CRC/C/SLV/CO/3-4
the network of facilities dedicated to the provision and coverage of health services at the
national level. However, the Committee is concerned that:
(a)
Allocation of resources to child health issues is insufficient;
(b)
Access to health is still a serious issue in the country, especially in rural
areas, including due to the very high costs of basic medicines despite the initiatives
undertaken by the State party to regulate the prices of medicines;
(c)
Although there was a slight decrease in child mortality rates, malnutrition is
still a major cause of children’s death;
(d)
Anaemia currently affects almost one fourth of the children under the age of
five.
59.
The Committee recommends that the State party:
(a)
Take all the necessary measures to considerably increase allocation of
resources to child health issues;
(b)
Continue its efforts to provide equal access to health and health services
for all children throughout the State party, without discrimination of any kind;
(c)
Urgently solve the issue of the excessive costs of medicines, notably for
poor families;
(d)
Implement the Integral Health Basic System Law;
(e)
Take urgent measures to eradicate child malnutrition and anaemia, in
both urban and rural areas;
(f)
Take its human rights obligations into account when negotiating Trade
Agreements, in particular as to the possible impact of commercial agreements on the
full enjoyment of the child right to health;
(g)
UNICEF.
Seek, in this respect, technical cooperation from, inter alia, WHO and
Adolescent health
60.
The Committee reiterates its previous concern expressed upon consideration of the
State party’s second periodic report at the high number of teenage pregnancies and the lack
of results of the preventive measures adopted by the State party in this regard. The
Committee is also concerned at the fact that the current penal legislation criminalizes
abortion in all circumstances and that this absolute prohibition may lead girls to resort to
unsafe and clandestine abortion practices, sometimes with fatal consequences. Furthermore,
the Committee, while welcoming the National Plan of Action to Prevent Tobacco Addiction
2002-2008, as well as other programmes to tackle alcohol and drug addictions, is concerned
at the high percentage of children consuming alcohol and tobacco and using drugs in the
country.
61.
The Committee recommends that the State party:
(a)
Undertake a comprehensive study in order to understand the nature and
extent of adolescent health problems, with the full participation of adolescents, and
use this as a basis for the formulation of adolescent health policies and programmes,
with particular attention to female adolescents;
(b)
Further 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 services, taking into due
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