CRC/C/ALB/CO/2-4 Adolescent health 62. While noting the creation of the National Committee to Coordinate the Fight against Drugs chaired by the Prime Minister, the Committee expresses concern about the relatively high use of ecstasy, cocaine, heroin and steroids, by adolescents even at a very early age and the unavailability of drug prevention services that address the needs of adolescent drug users. Furthermore, the Committee is concerned at the absence of specialized health services for adolescents, including mental health services and the fact that existing counselling services are not used by adolescents. 63. In the light of its general comment No. 4 (CRC/GC/2003/4), the Committee recommends that the State party: (a) Adopt standards for adolescent-friendly health services, and a comprehensive strategy for the implementation and monitoring of these services; (b) Address the incidence of drug, as well as tobacco and alcohol, use among children by, inter alia, providing children with accurate and objective information about substance use, including tobacco use, and develop specialized and youthfriendly drug-dependence treatment and harm reduction services; (c) Strengthen training, in collaboration with non-governmental orgainzations (NGOs), of general practitioners, nurses, social workers and other primary-care workers in the field of health promotion, including healthy lifestyles and emotional well-being of adolescents, with a view to improving the capacity and quality of health professionals in the country; and (d) Develop a comprehensive mental health policy, including mental health promotion, outpatient and inpatient services for adolescents with mental health issues and programmes to support families with children at risk. HIV/AIDS 64. The Committee expresses concern that children infected by HIV/AIDS are detected at a very late stage due to the lack of access to confidential voluntary testing and the deficiencies in the surveillance system to detect cases of HIV/AIDS. The Committee is also concerned that services to prevent mother-to-child transmission of HIV/AIDS have not been integrated in the health system. The Committee is also particularly concerned that one third of children with HIV/AIDS do not go to school. 65. In the light of its general comment No. 3 (CRC/GC/2003/3) and the International Guidelines on HIV/AIDS and Human Rights, the Committee recommends that the State party provide for a system of voluntary testing for HIV/AIDS with full respect of the right to privacy and confidentiality and improve the surveillance system to detect cases of HIV/AIDS. The Committee also recommends that services to prevent mother-to-child transmission of HIV/AIDS be fully integrated in the health system. The Committee further recommends the State party to reinforce preventive action among youth, targeting teenagers in the most vulnerable situations, and ensure that HIV/AIDS education programmes are provided in secondary schools and children with HIV/AIDS are able to attend school without discrimination. Standard of living 66. The Committee notes that poverty levels in the State party continue to be high and thus welcomes the creation of child protection offices in the communes and at district level and the commitment made by the State party to establish a functional child protection system to deal with issues of child poverty. The Committee is concerned, however, that social protection schemes do not focus specifically on children, are limited to small cash 16