to ensure that the services are more accessible and flexible. Moreover, the Committee encourages the State Party to review existing programs essential for children with disability, and to improve their coverage, effectiveness and efficiency. Health and Health Sen/ices 32. The Committee applauds the State Party for adopting a Primary Health Care approach in providing health services. Furthermore, the Committee appreciates the State Party for the measures it has taken including the development of Emergency Obstetric and Newborn Care Guide; launch of annual National Immunization Campaigns; the development of National Food and Nutrition Strategy: National Assessment, Counseling and Support Program; and for adopting Adolescent Friendly Health Services approach. 33. However, the Committee is concerned by the tenaciously high rate of child and maternal mortality in Namibia that is caused by poor access to antenatal and postnatal care, disparity in health service provisions in urban and rural areas, poor nutrition, and the impact of HIV/AIDS pandemic. The Committee, therefore, recommends the State Party to implement its Child Survival Strategy by addressing gaps in the health sector and to improve the provision and quality of health services. 34.The Committee also recommends the State Party to promote exclusive breast feeding at least for the first six months and to strictly regulate the promotion of supplementary foods; to provide complementary foods and feeding programs in schools, and to collaborate with CSOs and the international community for financial and technical support. G. Education, leisure and cultural activities 35. While appreciating the efforts of the State Party to provide early childhood care and education (ECD), the Committee is concerned about the inaccessibility of the service to all children, the running of ECD centers by the private sector with high fee charge, and of its poor quality. Therefore, the Committee urges the State Party to establish public ECD centers in urban and rural areas to provide quality and equitable ECD services to all children. 36.The Committee commends the State Party for stipulating free and compulsory primary education under the Education Act 16 of 2001. However, the Committee considers the permission for schools to raise a School Development Fund (SDF) from parents under the same Act as an exception of the rule for free primary education. Moreover, the Committee is concerned by the fact that the Government is failing to provide funds for

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