E/C.12/IDN/CO/1 Mental health 34. The Committee is concerned that mental health services are available only in a few medical institutions in large cities of the State party (art. 12). The Committee calls on the State party to adopt a national mental health policy aimed at making mental health services available and accessible including by (a) adopting legislation that is in line with international standards; (b) training professionals, including in the application of international principles of mental health assessments; (c) prioritizing the development of culturally appropriate community-based care of persons with psychosocial disabilities; and (d) ensuring that mental health is included in the health insurance programme of the State party. 35. The Committee is concerned at tobacco addiction, which affects almost one third of the State party’s population. The Committee also expresses concern at the provisions of Law 35/2009 on Narcotics which among others provide for the compulsory treatment of drug users (art. 12). The Committee recommends that the State party: (a) Conduct preventive awareness-raising on the serious health risks associated with smoking and illicit substance abuse, targeting primarily youth and women, including in rural areas; (b) Enact anti-tobacco legislation which prohibits indoor smoking in public buildings and in the workplace and enforces a comprehensive ban on tobacco advertising, promotion and sponsorship; (c) Bring Law 35/2009 on Narcotics into line with international human rights standards; (d) Apply a human rights-based approach to the treatment of tobacco and drug addiction, and provide appropriate health care, culturally sensitive psychological support services and rehabilitation to such persons, including effective drug dependence treatment such as opioid substitution therapy. The Committee also encourages the State party to ratify the World Health Organization Framework Convention on Tobacco Control. Primary education, literacy rate and dropout rates among girls 36. The Committee is concerned that the lack of education services or their poor quality in some areas, including cases where teachers do not report to duty, leave the State party with a large number of illiterate persons. It is also concerned that measures taken by the State party, such as the deployment of less qualified teachers in remote areas, perpetuate the discriminatory situation. Moreover, the Committee is concerned at indirect costs borne by parents and at higher drop-out rates among girls (art. 13). The Committee urges the State party to ensure quality and culturally adequate education, especially in remote areas, including by ensuring that resources invested and programmes such as the operational assistance for schools lead to effective enjoyment of the right to education. The Committee also recommends that the State party ensure that primary education is free of charge and that it take measures, including awareness-raising, to address school dropout among girls. Moreover, the Committee recommends that the State party introduce, in consultation with local communities, education in local languages where appropriate. The Committee refers 12