CRC/C/KGZ/CO/3-4 F. Family environment and alternative care (arts. 5, 9–11, 18 (1 and 2), 20, 21, 25, 27 (4)) Family environment 39. The Committee is concerned that parents who go abroad for work often have to leave their children with grandparents or other relatives, or even place them in care institutions, and that those children may often be subjected to abuse and neglect. 40. The Committee recommends that the State party provide counselling and financial support to families with children in order to prevent children being separated from their parents. The Committee also recommends that the State party provide grandparents or other relatives with sufficient support and ensure that such children are not subjected to abuse and violence. Children deprived of a family environment 41. The Committee notes the State party’s plan to optimize the management and financing of care institutions for 2013–2016, which aims at reducing the number of care institutions. It is concerned, however, that: (a) growing; The number of children placed in care institutions owing to poverty is (b) The number of foster families and family-based placements for children remains insufficient; (c) their age; Children in care institutions do not receive adequate nutrition sufficient for (d) Children in care institutions do not receive regular, adequate health-care services, which has resulted in the increase of diseases and the inappropriate prescription of drugs by medical personnel who are often without the necessary qualifications; (e) Care institutions do not provide dental care and, as a result, most children of 14 and 15 years of age in those institutions are in need of dental prosthetics; (f) Living conditions in care institutions are extremely poor, including poorly heated rooms, absence of hot water and poor hygiene and sanitation; (g) Monitoring and control of care institutions, including private care institutions, and family-type alternative care, are insufficient; (h) There is no assistance or support, such as accommodation, for children who leave care institutions other than their enrolment in technical colleges. 42. Recalling the Guidelines for the Alternative Care of Children, the Committee recommends that the State party: (a) Strengthen and enforce the deinstitutionalization process, by improving support to families and ensuring that placement in institutional care is used only as a last resort; (b) Increase and provide incentives for family-type alternative care; (c) Ensure and monitor that children in care institutions are provided with quality nutrition sufficient for their age; (d) Ensure that children in care institutions receive timely medical services of adequate quality, including preventive treatment, by qualified medical professionals; 9