges the State party to protect the fish stocks in its territorial waters,
which are a source of livelihood for small-scale fishing communities. The Committee
also requests the State party to ensure that all fishing agreements provide tangible
benefits for the population.
30.
The Committee is concerned about inequality in the enjoyment of the right to health
in the State party, despite progress such as improved vaccination coverage. The Committee
is also concerned about fluctuations in the State budget allocations for the health-care sector
(art. 12).
The Committee urges the State party to ensure that the enjoyment of the right to good
quality and affordable health care is the main focus of its efforts to implement its
national health policy. In order to accomplish this, the Committee urges the State
party to: (a) ensure long-term stable funding for the health-care sector and allocate
sufficient resources to regional authorities as part of its decentralization strategy; (b)
streamline the development of the hospital sector and adopt an approach to primary
health care so as to improve the coverage of health-care services, especially at the
district level; (c) guarantee basic health-care services for disadvantaged and
marginalized groups; and (d) strengthen training for health-care professionals by
implementing a national plan to develop human resources in the health-care sector.
31.
The Committee notes with concern the shortage of medicines in the country’s
districts and the high price of some essential medicines that are not available in generic
form and are not sold by community pharmacies (art. 12).
The Committee recommends that the State party ensure that medicines are
affordable, in particular by: (a) regulating the medicine distribution system; (b)
ensuring a regular supply of medicines and transparency in the management of
health-care centres; (c) promoting access to good quality generic medicines; and (d)
opening community pharmacies where currently there are none.
32.
The Committee notes with concern the high maternal mortality rate in the State
party, which inter alia is a result of limited access to health-care services, a lack of trained
health-care personnel, a lack of prenatal care, complications related to pregnancy and
childbirth, unsafe abortions and poor knowledge about maternal health (art. 12).
The Committee urges the State party to support implementation of the National
Health Plan for Mothers, Newborns and Children and to promote greater access to
maternal and reproductive health-care services, including for young people and for
disadvantaged and marginalized groups, through community action, particularly in
rural areas.
33.
The Committee is concerned about the inadequate level of coverage of mental health
problems in the State party resulting from the absence of any regulation and the lack of
infrastructure and trained personnel (art. 12).
The Committee calls on the State party to adopt a national mental health policy aimed
at making mental health services available and accessible, in particular by adopting
legislation that is in line with international standards and by training skilled personnel
in this area. The Committee also recommends that the State party develop community
mental health-care services.
34.
The Committee notes with concern that, despite the progress made by the State
party, the right to basic education is not guaranteed for all, particularly for children in
nomadic communities and rural, isolated or remote areas (arts. 13 and 14).
The Committee encourages the State party to further raise awareness among parents
about the importance of education, to continue to develop the education system,
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