ࡱ> FHE%` bjbj"x"x <*@@4~~~~~~~ 8  2)22HHH((((((($)hP,(~||(~~HH4(~H~H((m~~H& ' rd()02),,p,,~hJ2<n|((F2)Dz Dz ~~~~~~ Permanent Forum on Indigenous Issues Eighth Session New York, 18 May 29 May 2009 Agenda Item 7: Future Work of the Permanent Forum, including issues of the Economic and Social Council and emerging issues. Presented by: Ngiare Brown Bullana, the Poche Centre for Indigenous Health JOINT STATEMENT ON BEHALF OF The Pacific Caucus And The Australian Indigenous Peoples Organisations Network:  I would like to begin by acknowledging the Traditional Owners of the land on which we gather, and bring respects from my Ancestors to the members and participants of the Permanent Forum. We cannot achieve the realisation of our human rights if we are not healthy, nor raise our children or empower our youth. This Intervention is focused on a proposal for future work to address the health and well-being of the worlds Indigenous Peoples, and the roles and responsibilities of UN, World Health Organisation (WHO), and other health related agencies. We propose as part of our future work, and consistent with the mandated areas of the Permanent Forum, the development and promotion of a global agenda addressing the health of the worlds Indigenous Peoples. We are all well versed on the persistent disparities in health and social justice outcomes for Indigenous peoples the world over. Colonisation; oppression; racism and discrimination; policies and practices with intended and unintended negative impacts; and social and political environments all contribute to the complex matrix of risk factors that influence the health and well-being of our men, women and children. These risk factors influence poorer outcomes such as significant life expectancy disparities; higher rates of maternal and infant mortality, even in developed nations; poor mental health status and higher rates of interpersonal violence, self harm and suicide; substance abuse (including tobacco, alcohol, marijuana, amphetamines and narcotics); excess morbidity and mortality from preventable chronic diseases such as heart disease, diabetes and kidney disease; grossly disproportionate incarceration rates; lower educational completion and attainment; and lower employment and income status. On a more positive note, there is evidence that successful initiatives developed to address and resolve these disparities are usually locally driven and community owned. We believe that such local and regional Indigenous expertise has the potential to provide leadership and innovation in order to drive international health reform and global improvements in health and social justice outcomes for the worlds Indigenous Peoples. The World Health Organisations Commission on the Social Determinants of Health recently published a comprehensive report describing a social determinants and human rights-based approach to health equality. Other UN agencies continue to undertake essential work relating to the health and wellbeing of the worlds populations. However, missing from such work is dialogue on the CULTURAL DETERMINANTS of health and an explicit, sustained focus on the health needs and priorities of Indigenous peoples. We note that the WHO is yet to routinely engage or provide regular reports to the Permanent Forum, although regional office representatives are often in attendance. It is not enough to assume the inclusion of Indigenous issues under various other contexts such as vulnerable populations, womens health, refugees, minorities etc. We are distinct peoples with health issues intimately connected to our Indigenous status, beliefs, experiences and expertise. And whilst social determinants describe the influence and impacts of education, employment, income and economic status on health, wellbeing and participation, in addition we must promote discussion, research and action on the cultural determinants of health concepts essential to Indigenous existence, healing and well-being. Cultural determinants of health include sovereignty and self-determination; access to and utilisation of traditional lands; issues of identity; preservation of language; and cultural integrity that is the protection and promotion of Indigenous lore and positive traditional practices that are protective and facilitate improved resilience. Aboriginal health professionals in Australia are working with Colleagues in the Pacific on these cultural determinants. The Pacific Caucus and the Australian IPO network make the following recommendations That the World Health Organisation be one of the agencies identified to engage in comprehensive dialogue with the Permanent Forum in 2010 and subsequent years; That the UNPFII, ECOSOC and member States engage with the World Health Assembly (WHA), the international agency which determines the direction and mandate of the WHO, to develop a comprehensive, integrated agenda addressing the health of the worlds Indigenous peoples; That the Permanent Forum suggest WHO mandate regional offices to engage with (or continue to engage with) member States to develop initiatives specific to the health of Indigenous Peoples in their region; That WHO, their regional offices and UN agencies develop themed reports specific to Indigenous health e.g. The State of the Worlds 鱨վ Indigenous maternal and newborn health. These agencies should draw on the extensive, collective expertise and networks of the UNPFII and participants to progress this work; That the UNPFII facilitate research and action on the cultural determinants of health; Thankyou Madam Chair, Permanent Forum members, brothers and sisters.      PAGE \* MERGEFORMAT 2 U_bc ! > t G\]fjɽ}rkrbrh_'mHnHu h_h_'jh_h_'Uh_'hW jhW Uhw?h]{NhdchL5hLohL5hxhL5h|hLjhLUhgKhL5>*^JhgKh|^Jh|hL5^Jh|h|5^J hL5^JhgKhL5^JhgKhL^J&%4STU ! > ? R S W X O gdL gdL|^`|gdL|@&^`|gdLp^p`gd|p@&^p`gd|gdL @&gdLO +}+2Yj & FgdLgdLgdL hw?hW h_':&P 1h:pLBP. 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