CRC/C/ERI/CO/3 page 13 (b) Strengthen its awareness-raising campaigns; efforts to combat HIV/AIDS, including through (c) Ensure access to child-sensitive and confidential testing and counselling, without the need for parental consent; (d) Strengthen and expand its efforts and services to prevent mother-to-child transmission of HIV; (e) Develop a legal framework and strategy in order to protect children and prevent discrimination against children infected with and affected by HIV/AIDS; (f) Seek international assistance from, among others, UNAIDS and UNICEF, to that effect. Adolescent health 58. The Committee is concerned that insufficient attention has been paid to adolescent health issues, including developmental, mental and reproductive health concerns. The Committee is specifically concerned over the situation of girls due to the high incidence of early pregnancies, as these have a negative impact on their health. 59. The Committee recommends that the State party, taking into account the Committee’s general comment No. 4 (2003) on adolescent health and development in the context of the Convention on the Rights of the Child: (a) Undertake a comprehensive study to assess the nature and extent of adolescent health problems and, with the participation of adolescents, use it as a basis to formulate adolescent health policies and programmes with a particular focus on the prevention of early pregnancies and sexually transmitted infections (STIs); (b) Ensure improved sex and reproductive health education in schools; (c) Strengthen reproductive health services and make them known and accessible to adolescents. Harmful traditional practices 60. The Committee, while noting with appreciation efforts by the State party to eradicate female genital mutilation (FGM) through the proclamation No. 158 of 2007 aimed at abolishing the practice and that the State party has designed a five year strategic plan to eradicate harmful traditional practices, reiterates its serious concern over the very high incidence of FGM, which still affects nearly 90 per cent of girls. The Committee, while noting awareness-raising efforts about the harmful impact of FGM, is concerned that such measures need to be strengthened and mainstreamed in a sustainable manner. 61. The Committee recommends the State party to continue and strengthen its efforts including through effectively enforcing the criminalization of female genital mutilation.