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According to the Economic, Social and Cultural Rights Committee, steps towards the ICESCRs goals should be deliberate, concrete and targeted as clearly as possible towards meeting the obligations. The Committee has also stressed that the ICESCR imposes an obligation to move as expeditiously and effectively as possible towards that goal.[215] The Committee on the Rights of the Child, in its 2016 concluding observations on Zimbabwe, expressed concern about, Primary education not being free owing to imposed tuition fees and hidden costs, which leads to low completion rates in schools, and urged the government to take a number of steps, to ensure the accessibility of quality education for all children in Zimbabwe.[216] The ILO Committee of Experts on the Application of Conventions and Recommendations has also urged the government of Zimbabwe to strengthen its efforts to ensure access to free basic education to all children, particularly children from poor and disadvantaged families.[217] The African Committee of Experts on the Rights and Welfare of the Child, in its 2015 review of Zimbabwe, expressed concern with the increasing rate of school dropout and low rate of secondary education enrolment, and urged the government to remove barriers such as school fees and levies, and to take additional steps to provide all children with access to quality education.[218] Right to Health International human rights instruments recognize the right of everyone to the highest attainable standard of health, including children.[219] The International Covenant on Economic Social and Cultural Rights (ICESCR), ratified by Zimbabwe in 1991, obligates governments to take the steps necessary for the prevention, treatment and control of occupational and other diseases,[220] and recognizes the right of everyone to the enjoyment of just and favorable conditions of work including safe and healthy working conditions.[221] Governments have the obligation to improve all aspects of environmental and industrial hygiene, for example, through preventive measures to avoid occupational accidents and diseases, and the prevention and reduction of the populations exposure to harmful substances such as harmful chemicals that directly or indirectly impact upon human health.[222] Zimbabwe is also a party to the ILO Convention No