E/2026/43 E/C.19/2026/6 Indigenous women and girls 43. The Permanent Forum notes with concern the disproportionate adverse health impacts on Indigenous women and girls, including as a result of conflict, environmental degradation and discriminatory health policy. The Forum further notes the devastating impact of all forms of gender-based violence, including conflictrelated violence and forced sterilization, as well as gender-specific harms arising from toxic contamination, such as mercury exposure, on Indigenous women, and the intergenerational impact on Indigenous Peoples. 44. The Permanent Forum highlights the disproportionate impact of human rights violations on Indigenous women and girls, who face intersecting forms of discrimination. These include violence, forced sterilization, limited access to sexual and reproductive health services and exclusion from decision-making processes. The Forum urges Member States to implement general recommendation No. 39 (2022) of the Committee on the Elimination of Discrimination against Women on the rights of Indigenous women and girls. 45. The Permanent Forum urges Member States to recognize maternal and gynaecologic abuses, such as obstetric violence, forced sterilization and non-consensual contraception, targeting Indigenous women, girls, persons with disabilities and gender-diverse persons as violations of national and international law, and to include information disaggregated by Indigenous status in their periodic reports to the Committee on the Elimination of Discrimination against Women on measures taken to prevent and remedy such violations. It further urges the Committee to ensure that, by 2026, its general recommendation No. 39 includes State compliance on reproductive coercion as a stand‑alone, Indigenous‑disaggregated monitoring indicator, to be addressed within its existing reporting framework, with annual reporting required. 46. The Permanent Forum calls upon Member States to treat prolonged climate induced displacement of Indigenous Peoples as a health emergency. Member States should refrain from using climate crises as justification for permanent displacement, and should ensure that any transitional arrangements include culturally safe care, sexual and reproductive health services, maternal care, and protection from genderbased violence. Human rights dialogue with the Special Rapporteur on the rights of Indigenous Peoples and the Expert Mechanism on the Rights of Indigenous Peoples; annual review of progress on the implementation of general recommendation No. 39 (2022) (item 5 (d)) 47. The dialogue between the Permanent Forum, the Special Rapporteur on the rights of Indigenous Peoples and the Chair of the Expert Mechanism on the Rights of Indigenous Peoples reaffirmed the complementarity of their distinct mandates. The Forum underscores the importance of maintaining these mechanisms as separate yet mutually reinforcing pillars within the United Nations system. Each plays a unique role: the Special Rapporteur in monitoring, reporting and addressing alleged violations; the Expert Mechanism in providing thematic expertise and advice; and the Forum as a high-level advisory body with a broad mandate covering economic and social development, culture, environment, education, health and human rights issues. During the dialogue, concerns were raised regarding ongoing internal discussions that may affect the structure or functioning of these mandates. 48. The Permanent Forum expresses concern over persistent gaps between normative commitments and implementation. While the United Nations Declaration on the Rights of Indigenous Peoples and instruments such as the International Labour 10/24 26-06676