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62. Nevertheless, complaints have been received of the failure to adapt the national education
system to the traditional indigenous cultures and world view, and of the poor results achieved to
date. According to the World Bank, school performance was 12 per cent lower among
indigenous children than among non-indigenous children, and the average increase for each year
of schooling is lower among indigenous than among non-indigenous children.
3. The right to health
63. It is calculated that 80 per cent of the indigenous population does not have access to health
facilities. Among the causes for the indigenous population’s limited access to health services is
social exclusion, including factors of both discrimination and self-exclusion on the basis of
indigenous origin.
64. The new Government has promoted a policy of “intercultural health”, whose components
include the adaptation of public health services to traditional indigenous medicine, including the
strengthening of traditional medicine and the use of traditional plants. For its part, the
Vice-Ministry of Traditional Medicine and Interculturalism, which comes under the Ministry of
Health, has promoted a series of agreements with indigenous organizations aimed at
incorporating and facilitating access to traditional indigenous medicine and to supporting the
National Council on Indigenous Health. The Government has also promoted the inclusion of
practices that respect indigenous women’s customs relating to childbirth in the context of
hospital care.
H. The persistence of racism
65. One of the most worrying human rights issues in Bolivia at the present time is the
persistence of manifestations of racism against indigenous people. The social and political
situation in the past few years has led to a resurgence of racially discriminatory expressions and
practices in the country, often having to do with historical and geographical polarization between
the Andean region and the lowlands of the northern and eastern parts of the country.
66. In the course of his visit, the Special Rapporteur was concerned to note the prevalence of
manifestations of racism against indigenous persons in the public discourse. Racist insults and
attacks are aimed at indigenous persons at every level, from indigenous members of the
Government and of the Constituent Assembly to ordinary indigenous peasant women in big
cities. These racist attacks are also aimed at the most visible symbols of indigenous identity, as
evidenced by the burning of whipalas (indigenous flags) in demonstrations organized by sectors
opposed to the current Administration.
67. Much of the responsibility for the rise of racist discourse in contemporary Bolivian society
lies with certain social and political sectors in the eastern departments, including political parties
and various civil pressure groups. These groups sometimes accompany their demands for
autonomy and their legitimate claims in a democratic society by a lack of respect for the
predominantly indigenous population and its equally legitimate aspirations to overcome the
injustices to which it has historically been subjected.