By External Source
Oct 22 2026 (IPS)

 
The world is getting hotter. And the consequences are already being felt.

From devastating floods and prolonged droughts to intensifying heatwaves, climate change is disrupting lives and livelihoods across the globe.

According to the World Meteorological Organization, the eleven years from 2015 to 2025 were the hottest ever recorded.

In 2025, global temperatures were approximately 1.43 degrees Celsius above pre-industrial levels.

And the human impact is growing.

UNICEF reports that more than 171 million students had their education disrupted by climate-related hazards in 2025.

Three-quarters of those affected lived in low- and lower-middle-income countries.

Now, a new United Nations Environment Programme report delivers another warning.

Its 2026 Emissions Gap Report concludes that temporarily exceeding the Paris Agreement’s 1.5-degree warming threshold is now unavoidable.

But how far temperatures rise, and for how long, still depends on decisions made today.

UNEP estimates that limiting this overshoot requires global greenhouse gas emissions to fall by 18 percent by 2030, and 45 percent by 2035, compared with 2025 levels.

Current national climate commitments fall far short.

Yet solutions exist.

Renewable energy, cleaner transport, energy efficiency and stronger climate policies can reduce emissions.

And investment in climate adaptation can help protect vulnerable communities from worsening impacts.

On October 24th, International Day of Climate Action draws attention to the urgent need for collective action.

The challenge is no longer simply to prevent warming.

It is to limit the damage, protect lives and build a more resilient future.

Because every fraction of a degree matters.

IPS UN Bureau

Bangladesh has earned global recognition for reducing deaths from cyclones and floods. Early warning systems, cyclone shelters, embankments and community preparedness have transformed the country’s disaster response. Yet another climate crisis is receiving far less attention: the economic damage climate change is quietly inflicting on households, farmers, workers, businesses and public finances.

Shahiduzzaman

The uncomfortable reality is that Bangladesh still lacks a comprehensive annual system for calculating climate induced microeconomic damage. Losses are recorded separately through agricultural damage, disaster assessments, health costs, infrastructure destruction, lost working days, business interruption, declining household income and climate induced migration. As a result, much of the country’s real climate bill remains invisible.

Available evidence shows that the cost is already enormous. The World Bank estimates that tropical cyclones cost Bangladesh around US$1 billion annually. It has also warned that a severe flood could reduce national GDP by as much as 9 percent, while climate change could cause around one third of agricultural GDP to be lost by 2050. As many as 13.3 million people could become internal climate migrants by 2050 because of climate related pressures on agriculture, water and land. The economic burden is no longer limited to cyclones and floods. Extreme heat is emerging as a major source of economic loss. A 2025 World Bank assessment found that heat related physical and mental health conditions resulted in an estimated 250 million lost workdays in Bangladesh in 2024. The resulting economic loss was estimated at between US$1.33 billion and US$1.78 billion, equivalent to around 0.3 to 0.4 percent of GDP.

This should fundamentally change how Bangladesh understands climate damage. A disaster does not have to destroy a house, factory or bridge to cause economic loss. When extreme heat reduces the productivity of a construction worker, garment worker, farmer, transport worker or street vendor, the economy loses output.

The hidden climate bill therefore extends far beyond physical destruction.

Consider a farmer in coastal Bangladesh. Rising salinity may gradually reduce agricultural production. The immediate result is lower household income. But the consequences do not end there. A family may sell livestock, borrow money, reduce food consumption or withdraw children from school. Eventually, one or more family members may migrate to Dhaka or another city.

A climate shock that begins in a field can therefore become a problem for the labour market, housing, education, health services and urban infrastructure.

The same chain of losses occurs during floods. A small shopkeeper can lose inventory. A transport worker can lose several days of income. A factory may remain physically undamaged but stop production because roads are submerged or workers cannot reach their workplace. Households may spend their savings on repairs instead of education, healthcare or investment.

At the same time, the government must spend more on emergency relief, damaged roads, embankment repair, reconstruction and public health.

Climate change therefore creates a double burden: private income and productive assets are lost while public expenditure increases.

This is why Bangladesh urgently needs a national climate loss accounting system. It should systematically measure household and productive asset losses, agricultural and fisheries damage, lost income and working days, health and productivity costs, business interruption, supply chain disruption, displacement and loss of human capital.

Such a system would tell policymakers not simply how much a cyclone or flood costs in physical damage, but how much income ordinary citizens lose and how much economic activity Bangladesh sacrifices.

This is particularly important because a large share of Bangladesh’s workers remain in informal employment. Agricultural labourers, construction workers, transport workers, street vendors and small entrepreneurs often have limited access to paid leave, insurance or social protection. When a flood, cyclone or heatwave prevents them from working, their income can disappear immediately.

Climate change is therefore also an inequality crisis.

A wealthier household may be able to repair its home, relocate temporarily or pay medical expenses. A poor household may have to sell productive assets or take on debt. For families living close to the poverty line, one climate shock can erase years of economic progress.

Bangladesh has taken important steps toward adaptation. Its National Adaptation Plan for 2023 to 2050 identifies major adaptation priorities and recognises the enormous investment required to protect people, livelihoods and development. (UNDP) But the gap between ambition and implementation remains a serious concern.

The first major gap is data. Bangladesh cannot effectively manage climate related economic damage without knowing its full scale. The government should publish an annual National Climate Economic Loss Report covering households, agriculture, businesses, labour productivity, health and public infrastructure.

The second gap is institutional coordination. Climate adaptation cannot remain primarily the responsibility of environmental or disaster management agencies. Climate risks must be integrated into agriculture, finance, labour, health, housing, transport, industry, education and urban planning.

The third gap is prevention. Bangladesh has become relatively successful at responding after disasters, but prevention deserves much greater economic priority. A resilient drainage system that prevents repeated business disruption may be more valuable than repeatedly repairing flood damage. A climate resilient crop can protect rural income for years. A heat resilient workplace can preserve thousands of working days.

The fourth challenge is finance. Bangladesh cannot meet its enormous adaptation needs through public budgets alone. International climate finance, concessional financing, private investment, insurance and innovative financial mechanisms will all be necessary.

International experience offers useful lessons. The Netherlands demonstrates how flood protection can be integrated into long term spatial planning, infrastructure and water management. Its experience shows that flood resilience can be treated as an economic strategy rather than simply an emergency response.

Singapore offers another important lesson, particularly for Bangladesh’s cities. Its approach to rising temperatures combines urban greenery, heat modelling, climate sensitive planning and protection of vulnerable populations. Dhaka could similarly treat trees, shaded public spaces, cool buildings, drainage and water management as economic infrastructure rather than merely environmental amenities.

Bangladesh can also build on its own success. Its cyclone warning system and community preparedness programmes demonstrate that locally rooted approaches can deliver remarkable results. The same principle should now be applied to protecting livelihoods, small businesses, agriculture and workers.

Most importantly, adaptation should be judged by economic outcomes. Instead of simply reporting how much money is spent on a climate project, the government should measure how many jobs are protected, how much income is safeguarded, how many working days are preserved and how much future economic loss is avoided.

The real climate bill is not simply the cost of rebuilding a bridge after a flood. It is the farmer who produces less for years because of salinity. It is the worker who loses productive days because of extreme heat. It is the small entrepreneur whose capital disappears in a flood. It is the child whose education is interrupted because household income collapses. It is the family forced to migrate after losing its land.

When millions of such individual losses accumulate, they become a national economic crisis.

Bangladesh has demonstrated that it can protect its people from the deadliest consequences of climate disasters. The next challenge is to protect their livelihoods and economic future.

The country cannot manage what it does not measure. It is time to move from simply counting disasters to counting lost income, lost jobs, lost working days, damaged productive assets and the GDP that climate change prevents Bangladesh from generating.

The objective should not simply be to calculate how much climate change costs Bangladesh. It should be to determine how much Bangladesh can save by investing in resilience today.

Climate adaptation is no longer merely an environmental responsibility. For Bangladesh, it is an investment in GDP, employment, poverty reduction, human development and long term economic security. The climate bill is already being paid. The failure is that we still do not know its full size.

The author is the Editor and CSO of News Network.

IPS UN Bureau

Communities face multi-layered crises in Afghanistan, including underlying poverty, climate-related shocks and the aftermath of four decades of conflict. Credit: UNAMA/Ahmad Khalid Khaliqi

By Oritro Karim
UNITED NATIONS, Oct 21 2026 (IPS)

In recent months, Afghanistan’s humanitarian crisis has severely deteriorated, with the UN reporting record-high levels of acute malnutrition and hunger. Compounded by rampant human rights violations, limited access to basic services, and persistent barriers to humanitarian aid, the UN warns that conditions could considerably worsen in the coming months.

The latest figures from the Integrated Food Security Phase Classification (IPC) show that approximately 15.9 million people—32 percent of the analyzed population—are currently facing Crisis-levels of hunger (IPC Phase 3) or worse. Of those, roughly 3.4 million face Emergency-levels of hunger (IPC Phase 4), just one step away from the highest level, which could entail the onset of famine.

IPC projects that food insecurity could surge from November to April during the winter lean season. As agricultural activity slows down, unemployment remains widespread, and harsh weather hinders aid delivery and basic services, IPC estimates that nearly 19.2 million people—including 10 million children—could face Crisis-levels of hunger or worse, with 5 million at risk of Emergency-levels of hunger.

The World Food Programme (WFP) and the Food and Agriculture Organization (FAO) warn that food assistance, agricultural support, and healthcare operations must be scaled up ahead of the winter season. WFP Country Director John Aylieff stressed that the “window to act” is rapidly closing if families are to survive the winter “with dignity.” Meanwhile, FAO Representative Richard Trenchard underscored that creating dependable income is essential in preparing communities to withstand future shocks.

Ashish Damle, Save the Children’s Country Director in Afghanistan, warned that the country is trapped in a “deadly” hunger crisis with “no end in sight,” as humanitarian needs rise while critical aid funding dries up. Young people are projected to bear the heaviest burdens, as roughly 4.04 million children under five will require treatment for acute malnutrition in 2027—a 9 percent increase from 2026. Severe acute malnutrition is forecast to surge by 16 percent in the coming year, rising from 942,000 in 2026 to 1.1 million in 2027.

With winter approaching, Damle stressed that harsh weather conditions will make survival even harder for children already facing acute malnutrition.“Our doctors and nurses witness the devastating consequences of the hunger crisis every day: malnourished children arriving at our clinics, mothers going hungry so their families have something to eat, and parents desperately seeking help as their children’s health deteriorates,” said Damle.

Despite recent rainfall improvements and promising harvests, widespread unemployment and weak purchasing power still keep adequate nutrition out of reach for most families, even when it is available. Conditions are compounded by the return of over 1.2 million Afghans from Iran and Pakistan in 2026, further stretching already limited resources.

“I saw firsthand that this crisis is not simply about whether food exists, but whether people can afford it, whether they can earn an income, access basic services, or whether they have anything left to fall back on when the next shock comes,” said Olga Cherevko, Spokesperson for the Office for the Coordination of Humanitarian Affairs (OCHA). She added that years of conflict, economic instability, and climate shocks have severely eroded community resilience, leaving families with little capacity to adapt to new shocks.

Cherevko highlighted the Taliban’s systematic exclusion of women and girls from education and public life as a primary driver of the crisis. Figures from the United Nations Children’s Fund (UNICEF) show that Afghanistan stands to lose up to 20,000 women teachers and 5,400 female health workers by the end of the decade. She emphasized that barring women and girls from society has alarming implications for access to healthcare, dietary diversity, education, and the ability to sustain livelihoods.

On October 15, the UN Assistance Mission in Afghanistan (UNAMA) issued a report detailing the persistence of human rights abuses between July and September. During this period, UNAMA documented over 50 cases of women arrested or detained relating to the hijab. Women continue to be barred from accessing health clinics and markets without a male guardian (mahram).

The mission also recorded around 443 cases of arbitrary detention and 97 instances of ill-treatment over minor infractions such as hijab violations, trimmed beards, skipped prayers, and listening to music. It further documented public corporal punishments of 28 individuals, including six women, and the detention of 14 former security force members, with at least four others killed.

Beyond individual rights, Afghanistan has also experienced a severe breakdown of civic space conditions over the past year, marked by the arbitrary suspension of multiple media outlets without clear reasons or opportunities for appeal. New legislation enacted in August bans all demonstrations and protests, effectively silencing civilian dissent across the country.

Cherevko emphasized the need for sustained, expanded humanitarian aid while calling for strategic investments in long-term resilience. She highlighted agriculture, rural livelihoods, local markets, employment, water systems, and health services as key areas for investment, stressing that expanding opportunities for women in the workforce is essential in building communities that are less dependent on emergency assistance.

“We cannot keep asking humanitarian aid to compensate indefinitely for the absence of economic opportunity and essential public services. We must act before winter, not after families have exhausted their options,” said Cherevko.

Ground operations remain significantly constrained due to persistent funding shortfalls. According to OCHA, as of mid-September, the agency had received just 31 percent of the funding needed to support Afghanistan’s 21.9 million vulnerable people. Earlier in August, WFP warned that these shortfalls had forced nutrition programs to scale back when they are needed the most, leaving more children at risk of being malnourished.

Despite these shortfalls, the UN and its partners continue to work on the ground to deliver emergency and essential services, reaching roughly 8.3 million people with at least one form of assistance between January and July.

IPS UN Bureau Report

Credit: UN Photo/Luke Powell

By FAO and WFP
KABUL, Afghanistan, Oct 20 2026 (IPS)

Nearly 40 percent of the population of Afghanistan is projected to face high levels of acute food insecurity this winter, and cases of acute malnutrition are expected to soar during 2027, the Food and Agriculture Organization of the United Nations (FAO) and the United Nations World Food Programme (WFP) warned.

This is according to the latest Integrated Food Security Phase Classification (IPC) analysis, which projects that approximately 19.2 million people (38% of the population) will face high levels of acute food insecurity during the November-April lean season, which lasts through the winter. This is an increase from 17.4 million projected for the same period a year earlier.

An estimated five million of those who are acutely food insecure will be facing emergency levels of hunger (IPC Phase 4) – double the number projected for April-September 2026 – meaning immediate food assistance and urgent emergency agriculture support are needed to prevent deaths and total livelihood collapse. The most severe classifications are projected in Badakhshan, Badghis, Daykundi, Ghor, Samangan, Sar-e-Pul and rural Ghazni.

Acute malnutrition is beginning to define the crisis in Afghanistan with mothers and children at the forefront. Malnutrition cases are expected to increase by nearly 10 percent compared to 2026 to four million. One-quarter of these are expected to be severe and life-threatening. Prevention and treatment services are lagging well behind despite cases increasing, leaving women and particularly children more exposed.

The crisis in Afghanistan is being driven by several shocks that are affecting Afghan families and the humanitarian response. More than 1.2 million Afghans have been forced to return home from Iran and Pakistan this year, adding pressure to already overstretched communities. Border closures and disruptions to shipping through the Strait of Hormuz and other critical trade routes are also driving up prices for basic goods. At the same time, dramatic funding shortfalls are limiting humanitarian assistance just as needs are growing. All these issues are converging to drive hunger and malnutrition higher, particularly as winter approaches.

Improved harvests have not restored families’ access to nutritious food

Favorable rainfall supported crop production and pasture recovery in 2026, benefiting many farming households. The anticipated El Niño season could also bring above-average rainfall, helping replenish water sources, restore pasture and support winter and spring crops. Timely agricultural support could help farmers turn favorable conditions into food and income, but rainfall alone will not secure the next harvest. High fertilizer and agricultural input costs and low crop prices may force poorer farmers to plant less or use fewer inputs. Wetter conditions also increase the risk of localized flooding, erosion, crop damage and plant and animal disease.

However, improved harvests and greater food availability are not necessarily translating into improved food security. Persistent unemployment means many families who do not grow their own food cannot afford a nutritious diet, even when food is available. Winter will bring fewer opportunities for agricultural work, further reducing incomes and increasing the need for humanitarian assistance.

Scale up support before needs deepen further

FAO and WFP are calling for urgent funding to scale up food assistance, emergency agricultural support, and malnutrition prevention and treatment. Support must reach families before winter restricts access to vulnerable communities and farmers miss critical planting windows. Afghanistan cannot afford another year of worsening hunger and malnutrition.

Richard Trenchard, FAO Representative in Afghanistan:

“This year’s strong harvest shows what Afghan farmers can achieve. But for a parent with no steady income, nutritious food in the market can still be out of reach for their family. The drumbeat of shock and crisis is relentless, but we know progress is possible. Past experience shows that timely, targeted food and emergency agricultural assistance can bring acute food insecurity down. Helping families grow or afford nutritious food for their children can also help prevent malnutrition long before children need treatment. We need to scale up these practical solutions now, act ahead of foreseeable shocks and invest in processing and local agribusinesses that connect farmers to markets and create jobs. Families need support to get through this winter and opportunities to earn a dependable living that helps them withstand the next shock.”

John Aylieff, WFP Country Director in Afghanistan

“Hunger and malnutrition are tightening their grip on Afghanistan’s families, pushing more people towards the brink just as resources to respond are running short. This crisis is increasingly being defined by the gap between growing needs and shrinking funding. We still have a window to act, but it is closing fast. With urgent support, families can get through the winter with dignity. Without it, many will face impossible choices no parent should have to make.”

IPS UN Bureau

Excerpt:

Decisions about ending one’s life are often complex, reflecting a combination of medical, psychological, social, and personal considerations. Credit: Shutterstock

By Joseph Chamie
PORTLAND, USA, Oct 20 2026 (IPS)

People who choose to end their lives through voluntary assisted dying typically face terminal, incurable, or debilitating conditions that cause severe physical or psychological suffering.

Research on requests for medical assistance in dying and euthanasia shows that most individuals seeking these options have advanced, irreversible illnesses or incurable, debilitating conditions that cause severe suffering or diminish their autonomy, dignity, or the ability to engage in meaningful activities.

Despite becoming legally permitted in an increasing number of countries, voluntary assisted dying remains controversial. The debate centers on a fundamental tension between respecting personal autonomy and relieving suffering, on the one hand, and protecting human life, on the other

Although physical pain is an important factor, psychological, existential, and quality-of-life concerns also play major roles in decisions to end life. These include losing independence and physical abilities, losing control over bodily functions, depending on others for basic care, and fearing future pain, suffering, and distress during the final stages of an illness.

Eligibility requirements for medical assistance in dying vary by jurisdiction. Where access is restricted to terminally ill patients, individuals generally must have a prognosis of six months or less to live.

Other jurisdictions permit access under different eligibility criteria. Applicants generally must demonstrate decision-making capacity and make a voluntary, informed request. Independent medical assessments are generally required, and many jurisdictions impose waiting periods or other safeguards.

Amyotrophic lateral sclerosis (ALS), cancer, and other serious illnesses are frequently associated with requests for voluntary assisted dying. Other requests involve advanced cardiovascular and lung diseases, as well as neurodegenerative conditions, including Alzheimer’s disease and other forms of dementia.

Cancer, particularly when advanced and no longer responsive to treatment, can also involve severe pain, weakness, loss of function, and other debilitating symptoms. Other requests for voluntary assisted dying include terminal illnesses such as advanced cardiovascular and lung diseases and neurodegenerative conditions, such as Alzheimer’s disease and other forms of dementia.

Severe physical pain or psychological distress that cannot be adequately relieved through standard medical or palliative care may lead some people to consider ending their lives. However, the reasons for requesting voluntary assisted dying generally extend beyond physical pain alone.

Loss of autonomy, including the inability to engage in meaningful activities, care for oneself, or maintain personal dignity, may strongly influence these decisions. Some individuals also fear increasing dependence on family members or caregivers, losing control over basic aspects of daily life, or experiencing further deterioration in their quality of life.

Decisions about ending one’s life are often complex, reflecting a combination of medical, psychological, social, and personal considerations. For some individuals, the prospect of prolonged deterioration or increasing dependence may be as important as the symptoms of the underlying illness.

Consequently, requests for voluntary assisted dying generally require careful assessment of an individual’s medical condition, decision-making capacity, wishes, and available alternatives, including palliative and hospice care.

When people actively choose the timing and manner of their death, their choices generally fall into three primary categories, each governed by different legal frameworks, medical protocols, and procedures.

These categories differ principally in who administers the life-ending medication, whether the person must take the medication themselves, and whether the choice involves voluntarily forgoing food and fluids rather than receiving life-ending medication (Table 1).

Source: Compassion & Choices.

The first category is medical aid in dying (MAID), also known as physician-assisted dying or, in some jurisdictions, death with dignity. MAID allows a mentally capable, terminally ill adult who meets specific legal requirements to request and self-administer prescribed medication intended to end their life. In many U.S. jurisdictions where MAID is legal, eligibility generally requires a terminal illness with a prognosis of six months or less, although specific requirements vary by jurisdiction.

The emphasis on self-administration is an important distinction between MAID and voluntary euthanasia. Under MAID, the individual—not a physician or other health professional—takes the medication, retaining control over the timing of the final act. Depending on the jurisdiction, safeguards may include repeated requests, confirmation of the diagnosis and prognosis, assessment of decision-making capacity, and other measures to ensure the decision is voluntary and informed.

MAID is generally intended for people who meet specific legal eligibility requirements. It is not a general option for anyone experiencing suffering or wishing to die. Each jurisdiction determines who qualifies, what medical assessments are required, how requests must be documented, and what waiting periods and other safeguards apply.

The second category is voluntary euthanasia. Unlike MAID, which involves self-administration, voluntary euthanasia occurs when a healthcare professional administers medication intended to end the patient’s life at the individual’s explicit and competent request, typically to relieve otherwise intolerable suffering. It is legally permitted in several countries and jurisdictions, although eligibility requirements, procedures, and safeguards vary considerably.

The third category is voluntarily stopping eating and drinking (VSED). For people who do not qualify for MAID or live where MAID or voluntary euthanasia is unavailable, VSED may be another end-of-life option. It involves a voluntary decision to stop consuming food and fluids, eventually resulting in death. Medical and palliative care may be provided to relieve discomfort during the process.

Voluntary assisted dying is legally permitted in a growing number of countries. In 2026, some form of the practice is legal in approximately 16 countries. Estimates indicate that more than 30,000 people die each year through voluntary assisted dying in jurisdictions where the practice is permitted.

Nearly 5% of the world’s population, or more than 400 million people, live in countries or areas where some form of voluntary assisted dying is legal. These jurisdictions include Australia, Austria, Belgium, Canada, Colombia, Ecuador, France, Germany, Luxembourg, the Netherlands, New Zealand, Portugal, Spain, Switzerland, and Uruguay.

In the United States, Illinois and New York recently joined 11 other states and the District of Columbia in permitting medical aid in dying (MAID) under specified conditions. Nearly one-third of the U.S. population lives in a state where the practice is permitted.

About 60% of U.S. adults consider MAID acceptable or do not view it as a moral issue. Opinions differ by political party, however. About 75% of Democrats compared with 50% of Republicans consider the practice morally acceptable.

Across many regions, including North America, Europe, and Australia, international opinion polls generally find majority support for voluntary assisted dying. A cross-sectional survey of physicians in 17 countries also found nuanced but generally supportive views of physician-assisted death when strict safeguards are in place.

Methods of administering medication also vary across jurisdictions. In Switzerland, individuals self-administer the medication, usually by swallowing a liquid. In Québec, Canada, physicians or nurse practitioners administer it, usually intravenously. In Australia, both self-administration and practitioner administration are permitted.

The laws governing voluntary assisted dying differ considerably across countries and jurisdictions. Nevertheless, the medical conditions and personal circumstances associated with requests for assisted dying tend to show similar patterns across regions and over time.

People with ALS, for example, have been found to have the highest rate of voluntary assisted dying, often several times those of cancer patients. Cancer patients, in turn, are more likely to access voluntary assisted dying than people with other illnesses, such as lung or heart disease. However, cancer remains the most common diagnosis among assisted dying cases, largely because it affects far more people than these other conditions.

Voluntary assisted dying accounts for a relatively small share of all deaths in countries where it is permitted, generally 1% or less in countries such as Germany, Spain, and Switzerland. In other countries, the proportions are considerably higher. Around 2023, assisted dying accounted for 5.4% of deaths in the Netherlands, 4.7% in Canada, and 3.6% in Belgium.

The number of voluntary assisted deaths has increased substantially in some countries. In the Netherlands, for example, the number has reportedly increased threefold since 2002. In Canada, the number initially increased rapidly before growth slowed; assisted dying now accounts for nearly 5% of all deaths.

Despite becoming legally permitted in an increasing number of countries, voluntary assisted dying remains controversial. The debate centers on a fundamental tension between respecting personal autonomy and relieving suffering, on the one hand, and protecting human life, on the other (Table 2).

Source: British Medical Association (BMA).

Arguments in favor of voluntary assisted dying emphasize patient autonomy, relief from suffering, dignity at the end of life, regulatory safeguards, and reduced burdens on families. Arguments against it stress the sanctity of life, risks to vulnerable people, the potential for a “slippery slope”, concerns about medical ethics, and the importance of palliative care.

In sum, voluntary assisted dying is legally permitted in a growing number of countries and jurisdictions, and its use has increased substantially in many of them. Nevertheless, voluntary assisted dying remains a sensitive, controversial, and deeply personal issue, even where it is legally permitted.

Joseph Chamie is a consulting demographer, a former director of the United Nations Population Division, and author of numerous publications on population issues.

 
CIVICUS discusses the persecution of Uyghurs and activism in exile with Rushan Abbas, an Uyghur American activist, founder and executive director of Campaign for Uyghurs and chair of the Executive Committee of the World Uyghur Congress.

Rushan Abbas

Why did you leave Xinjiang?

I was born in Ürümchi, Xinjiang’s regional capital, during the Cultural Revolution. I started my activism as a student at Xinjiang University, where I co-organised pro-democracy protests in 1985 and 1988. In 1985, we mobilised over 20,000 students from seven universities, institutes and technical schools across the city. We demanded equality and an end to the forced sterilisation of Uyghur women and to nuclear testing in the region.

Those years brought a brief period of openness, but retaliation against the organisers came quickly. I was interrogated and, although I graduated with the highest academic honours, my job offer was withdrawn. All my prospects were denied. So in 1989, I left for the USA to pursue higher education and look for freedom and democracy.

Has danger followed you into exile?

It has, and it hit my family directly. In the early 1990s, as soon as I started working with US politicians, my father, a high-level academic in Ürümchi, lost his job at 59 in retaliation for my advocacy. In 2018, just days after I spoke publicly at the Hudson Institute, a Washington DC think tank, about the mass detentions, Chinese authorities abducted my sister Gulshan Abbas. She’s a retired physician, a mother of two and a grandmother of four, and she had never been political.

In December 2019, Chinese state media outlet CGTN denied my sister existed and accused me of making up cases and spreading rumours overseas. In December 2020, the authorities finally acknowledged Gulshan had been secretly sentenced to 20 years in prison, obviously on fabricated charges. Her case is one of the clearest examples of how the Chinese Communist Party (CCP) uses kin punishment and transnational repression to silence Uyghurs. My sister turned 64 this June. She’s still in a Chinese prison because I exercised my freedom of speech. We have no picture or video of her. No one has been able to visit her and we have received no independent report on her health or wellbeing.

I quit my job after Gulshan’s detention to campaign full time for her freedom and for the Uyghurs suffering what’s effectively an ongoing genocide. Transnational repression has followed me ever since, in the form of cyberattacks, defamation, fabricated court documents, harassment and intimidation. A video appeared on YouTube calling for my execution and that of my husband, Abdulhakim Idris. I have received emails asking what colour rifle I would prefer to be shot with. After I published my memoir, fake books claiming to tell my life story appeared on Amazon. My organisation, Campaign for Uyghurs, has experienced persistent cyberattacks. My case is not unique. Uyghurs in the diaspora and those who speak out continue to suffer transnational repression.

Why does the Chinese government target Uyghurs?

The Chinese government targets us because of our distinct ethnic identity and heritage and because we are the owners of the land we inherited from our ancestors. Our Muslim faith and our culture and language stand in the way of Beijing’s absolute control. Our faith in God, rather than the CCP, as the ultimate authority threatens the regime. This fear drives the regime to try to erase our culture and beliefs.

Economic interests are also at stake. The Uyghur region is rich in natural resources, including coal, natural gas, petroleum, rare earths and critical minerals such as uranium. It accounts for 20 per cent of the world’s cotton, 35 per cent of its solar-grade polysilicon, used in solar panels, 10 per cent of its aluminium and PVC production and 70 per cent of China’s tomato production.

Geography matters too. The region connects China with Central Asia and the Middle East and is a gateway to Africa and Europe, including the Balkans. Once the heart of the ancient Silk Road, it now hosts four of the six major Belt and Road Initiative land routes, part of China’s global infrastructure programme. This makes it key to China’s economic and geopolitical ambitions. The result has been ever-tighter control and securitisation, which has escalated into full-fledged genocide.

What does this persecution look like?

The CCP imposes forced labour, mass arbitrary detention and imprisonment, mass surveillance and restrictions on cultural and religious life. In 2025, there were 3.36 million forced labour transfers and over a million children were placed in state-run boarding schools, where they are raised cut off from their cultural heritage. The Uyghur language is banned in schools. Uyghur books and religious texts have been burned. Uyghur women are subjected to forced abortion, sterilisation and marriage to men from the dominant Han ethnic group.

China’s government claims these policies bring stability, but stability for who? This is a system where the government exercises unchecked power to detain, punish, silence and watch people for their beliefs, their identity and their demands for human dignity.

How is Campaign for Uyghurs pushing for accountability?

We document abuses, bring evidence to policymakers and international institutions and support Uyghur-led advocacy. Central to our work is equipping Uyghur women and young people in the diaspora with the knowledge and practical skills to lead advocacy efforts. We have run around 20 advocacy workshops worldwide, and we are proud to see a new generation of young Uyghur activists taking the lead.

We also work with civil society groups, interfaith organisations, think tanks and universities to turn evidence into tangible policy action. Our campaigns have contributed to US laws, including the Uyghur Forced Labor Prevention Act and the Uyghur Human Rights Policy Act of 2020, and our coalition-building has helped put the Uyghur crisis on the political agenda.

With investigative partners, we exposed Volkswagen’s sham audit and its attempts to conceal links to state-imposed forced labour. We worked with The New York Times to reveal that cotton from the Uyghur region was used to make the viral Labubu dolls manufactured by Pop Mart. This work connects evidence from the ground with public scrutiny and action.

Why has there been so little international action since the UN’s landmark 2022 report?

China has enormous economic and political leverage. Many governments and companies are reluctant to jeopardise diplomatic, trade and investment ties, or have simply been pressured into silence. Such is China’s influence that the UN refused to debate human rights abuses in the Uyghur region.

There is also an often underestimated propaganda problem. China has spent years building a global media apparatus. It uses state broadcasters, partnerships with foreign media outlets, sponsored trips for journalists and influencers and coordinated messaging to drown out credible research and human rights reporting. China does not necessarily need the world to believe its propaganda. Creating doubt and making people hesitate to act can be enough.

Time is another obstacle. Every day without meaningful consequences normalises abuses, and a human rights crisis becomes the accepted status quo.

What should governments and the UN do?

Lawmakers should pass legislation to address transnational repression, ban products made with state-imposed forced labour and provide stronger protection for Uyghurs seeking refuge.

Governments should use existing sanctions tools, including the Global Magnitsky Act, which allows sanctions on individual human rights abusers, to hold officials responsible for the genocide accountable.

Governments should also refuse to extradite Uyghurs to China. No one should be sent back to a country where they may face genocide.

Governments and international institutions must keep individual cases and the broader human rights crisis on the agenda. They should keep existing official genocide determinations in place and secure the release of political prisoners such as my sister. Human rights should never be treated as secondary to broader relations with Beijing.

CIVICUS interviews a wide range of civil society activists, experts and leaders to gather diverse perspectives on civil society action and current issues for publication on its CIVICUS Lens platform. The views expressed in interviews are the interviewees’ and do not necessarily reflect those of CIVICUS. Publication does not imply endorsement of interviewees or the organisations they represent.

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Top: Annual Meetings of the IMF and the World Bank inside the Queen Sirikit Convention Center in Bangkok Credit: (IMF photo/N.Karlin).
Bottom: Opening of the People’s Assembly.

By Isabel Ortiz
BANGKOK, Thailand, Oct 19 2026 (IPS)

Bangkok hosted two summits last week. Inside the Queen Sirikit Convention Center, more than 15,000 finance ministers, central bank governors and CEOs of the world’s largest banks and corporations attended the Annual Meetings of the International Monetary Fund (IMF) and the World Bank. They flew in business class and slept in five-star hotels to talk about growth, inflation and public spending, and thus to decide the destiny of billions of people they will never meet. Outside, hundreds of social movements and civil society organizations held the People’s Assembly, for the 99% whose voice would not be heard. They flew economy and often shared modest rooms. The first was the summit of money and power. The second, the summit of the rest of us.

Isabel Ortiz

The IMF report World Economic Outlook lifts global growth to 3.1% for 2026 on the back of investment in artificial intelligence (AI), a boom confined to only a handful of countries and a technology the IMF itself says will affect 40% of jobs worldwide, and that a third of jobs in high-income countries are at risk to be replaced by IA.

Both institutions presented private finance as the engine of development: the World Bank’s Development Committee agenda in Bangkok was centered on mobilizing private capital with public guarantees. In plain language, subsidizing large corporations with public money while prescribing cuts to the public services ordinary people depend on.

No communiqué was agreed in any ministerial committee. The corridor talk was how far both institutions have bent to the will of Washington: directors replaced (at the World Bank by private sector executives, most with no development experience); work on climate and gender shelved; and, above all, the chainsaw of Trump’s Department of Government Efficiency applied worldwide, with the myth that tax cuts for the wealthy and austerity cuts that impoverish the working and middle classes are necessary.

Outside the convention center, the story was completely different. The People’s Assembly worked through the alternatives in over 50 sessions to formulate a new system accountable to people and planet, not to the 1%. Behind them stand nearly 400 million people: 200 million small farmers of La Via Campesina, 191 million workers of global unions, and tens of thousands of civil society organizations. There were protests in Bangkok, and in more than 150 cities across 38 countries, including Argentina, Congo, Germany, India, Nigeria, Pakistan, Philippines, Uganda and the United Kingdom, with people marching peacefully under banners such as “We are the 99%” or “Tax elites and corporations” reflecting the aims:

• Tax the 1% not ordinary people: Progressive taxes on wealth, large corporations and big tech, and an end to tax havens, with an equitable UN tax convention, instead of consumption taxes and other taxes squeezing the working and middle classes.
• End austerity cuts: Public services and social protection for all; fund the right to health, education, social security, housing, water, instead of privatization and public private partnerships that shift costs to people.
• Debt justice: No country should cut health or education to pay creditors as happens in 51 countries today; audit and cancel illegitimate debts, end IMF surcharges and loan conditions, and a UN framework convention on sovereign debt instead of restructurings run by creditors.
• Climate justice: Make polluters pay, phase out fossil fuels, and a just transition.
• Democratize global economic governance: The IMF and World Bank are not the solution but part of the problem, as a few rich countries (and their corporations) hold most of the voting power (and only the US has a veto); move decisions on debt, tax and finance to the UN, where every country has one vote.
• Gender justice: Women are half of the world population but just an afterthought for policy makers, gender-responsive policies and budgets, public services, redistribution of care work.
• Decent jobs: Employment respecting international labor standards and living wages, union rights and protection for migrant workers.
• Food sovereignty, fair crop prices for farmers, agroecology instead of agrobusiness, land rights for indigenous peoples and small farmers, and rights guaranteed by the UN Declaration on the Rights of Peasants.
• Industrialization of developing countries, oriented to domestic and regional markets, instead of exporting raw materials and importing everything else.
• No more corporate impunity, promotion of private finance and privatization: public services can be funded by taxing the 1%, a binding UN treaty on business and human rights, and fair trade rules instead of investor-state arbitration that lets corporations sue governments.
• AI: Slow down and put AI under public control, binding public regulation of AI covering data harvesting, manipulation of public opinion, job destruction, civil liberties and environmental damage.
• Stop authoritarianism and the far-right: Defend civic space, Human Rights and democratic institutions against the authoritarian turn of governments.
• Peace and an end to the militarization that diverts budgets from social spending to rearmament, and an end to occupation and genocide in Palestine.

Another world is possible, and last week it was formulated a short distance from the IMF/World Bank convention center. Finance ministers must now choose whom they serve: the millions of citizens who elected them, or the 1%, by bending to pressure from the IMF and the World Bank that deepens inequality.

Isabel Ortiz, Director, Global Social Justice, was Director at the International Labor Organization (ILO) and UNICEF, and a senior official at the UN and the Asian Development Bank.

IPS UN Bureau

UNICEF unloads emergency humanitarian supplies in the Democratic Republic of the Congo in response to the Ebola outbreak. The shipment includes protective equipment, hygiene kits, medicines, and medical supplies to support frontline health workers and nearly 100,000 people. Credit: UNICEF/Ndomba Mbikayi

By Ignatius Banda
BULAWAYO, Oct 16 2026 (IPS)

An Ebola death last week in Kenya is highlighting the urgency of Africa’s public health emergency preparedness and how the continent’s governments are committing their national budgets to the health sector.

The Kenya case is serving as a call to arms in the fight against Africa’s public health emergencies and how locally coordinated efforts are adequately equipped to contain the spread of communicable diseases.

“Health emergency preparedness gives us a head start, and Kenya has put important outbreak control measures in place,” Janabi said in a 6 October media brief, which was in stark contrast to concerns raised in the DRC that life-saving medical supplies only arrived ten days later from neighbouring countries, effectively allowing Ebola to leave a trail of death.

As the disease surges at its north Kivu epicentre in the Democratic Republic of Congo, questions have returned about how the shuttering of the United States Agency for International Development (USAID) has devastated public health emergency responses across Africa.

Last week, Doctors Without Borders warned that the current Ebola strain was spreading so fast for emergency health workers “it was like fighting a megafire,” further raising concerns over how the DRC and neighbouring countries will tackle the crisis amid increasingly limited resources.

Despite being often cited as having vast mineral wealth, the DRC’s Ebola response has been plagued by an under-funded health sector where international humanitarian agencies are struggling to provide basic medical care.

As the new Ebola strain took root in the DRC’s east, Amadou Bocoum, CARE International’s DRC Country Director, lamented that “with proper funding, we would have had prepositioned stock and begun distributing critical supplies like PPE from day one, but instead, we started with nothing and lost 10 days.”

These funding concerns would be raised weeks later by the United Nations Economic Commission for Africa (UNECA) at the 76th Session of the WHO Regional Committee for Africa in Addis Ababa in August.

UNECA noted that “Africa’s health financing model remains structurally fragile,” with governments failing to allocate adequate budgets for the health sector.

African governments and other health sector players have already raised alarm over the Trump Administration’s decision to ice the USAID, which triggered a continent-wide shortage of anything from condoms to malaria and HIV/AIDS drugs.

At the WHO Regional Committee conference, UNECA raised concerns that “external health assistance was down almost 30 per cent,” and as Ebola spreads, the effects of that deficit are being felt with catastrophic consequences.

The impact of the reliance on overseas development assistance was made clear by Aboubakri Diaw, who leads UNECA’s Sustainable Financing Initiative, who told the gathering that “Africa does not have a reform deficit. It has a sustainable financed-reform deficit.”

“Health financing strategies sit on shelves. Insurance schemes are legislated but struggling to be capitalised. Benefit packages are defined but not costed into medium-term expenditure frameworks. A reform without a budget line does not constitute a policy,” Diaw said.

Yet it is a commitment African governments made in 2001 at the Abuja Declaration to allocate 15 percent of national budgets to health, but countries have fallen short, with some allocations ranging between as little as 2 percent and 12 percent, according to the World Health Organisation.

To address the public health funding crisis, UNECA says what remains crucial is “a fundamental reset in how African governments and their finance ministries fund health systems” in a continent where millions lack access to and cannot afford basic medical care.

“External aid covered more than 30 per cent of health expenditure, and in some 13 countries the ECA has looked at, households pay more for health than their own governments do,” Diaw said, adding that “many countries on the continent now spend more on servicing debt than on public health.”

Amid these challenges and competing public spending priorities, it is not yet clear how governments will navigate these new public health funding realities, as pressure from international lending institutions for African countries to repay billions of loans still remains.

Analysts however see the funding crisis as part of Africa’s broader political architecture where short-term planning by sitting governments prioritises projects closely linked to the election cycle.

“Governments have to balance health against infrastructure, security, education, social protection and other priorities,” said Pakhani Mhazo, a public health researcher based in  South Africa.

“However, health preparedness often produces benefits that are not immediately visible to voters. For example, if you invest in disease surveillance, laboratories and emergency systems and successfully prevent an outbreak from becoming a crisis, there is no obvious event that voters can see as the result of that investment,” Mhazo told IPS.

Meanwhile, without any clear or immediate sources to fill the funding gaps left by international aid, African governments have their work cut out, and as Claver Gatete, UNECA Executive Secretary, reminded African ministers during the High-Level Forum on Sustainable Health Financing in April this year, “Health is not expenditure; it is investment – in people, in productivity and in prosperity.”

IPS UN Bureau Report

By External Source
Oct 15 2026 (IPS)

 
A safe home is more than a roof over our heads.

It is the foundation of health, security, opportunity and human dignity.

Yet for billions of people, that foundation remains out of reach.

According to UN-Habitat, 2.8 billion people worldwide face some form of inadequate housing.

More than one billion live in slums and informal settlements.

And over 300 million people are homeless.

The housing crisis is unfolding alongside a wider struggle against poverty.

The United Nations estimates that 826 million people will live in extreme poverty in 2026 — surviving on less than three dollars a day.

That’s one in every ten people worldwide.

And having a job offers no guarantee of escaping poverty.

In 2025, 284 million workers were living in extreme poverty.

Meanwhile, 3.8 billion people remain without any form of social protection.

Conflict, climate-related disasters, displacement and rising living costs are placing further pressure on vulnerable communities.

Against this backdrop, the 2026 International Day for the Eradication of Poverty calls for Safe Homes for All, under the theme United for Peace and Human Rights.

The United Nations is urging governments to prioritize adequate housing, mobilize resources and involve people experiencing poverty in decisions that affect their lives.

Because ending poverty means more than increasing incomes.

It means ensuring that everyone has a safe place to live, access to essential services, and the opportunity to build a secure future.

This October 17th, the message is clear:

A safe home is not a privilege. It is a human right.

IPS UN Bureau

When the Taliban took control of Afghanistan in August 2021, Zahra Nader was pursuing a doctorate in Women and Gender studies at York University in Canada. Nader had planned to return to Afghanistan to continue her research, possibly teach at Kabul University, and continue exploring Afghan women’s role in political history.

Zahra Nader, Editor-in-Chief, Zan Times

Seeing the freedoms and opportunities that women had enjoyed being stripped away, Nader could not help but do something. A journalist with experience in Afghan newsrooms as well as with The New York Times in Kabul, she knew how dangerous life could be for women journalists under Taliban control.

“I knew who the Taliban are, what they will do if they took over. So I had no illusion about Taliban 2.0 and how the Taliban has changed. We knew they have not changed. And so we started Zan Times,” says Nader. Set up in 2022, Zan Times, is a news agency run by women who investigate human rights abuses under the Taliban government. Operating out of exile, the news agency works in collaboration with journalists operating within Afghanistan, most of them working under pseudonyms to remain anonymous.

“I was here in Canada, safe, my rights are protected, but the rights that I grew up with, the opportunities that I had in Afghanistan, going to school, going to university, are now being denied to millions of women,” Nader says.

According to this report by the United Nations, five years since the Taliban have seized power, women and girls in Afghanistan have been systematically stripped of their rights. De facto authorities have issued more than 100 decrees curbing “education, including one that’s left 2.4 milion girls excluded from secondary education, work and freedom of movement – restrictions now compounded by deep cuts to aid on the ground”. The report states that the unprecedented restrictions have triggered a mental health crisis.

“The results are devastating,” the agency added, stressing that shorter life expectancy, higher risks of maternal death, child marriage and gender-based violence alongside the loss of education, work and freedom of movement have also triggered a mental health crisis.”The systemic erasure of women from public life, including their exclusion from higher education and employment, also removes the visible role models that show what is possible and narrows what Afghan women and girls can imagine for their own futures, this report adds.

For Nader, these are examples of efforts to strip women of their presence in the world around them. Nader refutes the assumption that it is the Afghan culture itself that stops women from getting involved in public affairs and activities. She mentions her personal experience of how she was encouraged by her family to get educated and work as a journalist. “What I really want the world to know about us is that our culture does not prevent Afghan women from joining public life and social activities.” The marginalization of women is not an inevitable or predestined cultural process; it is something that is being imposed on them through specific policies.

One of the groups most visible to suffer from these measures has been women journalists. “Since taking over Afghanistan five years ago, the Taliban have made Afghanistan one of the world’s hardest places for journalists to report,” says this statement by the Committee to protect Journalists. “Women in the media face particularly severe and escalating discrimination. Taliban authorities have banned women’s voices from radio and TV in Helmand, prevented them from attending press conferences, and mandated that they cover their faces when appearing on TV.”

Limitations imposed on women’s dress code and activities have diminished the opportunities for women journalists to perform their duties even more. Taliban’s 2024 Law on the Promotion of Virtue and Prevention of Vice includes additional limitations regarding the voice of Afghan women in public space.

Women journalists also encounter limitations on freedom of movement by having to travel with a male guardian in most places. Investigating topics like the education of girls and the wellbeing of women exposes journalists to intimidation and questioning.

Insecurity of income is another problem that women journalists face. Nader argues that women journalists have claimed being offered unpaid jobs, exclusion from staff positions since their presence would make them vulnerable to questioning by Taliban officials, and sexual abuse in job hunting.

Journalists who opt to continue working under such conditions also expose themselves to danger. In the case of Zan Times, journalists working in Afghanistan do so clandestinely, using pseudonyms.

Despite all the restrictions, Afghan women keep finding ways of resisting their marginalization.

Women teachers turn their own homes, bedrooms, and even basements into informal schools, where girls could still get education. Other women organize online classes and educational programs, but the lack of Internet connection and funds is preventing many people from participating.

Women also create private literary clubs, exchange books, and attend meetings of poets. These places enable them to communicate, share knowledge, and stay in touch despite the prohibition of public gatherings.

Nader considers such actions to be strong examples of women’s resistance. The work of women journalists who document cases of violation belongs to this form of struggle since through their activity, Afghan women manage to keep their stories visible in public sphere.Their work is especially important because not only they observe the restrictions imposed on women, but they experience them too.

Nader appeals for increased efforts from the international community in protecting Afghan refugees from any kind of forced return.

Moreover, there should be support for Afghan women, particularly in matters such as education and resettlement. There should also be increased protection for journalists under threat. Accountability is equally significant. Through international legal proceedings, there is a possibility of those who perpetrate persecution being taken to book in the future.

At the end of the day, the situation in Afghanistan, along with that of women’s rights and of press freedom, is that of peace. In order to have peace, you need to have half the country educated and involved into public life. You need to have the other half able to earn money on its own without being afraid of demanding anything. Even if the Taliban managed to establish control over Afghanistan, this is not the same thing as peace.

Afghanistan has been unable to give its women peace because its system relies on their complete isolation from the process of development of the country, their participation, dignity and freedom. Without the establishment of justice and rights for all the citizens, there is no peace. The Afghan women who are still fighting and educating, organising and reporting under extremely tough conditions prove that peace should not be confused as absence of war.

To Nader, the crisis in Afghanistan is an indicator of the vulnerability of women’s rights throughout the world.

“Failure to hear from Afghanistan does not mean that all is well and peaceful. Failure to hear from Afghanistan means that we don’t know what is happening,” Nader says.

Sania Farooqui is an independent journalist and host of The Peace Brief, a platform dedicated to amplifying the voices of women in peacebuilding and human rights.

IPS UN Bureau

Medicine is supposed to protect human life and dignity. Yet testimonies from Ukrainians released from Russian captivity reveal a disturbing reality: medical personnel in places of detention have not only denied prisoners necessary treatment but, in documented cases, participated in torture and ill-treatment.

Anna Trushova

The research draws on testimonies from 16 people released from Russian captivity, including former detainees and medical professionals. Their accounts describe the denial of medical assistance, the neglect of serious injuries and illnesses, degrading treatment, and the concealment of evidence of violence. Some testimonies describe medical personnel directly participating in acts of torture.

One of the most troubling findings is the consistency of these accounts. Previous reports have documented abuses by medical staff, but this research systematically examines testimonies alongside the legal and regulatory framework governing medical professionals in Russia. Its findings suggest that the violations cannot be dismissed as isolated misconduct.

Russian medical personnel are bound not only by international humanitarian law and professional medical ethics but also by domestic rules that require them to provide care and to refrain from causing harm. The documented abuses, therefore, raise questions about violations of both international obligations and Russia’s own legal standards.

The consequences extend far beyond the detention facilities. People returning from captivity often require prolonged medical treatment and rehabilitation. Their families, meanwhile, must cope with the lasting effects of imprisonment, serious illness, and loss.

Sofia Krokhmaliuk, whose father, Oleksandr Krokhmaliuk, headed the Azov brigade’s medical service and died in captivity, described the pain of receiving his body back in Ukraine. She said the condition of his remains indicated that he had not died of natural causes.

Another family has spoken about the consequences that can persist after release. Ukrainian serviceman Oleksandr Savov spent more than 1,000 days in Russian captivity and returned home on March 19, 2025. He died of heart failure on November 16 that year, aged 46. His daughter, Anastasiia Savova, has emphasized that release does not mean the end of a crime: its consequences can last for the rest of a person’s life.

These stories demonstrate why the right to medical care in captivity cannot be treated as a secondary humanitarian concern. For people held in conditions where they have little or no access to independent assistance, medical care may be essential to their survival. Its deliberate denial can itself become a form of cruel treatment.

The Center for Civil Liberties’ research adds another dimension by examining the role of medical personnel within this system. It also reinforces the need to document individual responsibility and preserve evidence for future investigations and prosecutions.

Accountability is possible, even when it takes years. Thorough documentation can help identify those responsible, establish patterns of abuse, and provide evidence for national and international legal proceedings. Impunity, by contrast, creates conditions in which violations can continue.

That is why more than 90 Ukrainian organizations and institutions have appealed to the World Health Organization (WHO), urging it to respond to the systematic denial of medical care and the documented involvement of medical personnel in torture and ill-treatment.

The appeal calls for stronger international monitoring of detention facilities, including through cooperation with the International Committee of the Red Cross, United Nations mechanisms, and independent medical organizations. It also urges support for documenting abuses, identifying those responsible, and securing medical evacuation for severely wounded and seriously ill prisoners of war and unlawfully detained civilians.

The WHO cannot replace international investigators or courts. But its professional authority and international reach can help bring these violations to the attention of the global medical community and strengthen calls for independent access, accountability, and protection.

The immediate priority must be to help those still held in captivity receive the medical care they need. At the same time, the international community must ensure that allegations of medical personnel participating in torture are investigated rather than ignored.

Medicine must never become an instrument of repression. When those entrusted with protecting life become involved in abuse, the response must extend beyond professional condemnation. It must include independent monitoring, effective pressure, evidence preservation, and accountability.

For Ukrainians who remain in Russian captivity, these measures are not abstract questions of ethics or international law. They may determine whether they receive treatment, whether their suffering is documented, and whether they live to return home.

Anna Trushova is human rights defender and communications manager at the Center for Civil Liberties

IPS UN Bureau

Photos of the Rasuwa flood missing line the walls of the Teaching Hospital, Tribhuvan University. Credit: Brandon Kohrt

By Diwash Gahatraj
KATHMANDU, Oct 12 2026 (IPS)

Nearly three decades ago, in the final stretch of Nepal’s civil war, Dr Brandon Kohrt sat with parents whose sons had been conscripted as child soldiers and never returned.

Nobody could tell them what had happened, whether their sons were alive somewhere, whether they were dead, or even where to begin looking. That absence of an answer, Kohrt says, never really left those families. It is the same absence now facing thousands of households across Nepal, after catastrophic floods swept away entire communities.

On August 26, floods and landslides tore down the Bhotekoshi and Trishuli river valleys in Nepal’s Rasuwa district, killing well over a thousand people and leaving thousands more missing, one of the deadliest natural disasters in the country’s recent history.

Kohrt has spent nearly 25 years in Nepal, long enough to watch the country move through this same unresolved grief again and again, first during that war, then after a devastating earthquake, and now, once more, before a wall of missing-persons photographs at Kathmandu’s Teaching Hospital.

Only a small fraction of the recovered bodies have been identified so far. These missing men and women are not just numbers — they add up to a history that stretches back decades in Nepal to that same conflict and the earthquakes that followed it, when entire families waited years for people who never returned. Tracking these disappearances and the psychological toll they leave on families and Nepali society at large has occupied Kohrt ever since.

Kohrt is a professor of psychiatry, global health, and anthropology at George Washington University and has served since 2006 as a technical advisor to the Transcultural Psychosocial Organization Nepal.

Much of his work centres on ambiguous loss, the specific, suspended grief that comes when someone is gone but there’s no body, no confirmation, and nothing to mourn against. The term was coined in the 1970s by Pauline Boss, an American family therapist who began studying it through the wives of US soldiers missing in action in Vietnam, women who couldn’t say for certain whether they were married or widowed.

Boss found the condition wasn’t confined to one culture or one kind of disaster. Researchers have since studied it among families of the disappeared during Argentina’s military dictatorship, families of migrants lost crossing borders in Europe and Africa, and among the families with whom Kohrt sat decades ago. He has worked directly with Boss for over a decade and has applied her framework in Nepal for years before this disaster ever struck.

In the weeks since the floods struck, that gap between the dead and the missing has filled with people. Nepali families search alongside Indian, American, Ukrainian, and Malaysian families thousands of miles away, all waiting on the same uncertain word.

IPS spoke with him about what that grief looks like this time, what’s changed for him after his years of returning to the same wound, and what he’s learned, watching people find ways to keep living without an answer.

Dr Brandon Kohrt, professor of psychiatry, global health, and anthropology at George Washington University and technical advisor to the Transcultural Psychosocial Organisation, Nepal.

Excerpts from the interview follow.

IPS: For readers encountering the term for the first time, what is ambiguous loss?

Kohrt: It’s an important psychological concept, and I want to say at the outset, it is not a mental illness. It’s something anyone can go through. It’s when you still have the psychological sense of someone’s presence in your life, typically a loved one, but there is no physical evidence of either their life or their death. There’s no phone call, no video, nothing to prove they’re still living. But there’s also no body, no proof that they’re deceased.

Nearly every culture has rituals around a body that help us mourn and accept a loss. When there’s no body, we’re stuck in emotional limbo, caught between hope and despair. Some people jump right away to accept their loved one is gone, even without confirmation. Others maintain hope beyond even expectations of reality. We’re all on a different spectrum, and it’s very personal, very individualised. Ambiguous loss is also a real risk factor for what we call complicated grief, a longer, more psychologically difficult kind of mourning, with a higher risk of depression and anxiety.

With 6,145 people still missing in Nepal and only a fraction of recovered remains identified, that state of unresolved uncertainty isn’t abstract. It’s the present condition of thousands of families right now. IPS asked Kohrt how Nepal has faced this same experience before.

IPS: You’ve now worked in Nepal through the Maoist conflict, the 2015 earthquake, and this flood. What connects them?

Kohrt: I first came to Nepal in 1996, right at the start of the civil war. Toward the end of it, I worked with an organisation here, TPO Nepal, on the mental health needs of former child soldiers. Some of those parents never found out what happened to their children. Ambiguous loss was part of the psychosocial reality here even then, decades before this flood, and those families often carried an added burden – communities sometimes treated them with suspicion or blame simply for having a missing relative linked to the conflict, something families searching after this flood aren’t facing in the same way, since so many communities have been affected together.

After the 2015 earthquake, most bodies were recovered, and families were able to do funeral rites, but there are still villages, not far from where this disaster has struck now, where landslides buried people who were never found. This isn’t Nepal’s first experience with this exact kind of unresolved loss in some of these same communities.

A house damaged by the Rasuwa flood. Credit: Brandon Kohrt

IPS: In Nepal specifically, are there rituals that help families cope when there’s no body?

Kohrt: There’s a ritual called Kush Kriya, using grass to essentially perform a substitute funeral when there’s no body. It’s very helpful, but people need to be ready for it. Some may feel like they haven’t exhausted every possible avenue to find their loved one, and they’ll refuse to do it. There’s also a different ritual, Bakal Garne, more like a promise or a wish, maybe to a temple, maybe releasing fish into a river. That one doesn’t require accepting death. You can do a Bakal Garne hoping for your loved one’s safe return or simply hoping to find their body so you can do the cremation you need to do.

Even without an old ritual to lean on, Kohrt says, people still need something to actively do.

IPS: You mentioned people in Nepal are giving DNA samples right now, sometimes more than one, in different countries. What does that process do for a family psychologically?

Brandon Kohrt: Providing a DNA sample has a symbolic meaning that goes beyond its forensic purpose. You’re taking a piece of yourself and giving it in hopes of finding your loved one. Even if the result never confirms anything, the act itself becomes almost another form of ritual. People need to feel active and engaged, rather than passive and helpless.

That instinct, to act rather than wait, is something Kohrt has watched play out across every disaster he’s worked through in Nepal.

IPS: Does arriving at a disaster site feel different to you now than it did 25 years ago, or does something in you brace the same way each time?

Brandon Kohrt: With the earthquake, you could walk through neighbourhoods and see and touch the destruction right in front of you. But with the flood, when I arrived in Nuwakot, I could see some destroyed buildings and others submerged in mud. What you can’t see are all the buildings, bridges, vehicles, and people that were taken by the flood and washed away. This is much more a disaster of absence than a typical disaster of ruins. This will be something much more common with climate change-related disasters, where places gradually and abruptly disappear.

Professionally, the biggest difference is going from being hands-on in the response to being more of a supportive observer. Foreign expertise really isn’t needed anymore; there’s such a strong local Nepali mental health emergency response community now, from psychiatrists to community psychosocial workers.

One colleague, who I first hired at TPO Nepal twenty years ago, is now leading donor coordination and setting out a vision for what’s needed over the next three years. If foreign aid and development is successful, you should get to a point where disaster response is led locally, like we’re seeing in Nepal now.

IPS: You described the photo wall at Teaching Hospital. What does it do to you personally, standing there again?

Kohrt: It was really difficult standing in front of the wall of photos. What is so hard is thinking that behind each photo there are so many family members and friends wondering what happened to this person. Some are holding out hope; some are trying to accept the loss and move toward grief. Each face represents someone who was a sister, a mother, a daughter, a friend, a neighbour, or a coworker to all these other people. For every face we see, there are scores of people suffering.

A house damaged by the Rasuwa flood. Credit: Brandon Kohrt

IPS: Do you find yourself getting better at holding this kind of grief over the years, or does it stay just as hard each time?

Brandon Kohrt: I would say I am better at connecting with grief, acknowledging and sharing in others’ grief. A year after the earthquakes, I was in Nepal when one of my brothers died in the United States. I didn’t make it home in time to see his body before he went to the hospital morgue and was cremated.

I remember how hard it was grieving without having seen his body. That pales in comparison to the ambiguous loss thousands of families in Nepal are experiencing as the search for bodies continues. But it’s something that comes up for me when I talk to grieving families and hear their stories. It cracks open a window to allow the flow of empathy.

IPS: After all these years, what have you learned about how people manage to keep living when there is no answer forthcoming?

Brandon Kohrt: It’s how people move on. People have an incredible ability to carry a lot inside of them – pain, loss, unfulfilled hope, and grief – and keep moving forward in life. A lot of what people went through with the flood will be something they carry with them psychologically, but day-to-day survival requires focusing on taking care of children, caring for elderly relatives, and finding a new place to live. This shouldn’t be confused with recovery or resilience. It’s just getting by, which so many people do after a disaster. What good psychosocial and mental health support does is be available for those moments when some of that pain and grief can surface so that when people are ready, they have that support waiting for them.

IPS UN Bureau Report

Religious leaders, representatives of international organizations and Kazakh officials gather for the 24th Secretariat meeting of the Congress of Leaders of World and Traditional Religions at the Palace of Peace and Reconciliation in Astana on October 7, 2026. The gathering reflected Kazakhstan’s longstanding efforts to turn interfaith dialogue into practical international cooperation. Credit: The press service of the congress.

By Katsuhiro Asagiri
ASTANA, Kazakhstan, Oct 12 2026 (IPS)

In a world increasingly divided by war, political distrust and competing ideologies, Kazakhstan has spent more than two decades pursuing an unusual diplomatic undertaking: keeping representatives of different religions in conversation.

Erlan Karin, Vice President of Kazakhstan and Head of the Secretariat of the Congress of Leaders of World and Traditional Religions, addresses the 24th Secretariat meeting at the Palace of Peace and Reconciliation in Astana on October 7, 2026. He emphasized the role of spiritual diplomacy in building trust and complementing conventional diplomatic efforts. Credit: Congress Press Service

“Spiritual diplomacy can play a special role,” he told participants. “It doesn’t replace political talks. But it complements them and keeps channels of communication open where diplomatic dialogue is difficult.”

The remarks came at the 24th meeting of the Secretariat of the Congress of Leaders of World and Traditional Religions, held on Oct. 7 at the Palace of Peace and Reconciliation.

The official participant list named 38 representatives of religious communities, international organizations and Kazakh government institutions, reflecting the forum’s religious and geographical diversity.

Founded in 2003 at the initiative of Kazakhstan’s first president, Nursultan Nazarbayev, the Congress initially brought 17 delegations from 13 countries to Astana.

It has since developed into an international forum that convenes major gatherings every three years while maintaining contact through its Secretariat.

Pope Francis participated in the seventh Congress in 2022, alongside the Grand Imam of Al-Azhar, Ahmed Al-Tayeb. The eighth Congress, held in September 2025, brought together religious and international representatives around the Astana Peace Declaration.

For Kazakhstan, situated between Russia and China and pursuing relations across competing centers of power, the Congress has become one expression of its wider diplomatic approach: providing a meeting place for governments, religions and civilizations that do not always share political interests.

Kazakhstan’s Legacy of Interfaith Dialogue. This illustration traces the Congress of Leaders of World and Traditional Religions from its founding in 2003 under President Nursultan Nazarbayev to the historic 2022 gathering attended by Pope Francis and Al-Azhar’s Grand Imam Ahmed Al-Tayeb, and the adoption of the Astana Peace Declaration in 2025 under President Kassym-Jomart Tokayev. Together, these milestones reflect Kazakhstan’s enduring efforts to promote interfaith dialogue, mutual understanding and global peace. Credit: AI-generated illustration/INPS Japan

But its participants are increasingly asking how such encounters can influence events outside the conference hall.

Father Laurent Basanese of the Holy See’s Dicastery for Interreligious Dialogue. He emphasized the Vatican’s longstanding commitment to the initiative and the importance of translating interfaith declarations into sustained cooperation.

Father Laurent Basanese, representing the Holy See’s Dicastery for Interreligious Dialogue, reminded delegates that the Vatican had supported the initiative since its founding.

He recalled Pope Francis’ participation in 2022 and emphasized the continuing work required after declarations are adopted.

The credibility of such statements, he said, ultimately depends on the willingness of their signatories to keep working together.

That concern was echoed by Mohamed Abdelsalam, secretary-general of the Muslim Council of Elders, who warned that principles left unimplemented risk becoming little more than words on paper.

“A declaration that is not implemented loses its functionality,” he said, according to the meeting transcript.

The appeal for continuity also came from the United Nations.

Nihal Saad, director of the United Nations Alliance of Civilizations, thanked Kazakhstan for its sustained efforts to promote cooperation across cultural and religious boundaries.

Mohamed Abdelsalam, Secretary-General of the Muslim Council of Elders. He emphasized the need to translate interfaith declarations into concrete action for peace and human fraternity. Credit: Katsuhiro Asagiri/INPS Japan

The challenge with AI, she said, was ensuring that ethics were “built into the design of AI systems rather than as an afterthought.”

Her remarks placed the Congress within a wider international debate over how technological progress can remain accountable to human values.

Turning Principles Into Projects

Kazakhstan’s latest effort to give the forum a practical role produced two documents adopted at the meeting.

One addresses the contribution of religions to combating climate change. The other establishes 11 ethical principles for using artificial intelligence in religious contexts.

Both emerged from proposals advanced by President Kassym-Jomart Tokayev at the 2025 Congress.

Gulsana Kozhabay, who heads the International Center for Interfaith and Interreligious Dialogue, explained that the climate document had been developed with contributions from 26 religious representatives, diplomats and experts.

Nihal Saad, director of the United Nations Alliance of Civilizations. Credit: The Astana Times

The AI code, refined through an interreligious commission of 24 participants, addresses human dignity, freedom of conscience, religious information and the dangers of algorithmic manipulation.

Contributors included representatives of religious traditions extending far beyond Central Asia, among them Japanese Shinto representatives and Chinese Taoist leaders.

The meeting also considered a different kind of cooperation.

Yerzhan Ashikbayev, Kazakhstan’s first deputy foreign minister, presented a joint initiative with the Holy See: a charter protecting the rights and dignity of children with incurable diseases.

Kazakhstan and the Holy See had agreed on the charter’s text during a separate colloquium in Astana on Oct. 2–3. The Secretariat subsequently supported efforts to advance it internationally.

“When medical science reaches its limits, our human responsibility does not end,” Ashikbayev said in his prepared remarks.

The charter emphasizes palliative care, relief of suffering, parental participation and support for children and their families.

Yerzhan Ashikbayev, Kazakhstan’s First Deputy Minister of Foreign Affairs. He presented a joint Kazakhstan–Holy See initiative to protect the rights and dignity of children with incurable diseases. Credit: Katsuhiro Asagiri/INPS Japan

The Next Test for Spiritual Diplomacy

None of these initiatives removes the political difficulties surrounding international cooperation.

The two ethical documents are advisory and create no legal obligations. Their influence will depend on whether religious institutions, governments and technology companies act on their recommendations.

These efforts also reflect the security challenges facing Central Asia.

As developments in Afghanistan continue to affect regional stability, Kazakhstan has worked with the United Nations to combat terrorism and prevent violent extremism.

Against this backdrop, Kazakhstan’s ability to sustain an international platform for dialogue among religious leaders of different traditions for more than two decades has become a distinctive feature of its diplomacy, linking regional security concerns with a commitment to religious diversity and mutual understanding.

At the conclusion of the meeting, Karin called for work on a proposed Global Movement for Peace, intended to strengthen cooperation among religious leaders and give spiritual diplomacy a more practical international role.

The pyramid-shaped Palace of Peace and Reconciliation in Astana, Kazakhstan, hosted the 24th Secretariat meeting of the Congress of Leaders of World and Traditional Religions on October 7, 2026. The landmark symbolizes Kazakhstan’s longstanding commitment to promoting interfaith dialogue, mutual understanding and global peace. Credit: Katsuhiro Asagiri/INPS Japan

A draft concept and phased plan are to be prepared for consideration in 2027, ahead of the ninth Congress in 2028.

It remains a proposal, not an established peacebuilding mechanism.

But the assignment reflects an important shift in Kazakhstan’s approach: from demonstrating that religious leaders can meet despite their differences to asking what they are prepared to accomplish together.

After 23 years, the country has demonstrated an ability to keep the conversation going.

The next test is whether that conversation can help change the world beyond Astana.

This article is brought to you by INPS Japan in collaboration with Soka Gakkai International in consultative status with UN ECOSOC.

IPS UN Bureau

Excerpt:

A mother and her child stand in the wreckage of their destroyed home in Toamasina, Madagascar, following a devastating cyclone. Credit: UNICEF/Tsiory Ny Aina Andriantsoarana

By Oritro Karim
UNITED NATIONS, Oct 9 2026 (IPS)

New figures from the United Nations Children’s Fund (UNICEF) project that the impending 2026-2027 El Niño cycle could be one of the strongest on record. Marked by unusually wet and dry conditions, this cycle is forecast to trigger a host of extreme weather events, threatening the health, security, education, and development of over 347 million children worldwide.

“For children, El Niño is far more than a weather pattern. It can mean increased displacement, malnutrition, water shortages, and disease outbreaks. Children are also at risk of schools closing, while families could experience added financial hardship,” said UNICEF Executive Director Catherine Russell, emphasizing that anticipatory action is critical in protecting communities from climate shocks in the coming months.

Nearly half of the world’s children—roughly 1.1 billion—are already exposed to at least three overlapping climate hazards, including droughts, extreme heat, and floods. The impending El Niño cycle could affect children and communities across nearly 100 countries and territories between October and December 2026.

Rohini Sampoornam Swaminathan, UNICEF Statistics and Monitoring Manager, tells IPS that children are uniquely vulnerable because of their early developmental stage and dependence on essential services and caregivers. This significantly limits their ability to withstand climate shocks, especially as basic services begin to disappear when extreme weather hits.

“Communities may not have fully recovered from one shock before another one strikes, causing the impacts to compound over time,” she said.

The Asia-Pacific region is projected to face the heaviest toll, with roughly 190 million children estimated to be at risk. Substantial populations are also critically vulnerable across East and Southern Africa, with 41 million children vulnerable to climate shocks, alongside another 41 million in Latin America and the Caribbean. Approximately 22 million children are similarly vulnerable in Europe and Central Asia, followed by 20 million in the Middle East and North Africa, and 20 million in West and Central Africa.

El Niño’s regional impacts are expected to vary significantly and could compound pre-existing humanitarian crises. Swaminathan underscored that climate shocks that are manageable in some areas can become pronounced humanitarian crises in others.

Tropical nations—such as Colombia, Papua New Guinea, Fiji, and the Philippines—are forecast to face unusually dry conditions, driving weaker agricultural outputs and severe water scarcity. This, in turn, could elevate rates of acute malnutrition and adverse health outcomes among children.

Conversely, communities in the Greater Horn of Africa could face alarmingly high levels of rainfall, particularly in Somalia, where there is a greater risk of riverine and flash flooding. Children in this region are especially vulnerable to outbreaks of water-borne diseases.

Between 2016 and 2023, weather-related disasters displaced more than 20,000 children daily. Swaminathan stressed to IPS that regions facing wetter climates could experience exacerbated displacement as floods push more communities far from their homes and into crowded, temporary shelters, which amplifies protection risks.

In protracted conflict or crisis zones such as Chad and Afghanistan, El Niño poses a direct threat to survival for children. Already bearing the burdens of extreme hunger, displacement, and an overwhelming lack of access to essential services such as protection, these children have no safety net when climate shocks ravage their communities, as they are already on the brink of collapse.

Beyond physical hazards, UNICEF’s findings highlight that disruptions to schooling are among the most alarming consequences of the impending cycle. Severe droughts and floods threaten widespread school closures, declining attendance, and rising dropout rates. In 2025 alone, extreme weather patterns interrupted education for an estimated 171 million students globally.

Swaminathan warned that climate-induced disruptions to schooling carry profound risks for children’s safety, exposing them to heightened risks of violence, exploitation, and child marriage. Girls bear the brunt of these impacts, often taking on family caregiving roles that can lead to compromised health and nutrition, as well as limited access to essential services. “When girls leave school, they are often less likely than boys to return,” she noted.

UNICEF estimates show that every US $1 invested in disaster risk reduction and prevention efforts can yield up to $15 in saved recovery costs. Yet less than 1 percent of humanitarian funding is allocated for anticipatory action, even with months of warning and massive projected losses.

The agency continues to call on governments, donors, and partners to invest in lifesaving anticipatory intervention before peak impacts hit vulnerable communities. UNICEF highlights building climate resilience, securing essential services, and guaranteeing humanitarian access as key priorities in its response.

Swaminathan underscored that children with disabilities, who already face persistent barriers in education, healthcare, and nutrition, must be considered in disaster preparedness. She emphasized that inclusive planning is essential in addressing structural inequalities and ensuring every region is adequately prepared.

“Despite efforts to plan for disasters, most resources are mobilized only after the damage occurs, and the focus is often on the immediate response phase of a crisis,” said Swaminathan. “With forecasts providing months of warning, UNICEF is urging governments, donors, and partners to act before needs escalate by investing early and before impacts peak. Building resilience is not only about infrastructure and early warning systems, but also about strengthening the services and institutions children rely on and addressing the inequalities that make some communities far more vulnerable to climate shocks than others.”

IPS UN Bureau Report

Children in Gaza wait in the hope of receiving food. Credit: UN News

By UN Women
UNITED NATIONS, Oct 9 2026 (IPS)

Since October 2023, 50,000 women and girls in Gaza have been killed or seriously injured.

• UN Women estimates that nearly 50,000 women and girls in Gaza have been killed or severely injured since the onset of war in October 2023 [1], amounting to one in 21 Gazan women and girls losing their life or living with lifelong disabilities [2].


• More than 38,000 women and girls have been killed and 11,700 severely injured, the result of Israeli airstrikes and land military operations.

• While most of the casualties recorded took place during the first two years of the war, women and girls continue to be targeted despite a ceasefire agreement entering into effect in October 2025. Two hundred seventy-seven women and girls are among those who have been killed in Gaza over the past year.

Nearly every woman and girl in Gaza is displaced.

• More than 150 evacuation and movement orders have been issued across Gaza by the Israeli Defense Forces since October 2023, forcing nearly one million women and girls from their homes – nearly every woman and girl in Gaza.

• The majority of women and girls in Gaza live in tents or in the ruins, with no privacy. In conditions that are incompatible with survival and dignity, women and girls are caring for children, the sick, the injured, and for the elderly, cooking and cleaning without the basic means to carry out these responsibilities.

• Women are being forced to deliver babies in unsafe and unsanitary conditions, putting their lives at risk. At the same time, the number of miscarriages reached almost 4,000 in the first six months of 2026, triple the number recorded during the last six months of 2025.

The number of widows and those assuming the role of head of household in Gaza has doubled since October 2023.

• Nearly one in four households in Gaza – an estimated 86,290 households – is now reportedly headed by a woman, compared to the pre-October 2023 rate of one in nine.

• For women-headed households, the impact extends beyond the grief of losing a husband, father or other loved one. Many are now carrying sole responsibility for providing for, protecting, and holding their families together in increasingly devastating conditions.

Despite the ceasefire, women and girls in Gaza continue to face severely limited access to food, shelter, safe water, and hygiene supplies, alongside ongoing hostilities and insecurity.

• Intense and widespread bombing has leveled homes, businesses, hospitals, schools, and shops, making it extremely hard for women and girls to access essential services and basic goods.

• Restrictions on humanitarian access and bombardment continue to cause immense suffering. Between July and December 2026, an estimated 702,000 women and girls are projected to face high levels of acute food insecurity (IPC Phase 3+, crisis or worse), with devastating effects on their health, including the risk of malnutrition [3].

The steepest recorded decline in aid is threatening a lifeline to women and girls in Gaza: women’s organizations.

• UN Women surveyed women’s organizations working on the frontlines of the response in Gaza and the occupied West Bank. Thirteen of the 14 organizations surveyed reported that the level of need among women and girls has increased since 2025. All organizations surveyed had seen an increase in gender-based violence, poverty, and mental health distress since 2025. Thirteen of the 14 organizations had seen an increase in child marriage.

• At the same time, 13 of the 14 organizations surveyed by UN Women reported that they do not have the capacity to meet the growing needs of women and girls. To cope with the lack of funding, nearly two thirds of the organizations told UN Women they had been forced to put women and girls on waiting lists or turn them away.

UN Women is on the ground in Gaza. We work with women-led and women’s rights organizations to provide lifesaving and critical support to women and girls, including protection services and gender-based violence case management, legal aid, mental health and psychosocial support, and emergency cash and livelihoods assistance.

From fitting women and girls with prosthetics and offering counselling to survivors, to ensuring that the humanitarian response is shaped by the experiences and perspectives of women and girls, our support is helping them to stay afloat. But women and girls in Gaza need peace.

UN Women calls for the ceasefire in Gaza to be fully implemented. We call for international law to be upheld, accountability for violations, and the protection of women and girls and all civilians. Humanitarian assistance must reach those in need – at scale and without obstruction. Women and girls must be placed at the centre of response and recovery efforts.

[1] The proportion was calculated by combining women and girls killed or injured (38,000 and 11,700, respectively).

[3] UN Women estimate based on the IPC Gaza Strip Special Brief, published 13 August 2026. The estimated 702,000 women and girls facing acute food insecurity at crisis-level or worse (IPC Phase 3+) during July–December 2026 is calculated by applying PCBS’s 2025 female population share (49.7 per cent) to the IPC projected caseload of 1,412,421 people. The calculation assumes proportional representation of women and girls across IPC phases and is rounded to the nearest thousand.

IPS UN Bureau

By Madhu Rao and Tyson Miller
SINGAPORE, Oct 9 2026 (IPS)

When governments gather in Yerevan this month for the 17th UN Convention on Biological Diversity, they will weigh a promise nearly 200 countries adopted six years ago: to effectively conserve at least 30 percent of land, inland waters, and sea by 2030. Achieving the ambitious 30×30 target is essential to sustaining the systems humanity relies on for survival—including crop pollination, purification of water and air, and climate regulation—as well as the biodiversity that underpins food production, fisheries, and tourism.

Unfortunately, the world is not on track to achieve this target. Moreover, the emphasis on the quantitative dimension of the 30×30 target has often overshadowed its more critical objective: ensuring that areas of high biodiversity value are protected, conserved, and connected through effective and equitable management.

The struggle to deliver on international commitments reflects a fundamental challenge. The Global Biodiversity Framework requires countries to halt and reverse biodiversity loss while pursuing economic growth, and businesses are increasingly expected to mitigate nature-related impacts. The ongoing expansion in infrastructure, mining, and the energy transition places additional pressure on biodiversity-rich ecosystems, creating difficult trade-offs that must be carefully managed.

The fundamental question remains: how do we reconcile economic development with meeting biodiversity commitments?

A new analysis of tropical countries contains insights vital to answering that question. Most importantly, it found that oil and gas concessions overlap nearly 61 million hectares—roughly two and a half times the size of the United Kingdom—of protected and conserved areas. Mining concessions overlap another 43 million hectares. Such conditions can turn protected and conserved areas into ‘paper parks’: places protected in law but vulnerable to extractive industries in practice.

What the Maps Reveal

The analysis examined a wide range of some of the world’s most vital ecosystems and the industrial pressures closing in on them—oil and gas, mining, industrial logging, and large-scale agriculture—across the Amazon, Central America, the Congo Basin, and Southeast Asia, with further examples from the Global North. The report focused on the tropical forests and marine ecosystems that not only harbor irreplaceable biodiversity but also remain at the center of conflicts between extraction and conservation.

Senegal, for example, is close on paper to protecting 30 percent of its territory, yet oil and gas blocks cover 99 percent of both the country’s protected areas and identified Key Biodiversity Areas. The remaining undisturbed forest in Cambodia largely lies inside protected areas, yet a fifth of those areas face mining concessions and most contain land of interest to oil and gas companies. In the Democratic Republic of Congo, nearly three-quarters of the ambitious new Kivu-Kinshasa Green Corridor overlaps with oil and gas blocks included in a recent licensing round.

This contradiction between conservation in policy and extraction in practice can also be seen in high income countries. The United States has opened Bears Ears National Monument to mining and is threatening new oil drilling in the Arctic National Wildlife Refuge, and the UK also allows fossil-fuel companies to drill in protected areas.

There is further tension. Some of the mining pushing into protected areas is for minerals fueling the energy transition. Securing a stable climate and securing nature are both essential, and one should not be pursued by quietly sacrificing the other.

We need to consider not only how much additional territory must be brought under protection by 2030, but whether areas already counted as protected and conserved are genuinely conserved, effectively managed, and delivering meaningful biodiversity outcomes.

The Path Forward

High-integrity implementation of 30×30 means prioritizing places that matter most for biodiversity and ensuring they remain ecologically intact, connected, effectively conserved, and equitably governed. It means upholding Indigenous Peoples’ and local community rights and protecting these places from incompatible extractive and large-scale industrial activities.

There are four critical components. The first is the mitigation hierarchy, which calls for avoiding harm whenever possible before considering other measures. Areas of highest biodiversity value, including strictly protected areas, should be no-go zones for extractive industry.

The second is policy coherence. A protected area sits with a ministry of environment while a mining concession sits with a ministry of mines or energy, and unless biodiversity is built into the decisions of every economic sector, the two will keep colliding.

The third is biodiversity-inclusive spatial planning, which enables governments to clearly recognize where nature is protected and where development can proceed. Protect here, develop there.

Finally, effective and equitable governance, including rights-based approaches, is essential. Indigenous peoples and local communities steward some of the world’s most intact and biodiverse lands, including many areas of global importance for biodiversity. Their rights, knowledge and leadership are central to effective conservation.

With only four years left, the commitment worth making in Yerevan is durable protection for the areas that matter most, so they remain intact, connected, and free of the industries that would undermine them. We must make sure that 30×30 is not a promise that only exists on a map, but is a pathway to true biodiversity protection for our collective survival.

Madhu Rao, Chair of the IUCN World Commission on Protected Areas and Tyson Miller, Executive Director of Earth Insight

IPS UN Bureau

Ore containing copper, cobalt, and nickel, critical minerals that power the use of emerging technologies. Credit: Unsplash/Paul-Alain Hunt

By Oritro Karim
UNITED NATIONS, Oct 8 2026 (IPS)

The demand for critical minerals is accelerating as world powers scramble to stay on top of emerging technologies. Meanwhile, the environment and frontline communities are paying a steep price.

Such was the basis of the discussion held by the Oakland Institute on September 30, during their webinar: ‘How War and AI Fuel the Critical Minerals Race‘. The event convened experts and frontline activists to examine how artificial intelligence (AI) drives mineral extraction, transforms war technologies, and affects communities entrenched in protracted conflict.

Building on the Institute’s July report, RUSH: Global Scramble for Minerals Wages War on People and Planet, the event highlighted the correlation between rising military spending and the proliferation of AI systems. Panelists stressed that as the demand for critical minerals reaches new peaks, frontline communities bear the brunt of adverse environmental and social impacts.

Anuradha Mittal, founder and Executive Director of the Oakland Institute, noted that military operations account for less than 10 percent of total critical mineral use. Despite this, she warned that the global AI “boom” and increasing competition between world powers over strategic supply chains could trigger a sharp rise in extraction.

Expanding data centers will demand increasingly higher quantities of critical minerals, including copper, gallium, indium, palladium, magnesium, tungsten, germanium, and tantalum. Mittal projected that by 2030, data centers could require an additional 512,000 tons of copper, alongside a 37 percent increase in germanium and an 85 percent increase in gallium by 2033.

She highlighted the United States military-industrial complex as a specific area of concern, describing it as an “AI-first warfighting force.” Under the Trump administration’s proposed 2027 defense budget, military spending would reach a record high of 1.5 trillion USD, nearly twice that of 2023. As the U.S. races to counter China’s dominance across global supply chains, extraction, and processing, the Trump administration has enacted rapid measures to secure minerals internationally.

“Since 2025, the (Trump) administration claims to have signed 38 mineral agreements with countries ranging from Ukraine, India, the DRC, the Philippines, UAE, Australia, Argentina, and Saudi Arabia…Competition with China is bolstering this strategy,” said Mittal. “The Department of War has allocated 75 billion USD to AI-driven programs and another 9 billion to data centers, while the Pentagon requested 13.4 billion dollars in 2026 for autonomous systems. This has driven the U.S. to start stockpiling minerals as strategic assets.”

Other panelists detailed how the impacts of the critical minerals race extend far beyond the global scramble for resources. Frontline communities are not only subjected to environmental degradation, but those in conflict zones are routinely exploited by tech and defense corporations as testing sites for novel military technologies before they are introduced to global markets.

Leila, representing the U.S.-based and Palestinian-led advocacy group Adalah Justice Project (AJP), warned that Gaza has served as an “enormous blueprint for AI-powered war,” noting that Israeli companies have historically used the enclave to test emerging technologies relating to surveillance.

“We have facial recognition drones, different kinds of spyware companies that can hack into phones, and all kinds of AI-assisted targeting programs that, of course, we really learned about through the last couple of years in the genocide,” said Leila. “These tools were developed and tested by Israeli companies in real time, and then sold to the world as sort of ‘battle-proven.’”

Leila also stressed the urgency of the Deadly Merger, a legislative proposal in the U.S. National Defense Authorization Act (NDAA) to expand the integration of the U.S. and Israel’s military technology, intelligence, and surveillance systems. AJP posits that the Merger could intensify violence against Palestinians, drive heightened surveillance in the U.S., and impose a “new techno-fascist world order.”

Katerina Canyon, Executive Director of Peace Economy Project—a non-profit organization that advocates for the redirection of military spending toward human needs—introduced the concept of a “peace economy”, where critical resources are used to strengthen healthcare and social infrastructure rather than fund military operations.

Canyon stated that rare earths, lithium, cobalt, nickel, graphite, and other critical minerals are not only necessities for the proliferation of AI but also are cornerstone resources for the green energy transition. She emphasized that a peace economy must prioritize an equitable environment for civilians over military defensives.

“For nearly fifty years, our organization has challenged militarism and asked what would happen if public resources were directed toward human needs rather than preparation for war,” said Canyon. “My core argument is simple: critical minerals are not politically neutral. The same mineral can become part of a wind turbine, an electric bus, a medical device, or a missile guidance system. Geology does not make that distinction; policy does, government budgets do, procurement decisions do, and industrial strategy does.”

“So the real question is not simply whether we need critical minerals; it is what kind of economy are we building around them,” she continued. “A peace economy starts with a different definition of security. One centered on whether people have safe communities, have healthcare, clean energy, transportation, housing, and a livable environment.”

IPS UN Bureau Report

As the number of people living with dementia continues to rise, healthcare systems face increasing demand for medical and support services. Credit: Shutterstock

By Joseph Chamie
PORTLAND, USA, Oct 6 2026 (IPS)

Dementia is a rapidly growing global health challenge that affects many millions of people worldwide and places significant economic, healthcare, and social strains on societies, particularly as populations age.

Families, community organizations, and governments face growing difficulties in providing adequate care and support for older adults living with dementia.

A debilitating neurological condition, dementia is caused by various diseases or injuries that damage the brain and impair its functioning. Its increasing prevalence has made it a pressing global health concern.

Women are disproportionally affected by dementia, experiencing a greater burden of morbidity and disability than men. Women account for approximately two-thirds of deaths from Alzheimer’s disease and other forms of dementia worldwide and provide about 70% of informal care hours delivered by family and friends

Dementia can affect memory, thinking, communication, mood, and behavior, as well as a person’s ability to perform everyday activities. Symptoms generally worsen over time, often placing substantial emotional, physical, and financial burdens on individuals, families, caregivers, and health systems.

The number of people living with dementia is rising rapidly as populations age and life expectancies increase.

Dementia, however, is not a normal part of aging. Although some changes in memory and functioning are common among older adults, dementia can significantly impair memory, thinking, judgment, and the ability to perform everyday activities.

Dementia is the seventh leading cause of death worldwide and a major cause of disability and dependency among older adults.

Alzheimer’s disease is the most common type of dementia, accounting for roughly 60–70% of all dementia cases. Other types include vascular dementia, dementia with Lewy bodies, which is associated with abnormal protein deposits in nerve cells, and frontotemporal dementia, which involves degeneration of the brain’s frontal and temporal lobes.

Dementia affects not only individuals but also families, healthcare systems, and society as a whole. Its growing prevalence is creating substantial economic, healthcare, and social pressures worldwide.

As the number of people living with dementia continues to rise, healthcare systems face increasing demand for medical and support services. Governments and communities must devote additional resources to meet these needs, while families often assume significant and demanding caregiving responsibilities.

Hospitals and long-term care facilities also face growing pressure because people with advanced dementia may require intensive, around-the-clock supervision and assistance with everyday activities.

Beyond direct healthcare and long-term care expenses, dementia generates substantial indirect costs. These include lost productivity when people with dementia can no longer work and reduced workforce participation among family members who leave or reduce employment to provide unpaid care. Together, these direct and indirect costs add substantially to the broader economic and social burden of dementia.

Women are disproportionally affected by dementia, experiencing a greater burden of morbidity and disability than men. Women account for approximately two-thirds of deaths from Alzheimer’s disease and other forms of dementia worldwide and provide about 70% of informal care hours delivered by family and friends.

People who care for relatives with dementia face greater health risks than those caring for family members without dementia, and these risks can persist even after their relatives have died. Caring for people with dementia therefore places substantial burdens on families and society, while the growing global burden of dementia care remains largely underestimated.

In 2021, approximately 57 million people were living with dementia, according to the World Health Organization, and dementia caused about 2 million deaths. With nearly 10 million new cases of dementia occurring each year, largely reflecting population ageing and increasing longevity, the number of people living with dementia is projected to reach about 107 million by 2026 and more than 150 million by 2050 (Figure 1).

Source: World Health Organization.

Dementia can affect memory, thinking, communication, mood, and behavior. Early signs and symptoms of dementia are often observable and may involve difficulties with memory, attention, communication, reasoning, judgement, and processing visual information.

Possible early signs of dementia include forgetting recent events or familiar information, getting lost while walking or driving, becoming confused in familiar places, having difficulty following conversations, forgetting the names of close family members or friends, using unusual words to refer to familiar objects, and struggling to complete routine or familiar tasks independently (Table 1).

Source; U.S. Center for Disease Control.

Although there is currently no known cure for dementia, WHO guidelines report that up to 45% of dementia risk could potentially be prevented or delayed.

The WHO guidelines recommend several healthy behaviors and lifestyle interventions that may reduce dementia risk. These include cognitive training and stimulation, and participation in social activities for adults with normal cognition or mild cognitive impairment.

Other measures that may help reduce dementia risk and support quality of life and well-being include staying physically active, pursuing additional education, eating a healthy diet, drinking a couple of cups of coffee daily, quitting smoking, limiting alcohol consumption, reading regularly, engaging in mentally stimulating activities, and maintaining social connections. Keeping track of daily tasks, managing stress, and obtaining regular medical check-ups may also help people maintain independence and well-being (Table 2).

Source: World Health Organization and U.S. National Institutes of Health.

Some country studies report that each additional year of education is associated with a lower risk of dementia, with the protective association continuing beyond high school. In other words, additional years of education may provide cumulative protection against dementia. Recent research has also found that hearing aids can reduce the rate of cognitive decline in older adults at high risk of dementia by nearly 50%.

Much can also be done to support people living with dementia and those who care for them. Caring for a person with dementia, however, can be challenging and can affect caregivers’ own health and well-being.

Providing care requires patience, clear communication, and attention to the person’s emotional well-being.

Helpful caregiving tips include starting discussing care needs early, speaking calmly and clearly, avoiding arguments, providing reassurance, and avoiding questions such as “Don’t you remember?”. Other strategies include distracting an agitated person with a snack, photo album, humor, or soothing music; maintaining a consistent routine and familiar mealtime setting; encouraging independence and regular exercise; using written to-do lists and reminders; simplifying choices; and ensuring a safe environment.

Caregivers should also prioritize their own physical and emotional well-being. The demands of dementia caregiving can contribute to emotional stress, physical exhaustion, and burnout.

Helpful self-care strategies include taking regular breaks, seeking assistance from family members or others involved in caregiving, maintaining social connections, engaging in regular physical activity, and seeking mental health support when needed. These measures can help reduce stress and exhaustion and lower the risk of caregiver burnout.

Although age itself does not cause of dementia, it is the strongest known risk factor, with the likelihood of developing dementia generally increasing with age. Consequently, countries with older populations, such as Japan, Germany, Italy, and Greece, tend to report higher dementia rates (Figure 2).

Source: World Population Review.

In sum, dementia is a rapidly rising global health challenge, particularly as populations age. Countries face increasing difficulties in providing adequate care and support for older adults living with dementia.

Given the limited availability of effective treatments, there is an urgent need for comprehensive national strategies to prevent or delay dementia and address its broader social, economic, and health consequences. Such strategies should take a coordinated, long-term approach to strengthening prevention, improving care and support services, and reducing the burden on individuals, families, communities, and health systems.

Joseph Chamie is a consulting demographer, a former director of the United Nations Population Division, and author of numerous publications on population issues.

Social Democratic Party leader Magdalena Andersson speaks at the Social Democrats’ election night party in Stockholm on 13 September 2026. Credit: Jonas Ekstromer/TT News Agency/AFP

By Andrew Firmin
LONDON, Oct 5 2026 (IPS)

Four years ago, Sweden’s far right became the power behind a right-wing government. This time, it expected further gains and cabinet seats. But voters turned against it. In the 13 September general election, support for the far-right Sweden Democrats fell for the for the first time in the party’s history. Four days later, Prime Minister Ulf Kristersson resigned, leaving the way clear for the centre-left Social Democrats to negotiate a coalition. But the Sweden Democrats’ defeat will prove hollow if the next government maintains the hostility towards migrants that has come to characterise Sweden’s politics.

The Sweden Democrats originated in the country’s violent neo-Nazi movement. Established parties long refused to cooperate, but the centre-right Moderate Party broke the firewall in 2019, when it announced it was willing to work with it. In the 2022 election, the Sweden Democrats came second with 20.5 per cent of the vote. The Moderate Party came third but was able to form a minority government. The Sweden Democrats didn’t receive cabinet seats, but entered into a formal agreement with the governing parties, which relied on its votes.

Having brought the Sweden Democrats into the political mainstream, Kristersson went further in April, when he said his aim was to form a majority government with the Sweden Democrats and promised them cabinet posts, potentially giving them control of immigration policies. The announcement made clear how central to Swedish politics the Sweden Democrats had become.

Hostility written into law

The Sweden Democrats framed its hostility towards migrants as a defence of the country’s envied living standards, underpinned by its extensive social welfare system. This time it promised to ‘make Sweden Sweden again’, in a campaign marked by instances of blatant Islamophobia.

Sweden saw a sharp increase in the number of asylum seekers and migrants in 2010, particularly from war-torn Syria. Political parties and media have repeatedly blamed migrants for crime and economic and social problems.

As the Sweden Democrats picked up electoral support, established parties adopted increasingly anti-migrant policies to try to see off the political threat. The same thing has happened in other European countries, with the same effect. Mainstream parties legitimised the anti-migrant agenda and brought the far-right challenger into the political mainstream, while voters tended to prefer the original to the copy. In Sweden, conditions for migrants have worsened under successive governments.

Restrictive policies preceded the 2022 government, but intensified under it. Ahead of the election, the government passed a new set of anti-migrant laws. These removed any route to permanent residency for people with asylum status, offering only temporary residency permits. They introduced a broadly defined ‘good behaviour’ clause that allows authorities to refuse residency permits for non-criminal offences and revoke permits already granted.

On top of this, what’s commonly called the ‘snitch law’ obliges some categories of public employees to report people they suspect of being undocumented migrants. This may deter migrants from using essential public services, such as healthcare, for fear of being reported. Because the law is broad and vague, it will also encourage self-censorship, as migrants may feel less able to take part in protests or speak out online. This effectively creates a two-tier system for civic freedoms and risks introducing a default racial profiling system. Troublingly, other EU countries are reportedly watching how Sweden’s hostile new laws play out, with a view to copying them.

A fragmented result

Crime and migration were campaign issues, but didn’t dominate the debate, as voters also focused heavily on the economy, education and healthcare. After many years at the top of the agenda, migration may be receding as a political issue, revealing the Sweden Democrats as having little else to offer. The party’s four four years of sustaining a government also made it harder to run an anti-establishment campaign, while a scandal linking a party official to Russia may also have cost it.

Results point to a further political fragmentation. The Social Democrats also lost seats, recording its lowest vote share in over a century, while smaller parties gained support, with the Green and Left parties particularly attracting young voters.

The two major political blocs are holding coalition negotiations. Neither faces an easy task. A four-party coalition led by the Social Democrats would command 176 seats, just above the 175 needed for a majority, while a four-party coalition on the right would claim only 173. But significant policy differences mean agreement can’t be taken for granted. Determination to keep the Sweden Democrats out may galvanise the four into an agreement but may not be enough to sustain it in the long term.

Even if the Social Democrats prevail, a significant change of direction on migrants’ rights is unlikely. The party has expressed support for many recent anti-migrant policies. The political rhetoric may soften, but the situation could mirror that of neighbouring Denmark, where the Social Democrats, having long adopted anti-migrant policies, retained power in the March election despite having its worst result in over 120 years.

A chance to change course

Progressive voices urgently need to start making a more positive case that tells human stories and asserts the human rights of migrants, and that builds understanding of the causes of migration and appreciation of the benefits migrants can bring, from the public service jobs Sweden’s social welfare service relies on to the economic contributions migrants make.

Sweden’s civil society must be heard. Civil society organisations are providing practical help to migrants and going to the courts and European bodies to challenge the worst impacts of regressive laws. They know what’s needed to curb the hostility, make Swedish society fairer and restore the country’s hard-earned global reputation as a human rights champion.

The Sweden Democrats’ loss of support shows there’s nothing inevitable or unstoppable about the rise of the far right. If Sweden’s next government listens to civil society instead of continuing to imitate the far right, it has a chance to show Europe that it’s possible to roll back the far right’s agenda.

Andrew Firmin is CIVICUS Editor-in-Chief, co-director and writer for CIVICUS Lens and co-author of the State of Civil Society Report.

For interviews or more information, please contact research@civicus.org

A community health worker examines a pregnant woman inside her home while family members look on, highlighting the growing challenges mothers face as extreme heat and climate-related pressures strain access to healthcare in vulnerable communities. Credit: Wellcome

By Umar Manzoor Shah
SUVA, Fiji & SRINAGAR, India, Oct 5 2026 (IPS)

Extreme heat is increasingly threatening pregnant women and newborn babies around the world, with almost all maternal health professionals surveyed across five continents saying they have cared for women or infants whose health was affected by high temperatures.

The findings, released as climate ministers gathered in the Pacific ahead of the COP31 climate summit, provide an extremely distressing picture of how global heating is affecting maternity wards, delivery rooms and newborn-care units.

A survey of 1,001 healthcare professionals in Australia, Brazil, India, the United Kingdom and Zimbabwe found that 98 percent had personally cared for a pregnant woman whose health they believed was adversely affected by extreme heat.

Some 99 percent said they had cared for a foetus or newborn whose health, in their professional judgment, had been affected by extreme heat.

Almost three-quarters, 73%, said heat-related cases or complications affecting pregnant women had increased over the previous five years. The proportion rose to 76% when health workers were asked about complications involving foetal health, childbirth or newborn babies.

The survey was commissioned by the global health foundation Wellcome and conducted among obstetricians, gynaecologists, doctors, midwives, nurses and other maternal-health professionals between September 17 and October 1.

The findings were released in Fiji at the launch of Birthright, a global campaign seeking greater protection for pregnant women, babies and healthcare workers as temperatures rise.

Speaking at the event, United Nations Climate Change Executive Secretary Simon Stiell said climate change was creating a new and potentially deadly risk around pregnancy and childbirth.

“The picture is clear and very disturbing: as extreme heat worsens, pregnancy and birth are now a new faultline in the global climate crisis, and one which is potentially fatal,” Stiell said.

“This faultline must not become another deep chasm of climate-driven suffering, inequality and injustice.”

The survey offers detailed evidence of what healthcare professionals say they are already witnessing.

Among pregnant women,

• 25% reported seeing muscle cramps or muscle aches that they believed extreme heat had contributed to or worsened
• 24% reported severe fatigue, sleep problems or a reduced ability among pregnant women to carry out daily activities
• 23% reported breathing difficulties or worsening respiratory symptoms
• 23 percent reported pregnancy complications requiring additional monitoring or treatment, while an equal proportion reported hypertensive disorders, including pre-eclampsia
• More than one in five reported mental distress, anxiety or stress linked to heat
• 21% said they had encountered severe maternal illness requiring medical attention or hospital care
• 20% reported dizziness, fainting or loss of consciousness, while 19 percent reported preterm contractions, labour or birth
• Nearly 18% said they had observed pregnancy loss or stillbirth in circumstances where, in their professional judgment, extreme heat had contributed to or worsened the problem.

The survey did not attempt to establish that heat alone caused individual complications. The responses provide information about the professional judgment and clinical experience of the healthcare workers questioned.

Protect Life at Its Most Fragile

The findings involving babies were similarly worrying.

• 36% of health professionals reported dehydration or heat-related illness among newborns during the pregnancy-related care they provided
• 34% reported low birth weight or restricted foetal growth
• 33% had observed breathing, feeding or temperature-regulation difficulties
• 28% said babies required additional monitoring, treatment or neonatal care, and a similar proportion reported preterm birth
• During the newborn period, 38% of respondents reported low birth weight or restricted growth
• 36% reported dehydration or heat-related illness, and another 36% reported breathing, feeding or problems regulating body temperature
• Almost 30% said heat-related conditions resulted in babies needing additional monitoring, treatment or neonatal care
• 9% percent reported stillbirth or neonatal death during the newborn period in cases where they believed extreme heat had contributed to or worsened the condition.

Stiell said the findings showed that rising temperatures could no longer be treated simply as an environmental issue.

“The climate policy process is measured in degrees, targets and finance,” he said. “But a deep test of climate action is far simpler: whether we protect life at its most fragile.”

He said the world was entering conditions for which many health systems had not been designed.

“We are in a new, hotter world, as the world continues to burn planet-heating fossil fuels, overwhelmingly in G20 economies,” Stiell said.

“The last eleven years smashed records.”

He said rising temperatures meant “rising danger in pregnancy”, citing evidence linking extreme heat to premature birth, stillbirth, low birth weight and maternal complications.

A healthcare worker cradles a newborn baby at a maternal health facility, illustrating frontline efforts to protect mothers and infants amid mounting concerns over the impact of extreme heat on pregnancy, childbirth and newborn health. Credit: Wellcome

No One Is Immune

The survey also revealed significant differences between countries.

Zimbabwean health workers were among those reporting the sharpest increases.

Eighty-five percent of respondents in Zimbabwe said heat-related cases or complications affecting pregnant women had increased during the previous five years. The figure was 79% in Australia, 74% in Brazil, 66% in the United Kingdom and 62% in India.

When respondents were asked about foetal or newborn health, 89% of Zimbabwean health professionals reported an increase in heat-related cases or complications. The corresponding figure was 79% in Brazil, 78% in Australia, 68% in the United Kingdom and 66% in India.

The results suggest that the effects are being felt across countries with very different climates, incomes and healthcare systems.

Concern was also widespread.

More than 92% of all respondents said they were concerned about the impact of extreme heat on the health and well-being of pregnant women in the areas where they worked and 90% expressed concern about foetal health during pregnancy and childbirth, as well as the health of babies during the newborn period.

Zimbabwe recorded some of the highest levels of concern, with 97% of respondents concerned about foetal and newborn health.

Stiell said no country or family could consider itself completely insulated from the risk.

“No one is immune,” he said. “But the risks and impacts are not shared equally.”

The survey showed that extreme heat was also disrupting the healthcare systems expected to protect women and infants.

• 29% of health workers said they had seen increased urgent or emergency presentations during extreme heat
• 28% reported difficulties safely storing or using medicines, supplies or medical equipment
• 27% said pregnant women and their families found it harder to travel to or access healthcare
• 25% reported increased demand for advice, monitoring or treatment, while another quarter reported staff illness, fatigue or a reduced ability to work safely
• 24% had experienced interruptions to electricity, water, cooling systems, medical equipment or other essential services
• A similar proportion reported healthcare services becoming overburdened or having insufficient capacity
• Nearly one-quarter said temperatures inside healthcare facilities had become unsafe or uncomfortable.

The findings highlight a basic problem in responding to extreme heat. Advising pregnant women to stay cool may be of little practical value when families lack air conditioning, cannot afford electricity, work outside, or live far from medical services.

“‘Staying cool’ is simply not an option when there is no cool place to go,” Stiell said.

“A safe birth is already too often shaped by geography, income and access to care. Without action, extreme heat will widen that injustice.”

The survey asked health professionals what most limited pregnant women’s ability to protect themselves and their babies.

• 26% cited limited awareness or understanding that extreme heat could affect health during pregnancy
• 24% cited the need to work outdoors or in hot conditions
• About 23% pointed to limited support from family or the wider community
• The same proportion cited limited access to cooling or air conditioning
• 23% identified the cost of electricity, water or other protective measures.

Other barriers included existing health conditions, inadequate access to safe drinking water, homes that were difficult to keep cool, lack of employer support and difficulties travelling to healthcare facilities.

Only 0.4 percent said no factors limited women’s ability to protect themselves from extreme heat.

Stiell said such conditions meant that climate change risk was increasingly intertwined with inequality.

“Someone working outdoors, living in unregulated housing, travelling far to a clinic, or relying on facilities without water, power or cooling, cannot be protected by advice alone,” he said.

Harm that is not counted is too easily ignored

For Pacific Island countries, the issue is particularly sensitive.

Many small island states have contributed only a tiny fraction of historic greenhouse gas emissions but face rising sea levels, intensifying storms, heat and pressure on food, water and health systems.

“Here in the Pacific, climate change is no abstraction,” Stiell said.

“It is felt in homes, villages, farms, fisheries and clinics, in journeys for care, and in the availability and cost of food, water, power and transport.”

The Fiji event was held as ministers and climate officials gathered for the pre-COP meeting hosted by Australia and Fiji from October 5 to 8.

The meeting is intended to advance negotiations ahead of COP31 in Antalya, Türkiye, and give greater prominence to Pacific Island perspectives and climate solutions. Tuvalu was hosting a leaders’ event as part of the Pacific meetings.

Despite the growing risks, the survey suggests many healthcare workers believe they need more support to respond effectively.

• An overwhelming 92% said they wanted additional training and resources to help pregnant women during periods of extreme heat.
• 55% said clearer national or international guidance on protecting pregnant women from extreme heat would help them perform their jobs better
• When asked what would most improve their ability to protect women and babies, 33% selected practical information and materials for pregnant women and families
• 31% called for improvements to buildings, cooling, ventilation, water or electricity
• 29% wanted stronger referral pathways and better coordination between health services
• A similar proportion called for improved data and surveillance on heat, pregnancy and newborn health, as well as better local heat alerts and communication
• 28% said more staff, time or funding during periods of extreme heat would help
• 28% called for greater community outreach to people who may otherwise be difficult for health services to reach.

Stiell urged governments to make maternal and newborn health an explicit part of national climate adaptation and heat-response strategies.

“What is not named in a plan is too often not funded, not measured and not protected,” he said.

He outlined three priorities.

The first was to make pregnancy and newborn care part of national adaptation, health and extreme-heat planning.

That would require resilient clinics, dependable electricity and water supplies and properly trained health workers.

The second was to convert scientific evidence into direct protection, including improved guidance, professional training, heat alerts, safer medical facilities and health systems prepared before extreme weather strikes.

The third was better monitoring.

“Harm that is not counted is too easily ignored,” Stiell said.

“As temperatures rise, data must show where risks are growing, which interventions work, which communities are exposed, and where finance and technology support is needed.”

The survey found broad support among health workers for stronger policy action.

• 81% agreed that without further action, extreme heat would increasingly endanger maternal, foetal and newborn health during the next five years
• 82% said protecting pregnant women and babies from extreme heat should become a higher priority for health-system leaders and policymakers
• Another 82% agreed that better evidence on heat, pregnancy and newborn health would help drive effective action.

Stiell linked the issue to broader international climate finance negotiations.

He said commitments on adaptation finance agreed at COP30 in Brazil needed to be implemented and called for governments and the international financial system to help mobilise $1.3 trillion annually for developing nations.

“For small islands and other nations that did practically nothing to cause this climate crisis, it underscores the need for support at scale,” he said.

He also pointed to the Belém Gender Action Plan and Belém Adaptation Indicators as mechanisms that could help governments measure climate-related health risks and build more resilient health services.

Stiell praised Türkiye’s COP31 presidency and Australia, which is serving as President of Negotiations, for putting health on the agenda ahead of the Antalya summit.

For Stiell, the issue ultimately goes beyond climate-negotiating language.

“I am a parent, but I cannot pretend to know what it feels like to carry a pregnancy through those conditions,” he said.

“Mothers, midwives, doctors, nurses and families speak from lived experience. We should listen.”

The survey suggests those voices are already delivering a clear warning.

Pregnant women are struggling with heat exposure. Babies are requiring additional care. Health workers are seeing more complications. Facilities are facing pressure on electricity, water, medicines and staff. And many doctors, nurses and midwives say they lack the training and resources they need.

“Pregnancy should be a time of hope,” Stiell said. “But for millions, it is becoming a time of anxiety, as climate impacts fill everyday life with risk.”

He ended with an appeal for governments to treat protection of mothers and babies as a basic test of climate policy.

“A changing climate must never be accepted as a reason pregnancy and birth become less safe,” he said.

“A newborn’s healthy start must never depend on a family’s ability to escape the heat.”

“This work is urgent, deeply human, and we all share the responsibility to drive it forward together.”

IPS UN Bureau Report

Shehnaz Ali from Rahim Yar Khan, Pakistan, has been living with a fistula for 16 years. Credit: Zofeen T. Ebrahim/IPS

By Zofeen Ebrahim
KARACHI, Pakistan, Oct 2 2026 (IPS)

“You’re living a life drained of joy,” is how Shehnaz Sher Ali describes her “perpetually wet and stinky” existence. “I wouldn’t wish it on my worst enemy,” says the 35-year-old, who travelled by bus for more than 12 hours with her husband from their village in Rahim Yar Khan, Punjab, changing diapers whenever possible to keep the smell from reaching the fellow passengers.

For 16 years, she had lived with urine dribbling, unaware that it was treatable with a relatively simple surgical procedure.

She developed an iatrogenic fistula—caused by a surgical injury during a Caesarean section—and is among the estimated two million women living with untreated obstetric fistula worldwide.

Shehnaz got married at the age of 18 and conceived soon after. At full term, her obstetrician suspected a complication for which she underwent a Caesarean section, but the baby was stillborn. The doctor then told the young couple she would not be able to conceive again.

That was not all. She soon realized she was leaking urine.

The doctor assured her it would stop within weeks. It never did, despite three months in hospital trying to repair the leak.

“After spending so much on my operation, being told I could never have children, and then living with the urine leakage, my husband divorced me. I was damaged goods, a liability, and he didn’t want to spend any more money on me.”

She returned to her parents’ home and, a few years later, married Ali, twice her age and already married with three daughters.

“He knew about my condition but married me because he needed someone to care for his paralyzed wife and their three daughters.”

But now, her life is beginning to change.

Fistula Ward at Kooh Goth Hospital, where cats are allowed to roam free. Credit: Zofeen T. Ebrahim/IPS

Center of Hope

She is being treated at the best facility for treatment of fistula—the Koohi Goth Women’s Hospital (KGWH), run by the Zafar and Atia Foundation Charitable Trust (supported by numerous Pakistanis both abroad and within the country), in Karachi’s Landhi neighborhood.

“A relative found out about it a month back, and my husband brought me to it immediately,” she said.

Dr. Shershah Syed, who founded KGWH, was Pakistan’s first gynaecologist and obstetrician to train in genital tract fistula (both rectovaginal and vesicovaginal fistula) repair. He describes these as among the “worst and most devastating childbirth injuries” a woman can endure.

In 1993, Syed trained at Addis Ababa Fistula Hospital under renowned surgeons Dr. Reginald Hamlin and his wife, Dr. Catherine Hamlin, who provided free obstetric fistula repair in Ethiopia. Two years later, as medical superintendent of the government-run Sobhraj Maternity Hospital, he began actively repairing fistulas.

Since KGWH began operations in 2007, it has treated “more than 3,200 women and trained 30 master trainers,” said Dr. Sajjad Ahmed Siddiqui, its fistula project manager.

In 2025, UNFPA’s Asia-Pacific office designated KGWH a Regional Center of Excellence for fistula care after it trained surgeons from Bangladesh, Nepal, and Afghanistan. It was already the national referral and surgical training hub.

“We want to treat 800 women annually while providing psychosocial support, literacy, and skills training to help them reintegrate and become economically empowered,” says Dr. Jameel Ahmed, sexual and reproductive health specialist at UNFPA Pakistan. “But with global funding constraints and rising iatrogenic fistula cases, we are unsure how much reintegration support we can provide.”

KGWH’s work has also extended beyond its walls.

Syed, who is a medical advisor to the Fistula Foundation, organizes free surgical camps with the help of trained surgeons in remote Sindh government hospitals, bringing treatment to women from nearby villages.

In January, he travelled to Kabul with four female surgeons, where they set up a fistula repair camp and provided refresher training to Afghan female surgeons.

“In five days, the women surgeons repaired 20 fistulas,” said Syed. “There is a great need there, but with relations between the two countries at their lowest, it is difficult for us.”

Before the Taliban takeover, 30 to 35 women from remote provinces of Afghanistan would travel to Pakistan each year for treatment. That has now ended.

Today, there are 11 fistula repair centers across Pakistan equipped with 88 trained surgeons, and in the last decade, these centers have treated over 7,800 women for fistula.

Globally, about 50,000–100,000 new cases of vesicovaginal fistula occur each year, with 80% in developing countries, mainly in Asia and Africa, according to UNFPA. “In Pakistan, we estimate that up to 5,000 cases of fistula occur annually; iatrogenic fistula is one type,” explained Ahmed.

Back in 2007, when UNFPA began addressing obstetric fistula caused by obstructed labor in Pakistan through the Pakistan National Forum on Women’s Health, it believed that improved reproductive healthcare and more facility-based births would help reduce the incidence of this devastating condition.

Some Progress, But Not Enough

“To some extent, there have been significant improvements in maternal mortality and morbidity since then,” said Ahmed.

The progress is reflected in World Health Organization figures: Pakistan’s maternal mortality ratio fell from 276 deaths per 100,000 live births in 2006 to 155 in 2024. Neonatal mortality declined from 52 to 37.6 deaths per 1,000 live births over the same period, while the stillbirth rate fell from 39.8 per 1,000 births in 2000 to 27.5 in 2024.

But Syed remains unimpressed. Despite these gains, the toll is still “not acceptable” to him. Every day, 675 babies die before reaching one month of age, and 27 mothers die from preventable complications, amounting to more than 246,300 newborn and 9,800 maternal deaths a year. Pakistan also records more than 190,000 stillbirths annually, WHO figures show.

All these put Pakistan’s achievement of SDG 3—which deals with sexual and reproductive health—at risk.

And there is another worrying development.

As Pakistan made progress in tackling obstetric fistula, another form was emerging—one caused not by obstructed labor but by medical intervention itself. “We observed women developing fistulas following Caesarean sections or hysterectomies in health facilities—iatrogenic,” said Ahmed.

Syed is particularly concerned about this kind. “In most childbirth cases, I find surgical intervention unnecessary. Too often, the decision to intervene is a ‘personal’ one, driven by greed and ‘ease’ rather than ethics.”

“We have irrefutable proof that most of the injuries happen due to surgical error during C-sections, hysterectomies, or repair of ruptured uterus and bladder,” says Siddiqui.

UNFPA has found that a staggering 70% of fistula cases in Pakistan result from surgical injuries. “We tried to plug one hole two decades back, through improved facility-based births, and realized there was a bigger one at hand that happened in facilities that needed to be plugged now,” said Ahmed.

Dr. Pushpa Srichand, 75, has spent more than five decades as a gynaecologist and has treated some 2,200 fistula patients in hospitals, along with countless more at free surgical camps. “It is a disease of the poor; I promised myself I would never charge these women,” she said. Even after retiring from government service and joining Isra University, she made free fistula treatment a condition of her appointment.

A recent seven-year prospective study by Isra University found a 56% rise in iatrogenic fistula among gynaecological patients between 2017 and 2024. Of the 2,190 women treated for obstetric and other gynaecological complications, some 1,358 had iatrogenic fistula.

“This is a huge and extremely concerning number,” said Srichand, sharing her findings at a UNFPA national consultation that brought together regulators, medical bodies, and provincial health officials to discuss the rise in iatrogenic fistula and ways to prevent it.

Earlier research points to a similar pattern. A two-year study at Lady Willingdon Hospital, Lahore, from January 2007 to December 2008, found that 54% (33 of 61) of referred fistula cases were iatrogenic. A 2004 report from the same hospital, by contrast, found that 79% of fistulas were obstetric. The 2008 study concluded that “gynaecological surgery is being performed by untrained hands in the periphery.”

Another study at the Pakistan Institute of Medical Sciences (PIMS), Islamabad, covering almost 12 years to June 2018, also found a rising trend in iatrogenic urogenital fistula. It concluded that the trend underscored the need for better safety standards in both obstetric and gynecological surgery.

The same was concluded at the UNFPA consultation, where doctors largely blamed inexperienced and unskilled practitioners.

“They make wrong diagnoses, perform faulty surgeries, and leave patients with lifelong complications,” Syed told IPS on the sidelines of the event.

“A C-section, for instance, is a relatively straightforward procedure,” he pointed out, but in incompetent hands, even this can go terribly wrong. “It requires a very special kind of negligent expertise to get this wrong,” he said sarcastically. He also blamed the superiors for the errors of their juniors. “They never taught their juniors properly, and many C-sections and even normal births are carried out by those without adequate training, resulting in these grave mistakes that women suffer lifelong. The worst part is there is no accountability.”

For women like Shehnaz, such medical errors are not simply complications—they can reshape an entire life.

For years, she saw her suffering as punishment for some inexplicable sin. The treatment, she says, is “Allah telling me that I have finally atoned for it.”

“When I go home, the first thing I will do is cook a large pot of biryani and distribute it among the poor, in gratitude to Allah for giving me a second life,” says Shehnaz, her face beaming after her first successful operation.

Dr. Sana Ashfaque, who carried out an “extremely complicated, four-hour-long surgery” to repair Shehnaz’s holes, is hopeful she has plugged the leak for good. “But we will keep her for another two weeks just to be sure everything is in place; she’s come from far and it may not have been easy for her to come back to us.”

After 16 years of waiting, four hours was a small price to pay for a second life.

Note: This article is brought to you by IPS Noram in collaboration with INPS Japan and Soka Gakkai International in consultative status with ECOSOC.

IPS UN Bureau Report

 
CIVICUS discusses life as a refugee with an exiled Sudanese civil society activist who has asked to remain anonymous for security reasons.

Over three years into Sudan’s war, millions of people have been displaced, both within the country and beyond its borders, and the numbers keep rising. Fighting continues to force civilians from their homes, while those who reach neighbouring countries struggle to find safety and stability. Civil society warns that, despite the scale of the suffering, Sudan’s crisis isn’t receiving the international attention it deserves. Exiles document violations and advocate for democracy and peace.

What drew you to human rights activism, and how has exile changed it?

The gender-based injustice women face in our societies drew me to human rights work. From childhood, I objected to the unequal treatment of girls and boys and the stereotypes that painted women as less capable. I rebelled against this system, seeking out books, stories and real-life experiences that showed women’s capabilities and potential.

Activism in exile, particularly during wartime, brings unending and unexpected risks and challenges. At times, it feels like you are fighting to survive. You carry the trauma of war and the guilt of being safe while your family and community remain in danger. Many human rights defenders lack the basic resources to survive.

In exile, I have moved from a radical stance to one focused on reform, having learned that dogmatism, hostility and refusal to listen can lead to violence and grave human rights violations. I have become more deliberate in my judgements, with a stronger desire to understand the other side.

How has Sudanese civil society adapted since the war began?

Sudanese civil society has shown remarkable resilience. People mobilised to confront the war and the collapse of state institutions. Within hours, young people and volunteers were helping the wounded, homes became field clinics and communities shared their resources.

As the war continued, many civil society organisations relocated abroad. One of the most remarkable aspects of the Sudanese experience has been the emergence of numerous additional human rights, humanitarian, women’s and youth organisations in host countries. They have maintained links with activists inside Sudan, monitored human rights and documented violations, provided humanitarian assistance, advocated for peace, promoted dialogue and countered hate speech.

Civil society’s work, inside Sudan and abroad, is one of the few sources of hope for peace in the country.

What barriers do Sudanese civil society activists and organisations face in exile?

Refugees face insecurity and a rising wave of xenophobia in host countries, and many feel unwelcome, or even blamed for seeking safety in a country where they are made to feel they don’t belong. Many also face movement restrictions, difficulties renewing residency documents and the constant risk of deportation.

On top of this, activists carry the added burden of propaganda that portrays them as fugitives or foreign agents. We must confront the abuses we document while also countering division, hatred, intolerance and racism.

Civil society organisations abroad also face economic, legal and security restrictions. Many struggle to register legally, open bank accounts, access funding or obtain permits.

Compounding all this are the limited international support and the sense that global decision-makers, and even international human rights organisations, don’t prioritise our concerns. This can leave you feeling that you simply don’t matter.

What needs to change to stop displacement silencing activists and refugees in general?

The global system often seems designed to protect the strong while weakening the vulnerable. In Africa and across the global south, we seek to change this, yet we remain constrained by the structures and assumptions of the system. We need to see difference as a source of diversity rather than division, share responsibility for resources and security, and protect everyone’s rights to life, development, dignity and freedom.

As a Sudanese refugee and human rights defender, I strongly support the Borderless Africa campaign, led by the pan-African civil society movement Africans Rising, which calls for visa-free travel and a single continental passport across Africa. It reflects the need to move beyond borders and put humanity and fundamental rights first.

It’s shocking to be forced into silence about crimes you have witnessed simply because you are a refugee. Governments, civil society and activists must dismantle the legal and logistical barriers that leave refugees unable to access basic rights.

CIVICUS interviews a wide range of civil society activists, experts and leaders to gather diverse perspectives on civil society action and current issues for publication on its CIVICUS Lens platform. The views expressed in interviews are the interviewees’ and do not necessarily reflect those of CIVICUS. Publication does not imply endorsement of interviewees or the organisations they represent.

SEE ALSO
Sudan: ‘Crossing a border doesn’t automatically mean you’re safe’ CIVICUS Lens | Interview with Rawia Saad 09.Sep.2026
Sudan: blood on the hands of foreign powers CIVICUS Lens 04.Sep.2026
Sudan in crisis: mass killings continue while the world looks away CIVICUS Lens 23.Dec.2025

When nurses are overworked, unheard or afraid to speak up, safety, dignity, learning and retention all suffer. Fernando Zhiminaicela / Pixabay

By External Source
KUALA LUMPUR, Oct 1 2026 (IPS)

Nurses are often called the backbone of the health system. We praise their compassion, commitment and resilience. On Nurses’ Day we thank them. During emergencies and crises, we call them heroes. But there is a harder question Malaysia, like most countries around the world, needs to ask more seriously: what happens when the people who care for everyone else are not safe, supported or respected at work?

This question is not only about patient safety. It is first about nurses’ own rights, dignity and wellbeing. A safe and healthy working environment is recognised by the ILO as a fundamental principle and right at work.

Nurses deserve safe workplaces not only because patients depend on them, but because no worker should be expected to absorb abuse, bullying or harassment as part of the job.

The health and care sector is highly feminised, with women making up around 70% of the global workforce. This is even more pronounced in nursing, where women account for 85% of the workforce, according to WHO’s 2025 State of the World’s Nursing report. This means workplace violence against nurses is not only an occupational safety concern. It is also a gendered issue.

As a female-dominated profession, nursing is often positioned lower in hierarchical health systems, where authority is unevenly distributed. Gendered assumptions - such as women being “naturally caring,” patient or obedient - can normalise mistreatment, silence complaints and discourage reporting

As a female-dominated profession, nursing is often positioned lower in hierarchical health systems, where authority is unevenly distributed. Gendered assumptions – such as women being “naturally caring,” patient or obedient – can normalise mistreatment, silence complaints and discourage reporting.

Because nurses are also frontline caregivers, they are exposed to aggression from patients, families and colleagues. Gender therefore shapes both how violence is experienced and how seriously it is taken.

For many nurses and frontline health workers, workplace violence extends beyond physical assault. It involves verbal abuse, bullying, humiliation, intimidation, sexual harassment, disrespectful treatment, harsh hierarchy and psychological pressure.

These forms of violence may not always leave visible injuries. But they can leave deep marks on confidence, mental health, family life, professional motivation and the decision to stay in the nursing profession.

Studies from several Malaysian healthcare settings show that workplace violence is more common than we may think across hospitals, emergency departments and primary healthcare facilities.

A study conducted among 90 nurses in Kuala Lumpur found that more than 90% had experienced verbal abuse. Similarly, a survey of 838 primary healthcare workers in Selangor reported that 68.5% had experienced workplace violence, with verbal abuse the most common form and nurses the most affected professional group. In Melaka, research among 455 female registered nurses found that 51.2% had experienced sexual harassment, most commonly verbal, but also visual, psychological, non-verbal and physical. Nearly three-quarters of those affected reported psychological effects.

Behind each of these figures is a person trying to do their job while staying calm, professional and compassionate. A nurse explaining treatment to an anxious family. A frontline worker managing a crowded clinic. A junior staff member afraid to speak up. A mother finishing a night shift and going home to another set of care responsibilities. These numbers should not be read as statistics alone. Rather, they are warning signs of workplace systems and cultures and the need for stronger prevention, reporting and response mechanisms.

Malaysia already has important foundations in place. Existing occupational safety and health obligations, together with MOH guidance on workplace violence, provide a strong basis for prevention and response. The challenge now is to build on these measures and ensure they are visible, trusted and consistently implemented in hospitals, clinics and frontline services.

This concern was clearly articulated in a focus group discussion with nurses and frontline health workers in Sabah. Participants described workplace violence and bullying as part of a wider picture of pressure: too many patients, too few staff, missed breaks, unpaid or poorly compensated overtime, limited recognition, burnout and difficulty balancing shift work with family responsibilities.

One district clinic was described as seeing around 600 to 800 patients a day, with only a small number of frontline staff managing the flow. In hospital wards, nurses described caring for 10 to 20 patients and sometimes up to 25 patients alone. Staff often missed lunch breaks, stayed beyond official hours to complete patient care and documentation and sometimes worked while sick because no one else was available to replace them. Heavy documentation and uneven digital systems added another layer of pressure.

In the same Sabah discussion, one participant described bullying as something that particularly affects newcomers and junior staff. Another explained that many young workers feel they have little choice but to endure difficult treatment because they need the job. As one participant put it, many feel they must “just bear with it” because speaking up can feel risky.

The human cost also reaches beyond the workplace. One nurse described leaving for work while her children were still sleeping and returning home when they were already asleep again. This is not only a personal story. It is a policy issue. When nurses are overworked, unheard or afraid to speak up, safety, dignity, learning and retention all suffer.

This is why workplace violence must be discussed together with Malaysia’s nursing shortages, retention concerns and migration of nurses. Nurses do not leave only because of salary, although salary and fair compensation matter greatly. They also leave when they feel unsafe, unheard, unsupported and unable to grow.

When nurses feel unable to speak up, silence becomes part of the system. When junior staff are humiliated instead of mentored, learning suffers. When bullying becomes normalised, workers may begin to see leaving as the only realistic option. For a mostly female workforce, these pressures do not affect nurses alone. They also affect families, communities and how society values care work.

Training more nurses will not solve the problem if the working environment pushes nurses away. The real question is not only how we produce more nurses, but also how we ensure that nurses can stay, work safely and be treated with dignity. A serious response to workplace violence in healthcare should include several practical steps.

First, nurses should have a stronger voice in decisions that affect their work. Frontline nurses, nursing leaders, professional bodies and unions should be meaningfully involved in shaping policies on staffing, workplace safety, reporting systems, mental health support, digitalisation and service delivery. Collective representation matters because individual nurses should not have to carry the burden of speaking up alone.

Second, trusted systems for preventing, reporting and responding to workplace violence, bullying and harassment should continue to be strengthened. Nurses need to know they can safely report any kind of violence without fear of being ignored, blamed or punished. Too often, incidents go unreported because people do not believe anything will change. A safe workplace starts with systems that people trust.

Third, addressing staffing shortages and excessive workloads is also essential. When nurses are caring for too many patients, missing breaks and regularly staying late to finish their work, everyone pays the price. Safe staffing is not a luxury. It is essential for both patient care and health worker wellbeing.

Fourth, supporting nurses also means looking beyond individual resilience. Nurses need time to rest, supportive supervisors, access to mental health support and workplaces where people treat each other with respect. Supportive mentoring and teamwork can make a real difference – especially for junior staff and newcomers.

Finally, workplace safety needs to be considered alongside career development, fair compensation and better systems. Nurses need fair recognition for overtime and workload, opportunities for specialisation and higher education, and digital systems that reduce administrative burden rather than adding to it.

Ultimately, this is about recognising that nurses are not an endless resource. They are people, often women, who care for others every day while carrying their own pressures, responsibilities and challenges. Ensuring their safety, dignity and wellbeing is not only the right thing to do. It is a smart investment in a stronger and more resilient health system.

Malaysia has an opportunity to build on the measures already in place and further strengthen workplace safety, staffing, support and working conditions. Everywhere in the world, health systems depend on nurses at every stage of life – from birth to old age, from routine check-ups to medical emergencies. Malaysia is no exception.

Safe patients need safe nurses. And safe nurses need workplaces where respect, dignity and rights are non-negotiable.

By Sergo Chikhladze, Johanna Riha, Sapna Mishra (UNU Global health) and Nicholas Hulus (Sabah Medical Services Union (SMSU))

Khalilur Rahman (second from right), President of the eighty-first session of the United Nations General Assembly, chairs the High-level Meeting on Pandemic Prevention, Preparedness and Response. Credit: UN Photo/Mark Garten

By Shreya Komar
UNITED NATIONS, Sep 30 2026 (IPS)

The United Nations High-level Meeting on Pandemic Prevention, Preparedness and Response (PPPR) on September 25 called for faster and more sustained investment in pandemic preparedness. Speakers emphasized that future outbreaks will require coordinated action across governments, health systems, and communities.

The meeting, held three years after the General Assembly’s first high-level meeting on pandemic preparedness, focused on lessons from COVID-19 and persistent gaps in global health security.

“No country can protect itself alone,” UN Deputy Secretary-General Amina J. Mohammed said, underscoring the need to turn the lessons of COVID-19 into long-term preparedness.

Opening the meeting, Dr. Khalilur Rahman, President of the General Assembly, highlighted three priorities: closing financing gaps, adopting a stronger “One Health” approach, and ensuring equitable access to vaccines, diagnostics, therapeutics and other essential medical tools.

“All countries need and deserve well-funded community-based systems for detection, surveillance, communication and containment,” Rahman said, calling for predictable and sustainable financing. He also stressed that pandemic preparedness must address the links between human, animal and environmental health, arguing that stronger understanding of these interactions could help prevent outbreaks from reaching human populations. Equitable access to life-saving tools, he said, is both a matter of justice and a critical component of containing outbreaks.

In a press briefing held on the same day, World Health Organization (WHO) Director-General Dr. Tedros Adhanom Ghebreyesus warned that global investment in health security has declined since the acute phase of the COVID-19 pandemic, reviving what he described as a cycle of “panic and neglect.”

Although countries and international institutions have established new mechanisms for pandemic preparedness, Tedros said the scale and speed of investment remain insufficient.

The WHO has launched and supported a range of initiatives since the pandemic, including the Pandemic Fund, strengthened pandemic and epidemic intelligence, vaccine and medical countermeasure initiatives, the mRNA Technology Transfer Programme, the WHO BioHub System and the Global Health Emergency Corps.

Countries have also strengthened the international framework governing pandemic response. In 2024, WHO member states adopted amendments to the International Health Regulations, while the WHO Pandemic Agreement was adopted the following year.

However, recent outbreaks, including Ebola in the Democratic Republic of the Congo, have underscored the continuing risk of infectious diseases crossing borders and becoming international threats. Tedros said the possibility of a future respiratory pandemic remains particularly concerning because of the potential scale of its impact.

A key issue still under negotiation is the Pathogen Access and Benefit Sharing (PABS) system, which is intended to establish arrangements for sharing pathogen materials and information while ensuring that countries providing those resources benefit from vaccines, diagnostics and other products developed from them.

Tedros urged countries to conclude the negotiations. “So today, I leave you with just one request: get PABS done as soon as possible. Please conclude the negotiations as soon as possible,” he said. “We are as strong as our weakest link.”

He also emphasized the importance of investing in countries more vulnerable to pandemics, not as an act of charity, but rather as collective action against the common goal of pandemic prevention. Sustained financing and stronger international cooperation will be central to preventing future outbreaks from becoming global emergencies.

IPS UN Bureau Report

Rob Jetten, Prime Minister of the Kingdom of the Netherlands, addresses the High-level Meeting on Climate Action and the Just Transition on September 23. Credit: UN Photo/Laura Jarriel

By Oritro Karim
UNITED NATIONS, Sep 29 2026 (IPS)

The United Nations 2026 Climate Summit addressed critical strategies to mitigate the compounding impacts of the climate crisis and accelerate progress toward the Sustainable Development Goals (SDGs).

The summit brought together civil society actors, climate scientists, major energy producers and consumers, development experts, and world leaders on September 23 as part of the High-Level Week of the 81st session of the General Assembly (UNGA 81).

“The world is crying out for climate justice in mitigation, adaptation, and finance. We must answer that call with action, and we don’t have a moment to lose,” said UN Secretary-General António Guterres in his opening remarks. “But emissions are still rising when they must plummet, and fossil fuel expansion continues, defying science, economics, and common sense.”

“We have seen our fossil fuel dependence wreak havoc, driving up costs, draining budgets, squeezing households, and leaving countries at the mercy of conflicts and decisions far beyond their borders. Meanwhile, fossil fuel companies are banking windfall profits while everyday people foot the bill. Doubling down on oil and gas will only lock in vulnerability for decades,” Guterres added.

Nearly a decade after the adoption of the Paris Agreement, the summit comes as climate experts warn of a dangerous new phase in the global climate crisis. New findings project it is virtually “inevitable” that global temperatures will exceed 1.5°C above pre-industrial levels within the next ten years.

This overshoot presents widespread, multifaceted risks—from extreme weather patterns to escalating public health emergencies. Intensifying heatwaves, droughts, wildfires, storms, and floods continue to cause millions of deaths annually, drive mass displacement, and destroy critical infrastructure, particularly in low-lying coastal regions.

Prime Minister Tarique Rahman of Bangladesh—one of the world’s most climate-vulnerable regions—warned the General Assembly that up to 18 percent of the country’s coastal land could be entirely submerged by rising seas, endangering the security and livelihoods of tens of millions. President Naiqama Lalabalavu of Fiji also emphasized that over half of his country’s population lives within a kilometer of the shore, leaving communities at a significant risk of being exposed to natural disasters. He further noted that the stock of fish available to each Fijian is estimated to decline by nearly 25 percent by 2050, threatening widespread food insecurity across the region.

The compounding impact of these disasters is also linked to depressed crop yields—which significantly impact food insecurity, accelerate biodiversity loss, and cause widespread disease outbreaks. Higher temperatures directly drive the spread of vector-borne illnesses, while rising sea levels and flooding exacerbate waterborne diseases. As a result, countries worldwide continue to sustain massive economic and human costs while aid organizations and health sectors struggle to keep up with the influx of needs.

Tarique Rahman, Prime Minister of Bangladesh, addresses the High-level Meeting on Climate Action and the Just Transition. Credit: UN Photo/Laura Jarriel

“We just lived through the hottest July and August on record. Global sea surface temperatures are at a record high, and the worst is yet to come,” said Celeste Saulo, Secretary-General of the World Meteorological Organization (WMO). “We enter a dangerous terrain where we’re likely to cross a number of tipping point systems that not only regulate the stability of the climate system, but also fundamentally determine life support for human development.”

Numerous speakers also underscored the severity of an immensely powerful “Super El Niño” rapidly forming in the Pacific Ocean, which WMO has described as potentially the strongest in at least a millennium. Data from the National Oceanic and Atmospheric Administration’s (NOAA) Climate Prediction Center indicate a 90 percent chance that this El Niño will mark one of the most extreme weather events of the 2026-2027 winter.

Saulo warned that the global impacts of the impending El Niño will be massive and long-lasting and will cause 2026 to become the hottest year on record. Yvonne Aki-Sawyerr, Mayor of Freetown, Sierra Leone, told the General Assembly that damages in Africa alone could exceed USD 20 billion, with comparable losses projected across other highly climate-vulnerable regions.

The summit sets new goals for the international community: to return global temperatures to below 1.5°C as quickly as possible, limit the severity and duration of ongoing impacts from the overshoot, and facilitate the global transition to renewable energy. Guterres warned that the current generation sits at a critical turning point—it is the first to possess the tools to end the climate crisis and the last with the opportunity to avert a “climate catastrophe.”

The main pathways for climate action highlighted during the summit included increased intergovernmental cooperation, sustained investment in climate adaptation and resilience monitoring systems, and wider-scale deployment of renewable energy. In recent years, renewables have become significantly cheaper than traditional fossil fuels—such as coal, oil, and natural gas—while generating far lower emissions, facilitating sustainable development, and potentially averting hundreds of billions of dollars in climate-related losses worldwide.

While countries representing roughly 90 percent of all global emissions have submitted updated Nationally Determined Contributions (NDCs)—signaling widespread political commitment to the Paris Agreement in the midst of heightened geopolitical tensions—current NDCs are projected to continue to fall short of the emission reductions required to prevent an overshoot of the 1.5°C target.

Michael R. Bloomberg, the UN Secretary-General’s Special Envoy on Climate Ambition and Solutions and also founder of Bloomberg and Bloomberg Philanthropies, told the General Assembly that current financial contributions from the international community are insufficient, warning that these gaps in funding “can mean the difference between life and death.”

“More countries recognize that clean energy is essential to their security and economic stability. At the same time, while there’s still not enough climate funding going to developing countries, the amount has more than doubled since the Paris Agreement took effect,” said Bloomberg. “Now, we all know that’s not enough. Every day brings new evidence of the worsening harms of climate change.”

“No place on Earth is safe from climate change. Countries need more investment in resilient measures that protect people and in modern connected grids that will support the waves of clean energy installation. Both will require more of the kind of collaboration that has enabled progress over the past decade across government and business, philanthropy, nonprofits, and community leaders.”

IPS UN Bureau Report

Helen Clark, Chair of the Board of Partners for the Partnership for Maternal, Newborn and Child Health (PMNCH), moderates the event "Financing for Women's, Children's and Adolescents' Health in a Time of Austerity", hosted by the Global Leaders Network. Credit: UN Photo/Manuel Elías

By Shuli Wong
UNITED NATIONS, Sep 28 2026 (IPS)

In the wake of the largest decline in global health financing on record, the Global Leaders Network (GLN) for Women’s, Children’s and Adolescent Health convened a high-level meeting on September 22 to sustain political momentum for women and children’s health financing. The event, Financing for Women’s, Children’s and Adolescent’s Health in a Time of Austerity, was co-hosted by the Governments of South Africa, Spain, and Tanzania, in addition to the Partnership for Maternal, Newborn, and Child Health (PMMCH).

Throughout the meeting, GLN members repeatedly called for a financing reset for women’s, children’s, and adolescent health (WCAH), warning that reduced global assistance and rising debt could reverse decades of progress. In 2025, official development assistance (ODA) fell to USD 174.3 billion, a 23.1 percent drop from 2024 and the largest annual decline on record. Simultaneously, the external debt in low- and middle-income countries reached a record USD 8.9 trillion, with debt-servicing costs remaining at a historic high. The reduction in assistance, with the increase in debt, has limited governments’ abilities to invest in essential services, leading to consequences for WCAH.

In low- and middle-income countries, an estimated 260,000 women died in 2023 from preventable causes related to pregnancy and childbirth. In 2024, an estimated 4.9 million children died before their 5th birthday from deaths that are preventable with low-cost interventions and access to quality health care. Members of the GLN framed this challenge less as finding replacement funds for the declining aid, but instead, governments need to ensure that existing resources are allocated, protected, and used effectively to deliver improvements in WCAH.

“We know that issues of women, children, adolescent health and well-being can’t be solved by ministers of health alone. They need head of state support, they need minister of finance support, and there are always political choices to be made about what we protect when the resources are scarce,” said Helen Clark, chair of the board of the PMNCH and moderator of the meeting.

Dr. Tedros Adhanom Chebreyesus, WHO Director-General, also called for the protection of health budget lines for WCAH, in particular the protection of sexual and reproductive health in humanitarian settings, and stronger accountability and reporting of results. “A policy without a budget is a press release. A commitment without financing is a promise already broken,” he said.

During Tuesday’s meeting, representatives continued to stress the point of investing in primary health care. In particular, the importance of midwives, community health workers, vaccines, medications, nutrition services, clinics, and referral systems that women, children, and adolescents depend upon. Helga Fogstad, Director of the UNICEF Health Programme, urged governments to protect these foundations when preparing the 2027 budgets. Fogstad urged the prioritization of “domestic resources for what has the greatest impact, ensuring essential medicines, vaccines, and nutrition supplies are available where they are needed and investing in enough trained, equipped, and paid healthcare workers to reach every community”.

Diene Keita, Executive Director of UNFPA, stressed the importance of investing in maternal care and family planning: “World leaders and financial experts agree, investing in women and girls delivers unbeatable returns.”

An audience member at the event “Financing for Women’s, Children’s and Adolescents’ Health in a Time of Austerity”, hosted by the Global Leaders Network. Credit: UN Photo/Manuel Elías

Country examples presented during the session illustrated how investing in WCAH has been translated into policy. For example, under Nigeria’s Health Sector Renewal Investment Initiative, Nigeria has moved away from fragmented donor-led programs towards greater country ownership, stronger alignment of resources and accountability for results. Nigeria has already committed nearly $3 billion in domestic health financing over five years in addition to USD 2 billion of US support. The result of this has been revitalizing more than 4,000 primary health centers, retraining 80,000 frontline health workers, a 34 percent increase in deliveries by skilled birth attendants, and a 22 percent reduction in maternal mortality among women delivered in the facilities.

A tension emerged during the session between greater national ownership for countries and the continuing need for international solidarity. Speakers across the board discussed the need for blended finance, pooled funding, and debt-for-health swaps, while institutions like the World Bank and Islamic Development Bank advocated for moving isolated projects into integrated national systems. Issa Faye, Director General for Global Practices and Partnerships at the Islamic Development Bank, stressed how the “challenge now is to help the countries move beyond the short-term responses”.

“We should go away from project by project to really act in a more massive way through the system. We need to talk about the system, not the project,” said Faye.

In closing, the GLN committed to stronger country-led financing, domestic resource mobilization, and appropriately designed financing mechanisms. In addition, donors were called upon to align assistance with countries’ national plans. The focus was that austerity cannot become health austerity; instead, political declarations and financing plans must protect frontline services and lead to a measurable reduction in preventable deaths.

IPS UN Bureau Report

By Oritro Karim
KATHMANDU, Nepal / NEW YORK, United States , Sep 25 2026 (IPS)

On August 26, 2026, deadly flash floods and landslides ripped through Himalayan towns and villages along Nepal and Tibet’s border, devastating communities. The United Nations estimates that in Nepal’s worst-affected districts of Rasuwa and Nuwakot, 157,050 women and girls are directly or indirectly impacted.

Ranjeeta Silwal

Climate change, melting glaciers and Nepal’s catastrophic floods

Shortly after 8:30 am, a catastrophic avalanche of glacial ice and bedrock roughly two square kilometres in size plunged thousands of metres into the river below, triggering a lethal flood of water, ice, rock and sediment. Travelling over 200 kilometres from Tibet into Nepal, the raging torrent swept away people, animals, homes, schools, roads, bridges and other key infrastructure.

World Weather Attribution explains that human-caused climate change is thawing permafrost in the Himalayan mountains and causing glaciers to melt, likely destabilising the slopes that triggered this humanitarian and environmental disaster.

At the time of writing, over 1,450 people are confirmed dead and more than 8,000 remain missing, with only a fraction of bodies identified and returned to their families. Nepal’s National Child Rights Council and Save the Children have reported that over 1,000 children are in temporary shelters without any parents, many of whom are dead or missing.

Ranjeeta Silwal explains how Nepal’s floods have put women and girls at greater risk

“While temporary shelters can be life-saving, if they aren’t designed with gender protection considerations from the outset, they can create new risks associated with overcrowding, lack of privacy, separation from family and community support networks, and limited access to confidential mechanisms for reporting violence. Without safe, accessible toilets, adequate lighting, privacy and safe pathways, women and girls may face risks simply when using the toilet or bathing, particularly at night.

“Systems that would normally prevent and respond to violations, like health and social services, police, courts and local communities, may be damaged or inaccessible. When authorities are focused elsewhere or are themselves absent because of disaster, the risk of violence, exploitation and other abuse increases exponentially.

“Women who are pregnant or breastfeeding, women in poverty or from rural communities, those with disabilities, widowed and single women, and women-headed households may face additional barriers in accessing services, facilities and information following natural disasters. Adolescent girls can be especially affected because they have less mobility, less access to information and limited decision-making power.

“We need to ask: who can move safely, who has privacy, who can access food and water, who has information and safety networks? These are not additional considerations; these are basic requirements of a rights-based humanitarian response.

“The emergency doesn’t end when flood water recedes, as the secondary impacts can continue for months, even years. When families lose their house, their income and support networks, women and girls become more exposed and vulnerable to sexual violence, intimate partner violence, sexual exploitation, trafficking and child marriage. We need to understand that protection from gender-based violence must be part of the emergency response; it is not something that can wait until reconstruction begins.”

How does the climate crisis increase the risk of child marriage?

“Nepal has made important legal and policy commitments by raising the legal age of marriage to 20 for both women and men and pledging to end child marriage by 2030. Despite this, child marriage remains an ongoing problem. An Equality Now report on child marriage in South Asia explains how poverty, insecurity and lack of access to education are key factors, and the flood in Nepal has amplified all of these, especially for families who’ve lost their homes, agricultural land, livestock and incomes.

“Climate resilience and ending child marriage cannot be treated as separate agendas. As climate-driven disasters become more frequent and severe, the economic pressures on families can intensify, changing how they view a girl’s future.

“When a family is displaced, or a school is destroyed, returning to education can be extremely difficult. Families who’ve lost everything may be unable to afford transport, uniforms or supplies, and girls may be expected to take on additional domestic and care responsibilities. Parents can see marriage as a way to reduce household costs or provide daughters with perceived economic and physical security.

“Once a girl leaves school, the risk of child marriage, early pregnancy, exploitation, child labour and economic dependence increases. So schooling must be part of emergency responses, with displaced children given access to education as soon as possible. Families need social protection, livelihoods, education, food, housing and other essential support so they don’t turn to child marriage as a coping mechanism.”

What should recovery and reconstruction after the floods look like in Nepal?

“Across South Asia, many women depend on agriculture and natural resources while having less control over land, assets and finance. When natural disasters destroy agricultural land, inequalities deepen. A woman who has lost her livelihood and independent income may become more economically dependent on a partner or other household members, making it far harder to leave an abusive situation or challenge exploitation.

“Recovery should mean more than simply rebuilding what existed before. The first step should be a gender-responsive needs assessment, and plans to restore livelihoods must consider who controls assets and income, and how recovery can strengthen women’s economic security and autonomy. Crucially, recovery policies must be deliberately designed to reach women directly.

“Support can take many forms, including cash assistance, help to restore land and housing documentation, and direct access to compensation, recovery grants, credit and financial services. It should also include skills development, employment opportunities and investment in climate resilience. Unpaid care work is often overlooked, despite increasing significantly following disasters. Women looking after children, older people and injured family members have less time to rebuild their livelihoods, so recovery efforts must address this burden.

“Women and girls are not just victims of climate change. They are also agents of change, knowledge holders and decision-makers. We must ensure women’s meaningful participation in recovery decisions, and they shouldn’t only be consulted on plans that have already been developed. They need meaningful influence over what is rebuilt, where it is rebuilt, and how resources are allocated in the short and long term.”

About Ranjeeta Silwal, South Asia Regional Representative, Equality Now

Ranjeeta Silwal is a human rights lawyer, advocate and programme leader. She has recently joined international women’s rights organisation Equality Now as their South Asia Regional Representative. Licensed to practise law in Nepal, Ranjeeta has represented survivors before UN human rights mechanisms, contributed to strategic litigation, and led advocacy to reform discriminatory laws and advance accountability. Her work has focused particularly on gender-based violence, discrimination, sexual and reproductive health and rights, and strengthening legal protections and access to justice for all women and girls.

IPS UN Bureau Report

Excerpt:

A Rohingya refugee carries Myanmar's national flag during a Genocide Remembrance Day rally marking the anniversary of their mass exodus at a refugee camp in Bangladesh on 25 August 2026. Credit: Abdul Goni/AFP

By Andrew Firmin
LONDON, Sep 25 2026 (IPS)

On 15 September, Norwegian police and security services raided the headquarters of Telenor in Oslo. Authorities accuse the multinational telecoms company, majority owned by the Norwegian state, of aiding and abetting crimes against humanity in Myanmar and breaching sanctions.

Telenor sold its Myanmar subsidiary in March 2022, in the wake of the military coup that ousted the country’s democratically elected government in February 2021. An August 2025 Norwegian Broadcasting Corporation investigation reported that ahead of its exit, Telenor had complied with military requests to hand over customer data. It’s alleged that call log and location data may have helped the military track, capture and kill democracy activists, including campaigner Ko Jimmy, executed in July 2022.

Civil society warned of the dangers when Telenor prepared to sell its subsidiary to a joint venture between a Lebanese group and Thein Win Zaw, a Burmese entrepreneur accused of having close military ties. It has kept up the struggle for accountability. Justice for Myanmar, a covert activist group, worked with the International Commission of Jurists to collect documentary evidence on Telenor’s role and filed police complaints in December 2024 and October 2025.

Telenor is also subject to a lawsuit brought by a group of civil society organisations last October, alleging the company passed on data of over 1,200 people. In addition, the company has been found in breach of the Organisation for Economic Co-operation and Development’s Guidelines for Multinational Enterprises on Responsible Business Conduct.

International complicity

The Telenor case focuses attention on the wider networks of companies and states that are propping up the regime and keeping Myanmar’s civil war going.

Following the coup, almost all states refused to recognise Myanmar’s military rulers and continued to regard the exiled National Unity Government as the country’s legitimate representative. But several authoritarian states have since swung behind the junta. Russia leads the pack, with Vladimir Putin hosting junta leader Min Aung Hlaing for repeat visits in Moscow. China, India, Singapore and Thailand have joined Russia in supplying weapons.

Many Chinese companies collaborate with the regime, among them Geedge Networks, a tech company with close links to the Chinese state that specialises in online surveillance. The company is helping the military install a version of China’s ‘great firewall’ so it can systematically restrict internet use, access users’ data and identify and track down dissenters.

The junta made a concerted effort to gain international legitimacy with a sham election in December 2025 and January 2026. It extensively prepared the ground by replacing the civilian electoral commission with a military-controlled body, banning pro-democracy parties and prohibiting political rallies, ensuring a military puppet party faced only token opposition. A new election law enabled it to criminalise over 300 people for criticising the election. Authorities jailed some merely for liking social media posts and handed 37-year sentences to eight activists for taking part in a protest calling for a boycott. There were also reports of threats to withhold aid from displacement camps unless people voted.

After the military’s party duly won, Min Aung Hlaing transitioned from general to civilian and became president in April. That same month, a group of civil society organisations filed a complaint against him in Indonesia over his role in the 2017 genocide of Rohingya people. Despite this legal action and the election’s evident lack of credibility, an array of non-democratic states including Belarus, China and Russia were happy to endorse the result.

While the Association of Southeast Asian Nations (ASEAN) didn’t recognise the election, its most authoritarian members, Cambodia, Laos and Vietnam, backed it anyway, and the bloc has consistently stuck with its failed Five Point Consensus, a plan agreed with the junta in April 2021 that the military has never respected.

The US government has also shifted its position. In 2025, the Trump administration cut funding to independent Burmese media, lifted sanctions against junta-controlled businesses and arms dealers supplying the regime and removed protections from Burmese refugees living in the USA, citing governance improvements. It treated the junta as a legitimate counterpart by sending it a letter about tariffs. In May, it was revealed the junta gives Roger Stone, a long-time Donald Trump ally, US$50,000 a month to rebuild relations with the USA. Mineral deposits are likely in the Trump administration’s sights.

Civil war continues

The Telenor raid has momentarily brought Myanmar back into the headlines. Its civil war has otherwise gone on for almost five and a half years with little global attention. Sparked by the army’s violent suppression of democracy protests, it pits the military against armed pro-democracy forces, both backed by a variety of ethnic militia. The army controls the main population centres and has recently regained some territory, but there’s no end in sight.

The army has committed numerous crimes against humanity and war crimes. A September 2025 UN report painted a harrowing picture of airstrikes on schools and the destruction of villages. This year, the conflict has escalated across the Magway Region, with the army and associated militia mounting armed assaults on villages, burning homes and using drones to kill civilians, including children.

Recent escalations of conflict have driven further displacement. At the same time, monsoon rains across several regions in July and August caused floods that left villages isolated and increased disease risks. As needs have grown, the healthcare system is collapsing due to military attacks on facilities and workers, while humanitarian aid and vital health supplies are further constrained by military checkpoints, road closures and movement restrictions.

The Telenor case has the potential to challenge impunity. It should refocus the minds of democratic states and companies headquartered in them, offering a warning that they can be exposed for complicity in the junta’s atrocities. It should give fresh impetus to civil society’s efforts to hold states and companies to account. By standing with civil society, in Myanmar and around the world, democratic states can put themselves on the side of human rights and justice.

Andrew Firmin is CIVICUS Editor-in-Chief, co-director and writer for CIVICUS Lens and co-author of the State of Civil Society Report.

For interviews or more information, please contact research@civicus.org

Participants at the fourth UN High-Level Meeting on the Prevention of Noncommunicable Diseases and Mental Health (NCDs), held in September 2025. Credit: UN Photo/Eric Kanalstein

By Shreya Komar
UNITED NATIONS, Sep 25 2026 (IPS)

On September 21, just prior to the opening of the United Nations General Assembly Debate (UNGA81), the NCD Alliance held its fifth Multi-stakeholder Gathering, “Strategies for a Sustainable NCD and Mental Health Response,” during the UN High-level Week.

“This meeting may be on the sidelines of the UN General Assembly, but the issues discussed here are central to the global health agenda,” emphasized Mary-Ann Etiebet, President and CEO of Vital Strategies and moderator of the event. She opened by highlighting the continuing global burden of noncommunicable diseases (NCDs) and the gap in funding and resources dedicated to addressing it.

The discussion centered on how countries can sovereignly lead, scale, sustain and strengthen their responses, with a particular emphasis on country ownership and “putting the country in the driver’s seat”.

The gathering focused on how countries can move from policy commitments to implementation and build sustainable responses to NCDs and mental health through governance, financing, and cross-sector partnerships.

Fleming Kondradsen, a panelist and Chief Scientific Officer at Novo Nordisk Foundation, emphasized the importance of supporting more horizontal approaches to health. Rather than creating parallel systems and new structures, he argued for strengthening and integrating NCD prevention and care into existing health systems wherever possible.

For Paula Johns, another panelist from Brazil and Executive Director of ACT Health Promotion Brazil, meaningful participation begins with a fundamental question: How do we include the public in public health? Maintaining strong relationships with communities, she argued, is essential to ensuring that health policies and interventions reflect the realities of the people they are intended to serve.

Johns also raised concerns about the growing pressures affecting young people in Brazil, describing a “mental health global pandemic”. Among the issues she highlighted were social media and sports betting, calling for greater attention and regulation of environments that can affect young people’s health and wellbeing.

The discussion reinforced the importance of looking beyond the health sector itself. Addressing NCDs and mental health requires collaboration across government, civil society, communities and other sectors that shape the environments in which people live.

For Prisca Githuka, founder of the Pink Hearts Cancer Support Foundation from Nairobi, Kenya, one of the most important questions when it comes to addressing NCDs and mental health is meaningfully engaging people with lived experience. Consulting people who have experienced a disease, she said, is only the beginning. Meaningful engagement means involving people with lived experience in co-creating solutions and participating directly in decision-making structures. This distinction, she noted, separates genuine participation from tokenism.

People with lived experience should not simply be invited to share their stories. They should have a meaningful role in shaping decisions that impact their health, and their contributions should be fairly compensated. Githuka also stressed the importance of measuring whether people’s input actually influences outcomes. Engagement should not end when feedback is collected. Instead, stakeholders should ask: What changed as a result of that feedback? And did the final implementation actually benefit the people with lived experience?

Her own advocacy work has included petitions and efforts to secure funding and support for cancer patients, including advocacy around oncology packages and the National Health Insurance Fund.

The emphasis on advocating for lived experience at the forefront of decision-making also highlighted the impact of smaller organizations and community-based groups. For many of these organizations, their most important contribution is their proximity to the communities affected by NCDs and mental health conditions. Their stories can provide insight into gaps that may not be visible in national strategies or global commitments.

For people with lived experience with NCDs and mental health conditions, being in the room is only the first step. The measure of meaningful engagement is whether they have a voice in decisions, whether that voice influences what happens next, and whether the resulting policies and services improve their lives.

IPS UN Bureau Report

Moderator Arif Ullah of Anthropocene Alliance joins LaTricea Adams of Young, Gifted, and Green; Dionne Delli-Gatti of Continuum Strategies; and Dr. Katlyn Turner of CU Boulder Information Science and KTLN Consulting to discuss AI’s environmental justice impacts and how frontline communities can maintain agency as data center development expands. Credit: Pillar Projects / Grayson Wise

By Oritro Karim
UNITED NATIONS, Sep 25 2026 (IPS)

On September 21, Frontline Resource Institute (FRI) hosted its Climate Justice Hub at Fordham University at Lincoln Center in New York City under the theme “Building a Stronger Climate Coalition.”

As part of Climate Week, and coinciding with the 81st session of the UN General Assembly, the event united advocates, researchers, policymakers, and frontline leaders to address the intensifying threat of climate change to global public health, while highlighting the need for stricter guardrails on artificial intelligence (AI) data centers, particularly in their impacts on frontline communities.

Arif Ullah, Executive Director of Anthropocene Alliance (A2) and a moderator at the event, referenced Empire of AI: Dreams and Nightmares in Sam Altman’s OpenAI by journalist Karen Hao, noting her warning that AI functions as a “new form of colonialism.” Ullah emphasized that AI’s impacts on frontline communities and their environments is multifaceted and far-reaching, requiring far more robust physical infrastructure to be sustainable.

“In July, nearly 1,400 tech company employees signed an open letter urging the [U.S.] government to regulate AI. Recently, an Anthropic researcher quit his job warning that the people building AI believe it could kill us all by the end of the decade,” said Ullah. “When you consider the many ways in which [resources are] extracted, it’s hard to disagree. Hyperscale data centers are among the ways it’s most extracted, not to mention destructive. We are seeing them proliferate, unchecked and unregulated across the country.”

Numerous speakers at the event underscored that natural resources are routinely extracted from frontline communities with little regard for public health or the stability of local ecosystems. To meet the rapidly growing demands for continuous power, data centers around the world have increasingly implemented methane gas turbines. These measures have led to a surge in toxic chemical emissions—such as formaldehyde and benzene—driving widespread air and water pollution while consuming vast amounts of water.

Sarah Vogel, Senior Vice President of the Environmental Defense Fund (EDF) and another moderator of the event, warned that extreme weather patterns—including intense heatwaves, prolonged flooding, destructive wildfires, degraded air and water quality, and the spread of infectious diseases—are among the most alarming and common consequences of AI-exacerbated climate change.

She emphasized that these impacts present heightened risks of lung cancer, heart disease, and strokes, particularly for frontline communities. Young people are uniquely vulnerable, as their developing bodies face continuous strain from pollutants without the opportunity to grow up in healthy environments. Those with pre-existing conditions also face a heightened risk of exacerbated health outcomes.

“For communities in this country and around the world who have experienced the legacy and ongoing impacts of environmental injustices, climate change and the related pollution is a threat magnifier,” said Vogel. “We know that when our health is impaired, it’s like a domino effect. Everything is impacted. Our ability to work, our ability to take care of children, the costs associated with it. The ability to just enjoy our lives. That is what we mean when we say that the climate crisis is a health crisis”

It is these frontline communities, oftentimes primarily composed of people of color, that are entrenched in severe environmental degradation and pushed further into poverty while others reap the financial benefits. Bearing the brunt of extreme pollution, these communities often lack the healthcare infrastructure required to withstand such environmental shocks.

LaTricea Adams, Founder, CEO, and President of Young, Gifted, and Green, noted that frontline communities are often left ill-equipped to adapt to AI-driven climate shocks, describing it as a “point of reckoning.” She emphasized that many residents are often unaware that they are on the frontlines of environmental degradation, going a “significant amount of time” without understanding the full extent of how these developments directly impact their lives.

“We as a collective are still not taking public health seriously. That also has an economic implication,” said Adams. “While you may bring in millions of dollars, if people are consistently sick, does that not have an impact on healthcare, which we know is lacking in our country and in our society?”

“What you’re not gonna do is come into our community and give us nothing but pollution while we remain in poverty. But at the same time, we do have to make sure that we protect the people that have been neglected for centuries in disinvestment.”

Several panelists underscored the importance of centering frontline communities in AI reform, with cooperation between governments, community leaders, corporations, and the health sector imperative in preventing harm and establishing sustainable practices that can uplift these communities. Vogel noted that in order to build healthy and resilient communities, approaches in AI regulation must prioritize health and equity to effectively minimize risks.

Panelist Ali Abazeed, Chief Public Health Officer and Director for the city of Detroit warned that the international community must not become “sophisticated witnesses” to preventable harm, noting that progress hinges on empowering communities and providing them with the data that affects their lives.

“Public health doesn’t happen inside an office. Comfort is comfortable. The ivory tower—the research generated there is hugely important but it has to roll out to the communities,” said Abazeed, emphasizing that action is critically important amidst widespread cuts to funding for research and potential hostile takeovers of national institutes for health.

“Speaking as a government official, we need to recognize that the work that we do and the powers that we have can help uplift and elevate communities. The charge is to be outside, to be in the clinic lobby for public health, in the church basement, for us to be meeting the fence-line communities.”

IPS UN Bureau Report

Credit: IAEA
 
IAEA’s 70th General Conference highlights growing strains on safeguards and nuclear security as attention shifts to the first review of the Nuclear Weapons Ban Treaty.

By Katsuhiro Asagiri
VIENNA, Sep 24 2026 (IPS)

The international nuclear order is facing another test as governments move from an inconclusive review of the Nuclear Non-Proliferation Treaty (NPT) in New York to renewed disputes over safeguards and nuclear security in Vienna—and toward the first Review Conference of the Treaty on the Prohibition of Nuclear Weapons (TPNW) later this year.

The 70th General Conference of the International Atomic Energy Agency (IAEA), held in Vienna from September 14 to 18, came less than four months after the 11th NPT Review Conference ended without consensus on a substantive outcome.

It was the third consecutive NPT Review Conference, following those in 2015 and 2022, to conclude without agreement on substantive conclusions and recommendations—underscoring the growing difficulty of reaching consensus amid heightened nuclear risks and geopolitical tensions.

UN Secretary-General António Guterres expressed disappointment at the outcome while reaffirming the NPT as a cornerstone of the global nuclear disarmament and non-proliferation regime.

The IAEA does not negotiate nuclear disarmament. Its responsibilities include promoting the peaceful uses of nuclear energy and applying safeguards to verify that nuclear material is not diverted to nuclear weapons or other nuclear explosive devices.

Yet the issues confronting the Agency—from Iran and North Korea to Ukraine and naval nuclear propulsion—show how safeguards, nuclear security and armed conflict are increasingly intertwined with wider questions about the future of the international nuclear order.

Map of Iran

Iran remains one of the most difficult issues facing the Agency.

For the IAEA, the central question is not simply the political dispute surrounding Iran’s nuclear programme, but whether it can maintain the continuity and credibility of independent verification.

Restrictions on access and uncertainty surrounding nuclear material, including highly enriched uranium, have intensified concerns about the effectiveness of safeguards.

The issue has taken on an additional dimension following attacks on Iranian nuclear facilities. Beyond competing political and military claims lies a wider question for the international community: how can nuclear facilities—and the verification system surrounding them—be protected during armed conflict?

Ukraine Tests Nuclear Safety in Wartime

Ukraine presents another challenge.

The war has placed major nuclear facilities in or near areas of military operations, with the Zaporizhzhia Nuclear Power Plant remaining at the centre of international concern.

The IAEA has maintained experts at the site as part of efforts to reduce risks to nuclear safety and security.

Russia and Ukraine have repeatedly accused each other of actions threatening nuclear installations. While those claims remain contested, the underlying issue extends beyond this war: international nuclear governance mechanisms must now operate in circumstances where a major nuclear facility can be exposed to prolonged armed conflict.

Water is used to cool processes at the Zaporizhzhya Nuclear Power Plant in Ukraine. Credit: IAEA/Fredrik Dahl

North Korea and the Limits of Verification

Credit: journal-neo.org

The IAEA continues to monitor developments in the Democratic People’s Republic of Korea from outside the country and maintains its readiness to resume verification activities should political circumstances permit.

The case illustrates a fundamental limitation of international verification: even sophisticated monitoring institutions ultimately depend on access and cooperation.

More broadly, the Vienna conference reflected the growing difficulty of achieving consensus. Political divisions are increasingly affecting debates even within an institution whose work is largely technical, encompassing safeguards, nuclear safety and security, and peaceful nuclear applications.

At the same time, progress in other safeguards cases shows that multilateral verification can produce results when governments provide access, transparency and sustained cooperation.

Civil Society Bridges the NPT and TPNW

Hideto Matsuura, head of Nihon Hidankyo, addresses an event hosted at the sidelines of the 2026 NPT Review Conference. Credit Naureen Hossain/IPS

At the 2026 NPT Review Conference, Soka Gakkai International (SGI) was among civil society organizations advocating nuclear disarmament education, nuclear risk reduction and greater attention to the humanitarian and environmental consequences of nuclear weapons.

On April 30, SGI and the Nuclear Age Peace Foundation co-organized a side event examining extended nuclear deterrence through the lens of the humanitarian impact of nuclear weapons.

Hideto Matsuura, an atomic bomb survivor representing Nihon Hidankyo, described how radiation-related illnesses continue to affect Hibakusha more than eight decades after the atomic bombings.

The discussion raised a question that lies at the heart of the continuing debate over nuclear deterrence: whether security should be viewed primarily from the standpoint of states or also through the lens of human security.

Such civil society engagement provides a link between the NPT process and the humanitarian approach that contributed to the emergence of the TPNW.

From Vienna to New York

The next major stage of the 2026 nuclear diplomacy cycle now moves back to New York.

From November 30 to December 4, states parties to the TPNW will hold the treaty’s first Review Conference at United Nations Headquarters.

United Nations Headquarters. Credit: Katsuhiro Asagiri

The TPNW does not replace either the NPT or the IAEA.

The NPT combines three pillars—nuclear non-proliferation, nuclear disarmament and the peaceful uses of nuclear energy—while the IAEA provides much of the safeguards and verification machinery supporting the non-proliferation regime.

Credit: IAEA

The three frameworks therefore address distinct but interconnected dimensions of the nuclear order.

The 2026 NPT Review Conference demonstrated the difficulty of reaching political agreement on disarmament and non-proliferation. Vienna, meanwhile, highlighted the practical challenges confronting verification and nuclear security amid armed conflict, regional proliferation disputes and geopolitical divisions.

The first TPNW Review Conference will now examine what the prohibition treaty can contribute under these conditions.

Nuclear-armed states remain outside the TPNW, placing clear limits on what the treaty can achieve on its own. At the same time, its states parties and supporting civil society organizations have placed the humanitarian consequences of nuclear weapons and their elimination at the centre of international debate.

When delegates gather in New York on November 30, the discussion will therefore extend beyond the implementation of a single treaty.

After another NPT Review Conference ended without substantive consensus, a broader question remains: how can established and newer multilateral frameworks work alongside one another to reduce nuclear risks, strengthen verification and advance nuclear disarmament?

From Vienna to New York, that question is set to remain at the centre of nuclear diplomacy in 2026.

This article is brought to you by INPS Japan in collaboration with Soka Gakkai International in consultative status with UN ECOSOC.

IPS UN Bureau

A public streetside sign advocates against gender-based violence in the Highlands of Papua New Guinea. Credit: Catherine Wilson/IPS

By Catherine Wilson
SYDNEY, Australia, Sep 22 2026 (IPS)

In the remote Highlands region of Papua New Guinea (PNG), humanitarians are life-saving beacons to women and girls facing myriad forms of violence. Despite years of awareness programmes and advocacy, the incidence of domestic and sexual violence is not declining. But Janet Kilea is one survivor who has rejected the fear and stigma of her experience and now dedicates her energy to transforming other women’s lives.

“I feel for other women who are going through the challenges I went through,” Kilea, who works in communities with the international medical humanitarian organisation Médecins Sans Frontières (MSF) in the mountainous Jiwaka Province, told IPS. “I need to use my experience to advocate for and empower women. Women should come out and not be silent about gender-based violence.”

Globally, about 31.6 percent of women have been subjected to physical or sexual violence, reports the World Health Organization (WHO), compared to an estimated 64 percent, more than double, in PNG, which has a population of about 10 million. Yet abuse of women, whether physical, psychological or economic, is of worldwide concern. It affects women and girls in both developed and developing countries, with the WHO claiming that SDG 5.2, which aims to eliminate it, is severely off-track and will not, on current trends, be achieved by 2030.

MSF’s Community Engagement Supervisor, Janet Kilea (L), with Community Health Worker, Judith (C), and Village Health Volunteer, Cathy (R), in Mondumil Village, Jiwaka Province, PNG. Credit: Sophie McNamara/MSF

And, in the PNG highlands, there are numerous barriers to changing the behaviours that endanger women’s lives and getting medical and support services to those who desperately need them. Most people live in isolated communities scattered across a vast rugged terrain of impenetrable forests, arduous high-altitude areas and deep valleys. Many do not have access to roads, while state services, including law enforcement, rarely reach far beyond major towns.

Across the Pacific, rural women and girls are particularly vulnerable, given they are twice as likely to live in poverty as those in urban centres, reports the UN Women, and face entrenched customary beliefs and practices that reinforce notions of gender inequality. Polygamous marriage, for instance, increases the risk of intimate partner violence by 24 percent, according to the World Bank. In the Pacific, “men still see women and girls as their property and believe that they are entitled to control them. And so far there are no efforts led by men to change the situation,” Colin Tukuitonga, Professor of Public Health at New Zealand’s University of Auckland, told IPS.

“In Jiwaka Province, it is estimated that 60 percent of women and girls are experiencing some form of violence,” Frédérique Butez, co-ordinator of MSF’s project in Jiwaka Province, told IPS. And “right now there is only one operational facility in Minj town, one facility providing family support centre services, which are integrated services within the public health facility with medical consultations and direct first aid and support. And then appropriate referrals to protection or legal services, according to the needs of the survivor,” she elaborated.

The suffering of survivors can be immense. Their ordeals may have involved weapons, such as knives or machetes, and resulted in chronic pain, sexually transmitted diseases, reproductive health issues, severe trauma or depression. The provision of external support services is crucial, too, as women frequently contend with stigma and pressure within families and communities to not report their abuse to authorities.

But that has not diminished Kilea’s resolve to make a difference. Gender-based violence (GBV) “is a very sensitive issue in our culture, which is taboo. So, when we go into the community, we talk with the women about their daily lives. We then talk about the root causes of GBV and start a conversation with the women. We create a space to share experiences,” Kilea explained.

MSF also trains village-health volunteers, critical first responders who are trusted within communities. “They are the heart of the project, because they are the focal point inside each community to give the first crucial aid care. They are the ones giving women access to the support and care that they need,” said Butez.

Jiwaka is a relatively new province established on the PNG mainland in 2012, and the provincial government, which provides for a rural-based population of about 343,987 people, is still developing its service outreach. “In terms of the scale of the needs and services, it is quite huge,” Butez said. But MSF, in partnership with Jiwaka Province, is using its expertise and resources to boost the skills of local healthcare workers and the capacity of medical and psychosocial services and support the government’s policy planning.

The scale of the public health needs is also recognised at the national level. Legislation, including the Criminal Code and 2013 Family Protection Act, outlaw domestic violence and violence against women and children. PNG’s gender-based violence response strategy promotes zero tolerance and outlines objectives, such as the development of effective response and service delivery to those affected and the scaling up of public message programs aimed at prevention.

Some political leaders have also spoken out. In March, Prime Minister James Marape told the PNG parliament that ‘domestic violence is a no amidst us. You cannot chest-beat as a leader if you are abusing your wife at home. Simple. Period,’ he declared, claiming that the country ‘will not progress if the fundamental fabric of our society is weakened.’

Nevertheless, women are still struggling to access timely support, and impunity continues for the vast majority of perpetrators. A progress review by the National Gender-Based Violence Secretariat last year reported a fall in the proportion of respondents witnessing domestic violence in their homes from 70 percent in 2016 to 51 percent in 2025. But, in contrast, it found a 210 percent increase in reported cases of violence against women since 1986 and a major shortfall in objectives being implemented. ‘Governance structures remain fragmented and under-resourced, with only 5 of 22 provinces having functional GBV secretariats and just 12 receiving annual funding,’ claims the report, while ‘the justice system is failing survivors with conviction rates for GBV cases as low as 0.5 percent in some regions.’

“Implementation is a challenge across the [Pacific Islands] region,” Tukuitonga emphasised. One hurdle is that strategic plans often exceed the budgetary capacity of governments, and “the second issue is that there are often not the skills locally to implement the plans effectively.”

Kilea, in coming to the aid of women and girls facing life-threatening situations every day, is part of efforts to address the latter. “I remember a woman I supported, who had three sons and one daughter. Her husband beat her regularly and took the money,’ Kilea recounted. She had no income and wasn’t working. She was also illiterate and uneducated and found it very difficult to know what to do. But Kilea was able to guide her on how to be patient and focus on her children while searching for opportunities to gain financial independence. “Soon she heard about an opportunity to do voluntary work, which has now led to daily paid work,” enabling her to leave the abusive relationship she was in and move to safer accommodation with her children.

Butez is buoyed to see the project leading to successes and being welcomed in the province. “The communities really accept us. And, as an organisation, it is very important that the trust with the communities is there, because without it we couldn’t work,” said Butez. “It is something that we are really proud of.”

The work of humanitarians will be critical now and in the future, to addressing the hardships and suffering that gender-based violence causes, with PNG’s GBV secretariat predicting that it could affect up to 8 million women in the country by 2046.

IPS UN Bureau Report

The UN General Assembly will soon vote – most likely favourably – on Bangladesh’s request to postpone the country’s graduation from the UN’s Least Developed Country (LDC) category, currently scheduled for November this year. The request for a 3-year extension was endorsed by the ECOSOC following the recommendation of the UN’s Committee for Development Policy (CDP). It is highly likely that the extension will also be justifiably granted to Nepal and Lao People’s Democratic Republic (Lao, PDR) – the two other countries scheduled to graduate with Bangladesh, given the fast deteriorating global economic situation and recent natural disaster in Nepal. In fact, the same argument for an extension may be admissible to all prospective graduating countries, such as Solomon Islands (2027), Cambodia (2029) and Senegal (2029).

Anis Chowdhury

The background

The United Nations established the LDC category in 1971 for low-income countries facing severe structural barriers to sustainable development and to direct special international support toward them such as preferential market access, financial aid, and technical cooperation. The idea of a special category for low-income, structurally weak countries originated in the first session of the United Nations Conference on Trade and Development (UNCTAD) in 1964.

Since the creation of the LDC category, the UN organised five international conferences, the first being in 1981, to draw up comprehensive ten-year frameworks for supports with specific goals. The current programme is the Doha Programme of Action (DPOA) for the Decade 2022–2031, preceded by the Istanbul Programme of Action (IPOA) for the Decade 2011–2020.

The decision to establish a separate LDC category was undoubtedly commendable. The global consensus around the comprehensive action programmes also reflected the goodwill of the international community.

However, none of the programmes could reduce the vulnerability of LDCs. The number of LDCs steadily increased from the 1971 list of 25 countries, reaching a peak of 51 countries in 2003. The number now stands at 46, still nearly double that of the original list. Only 9 countries exited the list – one, Sikkim, through India’s annexation in 1975.

Although the inclusion of newly independent countries partly explains the lengthening of the LDC list, one cannot avoid the judgement of an overall failure of the international community’s good-intentioned programmes. This is especially so in light of the development successes of countries which did not join the group despite their eligibility.

The Reckoning

The failure became staggering by the time the international community met in Istanbul in 2011. After four decades since the special LDC category was created, only three countries – Botswana, Cabo Verde and Maldives – exited the group. Furthermore, the post-graduation experience has been disappointing.

For example, life-expectancy in Botswana, the first country to exit the LDC group, declined from 61.6 years in 1988 to 50.08 years in 2003, while it remains one of the most unequal countries in the world, holding the 9th highest income Gini coefficient globally. Botswana, although hailed for macroeconomic stability, failed to transform structurally with the share of manufacturing hovering below 6% of GDP, and it remains extremely vulnerable to fluctuations in international commodity markets, especially diamond. Thus, growth has declined significantly since the mid-2000s and the unemployment rate has increased to very high levels, around 26%.

Therefore, the core goals and targets of the IPOA included:

• Enable half of all LDCs to achieve graduation status by 2020.
• Attain sustained, equitable, and inclusive economic growth of at least 7% annually.
• Strengthen education, health, and nutrition.
• Build productive bases and diversify economies to generate decent jobs, especially for youth

Unfortunately, only 6 countries – Maldives, Samoa, Equatorial Guinea, Vanuatu, Bhutan and São Tomé and Príncipe graduated – during 2011-2024, and 3 countries – Bangladesh, Nepal and Lao PDR – became eligible to graduate this year. Again, the experience is not very encouraging for the graduated countries, while the fear of graduation has gripped the countries soon to graduate.

In 2021, UNCTAD concluded that 50 years of LDC experience is “sobering”. It found that half of the LDCs fell behind the rest of the world in terms of per capita income and other dimensions of development. Hence, the economic gap between these countries and the rest of the world has widened over the last 50 years.

Rejecting “LDC insult”

Zimbabwe, a land-locked country, rejected the UN’s recommendation to be classified as a LDC in 2006 despite facing severe economic hardships. Zimbabwe viewed the UN recommendation “to be downgraded to LDC status” as an insult, while the neighbouring land-locked Zambia was among the first group of countries classified as an LDC in 1971.

When Zimbabwe’s per capita GDP plunged to USD341 in 2008, resource-rich Zambia’s per capita GDP was around USD1,376. Today, after more than half a century as an LDC, the per capita GDP of Zambia, one of the world’s leading producers of copper, cobalt, and semi-precious gemstones like emeralds, is around USD1,318, while Zimbabwe’s per capita GDP recovered within a decade to around USD3,445 in 2017.

Vietnam, coming out of a quarter century long devasting war in 1975, facing the challenge of unifying the country during the worst global economic situation with a paltry per capita income of around USD85, chose not to join the LDC group. Instead of aid dependence, it opted for the trade and investment route to development. Today, its per capita GDP is approximately USD5,066, while Bangladesh which joined the LDC group in 1975 with a per capita income of around USD230 could manage to raise its per capita GDP to approximately USD2,960.

The Republic of Korea (ROK), one of the poorest countries of the world in the 1960s, could also join the LDC group in 1971 when it was created; but it did not. Maintaining its policy independence and choosing the trade and investment route, ROK has become a full-fledged developed country in 1996 (member of OECD) within three decades. It managed to increase its per capita GDP from USD158 in 1960 to USD36,227 in 2025.

What may have gone wrong?

UNCTAD attributed the “sobering” experience to the LDCs’ inability to exploit international support measures (ISMs) strategically to develop their productive capacity. Others offered different reasons such as failure to understand the complex development process and appreciate the dangers associated with increased integration of structurally weak economies to the rapidly changing global economic system.

Add to these, complicity. Countries joining the group took ISMs as guaranteed; they did not take serious steps to mobilise domestic resources, diversify their economies and expand markets. Take the case of Bangladesh, a country regarded as the best utiliser of ISMs.

Bangladesh’s tax-GDP ratio is dismally low, experiencing a decline from a peak of around 10% to around 7%. Its ready-made garment (RMG) sector’s dominance increased from around 67% of export earnings in 2018 when the country first met the graduation criteria to around 85% by 2025 while it should have been declining as the graduation deadline was approaching.

Bangladesh has also failed to diversify its export markets away from the EU and the USA, accounting for close to 80% of RMG exports. It does not have any meaningful trade agreement with any country or trading bloc, while Vietnam has 17 bilateral FTA and is a member of Progressive Agreement for Trans-Pacific Partnership as well as Regional Comprehensive Economic Partnership, the world’s largest free trade agreement, covering roughly 30% of global GDP.

Ironically, the sector that propelled Bangladesh’s industrialisation, made the country more vulnerable. Worst, too big to ignore, the RMG sector has captured Bangladesh’s political and policy space. The CDP’s recommendation in favour of Bangladesh’s extension request has been made subject to the country’s commitment to reforms. However, political will for reforms may waver when the state is captured by a dominant sector.

Curse or Boon?

Thus, what was supposed to be a boon, for many LDCs, the category has become a curse, trapping them in a perpetual state of underdevelopment and vulnerability. It fits the narrative of William Easterly’s The White Man’s Burden; unfortunately, the international community may feel burdened and grant an extension to the “fearful” LDCs even when its “good-intentioned” efforts have produced so little good.

Anis Chowdhury, Emeritus Professor, Western Sydney University (Australia). He held senior UN positions in Bangkok and New York and served as Special Assistant to the Chief Advisor for Finance (with the status and rank of State Minister) in the Professor Yunus-led Interim Government. E-mail: anis.z.chowdhury@gmail.com; a.chowdhury@westernsydney.edu

IPS UN Bureau

A group of armed defectors from the RSF arrives in the west of Omdurman on 19 August 2026. Credit: Ebrahim Hamid/AFP

By Andrew Firmin
LONDON, Sep 21 2026 (IPS)

Sudan’s civil war grinds on. It’s close to three and a half years since the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) militia began their battle for supremacy, and the two forces and their allies continue to slaughter civilians with impunity. As a recent UN report makes clear, the killing is enabled by numerous foreign powers that continue to supply weapons, personnel and logistical support. They have made a civil conflict their proxy war, and their self-interest is sustaining the killing.

Drone warfare

Things are relatively quiet in the capital, Khartoum, where the curfew was recently lifted following its recapture by the SAF last year, but the RSF still controls significant areas, with fighting concentrated in the Darfur and Kordofan regions to the west and Blue Nile state in the southeast.

Both sides now extensively use drones to kill civilians. In February, a suspected RSF drone strike on an aid convoy in South Kordofan killed three humanitarian workers and wounded four more. In May, a suspected SAF drone strike on a crowded market in Ghubaysh, an RSF-controlled town in West Kordofan, killed 28 people as they shopped for food. In August, another likely SAF strike on a court session in an RSF-controlled village killed 35 people.

The RSF are attacking El Obeid, a city of around half a million people in North Kordofan. RSF drones have hit hospitals and schools. People fear a repeat of what happened when the RSF took the city of El Fasher last October. The UN’s Fact-Finding Mission concluded that the ensuing massacre, in which the RSF killed at least 60,000 people, bore the ‘hallmarks of genocide’, with ethnically targeted killings and widespread sexual violence.

Humanitarian and civic space emergency

The war has caused the world’s largest humanitarian crisis. Over 11 million people have been forcibly displaced within Sudan or to surrounding countries, and around 20 million are experiencing acute food insecurity.

There’s a great need for the help civil society offers, but it’s hard for humanitarian organisations to provide aid because of security dangers and access and movement restrictions. The Sudanese government is also attacking the ability of civil society organisations to operate. In February, authorities revoked the licences of four organisations with missions to provide aid, help victims and promote peace.

Journalists, particularly women journalists, are under attack, making it harder to tell the truth about what’s happening on the ground. In January, the Sudanese Journalists Syndicate recorded that 14 journalists and other media workers had been killed in 2025. In December 2025, it was reported that 40 per cent of women journalists had experienced sexual assault, physical violence, harassment or threats.

Foreign powers behind the war

Sudan’s people can expect little help from the deadlocked UN Security Council. In August, the US government proposed a resolution to expand an arms embargo that currently applies to Darfur to the whole country, explicitly including drones. The Sudanese government condemned the proposal and Russia rejected it, which, given its veto power as a permanent member, means the resolution won’t advance further unless significantly watered down.

Russia initially sold weapons to both the RSF and SAF but more recently has swung behind the SAF, becoming a major arms supplier in return for gold and a potential Red Sea naval base. It’s joined by several other states with a direct stake in the conflict. The UN’s Fact-Finding Mission has set out how the SAF are using foreign-supplied drones while transnational networks are keeping the RSF supplied.

Alongside Russia, states that supply arms or other military support to the SAF, or have done so at some point since the war began, include Egypt, Eritrea, Iran, Libya, Qatar, Saudi Arabia, Somalia, Turkey and Ukraine. Those that have backed the RSF in various ways include the Central African Republic, Chad, Ethiopia, Kenya, South Sudan, Uganda and, most notoriously, the United Arab Emirates (UAE). Weapons originating from countries including Canada, China, Israel and the UK have also been used. In most cases, states deny involvement.

There’s ample evidence that the UAE extensively supplies the RSF with mercenaries and weapons via African transit routes, in return for gold and in the hope of securing a regional foothold. The UAE funded Colombian mercenaries who played an active role alongside the RSF in the slaughter in El Fasher. It was recently revealed that individuals and entities linked to the RSF’s leader Mohamed Hamdan Dagalo, known as Hemedti, have acquired properties worth over US$24 million in Dubai, likely paid for with smuggled gold.

The UAE’s reliance on states that border Sudan to allow its convoys to cross brings the risk of conflict spillovers, as seen in alleged SAF airstrikes on a military convoy in Chad in August.

Push for accountability

A new initiative to hold foreign figures accountable offers some hope for justice. In June, the Raoul Wallenberg Centre for Human Rights and a group of civil society organisations made a legal submission to the International Criminal Court (ICC), asking it to investigate several foreign officials for aiding and abetting crimes against humanity, genocide and war crimes in Sudan. The submission provided evidence of the involvement of the governments of Egypt, Iran, Turkey and the UAE.

The ICC has an ongoing investigation into the situation in Darfur, scene of a 2003-2005 genocide. It has confirmed that human rights crimes committed during the current war fall under its jurisdiction as part of this investigation, and in June it announced it had ‘concrete evidence’ linking RSF leaders to atrocities in El Fasher.

It’s vital that leaders responsible for human rights crimes face justice, and this must include the leaders of the countries waging a proxy war. If there is to be peace and justice, the impunity of the foreign powers that are sustaining the war must be challenged.

Andrew Firmin is CIVICUS Editor-in-Chief, co-director and writer for CIVICUS Lens and co-author of the State of Civil Society Report.

For interviews or more information, please contact research@civicus.org

The link between urbanization and poverty may be determined by how cities are planned and governed, according to UN reports. Credit: Benjamin Shurance/Unsplash

By Shuli Wong
UNITED NATIONS, Sep 18 2026 (IPS)

Urbanization can help concentrate jobs, services, and investments; however, it can also concentrate unaffordable housing, insecure employment, and unequal exposure to contamination and environmental threats. A recent report from the UN Special Rapporteur on extreme poverty and human rights, argues that the difference is not urbanization itself, but how cities are planned, governed, and financed.

Elena Díaz Galán’s report, Cities and Poverty, issued earlier in July and examines social exclusion and the structural drivers of poverty in cities. In it, Galán looks at how land use, housing infrastructure, public services, and participation can either exacerbate or mitigate poverty.

In an exclusive interview with Inter Press Service, Anacláudia Rossbach, UN Under-Secretary-General and Executive Director of UN-Habitat, highlighted how the report’s findings closely align with UN-Habitat’s priorities, particularly in how “the central challenge lies not in urbanization itself, but in addressing the inequalities, deprivations and climate risks that accompany it, which affect people differently based on factors such as gender, age, or socio-economic status.”

UN-Habitat’s World Cities Report 2026: The Global Housing Crisis – Pathways to Action paints a bleak picture of the global housing crisis. Worldwide, at least 3.4 billion people lack access to adequate housing, with 1.1 billion people living in slums or informal settlements. As informal settlements become home to a significant and growing share of the world’s urban population, Rossbach emphasized how “informal settlements hold significant potential to contribute to more inclusive and sustainable urban development”. Informal settlements are often characterized by inadequate housing, limited access to basic services, infrastructure deficits, and insecure tenure; however, “they provide housing, livelihoods, social networks, and opportunities for millions of urban residents.”

Addressing Galán’s point in her report that urbanization has the power to reduce poverty or deepen inequality, Rossbach shared how UN-Habitat’s Strategic Plan 2026-2029 focuses on housing, land, and basic services as the foundation for sustainable development.

“We work to ensure that urbanization contributes to improving living conditions and increasing access to adequate housing, while preventing the deepening of existing inequalities and vulnerabilities, particularly for women and other groups that face multiple and overlapping forms of exclusion,” said Rossbach.

The Cities and Poverty report illustrated how poverty and inequality appear in spatial patterns. For example, low-income individuals are often pushed into more outlying and environmentally hazardous areas, leaving them vulnerable and lacking access to services, jobs, schools, and healthcare. Examples within the report illustrated how informal settlements in Dandora and Korogocho, located near Nairobi’s main landfill, are exposed to toxic environments, including polluted air and groundwater. Cycles of poverty often reinforce themselves in informal settlements. For example, in the peri-urban areas of Woldia, Ethiopia, due to the lack of formal water, sanitation, and electricity networks, the price of water can be up to 1,645 percent more than the price paid by those with private water pipes. These examples and additional costs illustrate the unequal cost of urban life. Showing how people who have the fewest resources are often times forced to pay more for lower-quality essential goods and services.

Building off of these points, Rossbach told IPS how UN-Habitat considers participatory in-situ upgrading as the most effective approach for improving living conditions in informal settlements. Instead of focusing on the eradication of settlements, policy responses should build on the social, economic, and environmental potential in these settlements and support their progressive improvement.

As informal settlements house a growing share of the world’s urban population, they hold potential for contributing to more inclusive, sustainable urban planning. Credit: Nikko Balanial/Unsplash

Successful interventions engage residents along all phases, from design, implementation, and maintenance, to ensure that local priorities, needs, and context-based solutions are taken into account. Most importantly, successful interventions require coordinated responses to integrate informal settlements into the wider urban fabric.

“When combined with broader housing policies and planning reforms, participatory in-situ upgrading can contribute to more inclusive, sustainable, and equitable urban development outcomes,” Rossbach said.

The Cities and Poverty report discussed urbanization through the lens of the processes that lead to it and the impact on human rights. Two urbanization models were included, the first of which is the “15-minute city”. The 15-minute city is an inclusive vision of urban development which seeks to ensure that all residents have access within a short walk or bicycle ride to essential daily services and opportunities. Examples include Shanghai’s Anshan Xincun 15-minute community life circles, which have shown increased mobility in the aging population, helping to make more equitable and inclusive cities.

However, greater accessibility within these 15-minute cities can also lead to gentrification. “When neighbourhoods become more attractive and better connected, land values and housing costs can rise, potentially displacing existing residents,” said Rossbach. In order to protect existing residents and ensure that these changes do not lead to displacement or exclusion, Rossbach proposed three principles for protection:

1. Proximity-based planning should help reduce spatial inequalities, not reinforce them.
2. Neighborhood improvements need to go hand in hand with measures to protect housing affordability and tenure security.
3. The communities and residents need to be involved at all levels and should have a meaningful role in deciding what is developed and how.

“The success of a 15-minute city should not be measured only by how quickly people can reach services, but by whether existing residents can continue to live in their communities and benefit from the improvements around them,” said Rossbach.

The second urbanization model discussed was ‘smart cities’. Smart cities utilize digital technologies, big data analytics, and artificial intelligence to improve upon the management and delivery of urban services. However, the report also warns that digitization and smart cities can reinforce existing inequalities and create a sense of double vulnerability where material poverty combines with exclusion from devices, connectivity, and digital skills.

Rossbach discussed how UN-Habitat promotes a “people-centered smart cities approach that puts people and their needs, rather than technology, at the center.” In particular, services and digital services need to be designed to address the realities of low-income neighborhoods and informal settlements, many of which lack affordable connectivity, devices, digital skills, and formal addresses. Most importantly, Rossbach said, “digitization should close existing inequalities, not reinforce them.”

UN-Habitat is working to close these existing inequalities through programs such as the United Nations Innovation Technology Accelerator for Cities (UNITAC). It developed the Building and Establishment Automated Mapper (BEAM), which helps cities better understand informal settlements and fast-growing urban areas by rapidly mapping buildings from aerial imagery. BEAM provides municipalities with better information to plan infrastructure, target upgrading programmes, and improve basic services.

Nonetheless, data itself does not ensure or create more equitable cities. The Cities and Poverty report emphasized how developing human rights indicators are essential, and so are inputting monitoring tools to evaluate the efficiency of government policies and action. Rossbach added that “inclusive digital transformation is about making people visible — both in data and in decision-making”.

Rossbach and Galán, through her report, have called for urban planning that puts human rights at the center. This means promoting affordable housing in well-connected areas, secure tenure, universal basic services, and more equitable investments across neighborhoods. Implementation needs to be people-centered and measured by whether existing residents can remain in their communities and share in the benefits.

IPS UN Bureau Report