CRC/C/GC/9
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(See also paragraph 23 above on landmines and unexploded ordnance and paragraph 78
below on armed conflicts under special protection measures).
C. Early identification
56.
Very often, disabilities are detected quite late in the child’s life, which deprives him or
her of effective treatment and rehabilitation. Early identification requires high awareness
among health professionals, parents, teachers as well as other professionals working with
children. They should be able to identify the earliest signs of disability and make the
appropriate referrals for diagnosis and management. Therefore, the Committee recommends
that States parties establish systems of early identification and early intervention as part of
their health services, together with birth registration and procedures for following the
progress of children identified with disabilities at an early age. Services should be both
community- and home-based, and easy to access. Furthermore, links should be established
between early intervention services, pre-schools and schools to facilitate the smooth
transition of the child.
57.
Following identification, the systems in place must be capable of early intervention
including treatment and rehabilitation providing all necessary devices that enable children
with disabilities to achieve their full functional capacity in terms of mobility, hearing aids,
visual aids, and prosthetics among others. It should also be emphasized that these provisions
should be offered free of cost, whenever possible, and the process of acquiring such services
should be efficient and simple avoiding long waits and bureaucracies.
D. Multidisciplinary care
58.
Children with disabilities very often have multiple health issues that need to be
addressed in a team approach. Very often, many professionals are involved in the care of the
child, such as neurologists, psychologists, psychiatrists, orthopaedic surgeons and
physiotherapists among others. Ideally these professionals should collectively identify a plan
of management for the child with disability that would ensure the most efficient healthcare is
provided.
E. Adolescent health and development
59.
The Committee notes that children with disabilities are, particularly during their
adolescence, facing multiple challenges and risks in the area of establishing relationships
with peers and reproductive health. Therefore, the Committee recommends that States parties
provide adolescents with disabilities with adequate, and where appropriate, disability specific
information, guidance and counselling and fully take into account the Committee’s general
comments No. 3 (2003) on HIV/AIDS and the rights of the child and No. 4 (2003) on
adolescent health and development in the context of the Convention on the Rights of the
Child.
60.
The Committee is deeply concerned about the prevailing practice of forced
sterilisation of children with disabilities, particularly girls with disabilities. This practice,
which still exists, seriously violates the right of the child to her or his physical integrity and
results in adverse life-long physical and mental health effects. Therefore, the Committee
urges States parties to prohibit by law the forced sterilisation of children on grounds of
disability.