E/C.12/ROU/CO/3-5 Sexual and reproductive health 22. The Committee is concerned at the significant number of unwanted teenage pregnancies, the high number of abortions, the limited access to sexual and reproductive health education and services, especially in rural areas, and the limited availability of contraceptives free of charge in the State party. As a result, the Committee is concerned that, although abortion is legal in the State party, women continue to have to resort to illegal and unsafe abortions. It notes with concern that health professionals are increasingly invoking conscientious objection, thus in practice hindering access to safe abortion. The Committee expresses concern at cases of discrimination against women living with HIV/AIDS in access to sexual and reproductive health, as well as the inadequacy of mother-to-child HIV transmission prevention. The Committee calls on the State party to adopt a national strategy on sexual and reproductive health and to intensify its efforts to prevent unwanted teenage pregnancies, including through the implementation of a comprehensive and mandatory programme on sexual and reproductive health in schools. The Committee urges the State party to ensure that sexual and reproductive health services, including abortion and contraception services and information, are available, accessible and affordable without discrimination, including to adolescents. It recommends that all pregnant women and girls have access to specialized medical care, including measures to prevent mother-to-child HIV transmission. Education 23. The Committee is concerned that, although primary education should be provided free of charge, parents are burdened with extra school payments for various purposes. While recognizing recent progress, the Committee notes that the quality of education and training in the State party should be subject to considerable improvement. The Committee expresses concern at the high percentage of Roma children who have no formal education and at the high dropout rates, despite the measures the State party has taken in this regard. The Committee is also concerned at cases that indicate that the practice of segregating Roma children and children with disabilities persists in the school system (art. 13). The Committee calls on the State party to: (a) Strengthen the implementation of existing measures to improve access to and quality of primary and secondary education for all children; (b) Substantially increase the budget allocated to education; (c) Ensure that access to free primary education is not impeded in reality by additional material costs and informal fees; (d) Strengthen its efforts to address the economic, social and cultural factors identified as root causes of the persistently high school dropout rates; (e) Increase the number of Roma School Mediators, conduct campaigns to raise awareness among Roma families of the importance of education, and continue to offer related incentives; (f) Pursue its efforts to combat the segregation in schools of Roma children and children with disabilities, amend Law No. 1/2011 on National Education to introduce a prohibition of segregation in schools, ensure the effective enforcement of Order No. 1540/2007 against Roma segregation in school and the establishment of a body to monitor its application, and raise awareness of the prohibition among teachers and the population at large; 8