 In the cultural and sport domains 288.The associations and specialised centres are striving to promote sport for disabled children, organising sports events and competitions to enhance children with disabilities and encourage the public to have a positive outlook on disabled persons. 289.The Sports Federation called "Para" encompasses many disciplines including Basketball on chair, athletics for the blind or visually impaired, bowls and football. On the occasion of the Games of the Indian Ocean Islands, which took place in Madagascar in 2007, Malagasy disabled persons who participated won several medals. 290.Access to publicly organised leisure remains limited and is concentrated in urban areas. c. Health and health services (Article 14) 291.Article 19 of the Constitution of 11 December 2010, states that: "The State recognises and organises for every individual the right to the protection of health starting from conception." The realisation of this right includes the prevention and treatment of diseases provided by health services to cover the needs for specific and general care of children especially in case of illness. 292.Act No. 2011-002 of 15 July 2011 on the Health Code sets out the general principles of the organisation and functioning of the health sector. Its implementation results in giving to health professionals and to the Department of Population, a legal instrument up to date and accessible to all.  Reduction of fetal and infant mortality 293.L’Etat The State has a roadmap for reducing maternal and neonatal mortality for the period 2005-2015 and a National Health Community Policy since 2008, and the major strategic thrusts are: - The community empowerment on social and health development activities in the community; - Optimal use of priority health services and social protection at the community level; - Harmonisation of social and health interventions in the community. 294.Health programs, including the promotion of the survival of the mother and newborn, have been strengthened by the involvement of the community at all levels in the planning process. 295.And according to the Inter-Ministerial Order No. 8014/2009 of 02 September 2009 setting up the creation, organisation, operation and functions of the Health Committee at the Fokontany and Community levels, a structure responsible for the development of community health called "Health Committee" was created at 45