The Forum reiterates the recommendations made in its report on its first session and:
(a) Urges the World Health Organization (WHO), the Pan American Health Organization (PAHO) and all United Nations bodies and agencies involved in programmes relating to health to incorporate indigenous healers and cultural perspectives on health and illness into their policies, guidelines and programmes, and to undertake regional consultations with indigenous peoples on these issues, in order to mainstream indigenous health issues into the United Nations system;
(b) Urges the Food and Agriculture Organization of the United Nations (FAO) to undertake a study on the relationship between food security, subsistence agricultural practices and indigenous health and illness.
The Permanent Forum recognizes the cultural significance and medical importance of the coca leaf in the Andean and other indigenous regions of South America. It also notes that coca leaf chewing is specifically banned by the United Nations Single Convention on Narcotic Drugs (1961). The Permanent Forum recommends that those portions of the Convention regarding coca leaf chewing that are inconsistent with the rights of indigenous peoples to maintain their traditional health and cultural practices, as recognized in articles 11, 24 and 31 of the Declaration, be amended and/or repealed.
The Permanent Forum reiterates previous recommendations that 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 and 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. 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 indigenous peoples.
The Permanent Forum reiterates its recommendation made at its eighteenth session for the Pan American Health Organization to prepare a study on the advancements in indigenous maternal health, including with the participation of indigenous midwives (E/2019/43, para. 45). The Permanent Forum also recommends that WHO prepare similar studies in other regions.
The Forum reiterates its health recommendations made at its first and second sessions, in particular those contained in chapter I, section B, paragraphs 63 to 82 of its report on its second session.2
The Forum urges UNICEF, the lead United Nations agency on children, to adopt a policy relating to indigenous children. The Permanent Forum urges UNICEF to include questions on ethnicity, cultural and tribal affiliation and language in its Demographic and Health and Multiple Indicator Cluster Surveys, in order to obtain disaggregated data on the goals set forth at the World Summit for Children and the health needs of indigenous children.
The ongoing COVID-19 pandemic has highlighted the urgent need for the collection of disaggregated statistical data on the situation of indigenous peoples. Where such data are available, they have shown that the pandemic has affected indigenous peoples differently than other populations, requiring culturally appropriate approaches and solutions. The Permanent Forum reiterates its recommendation to Member States to collect and disseminate disaggregated statistical data on indigenous peoples, in close cooperation with indigenous peoples themselves, in order to support evidence-based policymaking and programming.
The Permanent Forum is concerned that HIV acquisition rates are higher in Indigenous communities than in the general population. The Permanent Forum encourages the Joint United Nations Programme on HIV/AIDS to continue its focus on Indigenous Peoples.
The Forum recommends that the Committee on the Rights of the Child, as the treaty monitoring body for the Convention on the Rights of the Child, review the compliance of States Parties with article 24, which recognized the basic right of all children to "the provision of adequate and nutritional foods and clean drinking water, taking into consideration the dangers and risks of environmental pollution", with particular attention to its impact on traditional subsistence foods, and that the Committee address those issues during the day of general discussion on the indigenous child in September 2003.
The Forum recommends that the Working Group on Indigenous Populations undertake a study on genocidal and ethnocidal practices perpetrated on indigenous peoples, including programmes for sterilization of indigenous women and girls, the use of indigenous communities as subjects for nuclear testing or storage of radioactive waste and the testing of unapproved drugs on indigenous children and peoples.
The Permanent Forum further urges States to improve their collection of data on self-harm and suicide among indigenous children and youth, as well as on violence against indigenous women, boys and girls, to facilitate better understanding of the extent of the problem. States should commit to reducing the incidence of self-harm, violence and suicide among indigenous children and youth through the allocation of adequate resources to holistic prevention and support services, in partnership with indigenous peoples.
The Forum recommends that WHO, the United Nations Development Programme, the United Nations Children’s Fund, and the United Nations Population Fund convene a workshop on indigenous health, with the goal of addressing a system-wide strategy to address the health needs of indigenous peoples and setting out the terms of reference for a study on the health needs of indigenous peoples, with particular emphasis on indigenous children and women including infant mortality, reproductive rights, sterilization, domestic abuse and addiction and the collection of data relating to these issues. The Forum recommends that its focal point and a representative of the Indigenous Peoples’ Caucus on Health be invited to attend and be provided the means to participate.