Recommendations : 1. Allocate personnel and finance resources for : a) Data disaggregation : The general lack of disaggregated data based on ethnicity and sex in national reports prevents the development of a full perspective on the status of health and other rights among indigenous peoples. Furthermore, process and outcome indicators on health programs being implemented and affecting indigenous peoples should be included. b) In-depth study on the health status of indigenous peoples based on their broad context of ‘well-being” towards proper and effective targeting. Targeting and implementation should be done in partnership with indigenous peoples, communities, experts and organizations. Specifically, indigenous birth attendants have recommended the conduct of a study on the their occupation and practice vis-à-vis the claim that a many of maternal and neonatal mortality are related to “unskilled” aid and home births. c) Intercultural Health : Development of culturally and gender sensitive strategies and programs. This includes capacity building to sensitize health workers and other service providers including indigenous health care providers i.e birth attendants. The roles of indigenous health care providers in family and community health care and management should be recognized and strengthened through enabling activities and mechanisms (i.e scholarships for formal training and providing accreditation to practice as skilled birth attendants) without prejudice to the development of indigenous medicinal and health-related knowledge and practice. The intercultural health approach will also facilitate promotion of culture/identity, advancement of indigenous knowledge and good health-seeking behavior among women, children and youth. This entails effective information and communications and developing mechanisms for participation and inclusion in decision making. d) Integrated and Holistic Approach to Health : “Wellbeing” is the sum of the different components that contribute to the health status of an individual or community. It has references to the health or the capacity of the land, resources and the environment to provide the needs of the community. It also has reference to the capacity of the person and the community to withstand or overcome health crisis through governance and management that upholds the dignity of the life and culture of indigenous peoples – women and men under the principles of equality.   18  

Select target paragraph3