CRC/C/GEO/CO/3
page 11
(e)
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.
Health and health services
44.
The Committee welcomes the various measures undertaken by the State party in the
context of health reform, including the adoption of the National Policy and Strategic Plan of
Healthcare for 1999-2010, the introduction of the free-of-charge medical treatment for children.
However, the Committee is gravely concerned by the high rates of neonatal deaths and
premature births as well as the overall state of prenatal and post-natal health care, in particular,
among the minority groups. The Committee is also concerned that many children have limited
access to medical care as a result of geographic restrictions, and about the marked disparities in
the quality of water, which continues to have a negative impact on the health of the population in
rural areas.
45.
The Committee urges the State party allocate increased resources to address the
high rates of neonatal deaths and premature births, by, inter alia, improving ante- and
post-natal care and develop campaigns to inform parents about basic child health and
nutrition, advantages of breastfeeding, hygiene and environmental sanitation, family
planning and reproductive health. In this connection, the Committee encourages the State
party to consider establishing a governmental body in charge of maternal and child health
care and development at the executive and sub-national levels. The Committee also
encourages the State party to continue to develop the system of fully subsidized health care
that ensures the provision of the highest standard of health for all children, paying special
attention to the most vulnerable families, including those in rural and remote areas.
46.
In light of article 24 (c) of the Convention, the Committee also recommends that the
State party strengthen measures to implement the Law on Product Harmlessness/Safety
and Quality, with a view to preventing and combating the damaging effects of low-quality
or contaminated water supplies, taking into account the particular vulnerability of
children.
Adolescent health
47.
In view of the high number of pregnancies and the high and increasing rates of abortion,
as well as the increasing incidence of sexually transmitted diseases, including HIV/AIDS, among
adolescents, the Committee is concerned about the limited availability of health services,
including reproductive health education and assistance for adolescents. The Committee also
notes with concern the legislative provision which stipulate that a child under the age of 16 who
wishes to see a doctor must be accompanied by a parent, and that sex and reproductive health
education is not part of the school curriculum.
48.
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