E/C.12/IRL/CO/3 access for disadvantaged and marginalized individuals and groups to adequate health care, in particular, the: (a) Widening disparity between people with and those without private health insurance in accessing medical services; (b) services; (c) Delay in providing universal health services and community-based health Lack of oversight of health-care services; (d) Poor health state of Travellers and Roma, particularly with regard to their life expectancy, which is 15 years shorter, and infant mortality, which is more than three times higher, than the general population (art. 12). The Committee recommends that the State party take all the measures necessary to improve, in both qualitative and quantitative terms, its public health-care services, including by increasing public spending on health care, introducing a common waiting list for treatment in publicly funded hospitals for privately and publicly insured patients and expediting the introduction of a universal health services system and community-based health services. It also recommends that the State party strengthen the Health Information and Quality Authority to ensure quality health services and take effective measures without delay to reduce the disparity between Travellers and Roma and the general public in health and access to health services. Mental health 29. The Committee is concerned at the significant lack of funding and at the inadequate legal framework for mental health as well as at the delay in implementing the national mental health policy, entitled “A vision for change”. It is also concerned at the admission of children with mental health difficulties to psychiatric facilities for adults (art. 12). The Committee recommends that the State party revise the Mental Health Act 2001 in the light of the recommendations of the expert group tasked with reviewing the Mental Health Act 2001 and expedite the implementation of “A vision for change” through the allocation of sufficient resources. It also recommends that the State party immediately take measures to separate child patients from adults in psychiatric facilities. Sexual and reproductive health 30. The Committee is concerned at the State party’s highly restrictive legislation on abortion and its strict interpretation thereof. It is particularly concerned at the criminalization of abortion, including in the cases of rape and incest and of risk to the health of a pregnant woman; the lack of legal and procedural clarity on what constitutes a real substantive risk to the life, as opposed to the health, of the pregnant woman; and the discriminatory impact on women who cannot afford to obtain an abortion abroad or access to the necessary information. It is also concerned at the limited access to information on sexual and reproductive health (art. 12). The Committee recommends that the State party take all the steps necessary, including a referendum on abortion, to revise its legislation on abortion, including the Constitution and the Protection of Life During Pregnancy Act 2013, in line with international human rights standards; adopt guidelines to clarify what constitutes a real substantive risk to the life of a pregnant woman; publicize information on crisis pregnancy options through effective channels of communication; and ensure the accessibility and availability of information on sexual and reproductive health. 9