E/2026/43 E/C.19/2026/6 Indigenous Peoples’ health and cultural continuity, with particular attention to women and children; to operationalize, by 2027, direct access funding mechanisms for Indigenous Peoples globally without intermediary requirements; and to formally recognize and apply Indigenous knowledge systems as co‑equal frameworks in climate policy and programming, in accordance with article 31 of the Declaration. 18. The Permanent Forum urges Amazonian States to fulfil their commitment in International Union for Conservation of Nature resolution 7.129 to protect and restore 80% of the Amazon’s ecological integrity by 2030. These efforts must prioritize the formal recognition and legal tenure of 100 million hectares of Indigenous Peoples’ territories as a cornerstone of climate action. 19. The Permanent Forum calls upon Member States and United Nations entities with the participation of Indigenous Peoples, by 2027, to establish standardized systems for collecting disaggregated climate impact data in order to systematically analyse impacts on Indigenous women, girls and children, and to integrate these data into national and United Nations climate policies, monitoring frameworks and accountability and reporting mechanisms, with regular public reporting on outcomes. 20. The Permanent Forum also recommends that the Food and Agriculture Organization of the United Nations develop a technical paper on Indigenous Peoples’ food and knowledge systems, including nomadism and mobility, and their positive contributions to health, biodiversity conservation and climate resilience. This work should be undertaken in the context of the International Year of Rangelands and Pastoralists in 2026 and should reflect Indigenous Peoples’ knowledge systems and self-determined priorities. 21. The Permanent Forum invites Member States to contribute to ensuring that Indigenous Peoples’ voices and priorities are adequately represented in the impact report on young people’s contributions to climate action prepared by the Youth Advisory Group on Climate Change, and invites the current and next SecretaryGeneral and their Executive Office to give full consideration to its findings. Discussion on the theme “Ensuring Indigenous Peoples’ health, including in the context of conflict” (item 3) 22. The Permanent Forum held a dialogue on the special theme of the session, featuring addresses by representatives of the World Health Organization (WHO), the United Nations Population Fund (UNFPA) and the Pan American Health Organization (PAHO) and the Special Rapporteur on the implications for human rights of the environmentally sound management and disposal of hazardous substances and wastes. 23. The Permanent Forum underscores the inseparable relationship between Indigenous Peoples’ health and land as the holistic foundation of well-being, which must be central to policies and practices of United Nations entities and Member States. Indigenous Peoples’ health is cultural, collective and rooted in Indigenous Peoples’ lands, territories, languages, spiritual practices and governance systems. 24. Current health disparities among Indigenous Peoples are the result of colonization, land dispossession, extractive activities on their lands and territories, environmental contamination, the criminalization of their cultures and healing practices, the dismantling of governance systems, exclusion from health data, health frameworks developed without consent, the forced removal of children and violations of international treaties with Indigenous Peoples, making decolonization essential to restoring health and guaranteeing their self‑determination. 25. The Permanent Forum affirms the Indigenous determinants of health as the foundational framework for Indigenous health policies and accountability, grounded 26-06676 7/24

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