Article 5 Measures to Safeguard Various Rights indigenous and outlying island regions after the end of their service period. However, the retention rate dropped to about 65% in 2018 and 2019. Such a trend needs to be taken seriously to ensure the retention of trained medical personnel in indigenous areas.137 108. In indigenous rural regions, it is difficult to meet the standards for home- based, community-based, and institutional long-term care facilities stipulated in the Standards for the Establishment of Long-term Care Institutions 138 due to land use control policies and the requirements of the Building Act and its related regulations, as well as regulations concerning accessibility and the special needs of long-term care service users.139 For example, most indigenous lands are forest lands, farming and grazing lands, protected areas, or lands reserved for indigenous peoples. There is only a little land left that can be rezoned for buildings. Moreover, most of the extant buildings have been built without construction permits, and construction permit applications require a fee. Overall, the financial situation and regulatory restrictions remain obstacles.140 109. For §§105-108, the NHRC recommends: (1) The NHRC believes that the government’s current health and welfare policies for indigenous peoples are driven by the health system, which lacks input from indigenous peoples and fails to consider their cultural uniqueness. Therefore, the government has failed to provide appropriate or culturally sound health and welfare services for different ethnicities 137 138 139 Control Yuan investigation report approved on July 15, 2020 (110 教調 0012) Articles 10-12 of the Standards for the Establishment of Long-term Care Institutions . The Regulations on the Development and Management of Lands Reserved for Indigenous Peoples , the Spatial Planning Act , and the Regional Plan Act . 140 CitiOrange (2016, Mar 31). Who is being taken care of by long-term care? Strict rules for setting up day care centers in the countryside force the elderly to leave their hometowns once they become “disabled” . Retrieved from buzzorange.com. 77