E/2019/43
E/C.19/2019/10
43. The Permanent Forum welcomes the participation of indigenous midwives at its
eighteenth session and recognizes the important role that they play in maternal and
child health. Indigenous women have both higher morbidity and mortality rates as a
result of lack of access to health care, discrimination and marginalization. The
practices and knowledge of indigenous midwives are crucial to the health of
indigenous peoples. Unfortunately, their criminalization persists, with a devastating
impact not only on the midwives themselves, but also on mothers, children and
communities.
44. The Permanent Forum repeats its call for an end to the criminalization of
indigenous midwives as expressed in the recommendations contained in paragraphs
49 and 50 of its report on its seventeenth session (E/2018/43-E/C.19/2018/11) and
urges States to respect the right of indigenous peoples to maintain their traditional
health practices in accordance with article 24 of the Declaration.
45. 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.
46. The Permanent Forum welcomes the study on tuberculosis and indigenous
peoples (E/C.19/2019/9) by expert member Dr. Mariam Wallet Aboubakrine and
urges Member States to implement the recommendations contained in the study, with
the support of United Nations entities and in cooperation with indigenous peoples.
47. 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.
48. The Permanent Forum calls upon the Joint United Nations Programme on
HIV/AIDS, the United Nations Population Fund (UNFPA) and the Inter-Agency
Support Group on Indigenous Peoples’ Issues to organize, by 2021, in-country
dialogues that will feed into a global expert group meeting on indigenous peoples and
HIV/AIDS, with the aim of proposing key principles of action for HIV/AIDS
programming, and urges States, in collaboration with indigenous peoples, to
contribute to this initiative.
49. The Permanent Forum reiterates the recommendation contained in paragraph 47
of its report on its seventeenth session and calls upon Member States to begin work
on a global, legally binding regime for toxic industrial chemicals and hazardous
pesticides under the Rotterdam Convention on the Prior Informed Consent Procedure
for Certain Hazardous Chemicals and Pesticides in International Trade.
Human rights
50. The Permanent Forum is deeply disturbed by apparent widespread policies and
practices in previous years of the forced sterilization of indigenous women. This
violation of women’s rights is exacerbated by the likely intention to restrict or reduce
the population of indigenous peoples.
51. The Permanent Forum recommends that the Special Programme of Research,
Development and Research Training in Human Reproduction take the lead, in
collaboration with OHCHR, UNFPA and WHO, in conducting an initial study on the
global scope of past forced sterilization programmes of indigenous peoples and
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