Human rights Data and research • The connection between international human rights frameworks and the realisation of domestic human rights must be understood by all who are working to improve the lives of intersex people in Aotearoa New Zealand. • The Roundtable participants agreed that mandatory reporting is needed on the instances of medical interventions on intersex children in Aotearoa New Zealand. It was agreed that a national health database is needed to hold good data while providing appropriate privacy provisions. The database must be adequately resourced. Collaboration • More collaboration is needed across all sectors around the country working with intersex people with a focus on self-determination rather than prescriptive and differing advice. A national clinical network would provide a central point of communications and policy development. • The work we do in Aotearoa New Zealand must be part of the global conversation about how to improve the lives of intersex people and their families/whānau. • The voices of intersex people and their whānau must be central to policy development, legislative changes and medical developments. The Roundtable affirmed the saying “Nothing about us without us” in support of intersex voices in decision making and movement building. • The voices of young people must be heard in these discussions if a child-centered approach is to be truly realised. This also builds succession planning into our advocacy and creates leadership opportunities for intersex people. Decolonisation and breaking the gender binary • Evidence presented in case studies at the Roundtable acknowledged that the enforcement and presumption of the gender binary and Western constructions of gender can be problematic. This presumption can be insensitive to cultural constructs and understandings. Language Education • Continued collaboration is needed between tertiary education providers to raise the profile of the level of appropriate health care expected for intersex people and their whānau in Aotearoa New Zealand. • Continued efforts are also needed to engage medical professionals and support services in ongoing professional development in this area. National Clinical Network • The Roundtable participants discussed the offer from the Ministry of Health to fund a national intersex clinical network through the Pediatric Society of New Zealand. • The benefits and risks of this offer were discussed at length and a suggested framework for a network was agreed upon. • Recommendations by the Roundtable on how the network could operate have now been approved by the Pediatric Society of New Zealand. • The advertisement for expressions of interest, including details of the scope of the network, have been included as Appendix 4. • Expressions of interest were sought through the Pediatric Society of New Zealand with the network’s first meeting scheduled for May 2018. • The Roundtable agreed that consistent and strengths-based language is important when discussing the needs and identities of intersex people. The group encouraged the use of “sex variations” instead of “sex differences”.2 4 Human Rights Commission

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