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Improving the physical environment and Indigenous participation in environmental decision-making is inherently related to the improvement of health among Indigenous Peoples. Improving the state of the physical environment necessitates increased involvement by Indigenous communities in decision-making and policy development. This involvement must integrate local traditional knowledge (TK) as an important tool in the decolonization of environmental decision-making, and a necessary step towards the improvement of Indigenous health. With a focus on the physical environment as a social determinant of Indigenous health, this article highlights the need for increased Indigenous participation in the decision-making process on environmental issues and proposes a framework to accomplish this outcome. Indigenous-centred policy frameworks should include the following five key principles: (a) the recognition of Indigenous knowledge, (b) the recognition of the inherent right to self-determination, (c) the use of an inclusive and integrative knowledge system, (d) the use of community-based participatory approaches, and (e) the use of circular and holistic viewpoints.

Increased Indigenous Participation in Environmental Decision-Making: A Policy Analysis for the Improvement of Indigenous Health