policy are based on equity, comprehensiveness of service, cost effectiveness of technology and interventions, complementariness with other sectors, decentralization, human resources development and community participation and mobilization. The following are some of the major instruments and plans implemented in the past 2 decades:       The National Health Policy of 2010, and the National Health Sector Strategic Development Plan (2012 – 2016). The policy and strategy have taken special notes on Family and Community Health Care services in all health facilities and communities. The Reach Every District (RED) Strategy for immunization is part of the Sustainable Outreach Services (SOS) introduced and implemented in hard-to-reach areas. Adolescents‟ Health Policy and Strategic Plan, which advocates that adolescents have the right to be heard, air their opinions on their health needs. The Integrated Management of Acute Malnutrition (IMAM) Integrated Management of Neonatal and Child Illnesses (IMNCI) The National Child Survival Strategy (NCSS) - end of 2008 serving as a reference framework for a better integration of Maternal and Neonatal Child Health (MNCH) related programs, and prioritizing a minimum package of effective interventions. HIV Policy and strategy on elimination of mother to child transmission (e-MTCT) 141. In this context, prioritization of integrated early childhood interventions has enabled early detection of any problem or disability and has impacted in reducing effects and their severity if any. The high level of achievement in immunization against polio, measles and vitamin A in particular is a major success in this regard. Early intervention is also integrated in school health programmes through the joint effort of the Ministries of Health and Education. Children get eye, ear, and dental screening (including through mobile vehicle clinics) and those with health problems receive the necessary medication and support. Identification of mental health problems are also conducted at an early stage in schools. 142. However, various harmful traditional practices deeply rooted in the tradition and culture, in particular, FGM and early marriage expose citizens to ill health and disability and are hence promptly discouraged and combatted. Consequently, advocacy measures against harmful traditional practices have been strengthened. Furthermore, administrations and law enforcement agencies take commensurate administrative and legal measures against such ill practices. Hence, respect and protection against infringement on the rights of women are being challenged more with the support of communities achieving the desired results. 143. In general, regular monitoring is done in hospital and clinic services, supportive emergency services, community led total sanitation projects, water points, and food and drink establishments. The commitment to control the effects of hazardous and toxic substances to health in mining companies is also a major task. Corporate Social Responsibility Reports and Health Standard Assessments have shown the high level of safety in Eritrea‟s mining. Page 30 of 100

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