168. Despite multiple interventions of the State to promote the right to work, trends in the employment situation show the persistence of a crisis in the labour market even though there has recently been a significant drop in the number of unemployed persons. Period Unemployment rate 1996 44,1% 2002 59,5% 2012 48,4% Source:EDAM3-IS 169. Nonetheless, Djibouti continues to explore other avenues by establishing agencies that can contribute to creating more jobs such as in the construction of several port infrastructures, rehabilitating the railway line between Djibouti and Ethiopia, and constructing a new railway line between Djibouti and Balho. 3. Right to the highest attainable standard of physical and mental health Article 16 1. Every individual shall have the right to enjoy the best attainable state of physical and mental health. 2. State Parties to the present Charter shall take the necessary measures to protect the health of their people and to ensure that they receive medical attention when they are sick. 170. The determination of the Government of Djibouti to realize the rights of populations to adequate healthcare protection is reflected in the adoption of a series of measures to this effect and relentless efforts to adapt these to the needs of individuals. 171. Government actions have always focused on promoting the right to health in Djibouti especially through service delivery to vulnerable groups such as women and children. However, it is only in the mid ‘90s that greater consideration was given to reforming the health system so as to further guarantee the rights of populations in line with Article 16 of the Charter. 172. Act No. 48/AN/99/4th L on the health policy was the first step in this health system reform process. It covers the right to health for all, adopts and supports the principle of solidarity and equality in terms of healthcare access and spending. On the basis of this principle, an equitable contribution is requested of each citizen. It however requires the State to provide priority assistance to children, mothers, people with disabilities, vulnerable groups and victims of natural disasters. National priority programmes take into consideration interventions necessary to improve the health of mothers, children as well as the poor, for whom free healthcare is planned. 173. Key priorities in the health policy as set out in Chapter 8 of the Act include: (i) availability of and financial access to drugs, (ii) promoting prevention, and (iii) hygiene. 35

Select target paragraph3