Separation from parents
35. The Committee appreciates the measures the State Party has taken regarding
family reintegration. The Committee encourages the State Party to strengthen its
efforts in rehabilitation of street children, to reunify them with their birth parents
or extended family or facilitating their adoption in order to provide them with a
family environment which is essential for their optimal growth and development.
The Committee moreover encourages the State Party to address the root causes
of separation such as poverty and family displacement.
F. Basic health and welfare
36. The Committee applauds the free health care available for children under the age
of 5 and the free maternity health services which have significantly contributed
for the reduction of child mortality rates. Nevertheless, health care for children
between the age of 5 and 18 as well as caesarean and complicated birth delivery
is not free. The Committee insists for making health care free for all children and
all mothers including caesarean and complicated birth delivery which will provide
a better guarantee of the life and survival of all children. The State Party should
consider a policy that the counties give such services for free and reclaim the fee
from the central government instead of making the mother bearer the costs of
birth.
37. The Committee congratulates the State Party for the 100% free GPI vaccination.
The Committee encourages the government to continue the vaccination
campaign and to give it nationwide coverage.
38. While appreciating the measures taken to prevent child morbidity and mortality,
the under 5 years of age mortality rate remains high. To this effect, the
Committee urges the State Party to focus on feeding programs and children’s
growth to address malnutrition.
39. In implementing early childhood development, the Committee commends the
State Party for granting maternity leave and providing places where women can
bring children at working places. The Committee further calls upon the State to
promote exclusive breast feeding.
40. Even though the National Policy on Disability addresses children with disabilities,
the lack of facilities which take into account the special needs of children with
disability is a concern to the Committee. Children with disabilities are mostly
disadvantaged in health care services. The Committee implores the State Party
to give attention to children with disabilities, particularly autistic children, and
adopt an inclusive structure of receiving health care.
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