In 2025, 13.5 million ‘zero-dose’ children did not receive vaccinations in their first year. More than half of these children live in fragile, conflict-affected or vulnerable countries, where immunization may be disrupted due to a number of factors. Credit: UNICEF

By Shuli Wong
UNITED NATIONS, Jul 22 2026 (IPS)

Despite growing up and working in vastly different geographic regions and environments — one shaped by decades of armed conflict and political instability, and the other by remote, hard-to-reach areas — both Sagal and Johao encounter children daily who have never been vaccinated. Sagal and Johao are members of UNICEF’s Global Youth Health Advisory Group, where they advance children’s health by shaping UNICEF’s strategies, policies, and campaigns, while working directly in their own countries to connect community realities to global conversations about children’s health.

Sagal, 23, lives in the Darul-Salam district in Mogadishu, Somalia, where she works as a junior doctor in maternal and child health. Sagal’s passion lies in promoting vaccine confidence, addressing health misinformation, and empowering the youth to become advocates for healthier communities, she told Inter Press Service. While global vaccine coverage is improving, Sagal describes Somalia’s situation as “still very difficult.” Somalia has one of the lowest vaccination rates due to years of conflict, and while coverage is improving, “not all children are reached equally and a child’s chance to get vaccines depends on where they live, especially in unsafe or hard-to-reach places.”

Johao, 14, lives in Ecuador’s Amazon region, where he has seen firsthand the realities of why children in rural, remote, and isolated areas struggle to get vaccinated. Johao has hands-on volunteer experience in infectious disease research and community health projects and is also a part of U-Report, GeneraciónMÁS, and FixMyFood networks in Ecuador. The biggest challenges Johao encounters when it comes to childhood vaccination campaigns, he told Inter Press Service, are “reaching communities with limited infrastructure, overcoming transportation difficulties, and ensuring that accurate information reaches families before misinformation does.” Both conflict-affected and hard-to-reach areas face their own challenges, but what is particularly difficult in remote communities is “isolation and limited access to essential services.”

The World Health Organization (WHO) defines “zero-dose” children as those who lack access to or are never reached by routine immunization services, which is measured as children who have never received their first dose of diphtheria-tetanus-pertussis (DTP). According to the annual WHO-UNICEF Estimates of National Immunization Coverage (WUENIC), 90 percent of infants globally received at least one dose of a DTP vaccine and 85 percent completed the three-dose series in 2025. However, in 2025, an estimated 13.5 million zero-dose children did not receive a single vaccine in their first year of life, and an estimated 7.3 million infants received their first DTP vaccine but dropped out before receiving their first measles dose. Globally, more than half of all zero-dose children live in fragile, conflict-affected or vulnerable countries (FCV) where immunization programs are affected by political instability, insecurity, and underfunding.

The Immunization Agenda 2030 (IA2030) Mid-Term Review, identified FCVs as “one of the greatest challenges to achieving global immunization goals.” In Somalia, Sagal explained how “most zero dose and dropout children live in places that are unsafe, far away, or completely unreachable. These children face many problems at the same time, including, no vaccines, poor nutrition, very few health services, and almost no social support.”

Sagal, 23, a Somalian junior doctor and member of the UNICEF Global Youth Health Advisory Group. Credit: UNICEF

The situation is similar in Ecuador, where Johao explained, “children who have never received vaccines often live in remote rural or Indigenous communities, where transportation is limited and access to health services can be difficult.”

UNICEF Executive Director Catherine Russell emphasized that while vaccination rates have bounced back since dropping during the COVID-19 pandemic, millions of children are still left vulnerable due to displacement, poverty and war.

“We must reach every child, and we must rebuild trust where it is fraying. No child should suffer from a disease that a simple vaccine can prevent,” said Russell.

WHO and UNICEF have identified the urgent need to counter the spread of misleading information and erosion of trust, which has led to a surge in vaccine hesitancy and anti-science sentiment. In particular, IA2030 called for tailored support in FCV settings to “promote nuanced and context-specific advocacy messaging and approaches, and foster trust through sustained community engagement.”

Aside from logistical access, there are other factors that determine people’s decisions to get vaccinations. Sagal shared that in Somalia people forgo vaccinations for a variety of reasons, including fear of vaccine side effects or rumors that vaccines cause infertility. In Ecuador, Johao detailed how some families lack clear information regarding vaccination schedules and have vaccine concerns influenced by misinformation, with these “barriers affecting their trust in and ability to access health services.”

As a member of the UNICEF Global Youth Health Advisory Group, Johao, 14, speaks to the experiences of children in Amazon communities in Ecuador. Credit: UNICEF

In FCV and hard-to-reach settings, mistrust surrounding vaccines is driven by multiple complex and multifaceted aspects, including misinformation campaigns, conspiracy theories, religious opposition, low health literacy, sociodemographic factors, and the politicization of vaccines that undermines science.

Both Sagal and Johao’s work sits at the intersection of access and trust. As members of the UNICEF Global Youth Health Advisory Group, Sagal and Johao are not only bringing vaccines to children who would otherwise be missed, but doing so in contexts where the social and political conditions that make vaccination difficult are the same conditions their communities live with every day.

When it comes to rebuilding trust and reaching children in FCV settings, youth advocates’ “presence and credibility help [them] enter spaces where formal systems cannot,” Sagal said. “Youth advocates speak the same language and come from the same communities, [so] families trust us more than big institutions.” In Somalia, she explained, youth advocates help to rebuild trust in fragile areas by “reaching other young people quickly, communicating in a natural and friendly way, fighting misinformation fast, and mobilizing communities faster than traditional actors.”

Across settings, culture, language, and traditions strongly influence health decisions. Johao noted how “vaccination messages are more effective when they are communicated respectfully and acknowledge local knowledge and beliefs.”

In order to reach the IA2030 goal and ensure vaccines reach everyone, everywhere, at every age, WHO and UNICEF have put forth four concrete actions. These actions include strengthening immunization programs in FCV settings, countering false and misleading health information to support vaccine uptake, increasing and sustaining global funding for immunization programs, and investing in stronger data and disease surveillance systems.

Sagal and Johao’s lived experiences highlight the dire need for these actions. From Sagal’s experiences, zero-dose children “need health and nutrition support delivered in ways that work in fragile and dangerous environments.” As members of the UNICEF Global Youth Health Advisory Group, Johao explained that to effectively help their communities, “we need access to reliable information, training, resources, and opportunities to work closely with health professionals and community leaders.”

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

The WHO-led Women’s Integrated Cancer Services Program; the pilot programs were first implemented in Kenya in the Bungoma and Nyandarua counties. Credit: WHO/Yasin Abdullahi

By Shuli Wong
UNITED NATIONS, Jul 15 2026 (IPS)

One in five people will be diagnosed with cancer in their lifetime, and when the emotional and physical toll on close family members is factored in, an estimated 92 percent of people globally will be affected by cancer at least once in their lifetime. This staggering statistic is the centerpiece of the World Health Organization (WHO)’s latest global report on cancer.

The Global Status Report on Cancer 2026, published in July 8 in conjunction with the International Agency for Research on Cancer (IARC), is the most comprehensive cancer assessment to date and provides an in-depth analysis of the current global status of cancer care and prevention. The report also paints an alarming picture of persistent and widening inequities in prevention, diagnosis, treatment, and care.

WHO estimates that cancer claimed nearly 10 million lives in 2024 (over 26,000 lives every day), along with 20.6 million new diagnoses globally. Without urgent and accelerated action, annual cancer cases are projected to rise to 35 million by 2050, said Stephane Dujarric, Spokesperson for the UN Secretary-General on July 8. Furthermore, the steepest increases in cancer cases are projected to disproportionately burden low-and-middle-income countries (LMICS), with a 133 percent increase in cancer incidence rates in low-income countries and an 86.5 percent increase in lower-middle-income countries by 2050.

The report highlighted the deep global inequities in cancer survival rates. In high-income countries, the five-year net survival rate for breast cancer exceeds 85 percent, while, in low-income countries it drops below 45 percent. For childhood leukemia, only 54 percent of countries have reached the 60 percent five-year survival rate that WHO’s Global Institute for Childhood Cancer set as the minimum target. Furthermore, there are stark regional differences, with some African and Eastern Mediterranean countries falling at only 19 percent, and some South-East Asian countries at 26 percent.

The regional disparities are highlighted by the report’s statement that “our experience of [cancer] and chances of surviving now depend less on the stage or biology of our disease than on where we live and our economic circumstances.” A primary driver of these inequities is limited treatment capabilities and infrastructure in LMICs. For example, 23 LMICs lack any active radiation facilities, resulting in over 197 million people without local access to any critical radiation treatment. Furthermore, even when facilities exist in LMICs, they are chronically unreliable and subject to downtime, high operating costs, limited local maintenance expertise, and delays in importing parts.

While the physical and emotional health effects of cancer are astronomical, the financial consequences for families are just as devastating. Approximately 45–60 percent of people diagnosed with cancer experience catastrophic health expenditure, leading to impoverishment, food insecurity, and disrupted education for the children and siblings of cancer patients. Even in countries that have universal health coverage, the indirect costs of cancer are detrimental, and female caregivers experience greater consequences for their employment and productivity than men.

Throughout the report, prevention is highlighted as the most important yet underused tool for reducing cancer incidence rates. In 2022, 38 percent of cancer cases were attributed to 30 modifiable risk factors, with tobacco use, infections, alcohol consumption, and excess body weight as the primary factors. However, only 30 percent of national cancer control plans incorporate evidence-based cancer prevention interventions.

The WHO outlined three strategic shifts to help shape the future of cancer control: better capabilities, better protections, and better value. These shifts are anchored in a person-centered cancer agenda that is shaped by lived experience. Cancer care needs stronger governance and financing that is centered around investing in human resources. Globally, there needs to be a primary focus on prevention through early detection and equitable access to diagnosis and treatment. Outcomes must be focused not just on survival but also on function and quality of life.

The report concluded, “the primary gap is no longer a gap in knowledge, but a gap between what we know and what we do, between what we plan and what we implement.” WHO Director-General, Dr. Tedros Adhanom Ghebreyesus, emphasized that the path forward for cancer care “must be shaped by more than data and scientific research; they must also reflect the voices and lived experiences of people impacted by the disease.”

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

UN Secretary-General António Guterres (left) and Volker Türk, United Nations High Commissioner for Human Rights (right). They have called for the universal abolition of the death penalty. Credit: UN Photo/Violaine Martin

By Shuli Wong
UNITED NATIONS, Jul 3 2026 (IPS)

While the movement for the universal abolition of the death penalty advances, this progress “cannot be taken for granted,” said UN Secretary-General António Guterres as he greeted the 9th World Congress Against the Death Penalty.

In his video message, Mr. Guterres said, “the death penalty does not deliver justice. It is an inhumane form of punishment. It puts innocent lives at risk. And it has no place in the 21st century.” Worldwide, the push for abolition has gained momentum, with the Secretary-General reaffirming the UN’s full commitment to universal abolition “firmly and without exception.”

The 9th World Congress Against the Death Penalty, taking place in Paris between June 30th and July 2, 2026, convenes governments, UN officials, legal professionals, journalists, and activists to discuss concrete steps to reform and ultimately abolish the death penalty. The Congress is organised by ECPM (Together Against the Death Penalty), a leading French NGO that began campaigning for universal abolition in 2000 and has organised all 9 World Congresses Against the Death Penalty. The Congress is sponsored by France, and the European Union and Switzerland are co-sponsors.

At the opening of the 9th World Congress Against the Death Penalty, the UN Human Rights Commissioner, Volker Türk, further underscored the UN’s staunch position on universal abolition. In his opening remarks, Volker Türk urged “all States, everywhere, to join the overwhelming, and principled, global consensus that use of the death penalty must end, everywhere, for all offenses.”

France’s president, Emmanuel Macron, mirrored Mr. Türk’s remarks, speaking at the Congress to the fact that “the death penalty has never made a society safer.”

“Never, because it does not act as a deterrent. It’s crazy. It has been demonstrated, observed and measured. The death penalty has never had the deterrent effect that certain, often authoritarian, authorities who defend it would like to attribute to it,” said Macron.

Prior to the start of the Congress, the European Union (EU) put forth a statement to the UN Human Rights Council on June 18, highlighting how capital punishment is a discriminatory practice that violates the inalienable right to life. The statement stressed how the death penalty is incompatible with human dignity and called for a moratorium by states as the first step towards abolition.

The EU Statement reiterates the key points from a May 21st statement from 41 Members of the Inter-Regional Task Force on the Moratorium on the use of the Death Penalty. While more than two-thirds of UN member states have abolished the death penalty in law or in practice, there has been a recent and significant increase in executions among the few retentionist states. The signatories of the statement emphasized how the 9th World Congress Against the Death Penalty represents an immense opportunity to reaffirm the global commitment to universal abolition.

Within the retentionist states, recent data from the Office of the High Commissioner for Human Rights (OHCHR) highlights an alarming spike in capital punishment. These increases were due to executions for drug-related violations for crimes that people committed as children and offences that did not meet the ‘most serious crimes’ criteria. Examples of actions by retentionist states include Iran, with over 1,500 individuals executed in 2025, 47 percent of which related to drug offences. Israel, which has set forth a series of legislative proposals introducing mandatory capital punishment provisions that would apply only to Palestinians. Other countries, including the United States, Somalia and Singapore, have also seen increases in executions.

While these numbers are startling, there has been immense progress towards abolition. 170 countries have either abolished or introduced a moratorium on the death penalty in law and/or in practice. Some states that have not yet fully abolished the death penalty but have taken encouraging steps to limit capital punishment include Vietnam, Pakistan, Zimbabwe, Kenya, Malaysia, and Kyrgyzstan.

These trends confirm that abolition is a core testament of the international community’s commitment to human rights and upholding international law. The International Covenant on Civil and Political Rights, which has been ratified by 175 states, guarantees the “inherent right to life” and that the death penalty may “be imposed only for the most serious crimes in accordance with the law” for the countries that have not yet abolished it. The 9th World Congress Against the Death Penalty presents an opportunity to take concrete steps towards the path of abolition, with the full support of the UN and Secretary-General António Guterres behind the Congress.

IPS UN Bureau Report

Follow @IPSNewsUNBureau