CRC/C/BOL/CO/4 page 13 disabilities continue to experience discrimination, that most teachers are not properly trained to work with children with disabilities, and at the lack of collection and analysis of data concerning children with disabilities. 52. The Committee recommends that the State party: (a) Conduct research on the extent and causes of disabilities; (b) Establish systems of early identification and early intervention as part of their health services; (c) Undertake greater efforts to make available the necessary professional (i.e. disability specialists) and financial resources, especially at the local level and to promote and expand community-based rehabilitation programmes, including parent support groups to ensure that all children with disabilities receive adequate services; (d) Proceed to ratify the International Convention on the Rights of Persons with Disabilities and its Optional Protocol, signed on 13 August 2007; (e) Take into account article 23 of the Convention, general comment No. 9 (2006) on the rights of children with disabilities and the United Nations Standard Rules for Equalizing the Possibilities for Persons with Disabilities (General Assembly resolution 48/96). Health and health services 53. While welcoming the Strategic National Plan to improve maternal, perinatal and neonatal health, promoting an Intercultural Community Family Health Model, the Committee is still concerned at the high number of maternal deaths, and that there has been no real reduction of the infant mortality rate in rural areas, especially in indigenous communities where the institutional attended childbirth is less than 50 per cent. 54. The Committee recommends: (a) That the health budget be increased in order to make more effective the implementation of different health care delivery models; (b) To conduct systematic evaluation and impact assessment of the effect of the programmes in place; (c) To strengthen initiatives that give a stronger role to the community in raising awareness and developing culturally sensitive health care for pregnant women; (d) That more emphasis be placed on the implementation of neonatal mortality reduction initiatives.