Geoffrey Scott Roth
OccupationIndigenous health advocate

Geoffrey Scott Roth is a Lakota (Standing Rock Sioux Tribe) Indigenous health advocate, consultant, and researcher. He served two terms as the North American representative to the United Nations Permanent Forum on Indigenous Issues (2020–2022;[1] 2023–2025).[2] Roth has worked on the Indigenous Determinants of Health (IDH) framework, which incorporates cultural, political, and ecological conditions into global Indigenous health governance.[3] He is CEO of Cedar Rock Alliance[4] and a founding member of the Indigenous Determinants of Health Alliance.[5]

Early life and education

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Roth is a descendant of the Hunkpapa band of the Standing Rock Sioux Tribe.[6] He is originally from Oregon City, Oregon and earned a B.S. in Educational Studies from the University of Oregon College of Education.[7][8] In 2015, the university recognized him with its National Public Service Award, and in 2019 named him among “100 Ducks Who Made a Difference.”[9]

Career

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Nonprofit and federal leadership

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Roth began his public service career as executive director of the Native American Youth Association in Portland, Oregon.[9] He later served as executive director of the National Council of Urban Indian Health. During this period, he publicly opposed proposed federal budget cuts to urban Indian health programs, saying “Many tribes are viewing this as an assault on trust responsibility,” according to NBC News.[10] In 2009, he testified before the U.S. Senate Committee on Indian Affairs on healthcare reform, advocating for strengthened support for Urban Indian health services.[11] He also served as president of the National Native American AIDS Prevention Center from 2005 to 2010.[9] From 2010 to 2017, Roth was a senior advisor to the director of the Indian Health Service[12] and coordinated implementation of the Indian Health Care Improvement Act and helped integrate provisions of the Affordable Care Act into Tribal and Urban Indian health systems.[9] In 2020, he led the Indian Health Service review team during the Presidential transition of Joe Biden.[13] He later chaired the Coquille Indian Tribe’s Ko-kwel Wellness Center executive board,[14] and contributes to the Global Governance Project.[15]

UN engagement and global advocacy

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Roth served as vice chair of the United Nations Permanent Forum on Indigenous Issues for four sessions: the 20th (2021)[16], 21st (2022)[17], 22nd (2023)[18], and 24th (2025)[19]. Roth has served two terms as a member of the United Nations Permanent Forum on Indigenous Issues: 2020–2022 and 2023–2025.[20][21] In 2023, he co-authored Indigenous determinants of health in the 2030 Agenda for Sustainable Development (E/C.19/2023/5).[22] In 2025, he introduced a 20-item IDH measurement instrument in Evaluating institutional structures to improve the health and wellness of Indigenous Peoples globally (E/C.19/2025/5); media covered its launch at UNPFII.[23][24]

Organizational leadership

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Roth is the founder and CEO of Cedar Rock Alliance, a consulting firm supporting governance and data policy for Tribal and Urban Indian health programs,[25] and chairs the Indigenous Determinants of Health Alliance.[26] He serves as board chair of the Ko-kwel Wellness Center, a clinic operated by the Coquille Indian Tribe in Oregon;[27] chairs Capital Native Nations, a Washington, D.C.–based nonprofit serving urban Native populations;[28] and is a board member of the Urban Indigenous Collective.[29]

Recognition

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Roth has presented on Indigenous health topics at national forums, including the American Public Health Association’s Annual Meeting.[30]

Selected publications

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  • Indigenous determinants of health: a unified call for progress, The Lancet, Vol. 402, Issue 10395, pp. 7–9.[31]
  • Every day is Earth Day: Indigenous Peoples and their knowledges for planetary health, The Lancet, Vol. 404, Issue 10449, pp. 226–228.[32]
  • Indigenous determinants of health in the 2030 Agenda for Sustainable Development, UNPFII, E/C.19/2023/5.[33]
  • Improving the health and wellness of Indigenous Peoples globally: operationalization of Indigenous determinants of health, UNPFII, E/C.19/2024/5. [34]
  • Evaluating institutional structures to improve the health and wellness of Indigenous Peoples globally: the Indigenous determinants of health measurement instrument, UNPFII, E/C.19/2025/5.[35]
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References

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  1. ^ "Membership of the Permanent Forum on Indigenous Issues 2020–2022". United Nations. Retrieved July 30, 2025.
  2. ^ "President of ECOSOC appoints eight members to the Permanent Forum for term January 2023–December 2025". United Nations. July 12, 2022. Retrieved July 30, 2025.
  3. ^ "Indigenous scholars release new report at U.N. on determinants and protectants of Indigenous health". Native News Online. April 21, 2023. Retrieved July 28, 2025.
  4. ^ "Cedar Rock Alliance". Cedar Rock Alliance. Retrieved July 28, 2025.
  5. ^ "Board — Indigenous Determinants of Health Alliance". IDHA. Retrieved July 30, 2025.
  6. ^ "Testimony of Geoffrey Roth" (PDF). U.S. Senate Committee on Indian Affairs. June 11, 2009. Retrieved July 28, 2025.
  7. ^ "Geoffrey Roth '98". University of Oregon Alumni Association. Retrieved July 30, 2025.
  8. ^ "Board of Directors". Urban Indigenous Collective. Retrieved July 30, 2025.
  9. ^ a b c d "Health advocate and former NCUIH executive director Geoffrey Roth appointed as the North American member of UNPFII". NCUIH. July 23, 2019. Retrieved July 30, 2025.
  10. ^ "Urban Indians fear clinic cuts". NBC News. March 17, 2006. Retrieved July 28, 2025.
  11. ^ "Testimony of Geoffrey Roth" (PDF). U.S. Senate Committee on Indian Affairs. June 11, 2009. Retrieved July 28, 2025.
  12. ^ "IHS Tribal Consultation Summit booklet" (PDF). Indian Health Service. July 6–7, 2011. Retrieved July 28, 2025.
  13. ^ "Biden transition team for federal agencies". The Washington Post. November 10, 2020. Retrieved July 30, 2025.
  14. ^ "Executive Board". Ko-kwel Wellness Center. Retrieved July 28, 2025.
  15. ^ "Geoffrey Roth". Global Governance Project. Retrieved July 30, 2025.
  16. ^ "Report of the Permanent Forum on Indigenous Issues on its twentieth session". United Nations. Retrieved July 30, 2025.
  17. ^ "Report of the Permanent Forum on Indigenous Issues on its twenty-first session". United Nations. Retrieved July 30, 2025.
  18. ^ "Report of the Permanent Forum on Indigenous Issues on its twenty-second session". United Nations. Retrieved July 30, 2025.
  19. ^ "Report of the Permanent Forum on Indigenous Issues on its twenty-fourth session". United Nations. Retrieved July 30, 2025.
  20. ^ "Membership of Permanent Forum on Indigenous Issues 2020–2022". United Nations. Retrieved July 30, 2025.
  21. ^ "President of ECOSOC appoints eight members to the Permanent Forum for term January 2023–December 2025". United Nations. July 12, 2022. Retrieved July 30, 2025.
  22. ^ "E/C.19/2023/5: Indigenous determinants of health in the 2030 Agenda for Sustainable Development". United Nations. March 6, 2023. Retrieved July 28, 2025.
  23. ^ "E/C.19/2025/5: Evaluating institutional structures to improve the health and wellness of Indigenous Peoples globally" (PDF). United Nations. February 4, 2025. Retrieved July 30, 2025.
  24. ^ "Global scorecard demands accountability for Indigenous health". Te Ao Māori News. May 5, 2025. Retrieved July 30, 2025.
  25. ^ "Cedar Rock Alliance". Cedar Rock Alliance. Retrieved July 28, 2025.
  26. ^ "Board — Indigenous Determinants of Health Alliance". IDHA. Retrieved July 30, 2025.
  27. ^ "Executive Board". Ko-kwel Wellness Center. Retrieved July 28, 2025.
  28. ^ "Our Team". Capital Native Nations. Retrieved July 28, 2025.
  29. ^ "Board of Directors". Urban Indigenous Collective. Retrieved July 30, 2025.
  30. ^ "Geoffrey Roth". American Public Health Association. 2024. Retrieved July 28, 2025.
  31. ^ Redvers, Nicole; Reid, Papaarangi; Carroll, Danya; Roth, Geoffrey (July 1, 2023). "Indigenous determinants of health: a unified call for progress". The Lancet. 402 (10395): 7–9. doi:10.1016/S0140-6736(23)01183-2. PMID 37354914.
  32. ^ Redvers, Nicole; Roth, Geoffrey; Martinez Cruz, Carlos (April 20, 2024). "Every day is Earth Day: Indigenous Peoples and their knowledges for planetary health". The Lancet. 404 (10449): 226–228. doi:10.1016/S0140-6736(24)00704-9. PMID 38648810.
  33. ^ "E/C.19/2023/5: Indigenous determinants of health in the 2030 Agenda for Sustainable Development". United Nations. March 6, 2023. Retrieved July 28, 2025.
  34. ^ "E/C.19/2024/5: Improving the health and wellness of Indigenous Peoples globally" (PDF). United Nations. February 12, 2024. Retrieved July 31, 2025.
  35. ^ "E/C.19/2025/5: Evaluating institutional structures to improve the health and wellness of Indigenous Peoples globally" (PDF). United Nations. February 4, 2025. Retrieved July 30, 2025.