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 15

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