The Forum recommends that the United Nations agencies supporting and promoting the Healthy Environments for Children Alliance, namely WHO, UNICEF, UNEP and the United Nations Centre for Human Settlements (UN-HABITAT), include a particular focus on indigenous children and youth.
States should recognize the rights of indigenous peoples to food and nutritional security and the sustainable production and consumption of healthy and nutritious foods by using appropriate sustainable technology. There is a particular need to ensure that indigenous peoples who depend on marine and terrestrial resources be supported in protecting and ensuring their rights to and sustainable use of those resources.
The Permanent Forum recommends that WHO create and convene regional round tables to address the issue of indigenous peoples and the pandemic in order to ensure that the indigenous peoples of the globe are uniquely considered in mitigation efforts. Such round tables would also offer a timely opportunity to coordinate actions for responding to the impact of the pandemic on indigenous peoples.
The Forum recommends that the Office of the United Nations High Commissioner for Human Rights, in conjunction with the Forum, convene an international workshop, with the participation of United Nations agencies and indigenous experts, on indigenous peoples and the human rights to health and culturally appropriate health care.
The Permanent Forum notes with concern that the COVID-19 pandemic has increased sexual and reproductive health challenges worldwide and stresses that there is a need for Governments to implement the commitments they made during the summit held in Nairobi in 2019 to mark the twenty-fifth anniversary of on the International Conference on Population and Development.
The Permanent Forum recommends, in paragraph 64 of the report, that the relevant United Nations entities should “conduct a study, in partnership with indigenous peoples’ organizations, that documents the linkage between environmental violence, including the operations of extractive industries, chemical pollution and the destruction of the indigenous habitat, and the sexual and reproductive health of indigenous peoples, as well as issues pertaining to sexual exploitation, trafficking of indigenous girls and sexual violence, with concrete recommendations on protection measures”.
The COVID-19 pandemic has had a devastating impact on the livelihoods of indigenous peoples, including nomadic peoples. Furthermore, the pandemic has exacerbated the plight of young women with regard to forced early marriage, female genital mutilation and lack of access to health care. The Permanent Forum calls on Member States to implement effective measures to address these challenges in their post-pandemic recovery efforts
Good practices are emerging that complement public health services with traditional health practices. These practices emphasize intercultural dialogue and discussion to ensure that health care is delivered in a culturally specific way, consistent with articles 23 and 24 of the United Nations Declaration on the Rights of Indigenous Peoples. These practices should be supported and promoted.
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.
The Permanent Forum recommends that United Nations agencies and actors coordinate in the development and implementation of an international research project on the sexual and reproductive health of indigenous peoples, ensuring an active partnership with indigenous peoples and organizations in all stages of the project.
The Permanent Forum recommends that the Pan American Health Organization and all regional United Nations health entities ensure that their mandates address the rights of Indigenous Peoples, separate from minority, diversity and intercultural approaches, in compliance with the Declaration and the WHO resolution on Indigenous health.
The Forum urges States to undertake and promote the expansion of their national health systems in order to provide holistic health programmes for indigenous children that incorporate preventive medical practices and family and community participation. States are urged to address the issues of malnutrition of indigenous children victimized by poverty by adopting special measures to ensure and protect the cultivation of traditional food crops.