the Committee has learned that 27 percent of the total population of children are
deprived of a family environment. With regards to adoption, the Committee notes
from the State Report that the State Party is in the process of reviewing the 1989
Adoption Act, which is not inline with the Charter and other international standards.
The Committee recommends the State party to take the following measures:
a) Fast track the adoption and immediate implementation of the Alternative Care
Policy under the guidance of the Alternative Care Task Force;
b) Establish effective monitoring and oversight mechanisms for formal and informal
(menpikin) alternative care arrangements and inter-country adoptions;
c) Give priority to the prevention of family separation and promote sustainable
alternative local and family based care mechanisms, instead of keeping children
in institutional based arrangements;
d) Provide financial support to alternative care institutions and provide incentives for
local family based alternative care;
e) Accelerate the amendment of the Adoption Act based on the charter and
international standards and
f) Consider accession to the Hague Convention on Inter-Country Adoptions.
F. Basic health and welfare
24. The Committee notes with appreciation the various policies and legislative measures
which are established towards ensuring access to basic health services to children.
While the Committee applauds the launching of the Free Healthcare Initiative (FHI)
by the State Party, the Committee; however, notes that the FHI is predominantly
supported by partner/donor funding. The Committee recommends the State Party to
allocate adequate Government based financial and human resources to sustainably
implement the Free Healthcare Initiative and take necessary steps to ensure that
health care is both accessible and affordable to all children throughout the Country.
The Committee further notes with appreciation the adoption of the Persons with
Disability Act, which, among other things, guarantees equal access to healthcare.
The Committee recommends the State Party to allocate adequate budget for the full
implementation of the Act, and ensure equal access to health services, free health
care for children with disabilities and the provision of assistive devices. The
Committee further recommends the State Party to take the following measures.
a) Provide technical and financial support to the National Commission for Persons
with Disabilities to enable the organ to advance the right of access to healthcare
services of children with disabilities;
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