E/C.12/MDA/CO/3
recommends that the State party carry out information campaigns on the free
primary health-care services and other health-care services available and provide
identity documents to those Roma who do not have them.
Sexual and reproductive health
62.
The Committee is concerned at:
(a) The limited access to sexual and reproductive health information and services,
including modern contraceptives, particularly for young persons, Roma women and women
with disabilities;
(b)
The lack of compulsory sexuality education in school, despite legal
obligations, which leads to a high incidence of teenage pregnancy and early marriage due to
pregnancy, as well as HIV and sexually transmitted infections among adolescents;
(c)
The lack of coverage of abortion services under health insurance benefits,
which leads to a large number of clandestine abortions;
(d)
The continuing practice of coercive sterilization for women with disabilities,
Roma women and women in rural areas allegedly without their free, informed and prior
consent, and the legal provisions that allow non-consensual termination of a pregnancy on
grounds of psychosocial or intellectual impairment (arts. 2 (2) and 12).
63.
The Committee recommends that the State party take all effective measures to:
(a)
Ensure access for all to sexual and reproductive health information and
services, including modern contraceptives;
(b)
Carry out comprehensive and age-appropriate sexual and reproductive
education in all educational institutions, as provided in the law on sexual and
reproductive health;
(c)
Ensure that health insurance covers abortion;
(d)
End the practice of coercive sterilization for women with disabilities,
Roma women and women in rural areas and repeal legislation that allows for the nonconsensual termination of pregnancy.
The Committee draws the attention of the State party to its general comment No. 22
(2016) on the right to sexual and reproductive health.
HIV/AIDS and tuberculosis
64.
The Committee is concerned at the growing incidence of HIV/AIDS and the
frequent cases of disclosure of medical information of persons living with HIV/AIDS. It is
also concerned at the troubling level of tuberculosis incidence, particularly multi-drugresistant tuberculosis (art. 12).
65.
The Committee recommends that the State party intensify its efforts to combat
the spread and effects of HIV/AIDS, including by extending the coverage of free
antiretroviral treatment and revising the provisions of the Criminal Code that
criminalize HIV transmission. It urges the State party to review law no. 23-XVI of
2007 on the prevention of HIV/AIDS infection, with a view to protecting patient
confidentiality. It also recommends that the State party intensify its efforts to treat
and prevent tuberculosis, particularly multi-drug-resistant tuberculosis.
Drug users
66.
The Committee is concerned at reports that drug users have been subjected to
compulsory treatment, combined with detention, and that the harm reduction programmes
for drug users face the withdrawal of international funding, which will result in fewer
health services and an increased prevalence of hepatitis and HIV among drug users (art. 12).
67.
The Committee recommends that the State party apply a human rights-based
approach to the treatment of drug users and provide appropriate health care,
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