   Removal of taxes from imported books ; Implementation of a large-scale programme in 2013 for the promotion and development of local cultural expressions ; Promotion of youth activities through the organization of open-air events at the regional cultural centres and at the Maison de la Culture Douta SECK. 284. In spite of the progress achieved by Senegal in the implementation of the right to education, the constraints are worth noting. Generally, the main problem confronting education is the low level of internal efficiency which translates into low-quality education, inadequate teaching and learning materials including reception facilities related to a deficit in terms of volume, delays in building classrooms and qualification gaps among teaching personnel. This situation resulted in the mass recruitment of pupil teachers and individual contractors with its attendant negative effects of frequent school calendar disruptions and the required number of hours; all these in spite of the significant efforts made by the government, technical and financial partners and by parents of schoolchildren whose contribution to financing education has become enormous. 285. The following additional points are worth highlighting:        Failure to give effect to compulsory education of children from 6 to 16 years ; Lack of efficiency in managing resources allocated for education (financial, human and material) ; Non completion of the devolution and decentralization process started in 1996 for the management of education; Existence of large numbers of temporary shelters erected to improve access to education ; Option to prioritize general education over several decades to the detriment of technical and vocational training ; Lack of adequate care for children with special educational needs ; Extending coverage to non-formal educational institutions such as the Daaras and the grassroots community schools and incorporation of adult literacy programmes ; 286. All these limitations impede the translation of the huge investments made into concrete results, thus the need to develop strategies to substantially minimize them in order to achieve the millennium development goals (MDGs) under the best possible conditions. III. THE RIGHT TO HEALTH (Article 16) 65