The Permanent Forum, bearing in mind the contributions of indigenous peoples’ traditional medicines to the recovery from the pandemic, invites the World Health Assembly to declare an international year of indigenous peoples’ traditional medicines by 2025.
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
The Forum recommends that UNICEF prepare a report on indigenous children who have limited or no access to direct health-care services, including recommendations to improve health-care access.
The Permanent Forum recommends that WHO and FAO, together with the Inter‑agency Support Group on Indigenous Peoples’ Issues, promote dialogue forums at the national and regional levels between government ministries and indigenous peoples to establish culturally relevant strategies for addressing the epidemiological risks and the food and environmental crises resulting from the pandemic, as well as for addressing access to justice and the safeguarding of indigenous peoples’ territorial control.
The Permanent Forum recommends that the World Health Organization (WHO), the Pan American Health Organization (PAHO), the United Nations Children’s Fund (UNICEF), States, non-governmental organizations and indigenous peoples’ organizations join efforts in implementing appropriate expert health-care actions to prevent disastrous disease problems affecting indigenous peoples in voluntary isolation and recent contact, and consider adopting rapid-effect emergency procedures in situations where the health situation is critical, as it is at present in the Javari Valley in Brazil.
The Permanent Forum again urges Member States to ensure that Indigenous Peoples are afforded full and effective participation in all planning and policy development to address climate change. Indigenous-led climate change policies incorporate the vital knowledge of Indigenous Peoples for land management and stewardship of natural resources while protecting health, equity, justice and sustainability. Principles of free, prior and informed consent must be followed in the development of all climate change policies and actions.
The Permanent Forum urges States to promote indigenous community-controlled models for the health, social, legal and other sectors of indigenous communities and service providers to follow in implementing the Declaration. It recommends that WHO revisit the report of the WHO Commission on Social Determinants of Health to address the cultural determinants of health, such as land, language, ceremony and identity, which are essential to the health and well-being 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 WHO, in coordination with PAHO, engage indigenous health experts in efforts to eradicate tuberculosis, including through intercultural approaches, and to report to the Forum at its nineteenth session.
The Forum recommends that the Global Fund and UNAIDS participate in the Inter-Agency Support Group and that the Fund and UNAIDS present a report on the impact of their programmes and activities on indigenous peoples and communities to the Permanent Forum at its 2004 session, with specific focus on preventative programmes and activities impacting children and infants.
Reports received by the Permanent Forum indicate that United Nations agencies, notably UNICEF and the United Nations Population Fund (UNFPA), incorporate indigenous issues into their health programming at the country and regional levels and apply culturally sensitive approaches to health delivery. The Forum encourages those agencies to share their experience in health programming for indigenous peoples with other relevant United Nations agencies working in the field.
The Permanent Forum notes the initiative of the Pan American Health Organization/World Health Organization (PAHO/WHO) to develop a new health plan for indigenous youth in Latin America and invites PAHO/WHO to report on progress achieved in implementing the plan to the Forum at its seventeenth session.