With few commendable exceptions, indigenous peoples have been neglected in large part in the contingency measures of government authorities in response to the coronavirus disease (COVID-19) pandemic. As a result, their needs and requirements are not taken adequately into account or addressed by national programmes and policies. The Permanent Forum agrees with the United Nations Special Rapporteur on the rights of indigenous peoples that effective responses to the pandemic and recovery measures need to be a collaborative effort between indigenous institutions and State institutions. Combining indigenous knowledge of what is best for indigenous communities with State services and financial support will ensure effective outcomes.
Considering their impact on the sexual health and reproductive rights of indigenous peoples, the Permanent Forum calls, in paragraph 62 of the report, for “a legal review of United Nations chemical conventions, in particular the Rotterdam Convention, to ensure that they are in conformity with international human rights standards, including the United Nations Declaration on the Rights of Indigenous Peoples and the Convention on the Rights of Persons with Disabilities”.
The Permanent Forum requests United Nations entities, in particular those working on land tenure and changes in land use, to advance the research on securing the land and territorial rights of indigenous peoples, taking into account the negative impacts of, inter alia, the coronavirus disease (COVID-19) global pandemic and regional conflicts.
The inclusion and full and effective participation of Indigenous Peoples, as beneficiaries and partners in achieving the Sustainable Development Goals, while avoiding negative impacts on their rights are essential. The Permanent Forum recommends that States and relevant United Nations entities cooperate with Indigenous Peoples to fully consider their situations during the midpoint review at the Sustainable Development Goals Summit in 2023, including in the preparations at the high-level political forum on sustainable development.
The Forum recommends that the Special Rapporteur on the right to health examine the disparity of health standards for indigenous peoples in developed countries in the light of the fact that United Nations agencies and specialized entities, including WHO, do not undertake health programmes in developed countries.
The Permanent Forum recalls the many recommendations that call for statistics on indigenous health. Data collection and disaggregation remain a challenge. In particular, the delivery of health care in rural and remote areas remains a major obstacle to the right to health. In addition, there remains an urgent need for more indigenous health professionals, mental health services and programmes addressing non-communicable diseases and reproductive health. In particular, the Forum reaffirms the recommendation of the eighth session that an expert group meeting on sexual health and reproductive rights be held.
The Forum recommends that WHO, in conjunction with indigenous health providers, undertake a study on the prevalence and causes of suicide among indigenous youth, and efforts being undertaken, including culturally based approaches, to address suicide prevention and the promotion of mental health and wellness.
In the context of the implementation of the Policy on Ethnicity and Health, adopted by the executive committee of the Pan American Health Organization (PAHO) in 2017 (CE160.R11), the Permanent Forum invites PAHO and the World Health Organization (WHO) to collaborate with health institutions and policymakers to address issues related to indigenous maternal health, including the practice of indigenous midwifery. It recommends that PAHO prepare a study on the advancements in indigenous maternal health, including best practices used by indigenous midwives and supportive organizations. The Forum invites PAHO to submit the report by 2020.
The Permanent Forum recognizes the urgent need to increase commitment to the health of Indigenous women globally, as their health needs are often underserved and they lack culturally appropriate care, including as a result of the criminalization of traditional childbirth practices. The Forum urges Member States and United Nations entities to collaborate in developing programmes and allocating funds that prioritize the health of, and midwifery services for, Indigenous Women; and in increasing the visibility of the situation with regard to the health of Indigenous women through more disaggregated data. The Forum calls for the revision of discriminatory laws affecting Indigenous women. The Forum invites the World Health Organization (WHO), the United Nations Population Fund and the United Nations Children’s Fund to partner in identifying and documenting good practices of culturally appropriate health interventions from their work at the country level, including supporting Indigenous women and girls in exercising their sexual and reproductive rights. The Forum requests that the entities compile a comprehensive progress report, to be submitted at the 2025 session of the Forum.
The Forum recommends that the Special Rapporteur on violence against women, its causes and consequences pay special attention to the impact of violence against indigenous women, including war-related violence and domestic violence.
Considering the increasing impact of climate change on the health of indigenous peoples, particularly in terms of increased vulnerability to water-borne and vector-borne disease, the World Health Organization is encouraged to actively engage the Permanent Forum and its secretariat and establish a dialogue with a view to organizing a meeting on this issue in 2009.
On the basis of the Permanent Forum’s continued concern about the impact of environmental toxins and the export and import of banned pesticides on the reproductive health of indigenous women and girls, the Forum reaffirms its call, contained in its report on its thirteenth session, for a legal review of the United Nations chemical conventions, in particular the Rotterdam Convention, to ensure that they are in conformity with international human rights standards, including the United Nations Declaration on the Rights of Indigenous Peoples and the Convention on the Rights of Persons with Disabilities (E/2014/43-E/C.19/2014/11, para. 16; see also E/C.19/2014/8, para. 62). The Forum recommends that the Convention on the Rights of the Child, in particular article 24, and its recognition of environmental health as a right protected under the Convention also be considered in the legal review. The Forum invites the Special Rapporteur on the implications for human rights of the environmentally sound management and disposal of hazardous substances and wastes to carry out a review within his mandated area of expertise and to present his conclusions to the Forum at its seventeenth session.