(b) If the child is breast-fed, the Paediatric Medical Service w ill :,upply the mother with appropriate products for her good health; (c) If the child is not breast-fed, he w ill be provided on a preferential basis with milk of a quality and amount and subject to instructions specified by the Paediatric Medical Service. In both cases the product may be replaced with a cash equivalent paid directly to the ch ild's mother. Sim ilarly, a rticle 18 of the Act states that, in the event of the mother's death or absence the breast-feeding allowance w ill be gi.ven to the person taking care of the child. 38. According to Ministry of Health figures, l.nfant mortality and mortality of children from one to four years of age has been falling steadily. Despite a decrease to half of the 1978 estimate, there is still a high infant mortality rate, estimated at 64.5 per 1,000 live births in 1986. The following are the causes of infant mortality: acute diarrhoea, neo-natal death, pneumonia, septicaemia, malnutrition and meningitis. 39. Of the total number of medical examinations in 1986, 3,786,426 i.e. 58.5 per cent, involved children. The organized participation of the people in health management increased throughout the period, especially in vaccination programmes. This was in spite of the foreign exchange deficit in the health sector, a result of the worsening economic crisis and the hostilities, which have a direct adverse effect on the production sector, agricultural exports, and therefore the purchase of equipment and medicines. Recent data on the infant mortality rate indicate that from January to April 1989, compared with 1988, the figures were lower in all the months, with the except of March, the total for the period being 1,174 deaths in 1988 and 1,138 in 1989 (36 fewer deaths).E/1986/3/Add.l5 page 8
**Analysis**
This text appears to be discussing the healthcare system and infant mortality rates in a country, with specific details about the provision of breast milk and medical examinations. The text also touches on the economic crisis and its impact on the health sector. This suggests that the category that best fits this text is likely to be related to healthcare or economic development.

**Category**
Health, Economic development