137. The programme aims to ensure availability, accessibility and affordability, especially to those affected by any food shortages and vulnerability. An average of about 10 essential food items is sold at subsidized prices and some items at rational prices in order to alleviate the problem and reverse the inflated food market prices. The amount supplied is determined by the size of the family and managed as a basic right to be respected. For logistical reasons not all the basic items are available in some regions. Nevertheless, the equitable demographic distribution in all regions and sub regions, the rational fares and distribution as well as the huge subsidy invested attests to Government‟s commitment. In the last 15 years there has never been famine that exposes the people to hunger. 138. Monitoring the standards of food is also maintained to address quality and safety. The Legal Notice No 33/1997 promotes the issue of standard in the society Furthermore, the Plant Quarantine Proclamation No 156/2006 has been applied to prevent the introduction and spread of pests through the importation of plants and plant products, take appropriate measures for the control of introduced pests and prevent the presence of pests in plant and plant products during export. In this respect, the Legal Notice No. 114/2006 has been strictly applied for regulating importation, handling, use, storage and disposal of pesticides. On the other hand the Legal Notice No. 113/2006 has been enforced to determine the standards for milk and milk product processing plants. This has ensured the production of hygienic and safe milk and protect the health of consumers. Preliminary steps have also been taken to promote milk storage centers in three major towns and have ensured quality and safe delivery. Three modern cold store facilities with capacities of more than 17,000 tons have also been established to preserve food items in a safe environment. . 139. In general, the ministries of health, agriculture and trade and industry in collaboration with local administration structures continue to monitor the safety of food products and standards. This includes the delivery processes and quality. However, the issue remains a great challenge in particular in relation to imported and packaged food materials and plants. Some of the major challenges where more efforts needs to be made could be the following:-    Develop and review procedures for issuance of certificate of qualification for agricultural processing plants Reinforcing quarantine measures, and administer and supervise border controls Issue sanitary and phyto-sanitary certificates for animal and plant exports and permits for exports and imports of animal and plants as well their products Health care as a right 140. The National Health Policy of Eritrea (2010) has promoted the enjoyment of the highest attainable standard of health for all as one of the fundamental rights of every citizen. The Government heavily subsidizes the health service and is provided for free and without any discrimination. The priority commitment is primary health care. Since 2000, this has been implemented through cycles of five year strategic plans. The working principles of the Page 29 of 100