A/HRC/33/57
and health-care disparities and social inequities. Information on effective communication
with indigenous peoples should also be included. Specific programmes can also be created
addressing indigenous health, such as the University of Northern British Columbia
Aboriginal child and youth mental health certificate (for students who want to practice in
remote indigenous communities) and the Native American Child Health initiative created
by the American Academy of Pediatrics (dedicated to indigenous health care).
45.
States should facilitate the entry of indigenous professionals in health care, as
indigenous peoples are currently underrepresented. Facilitation of workforce entry can take
many forms: for instance, through training quotas, earmarked funding or scholarships,
and/or travel allowances. Indigenous peoples can receive professional training to bridge the
divide between mainstream facilities, goods and services, and indigenous communities.
Such training should be conducted sensitively and without prejudice to indigenous
medicinal and health-related knowledge and practice.
46.
States should also promote health through the provision of culturally appropriate
information concerning healthy lifestyles and nutrition, disease and illnesses (including
mental illness), harmful traditional practices, and the availability of services. Information
should be provided in the patient’s language and information mechanisms that incorporate
non-verbal communication patterns, as well as cultural beliefs and practices, should be
developed. In some indigenous communities, certain issues, such as HIV/AIDS and sexual
and reproductive health, remain taboo: State cooperation with indigenous organizations is
vital in implementing culturally appropriate awareness-raising campaigns among these
communities.
47.
The spiritual and biomedical benefits of traditional health-care practices and
traditional medicines can promote and enhance indigenous health and bring unwell people
into contact with health-care systems, facilitating access to care. Rather than stigmatizing
and suppressing such practices and medicines, States should consider incorporating them
into their health planning and promotion activities.
48.
Indigenous peoples should be supported in making informed choices about their
health by providing them with information and by taking State measures designed to
facilitate healthy choices, including physical activity. States should promote healthy and
traditional diets among indigenous people through the protection of indigenous peoples’
traditional agricultural practices, education campaigns and, where necessary, direct
provision of or economic subsidies for healthy foods, particularly in rural or remote areas
where processed or packaged foods are frequently more easily available and affordable to
indigenous peoples.
V. Indigenous children and youth and the right to health
49.
Alongside the International Covenant on Economic, Social and Cultural Rights and
the United Nations Declaration on the Rights of Indigenous Peoples, article 24 of the
Convention on the Rights of the Child requires States to take appropriate measures to
ensure the realization of the highest attainable standard of health for children. In its general
comment No. 11 (2009) on indigenous children and their rights under the Convention, the
Committee on the Rights of the Child noted that indigenous children frequently suffer
poorer health than non-indigenous children owing to inferior or inaccessible health
services, and that positive measures may be required to eliminate conditions causing
discrimination and ensure the equal enjoyment of Convention rights. The Committee urged
States to consider implementing special measures to ensure that indigenous children are not
discriminated against and can maintain their cultural identity, and noted that States parties
have a positive duty to ensure that indigenous children have equal access to health services
13