The Permanent Forum welcomes the initiative taken by the International Organization for Migration (IOM) and the secretariat of the Permanent Forum to convene a first expert meeting on the nexus between indigenous peoples and migration and endorses the recommendations of that meeting and requests further inter-agency cooperation and collaboration regarding data collection and case studies on indigenous peoples and migration, in particular the creation of a task force to specifically address migration issues of indigenous peoples within the existing Inter-Agency Support Group on Indigenous Issues for the Permanent Forum. Such a task force could assist with studies by indigenous leaders and experts and promote capacity-building projects dealing with the migration of indigenous peoples.
Governments, the United Nations system and donor agencies are urged to support the formation of an international network of traditional healers who work with HIV/AIDS patients and organize expert meetings between traditional and medical practitioners on HIV/AIDS and traditional medicine.
The Permanent Forum recommends that an expert group meeting on urban indigenous peoples and migration be organized by the United Nations Human Settlements Programme (UN-Habitat) in cooperation with the secretariat of the Permanent Forum with the participation of the members of the Permanent Forum, experts from indigenous organizations, the United Nations system and other relevant intergovernmental organizations and interested Governments, for the purpose of formulating recommendations for consideration, as part of its preparatory work for the sixth session. The Permanent Forum requests donors to provide financial resources for this expert group meeting. The Permanent Forum invites the International Organization for Migration to assist in the preparations for this meeting.
The Permanent Forum reiterates the recommendations on HIV/AIDS made at its second, third and fourth sessions regarding data disaggregation and culturally appropriate HIV/AIDS programmes, and urges Governments, the United Nations system and intergovernmental organizations to ensure the full and effective participation, and free, prior and informed consent, of indigenous peoples in all programmes related to the prevention and treatments of HIV/AIDS in indigenous communities.
The Permanent Forum recommends that social and environmental impact assessments, including human rights impact assessments and poverty impact assessments, of financial investments and trade agreements directly affecting indigenous peoples be undertaken, and that the resources for those assessments be provided by the sources of the investments and the parties to trade agreements.
The Permanent Forum, reaffirming the recommendations on health made at its first, second and third sessions, further recommends that all relevant United Nations entities, especially WHO, the United Nations Children’s Fund (UNICEF) and UNFPA, as well as regional health organizations and Governments, fully incorporate a cultural perspective into health policies, programmes and reproductive health services aimed at providing indigenous women with quality health care, including emergency obstetric care, voluntary family planning and skilled attendance at birth. In the latter context, the roles of traditional midwives should be re-evaluated and expanded so that they may assist indigenous women during their reproductive health processes and act as cultural brokers between health systems and the indigenous communities’ values and world views
The Permanent Forum urges the Joint United Nations Programme on HIV/AIDS (UNAIDS) to engage with the Permanent Forum and other partners in the global AIDS movement, to initiate universal access to treatment, to develop a set of resources highlighting effective approaches and best practices for HIV prevention and AIDS care in indigenous communities, particularly from the developed world, including the development of an appropriate paper to provide guidance to national HIV surveillance systems, and to advocate and promote meaningful participation of indigenous peoples in HIV policy and planning
Special attention should be paid to indigenous peoples at the High-level Dialogue on International Migration and Development to be held during the sixty-first session of the General Assembly in New York on 14 and 15 September 2006. Given that indigenous peoples are closely tied to their communities, the impact exerted by their migration is often broader than that exerted by individual migration. In particular, indigenous migration affects the collective rights of indigenous communities and accordingly has consequences for entire communities.
The Permanent Forum strongly encourages States to provide disaggregated data on health and social welfare indicators for indigenous populations in order to better assist in the monitoring and evaluation of outcomes at the national and international levels.
The Permanent Forum recommends that United Nations organizations provide technical assistance and convene, in cooperation with indigenous peoples’ organizations, regional workshops on the special theme of the sixth session of the Permanent Forum, namely, “Territories, lands and natural resources”, with the participation of Permanent Forum members, and other experts, indigenous peoples’ representatives, indigenous parliamentarians, State representatives, and representatives of the United Nations system, in order to formulate recommendations for consideration, as part of its preparatory work for the sixth session. The Permanent Forum further recommends that States, organizations and donors provide resources for these regional workshops.
The Permanent Forum recommends that States, the World Health Organization (WHO), the United Nations Population Fund (UNFPA), the United Nations Development Programme (UNDP) and other relevant organizations adopt targeted policies, programmes, projects and budgets designed to address the staggering prevalence of diabetes among indigenous peoples and put in place culturally appropriate health services, health education and awareness-raising initiatives to treat diabetes and prevent its rapid growth. Particular attention should be given to pregnant women, whose reproductive health is closely linked to the future risk of their children developing diabetes.