E/2010/43 E/C.19/2010/15 that are designed and driven by indigenous women’s organizations and that consider indigenous approaches to address gender-based violence. 164. The Permanent Forum recommends that States, United Nations agencies and other intergovernmental organizations and bilateral donors support the promotion and full and effective participation of indigenous women in decision-making spheres at all levels, including in administration and civil service, government action, government bodies, political parties, the judiciary and trade unions and that leadership and training processes be considered as pillars for such participation. 165. The Permanent Forum recommends that States: ensure that the collection of statistical data be disaggregated by sex and ethnicity; discourage monitoring that is focused only on national averages; ensure indigenous peoples’ and indigenous women’s effective participation in all stages of the preparation, coordination and implementation of data collection; develop a proper system of indicators in partnership with indigenous peoples and women; and enable a measurement of progress in the different areas. 166. The Permanent Forum recommends that States include ethnic identification in vital statistics and health records, allocate more funding for intercultural services that ensure indigenous women’s access to quality health care, including emergency obstetric care, voluntary family planning and skilled attendants at delivery, and that the role of traditional midwives be strengthened and extended. 26 10-36959