&nbsp:
CIVICUS discusses the challenges posed by Paraguay’s ‘anti-NGO law’ with Hugo González, executive director of the Paraguayan Network of LGBTQ+ Artists (REPAR+), a civil society organisation (CSO) that promotes the rights of LGBTQI+ people, which has joined the constitutional challenge against this law.

Hugo González

What are the problems with Law 7363?

The law was enacted in November 2024, and its regulations came into force in October 2025. It applies to CSOs that receive or manage private or public funds from national or international sources and use those funds to influence public policy or state activities. The regulatory decree defines influence broadly, including reports, press releases and other forms of public expression.

The law establishes a public register administered by the Ministry of Economy and Finance and requires balance sheets, minutes, supporting documents and annual reports on programmes, beneficiaries, professionals, staff and affiliated entities. It also prohibits reference to donor confidentiality to circumvent these controls and provides for sanctions ranging from a formal warning to suspension and deregistration.

Civil society doesn’t oppose transparency. We were already complying with civil, labour, tax and anti-money laundering obligations, so this law was unnecessary. We call it the ‘big stick law’ because it duplicates controls, uses broad definitions and turns public advocacy into a risk factor that triggers extraordinary scrutiny for punitive purposes.

In what political context was the law passed?

The bill was passed thanks to the majority held by the ruling Colorado Party. The process moved forward against a backdrop of stigmatisation of CSOs, human rights activists and journalists, and coincided with the work of a congressional committee that framed CSO funding within a narrative centred on money laundering.

The law also reflected the convergence between parts of the ruling coalition and conservative religious networks. Among its main proponents were legislators such as Gustavo Leite and Lizarella Valiente, who have also participated in activities and initiatives linked to evangelical organisations. While this doesn’t prove that these organisations drafted or funded the law, it does highlight an asymmetry in access and scrutiny between groups that influence public policy.

The law treats different groups that influence the same policies very differently. It imposes extensive controls on CSOs but expressly exempts churches and religious groups.

What impact is the new law having?

The impact began even before the first sanctions were imposed. Ever since the Ministry of Economy and Finance launched the registration portal, CSOs have had to devote time, money and staff to complying with the new accounting, administrative and legal requirements. For small organisations or those run by volunteers, this means that a large proportion of their resources is no longer being channelled into activities, assistance, research or support services.

Uncertainty is also a factor. Although sanctions are not yet being applied on a large scale, the law is having a deterrent effect. Donors, organisations and supporters fear the consequences of getting involved or advocating for causes.

The obligation to provide detailed information on beneficiaries and supporters poses privacy risks, particularly in small communities and among vulnerable groups. The safety of these people depends on who has access to the information, for what purpose and with what effective safeguards.

What obstacles do LGBTQI+ organisations face, and how does the new law exacerbate them?

In Paraguay, gender and diversity organisations operate in a context of structural discrimination, characterised by hate speech, exclusion from education and the labour market, barriers to accessing healthcare and difficulties in reporting violence. Added to this is the lack of a comprehensive anti-discrimination law, legal recognition for same-sex couples and accessible administrative procedures for the recognition of gender identity. All this leaves LGBTQI+ people in a particularly vulnerable situation.

Law 7363 exacerbates these difficulties, as it imposes broad and unclear requirements on CSOs that defend these rights. REPAR+’s artistic activities can be regarded as advocacy, culture and support all at once. The vagueness of the law, combined with discretionary powers and the threat of suspension, makes it impossible to predict how these activities will be classified, and could stifle critical voices before any sanction is imposed.

How has civil society mobilised to challenge the law at the Supreme Court?

The response has combined dialogue, international appeals, litigation and technical analysis. Since December, CSOs working on community development, culture, the environment and human rights, as well as rural communities, have filed constitutional challenges against the law and its implementing decree. REPAR+ has joined the effort because we believe freedoms of association and expression are essential for organisations that support LGBTQI+ people, denounce discrimination and engage in public policy.

We hope that the Constitutional Chamber of the Supreme Court will examine these challenges independently and urgently, in the light of the Constitution, the American Convention on Human Rights and the International Covenant on Civil and Political Rights. A favourable ruling would directly protect the organisations bringing the challenges and establish an important precedent. We don’t seek to be exempt from accountability. We seek to prevent a regulatory process from becoming a form of political surveillance, exposing vulnerable people or serving as punishment for dissent.

What action is needed in and outside Paraguay to reverse these restrictions?

Within Paraguay, the court must rule urgently and prevent irreparable harm while it considers the merits of the case. However, a lasting solution requires Congress and the executive to repeal or comprehensively modify the law, through a pluralistic consultation process. Any regulation should be precise, avoid duplicate registrations and protect beneficiaries, donors, victims and workers. Intrusive requests should be subject to independent scrutiny and sanctions should be limited to what is strictly necessary and proportionate. These criteria should apply equally to anyone who manages public funds or influences policy, including religious organisations.

The international community could continue to monitor the situation at the United Nations, particularly through the Human Rights Council Universal Periodic Review process, and at the Inter-American Commission on Human Rights. It can also take action through embassies and cooperation agencies. Donors should offer flexible support to cover accounting, legal, security and technological costs, rather than withdrawing out of fear of the new regime.

Paraguay also needs a comprehensive anti-discrimination law, effective recognition of gender identity and protection for human rights defenders and journalists.

We are not asking for external guardianship or privileges. We are calling for democratic solidarity to preserve a space where people can organise, question and propose ideas. Transparency should strengthen democracy, not expose vulnerable people or turn criticism of those in power into a cause for suspicion.

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.

GET IN TOUCH
Instagram
Hugo González/Instagram
Hugo González/LinkedIn

SEE ALSO
Paraguay: arbitrary detention of land rights defenders CIVICUS Monitor 24.Apr.2026
Cutting civil society’s lifeline: the global spread of foreign agents laws CIVICUS Lens | report 19.Oct.2025
Paraguay: ‘The new law’s purpose is to increase government control over civil society’ CIVICUS Lens | Interview with Marta Ferrara and Olga Caballero 25.Oct.2024

Follow @IPSNewsUNBureau
  

Downpours flood the streets of Dhaka. Credit: Farid Ahmed/ IPS

By Mohammad Zaman
DHAKA, Bangladesh, Aug 13 2026 (IPS)

Dhaka’s recent and recurrent flooding is often treated as a natural disaster, but rain is only the trigger. The deeper causes are political, planning and ecological failure: wetland loss, canal encroachment, unplanned growth, weak enforcement, fragmented institutions and short-term engineering fixes. Dhaka is not drowning because it rains; it is drowning because it has been built as if water had nowhere to go.

Historically, Dhaka was part of a watery landscape of rivers, canals, ponds, floodplains and low-lying retention areas. These were not vacant lands; they were essential drainage infrastructure that stored rainwater, slowed runoff and carried excess water toward surrounding rivers. As the city expanded, this blue-green network was filled, narrowed or severed, leaving drains unable to cope even with moderate rainfall.

Mohammad Zaman

Drains and canals have also deteriorated. Many are clogged with waste, narrowed by illegal structures or disconnected from smaller drains. Box culverts, often promoted as modernisation, have in some places buried waterways rather than restoring them as living drainage corridors. Drainage fails not only because pipes are small, but because the wider hydrological system has been cut apart.

Climate change adds pressure through shorter, heavier and less predictable rainfall, but it should not excuse bad planning. World Bank work on urban flooding in Greater Dhaka has warned that the city already has an adaptation deficit. The real problem is that Dhaka has reduced its own capacity to absorb shocks, treating flooding as a pipe-sizing seasonal issue rather than a citywide water-management challenge.

The consequences appear first in transport paralysis. When major roads in Mirpur, Dhanmondi, Green Road, Motijheel, Shantinagar, Old Dhaka and other areas go underwater, commuters lose hours, public transport stalls and businesses suffer. The cost includes damaged vehicles and inventories, delayed logistics, lost productivity and the daily stress of moving through a city that cannot function after rain.

Flooding also deepens inequality. Low-income residents in informal and low-lying settlements face contaminated water entering their homes, loss of daily income, damaged belongings and higher disease risk. Floodwater mixed with sewage, waste and pollutants increases infections and waterborne illness. The poor pay twice: through greater exposure and weaker access to healthcare, savings and political voice.

The scale of impact shows this is not a seasonal inconvenience. A 2023 GIS and remote-sensing study found that almost 35 percent of Dhaka falls within high or very high waterlogging-vulnerability zones, with slum households disproportionately concentrated there. Recent rainfall confirms the risk: Dhaka recorded 130 millimetres of rain in six hours on 12 July 2024, while another episode brought 196 millimetres in 24 hours in 2025, submerging major roads despite large drainage investments.

Infrastructure spending has not produced resilience. The two Dhaka city corporations reportedly invested more than Tk 262 crore over four years up to 2024 to build 334.19 kilometres of drains, box culverts and related infrastructure, yet large areas still flooded. Planning data show that Dhaka lost 3,440 acres out of 9,556 acres of designated flood-flow zones, retention areas and waterbodies since the 1995 Detailed Area Plan, while central-city waterbodies reportedly fell from 20.57 percent in 1995 to 2.9 percent in 2023. The city is paying to drain water while allowing the systems that make drainage possible to disappear.

This failure is reinforced by institutional fragmentation. Responsibility is divided among Dhaka WASA, the two city corporations, RAJUK, the Bangladesh Water Development Board and others. Each controls part of the problem, but no single body manages the full catchment: drains, canals, retention areas, pumps, river outfalls and land-use control. The result is scattered action followed by renewed flooding.

Weak enforcement makes plans meaningless. Master plans and Detailed Area Plans have identified flood-flow zones, retention ponds and wetlands, yet these areas continue to disappear under housing, roads and commercial development. Encroachment survives because it is profitable, politically protected or administratively tolerated.

Accountability is also weak. Spending is reported, but outcomes are rarely evaluated. Dhaka does not need another narrow drainage project; it needs the political courage to enforce existing plans, recover waterways and protect the remaining wetlands.

The city must treat canals, wetlands, ponds and flood-flow zones as critical public infrastructure. Remaining wetlands should be protected, encroached canals demarcated and recovered, and major waterways restored as open drainage corridors connected to surrounding rivers. Dhaka also needs an integrated flood-management platform with clear authority over land-use approvals, canal recovery, drainage investment, pump operation, solid-waste control and emergency response.

Future planning must also centre vulnerable communities. Informal settlements, low-income neighbourhoods, street vendors, schoolchildren and daily-wage workers face the harshest effects but are rarely treated as planning partners. Community reporting of blocked drains, health warnings, emergency transport plans and compensation for repeated losses should be part of resilience policy. A flood-safe Dhaka requires ecological restoration, institutional discipline and social justice.

Dhaka’s flooding is a warning about planning against nature. The city has tried to engineer its way out of a crisis created by land conversion, institutional weakness and ecological neglect. Until it restores and governs its blue-green network as essential infrastructure, each monsoon will bring the same result: a megacity halted by rain it once knew how to live with. The choice is no longer between development and drainage; it is between protecting people and flooding them in the name of progress.

Dr. Mohammad Zaman is an international development consultant whose work across Asia and Africa focuses on social safeguards, displacement, resettlement and inclusive development. He lives in Vancouver, Canada, and can be reached at: mqzaman.bc@gmail.com

IPS UN Bureau

Follow @IPSNewsUNBureau
  

Exiled Nicaraguans hold a national flag in the Church of San Francisco in San José, Costa Rica, at a service held on 19 April 2026 to commemorate the anniversary of protests in 2018. Credit: Ezequiel Becerra/AFP

By Inés M. Pousadela
MONTEVIDEO, Uruguay, Aug 12 2026 (IPS)

On 19 July, the 47th anniversary of the Sandinista revolution that first brought him to power, Nicaraguan President Daniel Ortega declared that his country would hold ‘no more elections’ so that the opposition could never again try to ‘seize power’. Just like that, he scrapped a presidential vote that had previously been pushed back to 2027, abandoning even the fiction of democratic legitimacy. The move changes little in practice, since no free vote had been possible for years. But it’s still revealing: a government that controls the army, the courts, the electoral machinery and the police, and will still not risk even a stage-managed ballot, is one that has lost confidence in its people.

Civil society dismantled

The abolition of elections is the political capstone of a longer-term project to eliminate every organised space beyond the ruling family’s control. A constitutional overhaul ratified in January 2025 extended Ortega’s term, elevated his wife, Rosario Murillo, from vice-president to ‘co-president’, and handed the couple control over every branch of the state, with their son, Laureano Ortega Murillo, positioned as monarchical heir apparent. Scrapping elections that had already been emptied of any meaning removes the last formal mechanism through which power in Nicaragua might, however unlikely, have changed hands.

Since 2018, the government has shut down over 5,500 civil society organisations, close to 80 per cent of what existed. Its net has encompassed trade unions, women’s groups, universities, independent media and religious bodies, with the Catholic Church a particular target. The legal profession is the latest victim. In early July, some 2,000 lawyers found their licences to practise revoked overnight, without notice or appeal, effectively leaving many Nicaraguans without legal defence.

The Group of Human Rights Experts on Nicaragua, mandated by the UN Human Rights Council, has concluded that the government has weaponised every arm of the state and its abuses amount to crimes against humanity committed as deliberate policy. It has documented chains of command linking the presidency to local officials, and named 54 officials responsible for the repression.

Repression beyond borders

Persecution has forced over 935,000 people, roughly one in eight Nicaraguans, into exile since mass protests in 2018, which security forces suppressed by killing more than 300 people. But exile offers no safety. A 2025 report by the Group of Human Rights Experts shows the regime runs an extensive transnational intelligence and surveillance network using the army, police, foreign service and informal agents to track critics abroad, monitor their communications and threaten their families back home.

For a growing number, surveillance leads to violence. In June 2025, Roberto Samcam, a retired army major turned prominent critic, was shot dead at his home in Costa Rica by an assassin posing as a delivery driver. He was one of at least four exiled opposition figures killed in Central America since 2022. Many more have survived attempts on their lives.

The regime has also stripped hundreds of critics of their nationality, including 222 political prisoners it expelled to the USA in 2023 and 135 it shipped to Guatemala in 2024, and made changes to the Penal Code to prosecute ‘crimes against the state’ committed abroad.

Aware that international bodies offer a route to accountability, the regime is moving to close it off. Having quit the Organization of American States in 2023, Nicaragua withdrew from the UN Human Rights Council and four other multilateral bodies in 2025. Yet some mechanisms do not need its consent. Two months after the government announced it was quitting, the Human Rights Council renewed the Group of Experts’ mandate for a further two years. An Argentine judge, acting under universal jurisdiction, has issued arrest warrants for Ortega, Murillo and other senior officials. The legal instruments exist, but the will to use them is often missing.

Democratic states have supplied little of that will. The USA does not recognise Ortega’s government, yet in September 2025 the Trump administration terminated Temporary Protected Status for Nicaraguans, asserting that the country was now safe for their return, a claim at odds with UN findings. This left thousands exposed to deportation.

Ortega has meanwhile leaned on autocratic friends, with China now his main source of funding and Russia supplying intelligence and security advice and training.

Long-term pressure needed

Ortega will have watched Venezuela closely. In 2024, Nicolás Maduro allowed the holding of an election he was sure he had won in advance, having stopped the main opposition candidate standing, only to see a little-known substitute become the catalyst for years of pent-up discontent. Scrapping elections spares Ortega that danger, at least in the short term.

Over the long term, pressure for the restoration of democracy will depend on the endurance of Nicaraguan civil society, at home and in exile, and on democratic states being willing to hold the regime to account. Neither can be taken for granted. The movement best able to sustain the fight has been driven abroad, where it also faces persecution, and the government best placed to shelter these exiles is busy sending them back home.

Inés M. Pousadela is CIVICUS Head of Research and Analysis, co-director and writer for CIVICUS Lens and co-author of the State of Civil Society Report. She is also a Professor of Comparative Politics at Universidad ORT Uruguay.

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

Follow @IPSNewsUNBureau
  

Children play outside their home at a shelter in the Philippines. Credit: UNICEF/Joshua Estey

By Oritro Karim
UNITED NATIONS, Aug 12 2026 (IPS)

On July 7, the United Nations (UN) Secretary-General Antonio Guterres presented a report from the Special Rapporteur on the sale, sexual exploitation, and sexual abuse of children, Ai Kihara-Hunt, to the General Assembly, underscoring her goals and priorities for the implementation of protection measures for children worldwide.

The report, submitted in coordination with the Human Rights Council, highlights the systemic barriers that leave children increasingly vulnerable to sexual exploitation and abuse, including weak government oversight, limited support and justice services for victims, and worsening protracted crises.

“Given the complexity, hidden and transnational nature of the sale, sexual exploitation and sexual abuse of children, the Special Rapporteur believes that robust child protection systems and effective cooperation within each State and across borders are essential to combat the phenomena,” the report reads. “Addressing the sale, sexual exploitation and sexual abuse of children requires a human rights-based approach grounded in the best interests of the child and informed by the dignity, agency and resilience of children.”

Drawing largely from contributions by UN member states, international agencies, civil society groups, and humanitarian organizations, the report outlines key mechanisms for cooperation, accountability, and the prevention of human rights violations against children. The report incorporates global perspectives from diverse stakeholders and the lived experiences of survivors, prioritizing protection, recovery, rehabilitation, and access to justice through frameworks that are gender-responsive, disability-inclusive, victim-centered, trauma-informed, and fundamentally grounded in children’s rights.

This follows the 61st session of the Human Rights Council on March 10, where former Special Rapporteur Mama Fatima Singhateh warned that emerging digital technologies are revolutionizing how perpetrators commit abuse and rendering online spaces increasingly dangerous for children. Singhateh urged closer cooperation between humanitarian actors, governments, and stakeholders to prevent digital advancements from creating “new pathways” for human rights violations.

Singhateh also issued a child-friendly version of her final report to the Human Rights Council on April 20, emphasizing the importance of accessibility so that children can engage meaningfully in the discussions that affect them most. Moving forward, Kihara-Hunt aims to build upon her predecessors’ work by addressing issues that have not received adequate attention or sustained engagement from the UN. Key priorities include the “complex or rapidly evolving” challenges linked with intersecting global crises and the alarming rise of sexual exploitation across digital contexts.

The Special Rapporteur notes that online spaces allow children to express consent and agreement based on their evolving capacities, which may grow increasingly complex amid the introduction of emerging technologies. The rise of artificial intelligence has been a major concern for humanitarian organizations as these technologies have streamlined the production and dissemination of harmful child material, as well as the collection of unauthorized images and the misuse of personal data.

Additionally, the report highlights how digital technologies—such as social media platforms, messaging applications, and cryptocurrencies—have streamlined recruitment into armed groups and trafficking and exploitation, while simultaneously helping perpetrators evade law enforcement.

“Child sexual exploitation and abuse are driven by a range of factors, including harmful social norms, stigma, gender inequality, power imbalances, poverty, and weaknesses in child protection and support systems,” Afrooz Kaviani Johnson, UNICEF Child Protection Specialist, tells Inter Press Service. “Today, the digital environment is increasingly implicated in these harms. Children face risks such as grooming, coercion, sexual exploitation, and abuse facilitated through digital platforms. Emerging technologies, including generative AI, are also expanding the scale and severity of risks.”

A core pillar of Kihara-Hunt’s mandate is to urge the private sector to adopt stricter safety policies rooted in human rights and children’s privacy—a responsibility that extends across organizations, from employees and volunteers to business partners. The report notes that market incentives and commercialization and profit-driven systems will be monitored in the ways they may or may not be contributing to a harmful environment that facilitates the sexual exploitation of children, particularly online.

“A safety-by-design approach involves assessing and mitigating foreseeable risks that platforms, messaging services, gaming environments or artificial intelligence systems may facilitate the sale of children, child sexual exploitation and abuse, and to actively detect, report and remove child sexual abuse materials,” the report states. “Beyond these responsibilities, the Special Rapporteur intends to examine how business actors can play proactive roles, in collaboration with States and other relevant stakeholders, in prevention, safeguarding, reporting and support for children.”

The report also noted that children residing in areas affected by armed conflict and humanitarian crises face heightened risks of sale and sexual exploitation, leaving them roughly twice as likely to experience rape and sexual assault during childhood compared to the global average. Other related drivers of sexual exploitation include forced displacement, natural disasters, and climate change. In these contexts, humanitarian aid is significantly limited, which often leads to constraints on protection measures and civil society intervention.

“Humanitarian crises such as conflict, displacement, climate-related shocks, and public health emergencies can disrupt the systems that help keep children safe,” said Johnson. “They can increase children’s exposure to risk while reducing access to essential services and support.”

“Poverty and financial hardship can also increase vulnerability, particularly in situations where exploitation involves an exchange of money, goods, or other benefits. Children who are displaced, on the move, living with disabilities, or affected by humanitarian crises often face multiple and overlapping risks.”

Economic instability and inequality also serve as primary drivers of child sexual exploitation. According to the report, children who are “outside the formal protection networks”—such as those experiencing statelessness—frequently are the victims of abuse from adults, peers, and in some instances, even law enforcement officials. Displaced children are similarly vulnerable, often barred from reporting crimes out of fear of detention or deportation. Without official identity documentation to access support services, and frequently separated from family members, stateless and migrant children face reduced adult supervision, which drastically increases vulnerability.

To build on her predecessors’ initiatives, Kihara-Hunt intends to prioritize youth participation and develop a mandate that empowers children. She aims to urge governments, tech companies, and stakeholders to build safer online spaces. Furthermore, Kihara-Hunt is committed to pressing for stronger cooperation between sectors, particularly within public health and education.

“The role of the public health sector in the rehabilitation of child victims and survivors extends beyond recovery and reintegration and includes promoting a shift from a criminal justice response towards one centered on the health and well-being of the child. Meanwhile, the education sector contributes across all stages of prevention, protection and response, as further elaborated on below.”

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

Syrian women speak out about obstetric violence while giving birth. Credit: Sonia Al-Ali/IPS

By Sonia Al Ali
ALEPPO, Syria, Aug 11 2026 (IPS)

The abuse 30-year-old Nour Al-Badawi experienced in an Aleppo public hospital while giving birth resulted in her having two major follow-up operations and left her with depression and anxiety.

She is one Syrian woman who spoke out to IPS about “obstetric violence” – a term that refers to physical, verbal, or psychological abuse by healthcare providers; medical interventions performed without the pregnant woman’s informed consent; and violations of her dignity and privacy within healthcare facilities.

The experience of these women extends far beyond medical challenges and harsh humanitarian conditions.

Obstetric violence encompasses all forms of abuse, neglect, violations of dignity and privacy, or the performance of medical interventions without informed consent.

Al-Badawi describes her most recent childbirth experience as one of the harshest chapters of her life.

“Poverty forces us to give birth in public hospitals and endure the mistreatment that takes place there. Because of the violence and abuse I experienced during childbirth, I no longer consider becoming pregnant again.”

Nour explains that her suffering was not limited to verbal insults and violations of her dignity but extended to violent practices during the delivery process, including forceful pressure on her abdomen, as well as an improperly performed procedure to widen the birth canal. This resulted in serious uterine complications that required two surgical operations to treat an obstetric urinary fistula.

The experience completely transformed Nour’s life. She developed severe depression and a constant desire for isolation. Her family also faced significant financial burdens to cover the costs of her treatment, forcing her to sell some of her belongings and resort to borrowing money.

Despite what happened to Nour, her husband chose not to make any comment and said he would not file a complaint or take legal action against the healthcare centre where the delivery took place, fearing further disputes and additional difficulties. Instead, he assumed responsibility for caring for his wife and covering her treatment expenses.

Farida Al-Hassoun (26), from Hama, also remembers the day she gave birth to her first child at a public hospital as one of the most difficult days of her life — not only because of the pain of labour, but also because of the way she was treated by nurses and midwives inside the hospital.

“I was screaming from the pain, but a nurse told me to be quiet and said I was exaggerating. No one explained what they were going to do. I was shocked when they stitched the wound resulting from childbirth without anaesthesia. At that moment, I felt indescribable pain,” Al-Hassoun said.

She points out that her fear increased as her questions were ignored and she received no psychological support during childbirth. After leaving the hospital, she was unable to forget the experience and continued to suffer from anxiety for months whenever she remembered the delivery room.

Al-Hassoun asks: “Can a Syrian woman give birth with dignity, or will violence inside delivery rooms remain a silent experience that no one steps forward to stop?”

Dr Ola Al-Omar (36), an obstetrician and gynaecologist, discusses the risks of obstetric violence, saying:

“In Syria, years of war and economic collapse have placed increasing pressure on the healthcare system, which has affected the quality of maternal care services. Shortages of medical staff, overcrowded hospitals, and declining resources have all contributed to creating an environment in which women are exposed to mistreatment during pregnancy and childbirth.”

She said that obstetric violence took many forms, including performing medical interventions without explaining them to the patient or obtaining her informed consent; using humiliating expressions; blaming women for crying out during labour; failing to respect privacy inside delivery rooms; depriving women of sufficient information about their health condition; ignoring their pain; or delaying the provision of necessary care.

She emphasises that every woman has the right to receive respectful maternity care, including the preservation of her dignity and privacy, obtaining informed consent before any medical intervention, receiving the necessary information to make decisions regarding her health, and being protected from humiliation, discrimination, or neglect.

Social and Psychological Counsellor Sereen Al-Sheikh (33), from the city of Idlib in northern Syria, speaks about the suffering of pregnant women, saying: “I have met many women who were subjected to artificial induction of labour to accelerate the delivery process, even though the mother’s cervix was already dilated, as well as repeated vaginal examinations that caused severe distress and trauma. In addition, patients are not allowed to have companions present during childbirth, and their movement is sometimes restricted.”

Al-Sheikh explains that these practices leave long-term psychological effects, including fear of becoming pregnant again, postpartum psychological disorders, and a loss of trust in healthcare institutions.

“Most women choose silence out of fear of social stigma, as well as because it is difficult to prove that violations or abuses have occurred. These incidents often take place without evidence or witnesses and, therefore, pass without accountability,” she says.

A childbirth experience may end with the arrival of a newborn into the world, but for some Syrian women, what follows is a long journey of fear and trauma.

At a moment that is supposed to be among the safest and most reassuring experiences in a woman’s life, some Syrian women find themselves facing an entirely different reality: cries that no one listens to, medical procedures carried out without explanation or consent, and harsh words that remain engraved in their memories for years after childbirth.

IPS UN Bureau Report

Follow @IPSNewsUNBureau

Repeated climate shocks, mounting debt and low employment prospects put greater pressures on families in Afghanistan that were “struggling to get by”. Credit: UN Photo/Luke Powell

By Shuli Wong
UNITED NATIONS, Aug 11 2026 (IPS)

“Mainly, people tell me they’re exhausted. They’re exhausted from being poor, from being hungry, from repeated climate shocks, mounting debt, and the daily struggle to provide for their families,” Olga Cherevko, Spokesperson for the UN Office for the Coordination of Humanitarian Affairs (OCHA) in Afghanistan, told UN reporters on August 4.

Traveling across Afghanistan, from Bamyan and Herat, Paktia, Khost, and most recently Nuristan after the devastating flash floods, Ms. Cherevko describes a country hit by multiple overlapping crises. These crises have created a humanitarian crisis in which food insecurity, disasters, displacement, and dwindling aid have converged.

Last week, Nuristan was hit by devastating flash floods where families lost loved ones, livelihoods, everything they owned, along with homes and infrastructure. Humanitarians moved quickly to deliver food, water, shelter, healthcare, protection, and psychosocial support; however, “when these floods hit, many people were already struggling to get by,” Ms. Cherevko said. Afghanistan is extremely vulnerable to climate shocks. “Communities barely have time to recover from one disaster when another one strikes…each shock pushes already vulnerable families deeper into poverty.

To help combat the compounding humanitarian crisis in Afghanistan, the 2026 humanitarian needs and response plan requested USD 1.71 billion to provide assistance to 17.5 million people in districts and communities facing the most acute and life-threatening conditions. However, the appeal has received only 26 percent of the required funding, creating a “very alarming” situation, “given the fact that we are seeing a lot of these indicators worsening, particularly malnutrition,” Ms. Cherevko warned. Afghanistan is encountering alarming rates of malnutrition, with OCHA’s nutrition partners noting that childhood wasting has worsened this year across three-quarters of the country.

These figures echo an alert from the World Food Programme (WFP) released last Tuesday. Nearly 14 million Afghans are facing acute hunger. However, funding cuts have resulted in only one in nine receiving WFP food assistance. Furthermore, 3.7 million children and 1.2 million pregnant and breastfeeding women are projected to be malnourished this year. In order to address the acute food needs across Afghanistan, WFP requires USD 900 million for emergency food assistance and nutrition programmes in 2026.

“We have not met needs in the first six months because we didn’t have money,” said John Aylieff, WFP Country Director for Afghanistan. “WFP still needs $500 million to address the acute food needs in the country.”

On top of the hunger crisis, restrictions on girls and women have compounded the humanitarian situation in Afghanistan. These restrictions shape “almost every aspect of daily life” and “with every new restriction, women are pushed even further out of public life…when people become invisible, they risk becoming dispensable,” said Ms. Cherevko. When humanitarian workers cannot reach girls and women and when women cannot work, or girls cannot go to school, “the consequences extend far beyond individuals,” Cherevko added, and that these consequences ultimately affect “the country’s ability to recover.”

The restrictions placed on women and girls also add a layer of complications for humanitarian workers to even reach those in need. Credit: UNHCR/Oxygen Empire Media

Violence and displacement further add to the crises. Since 2023, approximately 6 million Afghans have been forcibly expelled from neighboring countries like Pakistan and Iran. The returnees have increased the strain on Afghanistan’s fragile economy, and for the returnees, there are “simply not enough jobs to sustain them”, Mr. Aylieff said.

Ms. Cherevko emphasized how many of the returnees are “coming into a country that is completely new for them”, where there are also limited prospects for work. UNHCR estimates that almost 3.1 million Afghan refugees require international protection across the sub-region. For 2026, UNHCR has requested just over USD 450 million for its Afghanistan situation funding; however, similar to OCHA’s and the WFP’s appeals, funding is far from being met.

Despite the emphasis on the need for continued and increased funding, Ms. Cherevko stressed that “humanitarian assistance alone cannot resolve these challenges”. She called for investment in medium- and long-term solutions centering on jobs, education and poverty reduction, in addition to emergency humanitarian assistance. Having worked in Afghanistan for years, Ms. Cherevko has seen the Afghan people show “extraordinary resilience through endless hardship”. Yet, she noted that“resilience should never become a substitute for opportunity or an excuse for the world just to watch and expect people to endure indefinitely without the support they need”.

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

Increased longevity presents both new opportunities and significant challenges for individuals, families, healthcare systems, and societies. Credit: Shutterstock

By Joseph Chamie
PORTLAND, USA, Aug 10 2026 (IPS)

Upon reaching the age of 80, men and women are living longer than ever before. 

These gains in longevity among octogenarians represent a remarkable demographic achievement. The additional years of life provide new opportunities for older adults and their families while also presenting important social, economic, and healthcare challenges for societies.

In 1950, the global life expectancy at age 80 was 4.8 additional years for men and 5.3 additional years for women. Over the following decades, these figures increased steadily, reaching an estimated 7.7 years for men and 9.1 years for women in 2026. This upward trend is expected to continue, with life expectancy at age 80 projected to increase to 8.8 additional years for men and 10.1 additional years for women by 2050 (Figure 1). 

Source: United Nations.

Behind these global averages, however, lies considerable variation among countries. More developed countries, such as Japan and France, have relatively high life expectancy at age 80, with men expected to live an additional 10 years and women approximately 12 years. In contrast, less developed countries, including Nigeria, Niger, and Mali, are at the lower end of the distribution, where both men and women who reach age 80 can expect to live about 5 additional years (Figure 2).

Source: United Nations.

The proportion of the world’s population surviving to age 80 and older has increased steadily over recent decades. In 1950, approximately 0.6% of the global population was 80 years or older. By 2026, that proportion had doubled to 1.2% and is projected to increase further to 2.1% by 2050 (Table 1).

Source: United Nations.

Although octogenarians continue to represent a relatively small share of the world’s population, their numbers and proportions are increasing rapidly, reflecting continued improvements in survival and the ongoing ageing of populations worldwide. 

The proportion of octogenarians in a population varies widely across countries. The highest percentages are found in more developed countries, while the lowest are seen in less developed countries. In 2026, for example, 11% of Japan’s population and 8.1% of Italy’s population are aged 80 years and older. In contrast, the corresponding proportions are 1.1% in India and 0.3% in Nigeria.

According to the World Health Organization (WHO), although genetics influence certain aspects of health among people aged 80 years and older, most differences in health outcomes are shaped by physical and social environments, as well as personal characteristics such as sex, ethnicity, and socioeconomic status. 

Reaching advanced age in good health depends to a great extent on maintaining healthy habits throughout life. These include eating a balanced diet, engaging in regular physical activity, avoiding tobacco and drug use, limiting alcohol consumption, and maintaining strong social connections.

The growing prevalence of chronic diseases and the increasing demand for long-term care have important implications for governments, healthcare systems, and families. Meeting the needs of a rapidly expanding population of octogenarians will require increased investments in healthcare, long-term care services, and age-friendly communities

Together, these health-promoting behaviors help reduce the risk of chronic diseases, preserve physical and cognitive functioning, and delay the need for long-term care, thereby improving both longevity and quality of life in old age. 

However, many people in their 80s face significant challenges, including managing chronic health conditions, accessing long-term care, maintaining financial security, and coping with social isolation.

The proportion of adults aged 80 years or older living alone varies considerably across countries, reflecting differences in cultural norms, family structures, income levels, and public support systems. In many developing countries, fewer than 10% of octogenarians live alone, whereas in high-income countries the corresponding proportion typically ranges from 30% to 50%.

Older adults also frequently experience ageism, with stereotypes portraying them as frail, dependent, or a burden to society. Such attitudes can lead to discrimination and may influence public policies in ways that limit opportunities for healthy and active ageing.

Although some octogenarians remain physically and mentally capable well into their 80s, functioning at levels comparable to people decades younger, most experience some decline in physical and cognitive abilities and live with at least one chronic health condition.

The growing prevalence of chronic diseases and the increasing demand for long-term care have important implications for governments, healthcare systems, and families. Meeting the needs of a rapidly expanding population of octogenarians will require increased investments in healthcare, long-term care services, and age-friendly communities.

At the same time, caring for older adults raises important questions about the appropriate balance of responsibility between governments and families. As populations continue to age, determining how these responsibilities should be shared will become an increasingly important policy challenge. 

While governments often expect families to provide the primary care for their ageing relatives, families believe that governments should provide the financial resources, services, and the support needed to meet those care needs. This continuing debate underscores the importance of developing sustainable policies that strike an appropriate balance between public responsibility with family caregiving.

A comprehensive public health response must address the diverse experiences and needs of people aged 80 years and older. Supportive physical and social environments enable octogenarians to continue engaging in activities that are meaningful to them despite age-related declines in physical and cognitive functioning. Such environments include safe and accessible public buildings, age-friendly transportation systems, affordable housing, and community-based health and social care services. 

When adults aged 80 years and older are able to spend their later years in good health and within supportive environments, they can maintain independence, participate actively in family and community life, and enjoy a quality of life comparable to that of younger adults. In contrast, when these additional years are marked by physical frailty, cognitive impairment, and mental health challenges, the consequences extend beyond the individual to affect families, healthcare systems, and society as a whole.

Many octogenarians face complex health and lifestyle challenges arising from multiple chronic conditions, functional decline, and age-related impairments. 

Globally, many adults aged 80 years and older live with a combination of chronic physical illnesses, cognitive impairment, geriatric syndromes, and psychological changes. These often overlapping and interrelated challenges require coordinated, person-centered health and social care that emphasizes disease prevention, continuity of care, multidisciplinary collaboration, and sustained support for both older adults and their caregivers.

At age 80, the major global health challenges for both men and women include heart disease (such as heart attacks and heart failure), dementia (including Alzheimer’s disease), and geriatric syndromes. These syndromes encompass a range of age-related conditions, including frailty, osteoporosis, hearing and vision impairment, urinary incontinence, and an increased risk of falls.

Falls are among the leading causes of injury, disability, hospitalization, loss of independence, and injury-related death among older adults. Age-related loss of muscle strength and balance, vision impairment, medication side effects, cognitive decline, and neurological disorders all contribute to an elevated risk of falling.  

Although many medical conditions affect both sexes, biological differences, lifestyle factors, and women’s longer life expectancy contribute to distinct health profiles for men and women at age 80. 

For women, the principal challenges at age 80 often involve maintaining mobility, preventing fractures resulting from osteoporosis and bone fragility, and coping with social isolation. Because women generally outlive men, they are more likely to be widowed, live alone, and experience loneliness, financial insecurity, and the need for long-term support. 

In addition, women account for a larger share of dementia cases, including Alzheimer’s disease, owing in part to their greater longevity, making cognitive decline an especially important health concern in advanced age. 

Despite these serious challenges, many older adults maintain a positive outlook and a sense of humor.  One observation, often attributed to various older speakers, captures that spirit: “People tell you that you’ll lose your mind when you grow older. What they don’t tell you is that you won’t miss it very much.”

For male octogenarians, the leading health risks often include fatal acute cardiovascular events, metabolic diseases, and serious psychological crises. In many populations, men in this age group also experience higher rates of certain cancers and type 2 diabetes than women of the same age. Among the cancers most commonly diagnosed in older men are prostate and bladder cancer. 

Although depression is diagnosed more frequently in women, men aged 80 years and older have substantially higher suicide rates. These deaths often occur in the context of bereavement following the loss of a spouse, declining physical health, social isolation, chronic pain, or a diminished sense of identity and purpose associated with major life transitions.

Another important issue facing many people aged 80 years and older is their ability to continue driving. Most countries do not impose a mandatory upper age limit for driving. Instead, they require periodic medical evaluations, vision testing, and more frequent driver’s license renewals to determine whether older adults remain fit to drive safely. These measures seek to balance the independence and mobility that driving provides with the need to protect public safety.

A notable exception to this global practice is Peru, where individuals aged 80 years and older are no longer permitted to renew a driver’s license. The policy was introduced as part of the government’s efforts to reduce traffic accidents, reflecting concerns about age-related declines in vision, hearing, reaction time, cognitive function, and physical mobility.

Reaching the age of 80 and living longer than previous generations is a remarkable demographic achievement. It reflects substantial advances in medicine, public health, nutrition, education, and living standards.  

At the same time, increased longevity presents both new opportunities and significant challenges for individuals, families, healthcare systems, and societies.

Meeting those challenges will require policies and programs that promote healthy ageing, support independence, expand access to high-quality health and long-term care, and enhance the quality of life for the growing population of octogenarians.

Many octogenarians worry about losing their independence, developing a chronic illness, becoming a burden to their families, or dying alone. Concerns about the dying process can often be eased when individuals receive compassionate care, remain as comfortable as possible, and have their preferences for medical treatment and end-of-life care respected.  

For many octogenarians, however, death gradually becomes less frightening as it draws nearer. Having experienced the loss of spouses, relatives, friends, and contemporaries, many come to view death not as an unfathomable mystery but as a natural and inevitable part of life. 

This perspective often fosters a deeper acceptance of mortality. Rather than dwelling on fear, many choose to focus on the present, cherish meaningful relationships, and appreciate the time that remains. For some, this acceptance brings a greater sense of gratitude, purpose and peace as they approach life’s natural conclusion. 

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

Action Against Hunger holds a commemoration event for the 17 staff members killed in Muttur, Sri Lanka on August 4th, 2006. Credit: Action Against Hunger

By Rotimy Djossaya
NAIROBI, Kenya, Aug 7 2026 (IPS)

This summer, an ambush on a marked humanitarian convoy in Duk County, South Sudan, left 17 dead and five injured. While the UN called for an immediate investigation, history suggests the victims’ families will wait indefinitely for answers.

We suspended field movements in the area pending a security review, which means communities already facing crisis levels of hunger lost access to life-saving assistance, at least temporarily.

The emblem on a vehicle or a vest once offered protection: a shared understanding, codified in international law, that those delivering food, water, medical care and other basic relief would not be targets of violence. That understanding is breaking down.

In the past three years, more than 1,000 humanitarian workers have been killed, most notably in Gaza, Sudan, South Sudan, and the Democratic Republic of Congo. Worryingly, 2024 was the worst year on record with 383 aid workers killed worldwide. That’s more than one each day.

This year, the recent ambush brought the toll to 29 in South Sudan alone — and it is only August. Roughly 90% of those attacked are local and national staff, the people furthest from headlines and closest to the danger.

Twenty years ago this month, seventeen of our colleagues were executed in our office in Muttur, Sri Lanka, wearing shirts that clearly identified them as humanitarian aid workers. It remains one of the deadliest attacks of its kind. Two decades later, despite evidence pointing to the likely responsibility of state security forces, no one has been held accountable. We are still calling for a new, independent investigation.

Rotimy Djossaya, Chief Impact Officer for Action Against Hunger

There is a framework for addressing this. In 2024, the UN Security Council passed Resolution 2730, which calls on States to respect and protect United Nations and humanitarian personnel in accordance with their obligations under international law. Last year saw the introduction of the Declaration for the Protection of Humanitarian Personnel, a commitment to uphold international humanitarian law, prevent attacks, and pursue accountability. Over 110 countries have signed on, from every region and political tradition. While the issue still generates broad agreement, it is increasingly polarized, and the declaration’s enforcement is weak.

When a marked humanitarian vehicle is attacked with impunity, the international laws designed to protect humanity become nothing more than abstract targets.

The recent cuts to international aid budgets make a challenging situation even harder. Although it’s not clear that recent funding cuts led directly to any violence, it’s evident that NGOs have far less money to spend on security response management. The 2025 Aid Worker Security Report documented what the funding collapse means for safety: organizations are cutting security positions, communications, and risk analysis, with the danger falling overwhelmingly on local organizations.

In principle, localization is smart, and the humanitarian reset is a chance to build a system that is locally led, globally supported, and more efficient. But it only works if resources move with the risk. Local NGOs are routinely excluded from security funding, training, and data-sharing. They are expected to work in the world’s most dangerous places without the protections international agencies take for granted. They face a difficult choice: abandon some of the people and places they serve or accept greater risk to the safety of their staff.

The aid workers this summer were traveling in a marked humanitarian convoy. Five of them were staff of our local partner, the John Dau Foundation, an organization founded by one of the “lost boys” of South Sudan, who fled unimaginable violence as a child and answered it by building clinics and feeding children in the very county where this attack took place. That people who devoted their lives to healing were met with this violence shows how badly protections for humanitarian workers have eroded. The markings on their vehicle were supposed to shield them, but they did not.

As we mark World Humanitarian Day on August 19 and approach the UN General Assembly in September, the global community and member states must act. They must mandate and fund security allocations directly for local partners, insist on independent investigations for harmed personnel, and enforce UN Security Council Resolution 2730. Commitments on paper only protect lives when perpetrators face consequences. Those who step into the crossfire to feed the world’s forgotten children should not have to pay for that humanity with their lives.

Together, let’s honor those who have served, stand with those who continue to serve, and act for humanity.

Rotimy Djossaya is, Chief Impact Officer at Action Against Hunger.

IPS UN Bureau

Follow @IPSNewsUNBureau
  

Anti-FGM activists protests outside the National Assembly in Banjul, The Gambia, on 18 March 2024, as lawmakers discuss a bill seeking to lift the ban on FGM. Credit: by Muhamadou Bittaye/AFP

By Inés M. Pousadela
MONTEVIDEO, Uruguay, Aug 3 2026 (IPS)

Last August, a one-month-old girl in The Gambia bled to death after being subjected to female genital mutilation (FGM), a practice that had been illegal in the country since 2015. FGM is a human rights violation, whatever the appeals to faith or tradition made in its defence, but now the Gambian Supreme Court is being asked to strike the country’s ban down. This is the second attempt in two years to make FGM legal again.

Civil society stopped it the first time. When a repeal bill reached the National Assembly in 2024, the Network Against Gender-Based Violence brought survivors to testify, lobbied legislators, ran radio programmes and obtained a ruling from Cairo’s Al-Azhar University saying that FGM is not required under Islam. The bill fell in July 2024.

The ongoing fight in The Gambia is a measure of how fragile advances in the recognition of rights are. FGM is in retreat across most of the countries where it is practised, the result of decades of campaigning by survivors and community organisations. But holding that ground is becoming harder, as the money supporting those campaigns dries up and a resurgent anti-rights movement works to recast FGM as a traditional practice under foreign attack.

A practice in retreat

Over 230 million girls and women alive today have undergone FGM, with an additional four million cut every year. But the direction of travel has changed. A 2024 UNICEF report found that half of the decline in prevalence over the past 30 years has come in the last decade, with rates among adolescent girls halved or cut by 30-plus percentage points in countries including Ethiopia, Kenya and Sierra Leone. Attitudes have shifted too. Around 400 million people in practising countries, two-thirds of the population, now say they want FGM to end.

That change has a clear source. The Joint Programme run by UNICEF and the UN Population Fund found that the sharpest reductions come where communities are supported to deliberate and then commit, publicly and collectively, to abandoning the practice. The UN channels funding and provides coordination, but the dialogues, declarations and door-to-door persuasion are the work of community activists, national organisations and survivor networks. Thanks to these civil society efforts, in 2025 alone, over 7.5 million people took part in community dialogues and over 190,000 religious leaders and community influencers publicly denounced FGM.

The tools that work

Where campaigners have targeted the religious justifications that sustain FGM, results have followed. In 2025, Islamic scholars in Djibouti, Eritrea and Somalia issued a joint ruling saying that nothing in the faith requires FGM. Litigation has proved another powerful tool. In July 2025, the Court of Justice of the Economic Community of West African States found Sierra Leone in breach of its international obligations for failing to criminalise FGM, and said that, when intentionally inflicted, the practice meets the threshold of torture. In India, the Supreme Court has begun hearing whether cutting among the Dawoodi Bohra community should lose constitutional protection as an essential religious practice. And this June, Colombia became the first country in Latin America to ban FGM, driven by Emberá Indigenous women campaigning against a practice carried out in their own community.

Prohibition is now the norm rather than the exception, with Djibouti and Guinea writing bans into their constitutions in 2025. But laws alone don’t necessarily change what happens on the ground, and enforcement remains thin. Arrests and prosecutions rose sharply in 2025, yet there were still only 711 FGM court cases all year. In The Gambia, the fine imposed on the country’s first convicted cutters was paid by a prominent imam, an act that helped galvanise the campaign seeking to repeal the ban.

The movement’s defunding

The tactics that drove three decades of progress are now being starved of funding, with budget cuts falling hardest on the survivor-led and grassroots groups that are most effective but always face the toughest struggles for support. Funding for the Joint Programme fell from US$29.6 million in 2024 to US$16.3 million in 2025. The dismantling of USAID removed the largest single source of civil society funding worldwide, and total US foreign aid halved in a year. The UK, once the biggest funder of FGM prevention, is winding down its flagship programme with no replacement, so it can spend more on weapons.

The economics make no sense, because every dollar invested in prevention brings a tenfold return. The Joint Programme estimates that treating the health consequences of FGM currently costs US$1.4 billion a year. Politics, though, is playing a big part. In global north countries, political shifts are driving the withdrawal of aid, and far-right parties invoke FGM to stigmatise migrant communities while also opposing the gender justice policies that would make a difference. In practising countries, prohibition is increasingly recast as a foreign imposition on culture and faith. What unites these arguments is a shared sleight of hand that treats FGM as a question of cultural identity rather than a violation of fundamental human rights.

Elimination by 2030, the target that states set when they agreed the Sustainable Development Goals in 2015, is already out of reach. But the evidence on what works is not in dispute, and it points towards communities and grassroots movements. The question is whether governments that claim to value human rights will keep supporting those delivering progress, or let a generation of girls pay the price of retreat.

Inés M. Pousadela is CIVICUS Head of Research and Analysis, co-director and writer for CIVICUS Lens and co-author of the State of Civil Society Report. She is also a Professor of Comparative Politics at Universidad ORT Uruguay.

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

Follow @IPSNewsUNBureau
  

By Shuli Wong
UNITED NATIONS, Jul 30 2026 (IPS)

The Democratic Republic of Congo (DRC) is battling the fastest-growing Ebola outbreak on record, with United Nations officials warning that hunger is actively undermining efforts to contain the spread.

“Ebola feeds on delay, fear and hunger,” said Carl Skau, acting director of the World Food Programme (WFP) on Wednesday, July 29.

The current outbreak, declared on May 15th and caused by the Bundibugyo species of Ebola, is the third largest outbreak ever recorded, said Dr. Chikwe Ihekweazu, Executive Director of the World Health Organization’s (WHO) Health Emergencies Programme. The outbreak in the DRC is reaching unprecedented levels, Dr. Ihekweazu noted. “Over the last few days, we’ve seen some of the highest numbers of new infections in a single day.”

As of July 29th, the DRC outbreak has reached over 3,200 cases, with the virus spreading to 48 health zones across five provinces in eastern DRC. Unfortunately, WHO’s modeling has indicated that the true scale of the outbreak could be two to four times higher than the reported cases. Furthermore, 80 percent of new cases are coming from unknown chains of transmission, and many newly reported deaths are from people who never reached a health care facility or received care.

Julien Harneis, the UN’s Senior Ebola Coordinator, discussed how a critical driver for Ebola transmission is the fact that people are dying in their communities rather than in the care of a hospital or treatment center.

“Roughly 60 percent of deaths are occurring in the community, at the point when viral load — and risk to caregivers — is highest,” said Mr. Harneis.

WHO officials have mirrored this concern, calling deaths that occur outside of health facilities “the most alarming finding.” While there is no approved treatment for the Bundibugyo species of Ebola, the chances of survival are significantly higher with early supportive care.

On top of the outbreak is a severe hunger crisis that is exacerbating the impact and spread of Ebola. Across eastern DRC, nearly 10 million people are facing crisis- or emergency-level hunger. Ituri, the epicenter of the outbreak, is also the DRC’s most severe hunger hotspot, with 1.9 million people at crisis levels of food insecurity or worse. Mr. Skau emphasized how “food assistance is frontline Ebola containment. It helps families stay home, supports safe isolation, builds trust with communities and keeps health teams moving.”

The WFP has already delivered more than 160,000 hot meals to patients and frontline workers across 17 treatment and isolation centers. Dry food rations have been provided to 23,000 people, including 14,000 under quarantine, and an additional 36,000 people in Ebola-affected zones have been provided general food assistance. While discussing WFP’s work, Mr. Skau stressed how food logistics support is central to containing the outbreak. “You cannot force people to choose between hunger and health,” he said.

However, funding to tackle the interconnected hunger and Ebola crisis remains critically underfunded. WFP needs USD 293.6 million over the next six months to sustain all operations in DRC, including $76 million for the regional Ebola responses and $50 million for food and nutrition assistance.

“$76 million is the ask and that’s frankly just peanuts, if you look at the bigger scheme of things,” said Mr. Skau. Furthermore, while WFP’s logistics have been somewhat funded, the food element has received no funding. Mr. Skau emphasized, “if you want to be effective, you need to have an all rounded response. It’s not only the health response that is needed to be able to contain that.” Mr. Harneis added that in addition to the food assistance needed, the broader $1 billion Humanitarian Needs and Response Plan is only 45 percent funded.

WHO and WFP officials are urging the international community not to lose focus, as Dr. Ihekweazu warned: “now is not the time to drop the ball.” Mr. Harneis and Mr. Skau called for further action and to “scale up the Ebola response, three, four, five times of what we are doing now.”

Mr. Skau linked the urgent funding need to a broader appeal for political attention, describing the DRC as “exhausted from years of conflict, from repeated displacement, from crisis after crisis after crisis.” He argued that ending the outbreak will require more than just medical and food assistance: “We need peace, we need security…for all of this, we need funding…the funding that is coming here is far from enough and we need political attention.” In the weeks ahead, a rapid increase in funding and political will is needed to change the outbreak’s trajectory.

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

PAHO Director calls for expanded access to innovations such as oral and injectable PrEP, rapid testing, and HIV self-testing, while strengthening early diagnosis and timely treatment initiation to advance HIV elimination. Credit: PAHO

By Pan American Health Organization
RIO de JANEIRO, Brazil, Jul 28 2026 (IPS)

The Region of the Americas has more tools than ever before to prevent, diagnose, and treat HIV, yet many of them are still not reaching everyone who needs them, Pan American Health Organization (PAHO) Director Jarbas Barbosa said during the opening session of the International AIDS Conference (AIDS 2026).

Dr. Barbosa emphasized that expanding access to innovations such as oral pre-exposure prophylaxis (PrEP), long-acting injectable PrEP, rapid testing, and HIV self-testing, together with strengthening early diagnosis and ensuring timely treatment initiation, will be essential to accelerate the elimination of HIV as a public health problem in the Region.

In his remarks, Dr. Barbosa highlighted that the Americas have repeatedly demonstrated that ambitious public health goals can be achieved through cooperation, scientific evidence, and strong health systems. He noted that the Region has eliminated polio and rubella and that several countries have eliminated mother-to-child transmission of HIV, achievements that provide a strong foundation for accelerating progress toward HIV elimination.

Credit: PAHO

He further stressed that achieving this goal will require combining innovations in prevention, diagnosis, and treatment with political leadership, equity, and close collaboration with communities.

Dr. Barbosa also noted that countries in Latin America and the Caribbean now finance 92% of HIV investments through domestic resources, representing one of the highest levels of domestic funding for HIV programs globally and demonstrating the Region’s sustained commitment to HIV response.

“The question before us is no longer whether we have the tools to end HIV as a public health threat. We do. The question is whether we can ensure that those tools reach everyone who needs them, regardless of where they live, who they are, or the circumstances they face,” said Barbosa. “Innovation only changes lives when people can access it.”

According to the latest available data, AIDS-related deaths in Latin America and the Caribbean declined by 46% between 2010 and 2025. In 2024 alone, access to antiretroviral treatment prevented an estimated 117,000 AIDS-related deaths. Access to PrEP also increased substantially, from 35,000 people in 2020 to more than 326,000 in 2025.

Despite this progress, significant gaps in access and coverage remain. Approximately one in three new HIV diagnoses is still made at a late stage of infection, and nearly 900,000 people living with HIV in Latin America and the Caribbean are not receiving treatment.

Reducing HIV-related mortality and addressing advanced HIV disease will be among PAHO’s key priorities at AIDS 2026. Although tools to prevent and treat HIV have improved substantially, late diagnosis, delays in treatment initiation, and challenges in retaining people in care continue to contribute to preventable deaths and to the burden of co-infections such as tuberculosis, which remains the leading cause of death among people with advanced HIV disease.

Against this backdrop, PAHO unveiled new initiatives aimed at accelerating HIV elimination across the Region.

As part of its agenda at AIDS 2026, PAHO launched the Alliance for HIV Elimination in the Americas, a new regional platform designed to advance progress toward HIV elimination by 2030 through stronger collaboration among governments, communities, international organizations, academia, development partners, and the private sector.

The Alliance is part of PAHO’s Disease Elimination Initiative and seeks to strengthen political leadership, expand equitable access to innovation, and promote sustainable investments to accelerate HIV elimination across the Americas.

PAHO is also advancing the Path to HIV Elimination in the Americas, an evidence-based framework that will help countries measure progress, identify remaining gaps, and demonstrate achievements on the path toward HIV elimination.

“If we maintain political commitment, protect the investments already made, and place equity at the center of every decision, ending HIV as a public health threat will be within our reach,” Barbosa said. “No country will achieve this goal alone.”

The PAHO Director warned that financial pressures, shifting political priorities, and persistent inequalities could jeopardize hard-won gains.

He reiterated that achieving HIV elimination will require strengthening people-centered health systems, expanding access to PrEP and other innovations, integrating HIV services with tuberculosis, viral hepatitis, and sexually transmitted infection services, working alongside communities to reduce stigma and discrimination, and sustaining the domestic investments that have enabled steady progress across the Region.

Throughout AIDS 2026, PAHO will advance these priorities through a series of high-level events focused on HIV elimination, advanced HIV disease, and equitable access to innovations for prevention, diagnosis, and treatment.

IPS UN Bureau

Follow @IPSNewsUNBureau
  

Ammar Mohammed Mahmoud Mohammed, Deputy Permanent Representative of the Republic of the Sudan to the United Nations, addresses the Security Council meeting that heard reports of the Secretary-General on Sudan. Credit: UN Photo/Mark Garten

By Oritro Karim
UNITED NATIONS, Jul 27 2026 (IPS)

In the three years since the outbreak of the Sudanese Civil War, the humanitarian crisis has deteriorated significantly, with the United Nations underscoring a blatant disregard for international humanitarian law among warring parties. This includes the deliberate targeting of civilians in residential areas, widespread sexual violence, and attacks on critical infrastructure that have hindered aid efforts and pushed communities to the brink of collapse. To manage rising military expenses, the warring parties have increasingly relied on the exploitation of trade routes and territories, prompting humanitarian experts to express concern about a persistent, self-sustaining “war economy.”

“Sudan’s vast wealth of natural resources should benefit its people. Distressingly, what we are seeing today is anything but that. In fact, this wealth is only serving to undermine human rights and drive conflict, bringing pain and suffering on an enormous scale,” said UN High Commissioner for Human Rights Volker Türk. “This war economy must be disrupted, and the international community must pay much closer attention to the commodities and trade routes that help keep it alive.”

On July 15, the United Nations Office of the High Commissioner for Human Rights (OHCHR) published a report titled Business and Human Rights in Conflict: Gum Arabic from Sudan, underscoring how the illicit trade of gum arabic is being exploited to fund the violent activities of both the Rapid Support Forces (RSF) and the Sudanese Armed Forces (SAF). Beyond gum arabic, the report shows that warring parties are generating massive revenues from gold, livestock, and other commodities by seizing control of local extraction, transport, and trade routes.

Historically, gum arabic has been a critical economic staple for Sudan, serving as a key ingredient in food, drinks, cosmetics, and pharmaceuticals around the world. Sourced from the bark and branches of the acacia tree, gum arabic acts as a lifeline for over five million people in Sudan and remains deeply embedded in local rural communities.

Before the eruption of hostilities in 2023, Sudan’s gum arabic trade accounted for roughly 70 to 80 percent of the global crude gum arabic exports, with annual exports reaching as high as USD $183 million. Today, the vast majority of acacia forests in Sudan—which form the country’s “gum arabic belt”—are located in regions that are largely under RSF and SAF control, such as Kordofan and Darfur.

The report found that rural communities relying on gum arabic for financial stability have faced numerous protection risks and severe human rights abuses—including looting, extortion, and arbitrary detention. This further compounds the struggles of their daily lives as they face shrinking access to basic services, such as food, clean water, education, and healthcare.

Traders working along corridors stretching through RSF-controlled sections of Darfur and Kordofan have experienced confiscation of goods, excessive taxation, and violence. Additionally, the report notes that considerable quantities of gum arabic have been redirected by the RSF from West Kordofan and Darfur to Souq al-Na‘am, South Sudan, Juba, Chad, Cameroon, and Kenya. Furthermore, the UN has reported that lootings of gum arabic conducted by the RSF are often used as a form of compensation rather than traditional salaries, with roughly 3,700 tonnes looted between January and June of 2024.

OHCHR noted that gold is also a primary driver of Sudan’s war economy, being considered “the most financially significant commodity in export terms”, as well as a major source of revenue for the RSF and SAF. Figures from the Central Bank of Sudan and the Sudanese Mineral Resources Company show that in 2024, roughly 65 tonnes of gold were produced in SAF-controlled areas, including 28 tonnes that were exported through Port Sudan. This generated approximately USD $1.6 billion in revenue, contributing to 48.5 percent of the nation’s annual exports.

Despite gold production climbing to 70 tonnes in 2025, considerable portions of the gross output have been smuggled outside of the country. According to the report, in 2024, only 52 percent of the annual gold exports were passed through formal export channels. Additionally, RSF-affiliated economic entities continue to extract and trade gold from Darfur and Kordofan, with the RSF seizing over 1.3 tonnes of unrefined gold early in the conflict.

“Gold is the most important and decisive financial driver, while gum arabic provides supporting liquidity and demonstrates how the war has extended into agricultural commodities and global trade routes,” said Dr Abdelmonem Mukhtar, Executive Director of the Centre for Evidence and Data-Based Policy. “If it is established that a supply chain contributes directly or indirectly to financing parties to the conflict, regulatory, civil or ethical responsibilities may arise, in addition to reputational and commercial risks.”

Emphasizing the need for more rigid oversight, Türk called on UN member states to strengthen accountability and monitoring measures to ensure that commodity trade in Sudan does not fund violations of international humanitarian law, but rather helps to alleviate the suffering of civilians. He also urged corporations to prioritize human rights.

“Companies cannot continue business as usual when sourcing from conflict-affected value chains,” Türk said. “They should undertake heightened, conflict-sensitive human rights due diligence, including stronger scrutiny of routes, intermediaries, documentation and possible re-labelling, and ensure that affected people have access to safe and effective grievance and response mechanisms.”

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

In Jabalia, north of the Gaza Strip, children received polio vaccines as part of the vaccination campaign conducted by UNICEF and its partners in 2025. Credit: UNICEF/Mohammed Nateel

By Shuli Wong
UNITED NATIONS, Jul 27 2026 (IPS)

On Monday July 20, a team from the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) visited two displacement sites in Gaza where they found two family tents decimated by domestic fires. This incident is indicative of the increasing frequency of domestic fires in Gaza.

Families are resorting to burning waste, cardboard, and trash to help prepare meals following the ban on gas cylinders and cooking stoves from entering Gaza since October 2023. While cooking gas is available, it is only offered in limited quantities and at extremely high prices.

The domestic fire risk in Gaza is situated within a larger, much more dire humanitarian access crisis, as documented in UNICEF’s Humanitarian Situation Update Mid-Year Review. Access restrictions and operational constraints continue to disrupt humanitarian delivery, with only 44 percent of aid trucks from Egypt able to offload between May and June. Severe restrictions remain in place for the entry of fuel, spare parts, and essential materials, which have driven system failures across health and water services. Across the Gaza Strip, an estimated 82 percent of families are water insecure, and nearly 90 percent of water and sanitation infrastructure has been damaged or destroyed.

Violence against civilians has also intensified across Gaza. The UN Human Rights Office reported that Israeli forces killed at least 57 people, including women and children, between July 13th and July 20th.

UN Spokesperson to the Secretary-General Stéphane Dujarric also detailed the aftermath of an Israeli drone strike on July 17th west of the Nuseirat refugee camp, in which seven people were reportedly killed and others injured as the strike coincided with mourners leaving a nearby funeral prayer.

On July 15th, a teacher was injured after being shot by Israeli forces while she was working at a temporary learning space west of Khan Younis. Since the start of 2026, OCHA has reported 26 education-related incidents. These findings echo their Humanitarian Situation Report from July 16th, in which 84 schools are under pending demolition or stop-work orders.

Despite operational constraints and security risks, humanitarian organizations have been working to restore and expand access to education after more than two years of disruption. At the beginning of 2026, UN partners helped 435,000 pre-primary and school-aged children, including 9,300 children with disabilities, access structured learning at 610 temporary learning spaces. Furthermore, 344,000 children received learning materials and 11,000 teachers were supported. UNICEF’s Mid-Year Review reported helping 266,000 children access formal and non-formal education opportunities, which has helped provide children with a sense of normalcy amid the ongoing upheaval and crisis.

Since the ceasefire was reached last October, there have been some improvements and gains in food security and nutrition levels, thanks to expanded humanitarian food, nutrition and agricultural assistance. But those gains are still fragile. UNICEF, the Food and Agricultural Organization (FAO) and the World Food Programme warned that families are struggling to meet basic needs, and these gains will be reversed without continuous humanitarian aid, funding and investment in recovery in the Gaza Strip. As of now, only one crossing, the Kerem Shalom/Abu Salem crossing in the south of Gaza, remains open for humanitarian assistance. The latest analysis on food security shows that an estimated 1.4 million people, or 67 percent of Gaza’s population, are experiencing crisis or worse levels of food insecurity.

Health and infrastructure remain heavily strained across the Gaza Strip. On July 20th, the Deputy Humanitarian Coordinator Susanne Tkalec met with leadership members of the Emirati Hospital in Rafah to determine solutions to strengthen the medical waste management systems in Gaza amid ongoing health and sanitation system stress.

Despite hospitals being explicitly protected under international humanitarian law, “healthcare workers, patients, ambulances, and hospitals have all been targeted,” said Dr. Javid Abdelmoneim, International President of Médecins Sans Frontières. Dr. Abdelmoneim went on to explain that “whether through direct violence, dismantling the healthcare system or obstructuring humanitarian assistance, inducing famine, weaponising water, causing higher levels of prematurity and mortality among infants and high levels of miscarriage, or denying care… it’s clear: the number one health issue in Palestine is Israel’s occupation.”

Shelter needs across Gaza remain outmatched by supply. In the first ten days of July, UN humanitarian partners provided 2,300 households with bedding items, tarpaulins and tents, and 13,000 families received kitchen sets. However, access to cooking fuel is still severely limited, as noted by the domestic fires. In addition, the supply stockpiles themselves are severely limited, with less than 1,000 tents currently available and only enough essential household supplies to support 7,000 families.

Across the occupied Palestinian territory, UN agencies continue to warn that violence, funding gaps, and access restrictions have created an unprecedented need that continues to outpace what can be delivered in terms of water, healthcare, education, and shelter.

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

 
CIVICUS discusses land grabs and environmental damage linked to a luxury coastal resort project with Eva Kushova, Director of Destination Management Organisation Albania, a civil society organisation that supports sustainable tourism in Albanian destinations, seeking to preserve culture and nature while maximising benefits for communities.

Eva Kushova

What are the impacts of Albania’s foreign investment laws?

The Law on Strategic Investments was passed in 2015 to attract foreign investment and boost Albania’s economy. Its deadline has since been extended several times, most recently to 2027. In practice, it has become a vehicle for serious abuses. Unlike ordinary investment laws, it gives the state the power to expropriate private property on investors’ behalf, often at compensation well below market value. Some residents say they were forced off their land after refusing this compensation.

Despite the law’s stated purpose, only two of around 44 projects approved so far are genuinely foreign investments. Most are owned by domestic investors with close connections to the government. The system gives selected companies access to public land, beaches, forests and national assets, and grants them tax exemptions for up to 10 years. The state also pays for all the necessary infrastructure, including electricity, roads, telecommunications and water, effectively subsidising private profit. In some cases, water meant for villages has been diverted to supply resort swimming pools. Meanwhile, local communities lose beach access and remain economically marginalised.

What does the Zvërnec case reveal about how these deals are made?

The Zvërnec project, a luxury resort planned on the coast near Vlorë, in southern Albania, comprising around 10,000 accommodation units, drew international attention because of its Trump family ties, but it exposed broader governance failures. It includes a large property allegedly acquired by an internationally wanted drug trafficker under highly questionable circumstances, and there are also allegations that officials manipulated property records at the regional land registry. Many local residents claim ownership of the property, yet it was suddenly recognised as belonging to the trafficker, who then sold it to Arab investors.

This fits a wider pattern in Albania’s land governance. After communism collapsed in 1991, the law mandated redistribution of agricultural land to rural families in small parcels. Thirty-five years on, most Albanians own only limited land, while strategic investors obtain vast coastal properties through questionable transactions, controversial expropriations and alleged manipulation of property records. Property rights have remained unresolved for over 30 years, forcing people into costly court proceedings.

The secrecy around the Zvërnec deal is typical too. The public only learns about the projects once construction machinery arrives on site. News of Zvërnec, and of Sazan Island, an island off Albania’s Adriatic coast earmarked for luxury development, broke via international media in March 2024. Even now, the identity and ownership of the investors behind several of these projects remain unclear, and sites are fenced off with barbed wire. Authorities say this is in preparation for infrastructure works, fuelling further distrust.

What environmental damage have these developments caused?

The Zvërnec coastline is home to the Narta Lagoon, one of Albania’s most biodiverse areas and a critical stopover for thousands of migratory birds travelling between Africa and Europe. It was first threatened by the construction of Vlora International Airport and now by the Zvërnec resort.

The legal groundwork was laid in 2022, when the government removed thousands of hectares from protected areas, cutting total coverage by 20 per cent. In 2024, another law opened the door to construction inside protected areas, allowing for the transformation of one of Albania’s last wild coastal lagoons into a heavily urbanised area. A further law passed in 2025 extended the threat to forests and pastures elsewhere in the country.

This runs counter to Albania’s European Union (EU) membership bid, targeted for 2030. All candidate states must align their laws with EU standards across 33 negotiating chapters before joining, and chapter 27 covers environmental protection. The European Commission’s 2025 Enlargement Report raised serious concerns on this front, criticising recent legal changes for weakening environmental standards. The Bern Convention’s Standing Committee, an international body that protects European wildlife and habitats, has repeatedly asked Albania to suspend construction of Vlora International Airport inside the Pishë Poro–Narta Protected Area, which includes the lagoon, pending proper environmental assessment. So far these requests have gone unheeded. But sustained EU pressure could still force a repeal of regressive laws and the introduction of stronger protection for natural areas.

What has driven recent protests, and how has the government responded?

Protests began on 23 May in Zvërnec after the developer fenced off part of the beach with barbed wire. They intensified after footage emerged on 30 May showing private security guards beating a protester while police stood by without intervening. The movement spread to the capital, Tirana, the next day, then to other Albanian cities, Kosovo and diaspora communities abroad, becoming known as the ‘Flamingo Revolution’. Protesters have marched nightly since under the slogan ‘Albania is not for sale’, demanding the project’s cancellation and Prime Minister Edi Rama’s resignation.

What began as opposition to a single resort has broadened into a wider anti-corruption movement, with protesters citing grievances such as poor public healthcare. A nationwide protest on 10 June deliberately coincided with a national historic commemoration, joined by Albanians from the diaspora on five continents. Yet Rama has stayed defiant, arguing that the backlash has more to do with the Trump links than with the project itself.

There are encouraging signs of accountability, though. The Special Structure against Corruption and Organised Crime, an independent judicial body created in 2016, has opened an investigation into the 2024 legal changes that enabled the Zvërnec deal. Arrest warrants have been issued against around 20 businesspeople suspected of illegally obtaining land or permits linked to various projects. People hope public pressure will keep judicial investigations alive, ensuring accountability for abuses of power, environmental damage and property rights violations.

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.

GET IN TOUCH
Website
Facebook
Instagram
LinkedIn
Twitter

SEE ALSO
Albania: protesters and police clash at anti-corruption demonstrations; amendments partially decriminalising defamation criticised CIVICUS Monitor 22.Apr.2026
Albania: ‘Corruption is a serious problem, but no political force commands enough public trust to unite demands’ CIVICUS Lens | Interview with Gresa Hasa 13.Feb.2026
Albania: ‘Diaspora voting ensured every citizen, regardless of location, could exercise their right to vote’ CIVICUS Lens | Interview with Erida Skëndaj 01.Jun.2025

Follow @IPSNewsUNBureau
  

United Nations Secretary-General António Guterres addresses the opening session of the Global Dialogue on AI Governance, Geneva, Switzerland. Credit: UN Photo/Irina Popa

By Oritro Karim
UNITED NATIONS, Jul 20 2026 (IPS)

Throughout July 2026, various United Nations (UN) bodies and global experts have underscored the need for increased comprehensive artificial intelligence (AI) governance. Although AI yields significant potential gains for global development, persistent structural barriers continue to impede equitable access and deepen the digital divide.

From July 6 to 7, the UN convened the first session of the Global Dialogue on AI Governance, featuring a presentation of the inaugural report of the Independent International Scientific Panel on AI. The conference included testimonies from global experts and leaders who emphasized the rapidly accelerating nature of AI, warning that without adequate guardrails and transparency measures, entire communities risk falling behind.

“Artificial intelligence is advancing at runaway speed. A technology that can reshape economies, transform the world of work, sway elections and tilt the balance of security is being deployed faster than anyone— including the people building it— can keep up,” said UN Secretary-General Antonio Guterres at the Opening Session of the dialogue on July 6th.

“The technologies we trust most— in aviation, in medicine, in nuclear energy and beyond— earned that trust because we acted to hold their makers to account. If AI is to be powerful, it must be governed. If AI is to be trusted, those who build it must be accountable. If AI is to be global, it must be fair. And if AI is to serve the future, it must not consume the future,” he added.

According to Guterres, AI holds immense potential to accelerate medical advancements, revolutionize educational systems, strengthen food production, and revitalize local economies, all of which would drive progress toward the Sustainable Development Goals (SDGs). Despite this, widening gaps in development have been recorded across communities in lower-income countries, particularly in the Global South.

On July 17, Guterres spoke at the World AI Conference (WAIC) in Shanghai, urging governments and stakeholders to invest in international cooperation and monitoring efforts to ensure equitable access to AI’s benefits. Guterres noted that an alarming “one-third of humanity” remains offline, with the vast majority of technical expertise and investment disproportionately concentrated in only a few countries and companies

“Hundreds of billions of dollars of private investment flood into artificial intelligence – while many developing countries receive just a trickle,” said Guterres. “AI risks pushing the world towards even greater inequalities … greater divides in income, in opportunity, in security … greater gaps between North and South.”

At WAIC, Guterres outlined three main priorities that are to be taken in advancing global AI governance: making AI more environmentally sustainable, establishing critical safety guardrails, and expanding capacity across developing countries. Underscoring the need for AI testing and risk management to be firmly based in the principles of international law, he confirmed that over 20 countries, including China, have agreed to contribute to a UN-supported Global Network for Exchange and Cooperation on AI Capacity Building to assist developing countries navigate this transition.

Throughout the conference, many UN experts emphasized that human rights must remain the cornerstone of all AI decision-making processes, ensuring that final judgments are always made by human beings. Guterres also called for major AI companies to disclose their environmental footprints and commit to a full transition to renewable energy by 2030.

AI has the potential to accelerate the transition from fossil fuels to renewable energy by optimizing power efficiency and significantly reducing waste. Several nations, including China, are already leveraging these technologies to increase their annual reliance on renewable energy.

Several developing countries in the Pacific have taken steps to reclaim agency over AI, implementing frameworks that prioritize sustainability and ensure that they remain in control regarding the technology’s development and use. For example, the Kingdom of Tonga has expanded commercial 5G access and conducted a Digital Readiness Assessment to examine risks and potential gains when coordinating governance strategies. Similar assessments have been undertaken across Samoa, Vanuatu, and Fiji.

The Kingdom of Tonga is reshaping its government services around a digital-first model by implementing AI tools that will assist citizens in interacting with the state in their own language. In Kiribati, AI monitoring technologies in fisheries have helped in recovering approximately US$2 million in illegal fishing fines.

“These are real wins, but they are wins within a system the Pacific did not design. The region already knows what it means to be on the wrong side of a divergence, in climate, in trade, in debt vulnerability,” said Kanni Wignaraja, UN Assistant Secretary-General and UNDP Regional Director for Asia and the Pacific.

“AI follows the same logic at greater speed. The difference is that the rules of AI are still being written, which means the divergence is not yet locked in. That window will not stay open for long. The time for the Pacific to shape the outcome is now, not once the frameworks are agreed, and the tools are already being deployed.”

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

Population ageing, including the point at which older adults outnumber younger people, is a global demographic phenomenon. Credit: Shutterstock

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

In many countries, older adults (aged 65 and above) now outnumber younger individuals (under the age of 18), reflecting a significant demographic transformation known as demographic ageing.

The shift in a population’s age structure is becoming increasingly common around the world and is primarily driven by declining fertility rates and rising life expectancy. As populations age, societies face a range of economic, political, and social challenges.

Economically, an ageing population can lead to labor shortages, slower economic growth, and a shrinking tax base. These changes can make it more difficult for governments to finance pensions, healthcare systems, and other public services.

At the same time, the growing number of older adults increases demand for specialized healthcare services, including geriatric care, assisted living, and the treatment of chronic illnesses, placing additional strain on healthcare systems.

To promote sustainable growth and social equity, governments should seek to balance the needs of older adults with those of younger generations, ensuring that public resources support both present well-being and future development

Politically, as people live longer and represent a larger share of the electorate, older adults may gain greater political influence. Their increased voting power can shape government spending priorities, potentially leading to a larger share of public funding being allocated to pensions, healthcare, and retirement benefits, while comparatively less is invested in education, childcare, and programs that support younger generations.

Overall, demographic ageing is reshaping societies worldwide, creating both opportunities and challenges. These developments require governments to adopt balanced policies to ensure economic sustainability and intergenerational equity.

In the middle of the 20th century, older adults accounted for 5% of the world’s population of approximately 2.5 billion, while young people comprised 41%. At that time, the median age of the global population was 22 years. By the end of the 20th century, the world’s population had grown to 6.2 billion, although the age distribution changed only modestly.

In 2000, older adults represented 7% of the global population, while young people represented 36%. Meanwhile, the median age increased to 25 years, indicating a gradual ageing of the global population.

Despite the rapid growth of the world’s population during the second half of the 20th century, the proportion of older adults increased at a much slower pace. These changes mark the early stages of global demographic ageing, characterized by a gradual increase in the share of older adults and a corresponding decline in the proportion of younger people (Table 1).

Source: United Nations.

By 2026, the world’s population had reached approximately 8.3 billion. At the same time, young people accounted for an estimated 29% of the global population, while older adults represented about 11%, and the median age had risen to 31 years. By 2078, these two age groups are projected to account for equal shares of the global population, which is expected to reach 10.3 billion, with each group accounting for approximately 22% of the total population (Figure 1).

Source: United Nations.

In 2026, approximately 50 countries and territories have a higher proportion of older adults (aged 65 and above) than young people (under the age of 18). This demographic pattern is most common in the more developed countries, which tend to have lower fertility rates and longer life expectancies.

In Italy and Japan, for example, the proportion of older adults (aged 65 and above) is roughly twice that of young people (under the age of 18). Similarly, European countries such as France, Germany, Hungary, the Netherlands, Spain, and Switzerland also have substantially larger shares of older adults than young people (Figure 2).

Source: United Nations.

Demographic ageing, together with the changing proportions of older and younger populations, has significant economic, social, and political consequences.

Among the most important effects of demographic ageing are shrinking workforces, a growing proportion of retirees, rising dependency ratios, increasing pension expenditures, mounting healthcare costs, shifting political and budgetary priorities, and adapting institutions to the needs of ageing populations.

As populations age, more retirees receive pension benefits for longer periods, while a relatively smaller workforce contributes to the pension systems. Consequently, fewer workers are required to support a much larger non-working population, placing substantial pressure on public finances and social security systems. In response to labor shortages associated with shrinking workforces, many governments have introduced policies that encourage older adults to remain in the labor market for longer.

Healthcare expenditures also rise as populations age. Older adults typically require more medical care than younger people because they are more likely to experience chronic diseases, multiple health conditions, and complex healthcare needs.

As a result, demand for healthcare services such as rehabilitation, dialysis, dementia care, and long-term care continues to increase. In many countries experiencing rapid demographic ageing, governments and families face growing financial and caregiving responsibilities to support an expanding older population.

Meeting the care needs of an ageing population often creates tension over responsibility between governments and families. Governments may expect family members to assume primary responsibility for caring for older adults, while families frequently believe that governments should provide greater support and resources to meet the needs of their ageing relatives.

Some conservative and authoritarian governments argue that extensive public spending on elder care generates limited economic returns because older adults are viewed primarily as recipients of care rather than contributors to economic productivity. As a result, these governments often contend that rising healthcare and long-term care expenditures for older adults may constrain economic growth and advocate limiting public investment in these services.

Similarly, many conservatives and some policymakers often believe that caring for older adults should be the responsibility of individuals and their families, with the private sector playing a greater role rather than government in delivering care and support.

According to the World Health Organization (WHO), common health conditions associated with older age include hearing loss, cataracts, back and neck pain, osteoarthritis, chronic obstructive pulmonary disease (COPD), diabetes, depression, loneliness, dementia, and mobility limitations. Many older adults experience several of these health conditions at the same time, making their healthcare needs more complex and requiring coordinated, long-term management.

Older adults who require long-term care are disproportionately women aged 80 years and older who live alone. This group is particularly vulnerable to social isolation which is associated with poorer mental and physical health outcomes, including increased risks of depression, cognitive decline, chronic illness, and reduced quality of life.

In contrast, young people are more likely to face health issues such as injuries from road traffic accidents, falls, drowning, violence, self-harm, depression, anxiety, substance use disorders, asthma, and maternal health conditions.

Population ageing, particularly the increasing prevalence of chronic health conditions and the growing demand for long-term care, has significant implications for government policies and public programs that affect people of all ages. As these trends intensify, they place growing pressures on public resources and influence electoral priorities, shaping decisions about healthcare, social services, education, and public spending.

As older adults make up a larger share of the voting population, governments often place greater emphasis on policies that address the needs of these older adults, particularly pensions and healthcare. As policy priorities shift, investment in areas that primarily benefit younger generations – such as education, infrastructure, and long-term economic development – may decline.

To promote sustainable growth and social equity, governments should seek to balance the needs of older adults with those of younger generations, ensuring that public resources support both present well-being and future development.

Demographic ageing also presents difficult fiscal and political challenges. Governments may need to consider measures such as raising taxes, reducing pension benefits, increasing the retirement age, or implementing other fiscal reforms to ensure the long-term sustainability of public finances.

However, governments often delay implementing these reforms because they are politically unpopular. As a result, financial pressures on pension and healthcare systems continue to grow, increasing the risk of substantial funding shortfalls, or, in some cases, insolvency if reforms are postponed for too long.

Population ageing, including the point at which older adults outnumber younger people, is a global demographic phenomenon. As this demographic transformation continues across countries, governments face the ongoing challenge of adapting their economic, political, and social institutions to meet the needs of different age groups – particularly younger and older generations – while maintaining fiscal sustainability and promoting intergenerational equity.

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

An Indigenous community leader, Jackeline Mendoza Díaz, addresses participants during the webinar “Gold’s Dark Web: The Hidden Price of a Booming Market” on June 25, speaking about the devastating impacts of illegal and poorly regulated gold mining on Indigenous lands, forests and local communities. The webinar brought together community leaders, investigators, civil society organisations, financial experts and policymakers to discuss how soaring gold prices are accelerating environmental destruction, organised crime and human rights abuses. Credit: FERN

By Kizito Makoye
DAR ES SALAAM, Tanzania, Jul 17 2026 (IPS)

The sweltering heat inside a London conference hall did not deter Indigenous leader Jackeline Mendoza Díaz from condemning the sheer destruction of the Peruvian Amazon. Her voice occasionally trembled with emotion but delivered a strong message — painting a picture far removed from the glittering gold bars traded in the world’s financial capitals.

Behind the rising price of gold, she said, lie poisoned rivers, razed forests and Indigenous communities jostling to defend their ancestral lands from the rising wave of illegal mining.

In her Asháninka community, she said, rivers that once sustained life no longer provide edible fish. Women trek for hours searching for clean water, while community leaders who speak out against encroachment increasingly do so at personal risk.

“Our rivers are being contaminated with mercury. When the rivers are contaminated, the fish become contaminated as well, and we indigenous people depend on these rivers for our survival,” Díaz told participants during a webinar that brought together Indigenous leaders, environmental advocates, investigators, bankers and policymakers to discuss the growing crisis of illicit gold.

Her testimony offered a glimpse into a global phenomenon that experts say is accelerating, as gold prices fuel environmental destruction, organized crime and corruption across continents

Behind the soaring value of gold lies a darker reality, visible in remote forests, fragile river systems and marginalised communities globally.

A recent report by the Global Initiative Against Transnational Organised Crime (GI-TOC) warns that illicit gold has become one of the world’s most consequential criminal markets, functioning as an “accelerant economy” that fuels conflict, corruption, environmental crime and organised criminal networks worldwide.

The report says rising gold prices have enabled criminals to control entire supply chains.

For nearby communities, the consequences are dire.

“We are defenders of the forests and defenders of life. Yet because of this, Indigenous defenders are often attacked, and many of us are even killed for protecting our people, our territories and our way of life,” said Diaz.

Forests Falling, Rivers Dying

In Ghana, where illegal mining has become a national crisis, environmental campaigner Daryl Bosu described a country caught up in a moral dilemma to balance the worth of the precious metal with environmental woes.

“Ghana is Africa’s largest gold producer, and gold remains one of the most important pillars of our economy,” Bosu said. “However, alongside these economic benefits, we have witnessed an alarming increase in illegal and poorly regulated mining activities.”

The environmental consequences, he warned, have been severe.

“Many of our forest reserves have suffered extensive degradation. Rivers and water bodies that serve millions of people have become heavily polluted.”

Across gold-producing regions, forests are rapidly being cleared to dig mining pits, roads and processing kilns. Once mining begins, toxic substances often contaminate rivers and groundwater aquifers.

According to the GI-TOC report, illicit gold mining frequently paves the way for illegal logging, wildlife trafficking and land grabbing. Dirty money is increasingly being invested in cattle ranching that destroys critical forest ecosystems.

Mercury’s Silent Toll

While deforestation often captures public attention, experts say mercury pollution remains one of the most devastating but least visible consequences of artisanal and small-scale gold mining.

Speaking exclusively to IPS during the recent Global Environment Facility (GEF) Assembly in Samarkand, Uzbekistan, Monika Stankiewicz, Executive Secretary of the Minamata Convention on Mercury, warned that mercury contamination continues to threaten millions of people living in mining communities.

“Mercury contamination does not stop at the mining site,” Stankiewicz told IPS.

“It enters rivers and ecosystems, affecting fish, soil and water sources locally.”

For families dependent on fishing and farming, the consequences can be profound.

“Reduced food safety and food security, loss of income from contaminated natural resources, and long-term degradation of ecosystems they depend on,” she explained.

Mercury exposure can trigger neurological damage, memory loss, tremors, respiratory illnesses and reproductive health complications. Children are particularly vulnerable.

The impacts extend far beyond mining sites themselves.

Mercury released into the environment can travel vast distances through atmospheric circulation. Indigenous communities in the Arctic, for example, are experiencing mercury contamination despite having no mercury-intensive mining activities in their territories.

Following the Money

Yet environmental damage represents only one side of the illicit gold equation.

Several participants stressed that illicit gold is fundamentally a financial crime issue.

Julia Yansura, programme director, Environmental Crime & Illicit Finance, FACT Coalition, said billions of dollars earned through environmentally damaging mining activities continue to enter legitimate financial systems without scrutiny.

“What we are discussing today is not merely an environmental issue,” she said. “It is also a financial crime issue.”

Traditional responses have focused heavily on police raids and military operations targeting miners.

But according to Yansura, such interventions often fail because they focus on low-level actors while leaving intact the financial networks that sustain illegal mining.

“A more effective approach would focus on following the money,” she said.

The GI-TOC report supports that assessment, warning that criminals increasingly control entire gold supply chains.

The report also identifies growing use of cryptocurrencies and gold-backed stablecoins as emerging mechanisms for laundering illicit proceeds outside traditional anti-money laundering frameworks.

London’s Hidden Role

Much of the webinar focused on the responsibilities of major financial centres.

A coalition of 35 civil society organisations has urged governments gathering at the UK Illicit Finance Summit to recognise that gold has evolved beyond a commodity into what they describe as a strategic vehicle for organised crime, sanctions evasion and corruption.

The coalition notes that London remains the world’s largest over-the-counter gold trading hub, handling approximately 70 percent of global OTC gold trading volumes.

Because illicit gold frequently passes through multiple countries and refineries before reaching financial markets, campaigners argue that financial centres can no longer treat illegal mining as a problem confined to producer countries.

“The solution cannot come only from mining countries,” Yansura said. “It must also come from the financial centres where profits are ultimately laundered and legitimated.”

The coalition is calling for mandatory due diligence requirements, stronger beneficial ownership transparency, enhanced scrutiny of gold traders and robust anti-money laundering obligations across the entire gold supply chain.

A Crisis Outpacing Regulation

Sophia Pickles of the GI-TOC warned that existing international frameworks have failed to contain the evolving nature of illicit gold markets.

“There has undoubtedly been progress,” she acknowledged. “However, our recent research shows that criminal activity linked to gold mining is expanding.”

According to the GI-TOC report, voluntary responsible sourcing standards are insufficient against increasingly sophisticated criminal networks. Information gaps, weak customs oversight and opaque financial transactions continue to provide opportunities for illicit gold to enter legitimate markets.

Researchers argue that current approaches remain too narrowly focused on artisanal mining and conflict zones while overlooking broader vulnerabilities embedded throughout global supply chains.

Among the report’s key recommendations are legally binding due diligence requirements, stronger oversight of international bullion centres, mandatory transparency measures and enhanced scrutiny of financial institutions.

Searching for Solutions

Despite the scale of the challenge, Stankiewicz believes progress is possible.

Under the Minamata Convention, countries with significant artisanal and small-scale gold mining sectors are required to develop national action plans aimed at reducing mercury use and protecting communities.

The results, she says, are encouraging.

Countries are increasingly adopting mercury-free technologies, strengthening regulations and formalising parts of the mining sector.

Beyond the Gold Rush

As the webinar drew to an end, panellists emphasised that illicit gold is not just a mining issue but an environmental, health, governance, human rights and financial crime crisis.

For Mendoza Díaz and communities living on the edge of gold extraction, the message was crystal clear.

“We are not just defending our land and our territories; we are defending life itself and our ecosystem.”

IPS UN Bureau Report

Follow @IPSNewsUNBureau

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

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

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

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

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

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

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

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

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

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

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

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

Philippines was the most advanced Southeast Asian country with the highest per capita GDP until about the early 1960s. Its per capita GDP in purchasing power parity terms were about the same as South Korea’s and above that of Thailand in the early 1970s.The Nobel Laureate economist, Gunnar Myrdal, did not have much hope for “disease infested” Indonesia when in 1968 he published his famous Asian Drama: An Enquiry Into the Poverty of Nations. But Indonesia surged ahead since the late 1960s with growth acceleration exceeding that of Philippines; thus, eventually overtaking Philippines in GDP per capita in the mid-1980s. What factors separated Indonesia from Philippines?

Elite Stake

It has been the elite stake in the country that played the critical role. The Indonesian elite put their trust in the country, whereas the Filipino elite began to think that their future was in the United States (US). Incidentally, this coincided with President Ferdinand Marcos’ turning into a despot by imposing martial law in 1972 and embracing a policy of “constitutional authoritarianism”.

Anis Chowdhury

It does not mean that IFFs do not occur in Indonesia. In recent years, IFFs have become a major concern for Indonesia; however, there the main actors are multinational corporations, especially in the mining sector. The mining sector in Indonesia accounted for 10.5% of total of IFFs out of Indonesia.

The difference is in the scale and actors.

Good governance myth

Poor governance, especially corruption, is seen as a critical barrier to development. However, the Philippines and Indonesia tale casts doubt on the “good governance” thesis.

Indonesia ranks 109th out of 180 countries in the Corruption Perceptions Index (CPI), while Philippines ranks 120th. Although Philippines is placed at a lower place than Indonesia, corruption is endemic in both countries and the scale is not much different.

However, the difference is where the ill-gotten money is being invested. Without condoning corruption, the tale of these two countries implies that if the ill-gotten money is invested domestically instead of siphoned-off, the country will experience a better development outcome. One can call this “patriotic” corruption as a means of primitive capital accumulation. Where the corrupt money is siphoned-off, corruption is “predatory” analogous to colonial plundering.

Bangladesh is a glaring example of predatory corruption. A 2011 UNDP report ranked Bangladesh no 1 among least developed countries in IFFs. Between 1990 and 2008 the cumulative illicit outflow of funds from Bangladesh was estimated at US$34.8 billion. An estimated US$234 billion was plundered from Bangladesh during Sheikh Hasina’s 15-year autocratic reign.

Authoritarianism debunked

The East Asian development success created a perception, codified in the “Lee hypothesis”, that authoritarian regimes deliver better development outcomes than democracies. Sheikh Hasina, like many other despots, used this argument to consolidate her autocratic rule by brutal suppression of human and democratic rights.

As highlighted earlier, in the case of Indonesia, the elite displayed trust in the country, while in the case of Philippines and Bangladesh, the elite plundered to siphon-off with the aid of repressive kleptocratic regimes.

At the end, however, all three autocratic regimes collapsed; but rebuilding the trust and elite stake in the country remains a challenge in plundered countries like Philippines and Bangladesh.

Anna Karenina principle

Leo Tolstoy in his 1877 novel, Anna Karenina, laid down the Anna Karenina principle: “All happy families are alike; each unhappy family is unhappy in its own way”. The Anna Karenina principle implies that a deficiency in any one of several critical factors dooms a complex endeavour to failure even if all other essential factors are present. In technical jargons, they constitute the “sufficient” condition for the “necessary condition” to work.

Both Indonesia and Philippines share many common factors – they are both archipelago consisting of thousands of small islands dispersed over vast areas of the South China Sea like a garland. They are ethnically diverse; while Indonesia is a Muslim majority country, Catholics dominate in Philippines. Both faiths are regarded as un-worldly, focusing more on the hereafter compared with the Protestant ethics, which is more conducive for capitalism to flourish. Both countries also experienced ethnic separatist armed conflicts.

Both Indonesia and Philippines had pro-US regimes, and the two countries witnessed repressive autocratic rules lasting for decades. Both pro-US regimes also received large US aid and access to the US market as well as foreign direct investment.

Yet their development experiences have differed.

The missing factor is elite stake, the glue to hold all other essential conducive factors together.

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. Anis has written extensively on East and Southeast Asian economies, including The Newly Industrialising Economies of East Asia (Routledge) and The Political Economy of East Asia (Oxford University Press). E-mail: anis.z.chowdhury@gmail.com; a.chowdhury@westernsydney.edu.au

IPS UN Bureau

Follow @IPSNewsUNBureau
  

On 24 June, in Sudan, women and children displaced by the fighting in Al Obeid seek refuge in Tagat, gathering shelter for the internally displaced. Credit: UNICEF/PFP Geneva

By Oritro Karim
UNITED NATIONS, Jul 13 2026 (IPS)

Throughout 2026, the humanitarian crisis in Sudan has deteriorated significantly, prompting the United Nations (UN) to raise alarm over the escalation of human rights violations. Persistent clashes between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) continue to cause mass civilian casualties, drive widespread displacement, and obstruct the delivery of life-saving aid. As a result, war-torn communities are being pushed further into catastrophe, struggling with severe shortages of essential basic services and the rapid spread of infectious disease.

According to the latest UN findings, since the outbreak of hostilities in 2024, at least 59,000 civilians have been killed due to ongoing insecurity, while an additional 14 million people have been forcibly displaced. Characterized by the UN as the “worst humanitarian crisis in the world”, approximately 33.7 million people are in urgent need of aid. Millions are currently residing in highly restricted areas that remain out of reach for humanitarian organizations.

The past six months alone have been particularly turbulent for war-torn communities, with daily drone strikes being reported across Sudan, with the Kordofan and Darfur localities reporting the highest numbers of child casualties. Figures from the United Nations Children’s Fund (UNICEF) show that since May, there have been more than 35 child casualties recorded across North Kordofan, including at least 18 children killed and over 17 others injured. Some of these children are as young as two months old.

Repeated bombardment and artillery shelling have caused widespread destruction to civilian infrastructure, damaging or rendering non-functional homes, health facilities, schools, water systems, markets, and critical supply routes, which has severely restricted access to essential services. The UN estimates that roughly 500,000 civilians are at risk in and around the Al Obeid and wider North Kordofan regions, where even minor surges in violence could expose more children to grave protection risks, including death, injury, and displacement.

“Children are being caught in a relentless cycle of violence, displacement and deprivation,” said Sheldon Yett, UNICEF Representative for Sudan. “For many children, there is no safe place left. They are being killed and injured in their homes, on the roads, in markets, and while attempting to access essential services such as education and healthcare. Children must never be a target. Their lives, rights and futures must be protected.”

The disruption of water infrastructure and the collapse of the national health system have ravaged war-torn displaced communities, particularly in North Kordofan, which has been described as the epicenter of the conflict. This has resulted in a deadly new outbreak of cholera, which has already claimed more than 100 lives.

On July 10, Dr. Shible Sahbani, the World Health Organization’s (WHO) Representative to Sudan, told reporters in Geneva that there have been over 1,330 confirmed cholera cases, including 114 deaths. The true number of fatalities related to this outbreak is estimated to be much higher, with humanitarian organizations expressing fears that the outbreak could spread among hundreds of thousands of civilians who have fled North Kordofan and reside in overcrowded, unsanitary conditions. WHO also noted that civilians struggle with persistent outbreaks of dengue, malaria, meningitis, hepatitis E, and measles.

“We are particularly concerned about the spread [of cholera] to El-Obeid in North Kordofan, where the access is very limited and where the fragile health system is under increasing strain,” said Sahbani. “Health facilities are overwhelmed there and access to care is very, very limited.”

“We call for our partners and donors to help us to be able first to access and second to be able to send enough supplies and enough facilities in El-Obeid. But we know that the situation there is very, very bad and it’s worsening with higher risk of disease outbreaks, malnutrition, violence, including violence against women and children.”

On July 3, the Office of the United Nations High Commissioner for Human Rights (OHCHR) reported that El Obeid has faced “siege-like” conditions for the past 18 months, with the area currently being under SAF control. UN Human Rights Chief, Volker Türk, told reporters that OHCHR has documented 15 drone strikes in El Obeid and surrounding areas between June 6 and 28, leaving at least 45 civilians killed and 41 others injured. The true number of casualties is projected to be much higher.

“These attacks, and fuel shortages, have a compound impact, making it difficult for civilians to access clean water, food, transport and healthcare, and to communicate with each other and the outside world,” said Türk. “Some people are selling their belongings to finance their escape from the city. For many, the exorbitant cost of transport, and constant attacks on vehicles along exit routes, make leaving impossible.”

Furthermore, OHCHR has documented a sharp rise in human rights violations over the course of the year. According to Türk, OHCHR has recorded numerous instances of summary executions, abductions, torture, and sexual violence, particularly along routes regularly used by displaced civilians travelling across Kordofan. In El Obeid, there is a substantial risk of arbitrary arrest and detention, with the agency recording numerous cases where civilians fleeing RSF-controlled areas have been accused of collaborating with the SAF.

On June 18, Türk highlighted this surge in abuses, issuing a stark warning that an imminent offensive “risked fresh commission” of serious international crimes. He specifically noted an alarming rise in ethnically motivated attacks and the use of starvation as a weapon of war. On June 20, the UN Security Council adopted a statement in which members called for an immediate cessation of the RSF’s assault on El Obeid, as well as for all human rights violations to be thoroughly investigated and for perpetrators to be held accountable.

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

For most individuals, the process of peace starts with the signing of a ceasefire or an agreement among politicians. However, those who live in regions experiencing violence understand that peace is made long before politicians meet at the negotiating table. Peace is created among communities by people who work everyday to ensure that no violence takes place, and that disputes are sorted out.

Muna Luqman, Yemeni peacebuilding advisor and humanitarian leader.

Speaking to IPS Inter Press Service, Yemeni peacebuilding advisor and humanitarian leader Muna Luqman challenged conventional thinking about who builds peace and where peacebuilding truly begins, “Communities never wait until peace happens,” Luqman said. “They’re working to protect peace on a daily basis.”

Based on her extensive experience working in Yemen for more than 15 years, Luqman explained how local communities, especially women, resolve disputes, provide crucial services, negotiate humanitarian assistance and create dialogical spaces way ahead of any intervention of international organizations.

Luqman is the founder and chairperson of Food for Humanity, has seen first-hand the changes conflict brings about in society. While living through the Yemeni civil war, she faced airstrikes and negotiated the evacuation of civilians caught up in the war zone. These experiences led her to realize that humanitarian response alone is inadequate.

“If we only respond to the consequences of conflict without addressing its causes, we will always be a step behind,” she reflected. Her experience also exposed one of the greatest challenges facing local peacebuilders and that is of recognition.

“We thought we would be the first to be supported,” she said, referring to local organisations that led humanitarian responses before international actors arrived. “But we found out that it was a long process.”

According to a report by UN Women, around 676 million lived within 50 kilometers of deadly conflict in 2024 – the highest figure since the 1990s. Sima Bahous, Executive Director of UN Women, said, “Women and girls are being killed in record numbers, shut out of peace tables, and left unprotected as wars multiply. Women do not need more promises, they need power, protection, and equal participation.”

Data collected by the United Nations from 2020-2024 found that, “Women’s representation as negotiators, mediators and signatories in peace processes is far below the target set by the UN. In 2024, women made up only seven percent of negotiators on average worldwide, and nearly nine out of ten negotiation tracks included no women negotiators”. The report stated, women were slightly more represented in mediation roles, averaging 14 percent but still, two-thirds of mediation efforts did not include women.

The discrepancy for Luqman pointed to an underlying problem in international peacebuilding. While local groups responded immediately to communities in need, other institutions were bound by mandates, funding, and procedures. It becomes evident, she says, why true inclusion in peacebuilding should be more than merely symbolic in nature.

True inclusion requires recognizing women not as mere recipients of help or observers of processes, but as active participants in negotiating, mediating, and taking crucial decisions. It is proven that peace treaties are much more sustainable in those cases where women are actively involved in the negotiation process. Women broaden the agenda from purely political aspects like political power-sharing to such crucial areas as justice, education, health care, livelihoods, displacement, and community reconciliation.

Luqman believes that local women possess a unique understanding of these realities because they remain deeply embedded within their communities. “Women mediators are willing to prevent disagreements before they become violence,” she explained. She has witnessed women in Yemen securing the release of prisoners, organizing their communities to rebuild schools and water supplies, and preventing children from joining armed groups. This is often done discreetly, outside the limelight of the international community.

“The strength of women peacebuilders is their ability to mobilize their communities,” she said. However, it is precisely these women who find themselves in extraordinary circumstances. They are threatened, intimidated, forced to flee, and often lack funds despite helping others. Protecting women peacebuilders must be a priority on the global agenda, Luqman asserts.

“They do this work while they are facing either lack of funding or no funding at all. They remain resilient, they remain vulnerable at the same time, and they remain under threats.”

She believes that the international community needs to go beyond recognizing the contribution of women and work to provide financial support to women-led organizations that are trusted and credible within the local communities.

While serving as the United Nations National Coordinator on Inclusion in the Peace Process of Yemen, Luqman developed an approach that would allow local people to speak up. The initiative did not consider participation just as a formal aspect but actually aimed to bring in the community perspective. “It wasn’t symbolic participation,” she told me. “We really took that analysis and used it in our system.” This is because peace processes cannot be made by the political elite only; they need to be inclusive of communities that have been experiencing conflict.

In Luqman’s opinion, local governance, climate challenges, livelihoods, transitional justice, and building trust are not marginal questions but rather central factors in avoiding further outbreaks of violence.

Luqman insists on the need for peacebuilding to involve listening: “Sometimes listening to the people themselves and giving them a space is in itself a peace process.”

In the context of rising complexity of conflicts, the importance of inclusion into peace processes has never been so urgent. Women’s involvement in the processes cannot be considered as some kind of equality issue or simply as an obligation under international mechanisms.

On the contrary, it is strategically necessary based on experience and community trust. The message from Luqman to policymakers is obvious: local women peacebuilders are not marginal figures in peacebuilding but its cornerstone. “The local women peacebuilders are the structure and the backbone of these societies,” Luqman said. “They are valuable. They should be treated as valuable assets. They should be supported and protected.” Constructing sustainable peace is not possible only through negotiations of the parties involved in armed conflict but also through investing in people who have done so many years of keeping communities together despite the situation being unrecognizable.

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 Report

Follow @IPSNewsUNBureau
  

 
CIVICUS speaks about efforts to use the 2026 FIFA World Cup to highlight Mexico’s enforced disappearance crisis with Ana Enamorado, a Honduran national who continues to search for her missing son in Mexico, and founder of the Regional Network of Migrant Families.

Ana Enamorado

How did your son Óscar go missing, and what’s known about his case?

My son Óscar was 19 when he went missing. He left Honduras in 2008, fleeing the violence, and was in the USA when some young men invited him to Mexico with the promise of a job, a good wage, an education and the chance to see me again. It was all a deception.

Those were the years of the war on drugs that President Felipe Calderón declared in 2006, when the cartels began forcibly recruiting young people to join their ranks. Óscar was taken to El Carrizo, in the municipality of San Sebastián del Oeste, Jalisco state. It’s an isolated place with no public transport and severe deprivation, which makes it very difficult to escape. I last spoke to him on 19 January 2010, and I haven’t heard his voice since.

Little is known about his case, and the little that’s known is marred by negligence. In December 2009, weeks before his last call, charred bodies were found in the same place, but the investigation led nowhere. In 2013, forensic authorities in Jalisco attempted to hand over some ashes to me without any DNA evidence to confirm they were my son’s. The forensic institute went so far as to cremate around 1,560 unidentified bodies in less than a decade, a practice that has left so many families with no way of knowing the truth.

The Mexican state only began searching for Óscar in 2020, 10 years after I reported him missing. To this day, I am still searching for him and demanding justice.

What obstacles do migrant families face when searching for missing loved ones?

A major obstacle is the indifference of the authorities in the country of origin, which in my case is Honduras. We families are left on our own, with no one to guide us. The consulate should be the first authority to assist us, and it should do so quickly, because the first few hours are crucial for finding a person alive. But it rarely does so. As a result, filing a missing person report and a formal complaint becomes almost impossible. And without that, it’s not possible to open an investigation file or access our rights.

Added to this is my immigration status. Although I have been living in Mexico for 14 years, I am still considered a ‘visitor on humanitarian grounds’ and, to retain this status, I have to prove every year that my son is still missing. Having to prove my tragedy time and time again just to be able to stay revictimises me. That’s why I initiated legal proceedings against the National Institute of Migration to change my status to that of a permanent resident. However, it continues to reject my application, leaving me in a precarious situation when it comes to accessing my basic rights.

Why did you decide to protest during the World Cup?

We took to the streets of the host cities to show the other side of Mexico: the corruption, violence, impunity and the state’s indifference towards the thousands of missing people. Although the Mexican state may wish to project an image of celebration and modernity through the World Cup, there can be no World Cup celebrations against the backdrop of the humanitarian crisis caused by disappearances.

In Mexico, there are over 135,000 missing people. To put this into perspective, that number is one and a half times the capacity of the Azteca Stadium, where several matches in this World Cup have been played, including the opening match. Added to this is a forensic crisis. There are over 75,000 unidentified bodies. That is 75,000 people who did not return home and whose families continue inquiring about their whereabouts.

And the number keeps rising. We estimate that, since the World Cup began on 11 June, over 1,200 further people have gone missing. On 30 June, three teenagers aged 14 and 15 disappeared in Guadalajara, one of the host cities, in broad daylight amid streets full of celebrating crowds. The authorities believe it may have been a case of recruitment by organised crime. This practice continues unabated, and the government shows no sign of wanting to stop it or of searching for the missing people, particularly when they are migrants.

How has the Mexican government responded to the protests?

The state is uncomfortable with us taking to the streets to protest because every time we do, we expose the harsh and painful reality it wants to hide. That’s why, instead of listening to us and searching for our loved ones, it has responded with criminalisation, mockery and repression.

At her morning press conference on the day of the World Cup opening ceremony, President Claudia Sheinbaum played down our demonstration, and the Secretary of the Interior insinuated that someone was paying us to take to the streets, announcing an investigation into how we are funded. It’s an accusation that’s as painful as it’s outrageous. We have always searched for our loved ones using our own resources.

Then came the repression. Riot police cordoned us off and encircled us to prevent us from reaching the stadiums. On 30 June, on Calzada de Tlalpan, one of Mexico City’s main avenues, they assaulted and detained members of the ‘Hasta Encontrarte’ (Until we find you) collective simply for carrying images bearing the faces of their loved ones. Physical violence adds to the emotional and psychological trauma we already bear. Meanwhile, federal and state forces were deployed to ensure the safety of tourists, an effort they have never made to search for our loved ones.

What are you demanding of the government and international bodies?

We demand, first and foremost, that the Mexican state make the search for missing people a real priority. We call on President Sheinbaum to meet with the families and collectives in person to reach genuine agreements on search, location and prevention. We want to know how many people have been found alive, to have proper investigations carried out and to have trained and empathetic staff who can provide us with real answers.

But this crisis extends beyond Mexico’s borders, and the response must do the same. The United Nations Committee on Enforced Disappearances and the Inter-American Commission on Human Rights have offered their assistance. We call on the government to accept it. Such cooperation is urgent, because there are tens of thousands of people of other nationalities who have gone missing in Mexico, and searching for them requires the activation of international mechanisms. Many are women who have been trafficked, and most are taken out of the country, so finding them depends on governments working together.

Finally, we call on the international community to not turn a blind eye to what’s happening, and on the media to help us amplify our demands, so our voices reach the world just as World Cup goals do.

We won’t rest until we find them. They were taken alive, and we want them back alive.

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.

GET IN TOUCH
Facebook

SEE ALSO
Solidarity World Cup CIVICUS
Mexico: ‘The World Cup is an opportunity to raise global awareness of the crisis of enforced disappearances’ CIVICUS Lens | Interview with Angélica Orozco 28.Jun.2026
The disappeared: Mexico’s industrial-scale human rights crisis CIVICUS Lens 22.Apr.2025

Follow @IPSNewsUNBureau
  

A Rohingya family is relocated by boat from a flooded refugee camp in Cox's Bazar on July 6 while men fish nearby. Credit: Mohammed Zonaid

By Mohammed Zonaid
COX’S BAZAR, Bangladesh, Jul 10 2026 (IPS)

Landslides and flooding triggered by heavy monsoon rains swept through the world’s most densely populated concentration of refugee camps this week, killing at least 14 Rohingya refugees, most of them women and girls.

Three girls and their teacher were killed in an Islamic learning center hit by a landslide on July 8. At least 10 more refugees were killed in separate landslides in six camps.

Thousands of families in the camps in Cox’s Bazar, southeast Bangladesh, have been relocated to safer places, mostly at learning centers. Hundreds of ‘homes’ – tarpaulin and bamboo shelters – have been destroyed and flooded.

Tragically such disasters are commonplace, especially in the cyclone and monsoon season. The deaths have also prompted the predictable response by aid agencies to call for more funding.

But beyond the immediate effort of rescuing survivors, what is now really needed is an urgent focus on how the money available is actually spent – as revealed in the alarming findings of an audit by the UN Office of Internal Oversight Services (OIOS).

OIOS Report 2025/084 raises serious concerns over UNHCR’s Rohingya response in Bangladesh in project planning, procurement, monitoring and effective use of humanitarian resources.

Mohammed Ahsom, 22, points to the site of a landslide where he rescued a child and helped to recover bodies in a Cox’s Bazar camp for Rohingya refugees on July 6. Credit: Mohammed Zonaid

As reported recently by the Bangladeshi newspaper New Age, millions of dollars were spent on infrastructure that remained unused; projects overlapped; procurement processes lacked sufficient oversight, and several programs failed to achieve intended objectives.

All this at a time when humanitarian aid is shrinking even while thousands more stateless Moslem Rohingya displaced by ongoing conflict in neighbouring Myanmar continue to arrive, joining a mass exodus of some 700,000 Rohingya who fled a brutal crackdown by the Myanmar military in Rakhine State in 2017.

Among the findings of the audit, a specialized hospital in Ukhiya costing US$1.5 million was built but remained unused. A 20-bed inpatient facility in Bhasan Char, with $140,000 of solar equipment and a $74,301 X-ray machine was also unused. In addition $18,000 was spent on honour boards, $23,000 on staff uniforms, and $27,000 on producing a documentary. The audit highlighted these expenditures as unnecessary while humanitarian needs remained urgent.

Perhaps most shocking, UNHCR spent $182,028 on cutlery (spoons, forks, knives etc) that refugees largely do not use because we traditionally eat with our hands. I have lived in one of the Cox’s Bazar refugee camps since 2017 and never found such things distributed to us.

In contrast, food assistance for most Rohingya refugees has been reduced from $12 to $7 per person per month— the cost of a couple of cups of coffee in many countries where those humanitarian staff are based and making decisions on cuts in food rations.

Informal learning centers that once provided at least a bit of education have in many cases become empty playgrounds. Hospitals built with millions of dollars often provide only basic, low-cost medicines such as paracetamol and omeprazole. A personal example — last year I had to buy Antozal nasal medication for my daughter from a local pharmacy after we waited hours in line to see two highly paid doctors. Later when we went with the prescription, we were told the drugs were not available because of funding cuts.

The audit also found that UN partners spent $4.2 million on shelter materials that UNHCR had already procured. Solar and energy projects costing $194,000, and medicines and medical equipment amounting to $800,000, were also duplicated because of faulty procurement.

The audit noted that eight years into the Rohingya crisis, 67 percent of funding had been spent on immediate humanitarian relief, while only 17 percent was allocated to empowerment and long-term solutions.

As yet UNHCR has not responded to questions by the media over the audit – not for the first time. UNHCR has often been criticized for responding only during major emergencies, such as large fires in the camps that attract international attention and are seen as moments to justify appeals for more funding spent on sustaining UN staff, their salaries and organizational costs.

Major international human rights organizations and international news outlets also show little interest.

Since the Myanmar military and allied Buddhist militia launched the killings and mass displacement of the mostly stateless Rohingya minority in August 2017, the international community has provided more than $5 billion in aid funding. The latest appeal by the Joint Response Plan (JPR) for 2026 is for $710 million.

Yet if you visit the refugee camps today you will find that there is still no formal education system, medical services remain inadequate, and durable shelters have not been built.

Refugees exist in shelters in hilly areas mostly denuded of trees and prone to catastrophic floods and landslides. Around 200,000 newly arrived refugees since 2024 have not been provided with shelter and live in extremely vulnerable conditions.

So my question is simple: Where did the billions of dollars go?

This is not just about the Rohingya in Cox’s Bazar. The JRP for the Rohingya Humanitarian Crisis is led by the government of Bangladesh, the UNHCR and IOM and includes scores of UN agencies and international and national NGOs.

Each year the JRP is supposed to allocate some 20 to 30 percent of its funding to benefit Bangladeshi host communities.

However, many local residents living even within the camp perimeter have never received a bag of rice or an LPG cylinder. Their children have not benefited from livelihood or skills training programs. Many are not even aware that funding has been allocated for host communities.

The time has come to establish independent Quality Assurance and Financial Audit Committees for Rohingya camp operations. These committees should include representatives from relevant UN bodies, the government of Bangladesh, donor countries, independent human rights organizations, and the Rohingya diaspora. Their role would be to ensure that every project is genuinely needed by Rohingya refugees and Bangladeshi host communities, and that they are properly implemented.

Humanitarian assistance should go to the people it is meant to serve—not become a system that primarily sustains thousands of jobs and does not provide for proper independent oversight.

Aid organizations should not be able to evade responsibility, as in these recent disasters, by blaming deaths on lack of funding.

Transparency, accountability, independent oversight and measurable impact must become the foundation of the Rohingya humanitarian response for as long as we Rohingya are not able to return to Myanmar with our rights, safety and dignity.

Mohammed Zonaid is an award-winning Rohingya journalist and photographer, in Cox’s Bazar, Bangladesh.

mohammedzonaid7@gmail.com

IPS UN Bureau

Follow @IPSNewsUNBureau
  

A 12-year-old girl from northern Togo, orphaned and displaced to northern Benin with her siblings, is now attending school and benefiting from a cash programme, which supports vulnerable girls’ education and wellbeing. Credit: UNICEF/UNI970733/Njiokiktjien

By Ana Patricia Muñoz and George Laryea-Adjei
WASHINGTON DC / NEW YORK, Jul 8 2026 (IPS)

Almost half of the world’s population now lives in countries that spend more money paying interest on their debts than on education or health. New data shows the cost of borrowing for African countries in particular rose 91% since 2020. Rising debt payments have reduced governments’ capacity to invest in children and build their human capital.

This week UN officials and government leaders gather in New York for the High-level Political Forum, where the Sustainable Development Goal on financing and global partnership (SDG 17) comes up for its in-depth review. They must go beyond short-term fixes and drive sustainable solutions to the debt crisis and its impact on children’s futures. Too many countries are struggling to keep pace with debt payments and facing a stark and painful choice: spend less on children or default. This fiscal crunch has a disproportionate impact on girls, especially in marginalized and remote communities, as efforts to narrow the gender gap in educational attainment are undercut by debt servicing. In 2024, the 10 countries facing the worst barriers to girls’ education spent, on average, four times more on debt servicing than on education.

Debt choices today are also silently eroding children’s prospects and future economic growth. UNICEF analysis shows that African countries spend, on average, just 6.5 per cent of their child-related budgets on the critical first five years of life, while G20 countries invest roughly four times as much. As debt servicing consumes an increasing share of public resources in many countries, governments face difficult fiscal trade-offs that can further reduce investments in children. The result is not only a loss for this generation, but also lower productivity, diminished human capital and weaker long-term growth. The World Bank estimates that today’s children could lose up to half of their future lifetime earnings because of deficits in learning and human capital development.

Work by the International Budget Partnership shows that the global debt crisis is also an accountability crisis. The Open Budget Survey 2025 finds that 50% of surveyed countries do not provide information on the composition of debt in their budget proposals, and just 18% publish any information on the sustainability of government finances over the next ten years. In a recent assessment of 11 African countries, only one country published a borrowing plan that was connected to the annual budget cycle and linked borrowing to specific sectors or projects. In all 11 countries, parliaments approve borrowing without access to comprehensive information on how those funds will be used or what development outcomes they are expected to deliver. Debt crises will continue to recur if governments continue to borrow without telling oversight bodies or the public how they’re borrowing, why or on what terms.

Debt transparency alone will not solve the debt crisis unless it is matched by accountability and smarter financing choices.

Domestic constituencies who live with the consequences of debt decisions should be at the heart of accountability efforts – this includes children. Legal frameworks should mandate governments to release information about who is responsible for debt decisions, what is counted as debt, what it is being used for and what tradeoffs were considered. Governments should embed debt and fiscal sustainability information into the budget process so that there can be regular scrutiny by oversight bodies. Legislators, national auditors and independent legislative bodies need technical support and mandates to deliver informed and accessible analysis of the long-term fiscal implications and risks of these decisions. That analysis must also be accessible to the public. Equipping civil society groups so that they are better able to engage with debt information and better understand how these seemingly esoteric decisions ultimately impact their health centers, schools and children, must be part of any debt accountability agenda. These accountability levers are critical to ensure debt fuels development instead of holding it back, and that public spending choices reflect the rights and needs of children.

We also need financing solutions to address the current emergency and these efforts should support rather than displace domestic accountability. The SDG bond of the Government of Benin has shown that debt instruments linked to social outcomes and public reporting are already working. Debt is not inherently the enemy of development, but must be borrowed transparently, invested productively and subject to public scrutiny. Debt relief frameworks must catch up with reality: as sovereign debt shifts toward private, foreign-currency creditors existing restructuring mechanisms leave too many countries without meaningful relief. Reforming the legal frameworks that govern sovereign debt contracts is long overdue.

The Sevilla Commitment, adopted by leaders at the Fourth International Conference on Financing for Development, underscored the value of pursuing these options and the importance of prioritizing investments in children. The High-level Political Forum should address how new financing options can avoid opacity by requiring governments to report to legislatures and the public how funds are used and by supporting civil society to track whether resources deliver tangible results.

When decisions with lifelong consequences are made behind closed doors, children inevitably lose first, and longest. We must use all the tools at our disposal to address the debt crisis and demand accountability to ensure public money works for all, especially for children and future generations.

Ana Patricia Muñoz is Executive Director, International Budget Partnership; George Laryea-Adjei is Director of Global Programme Division, UNICEF

IPS UN Bureau

Follow @IPSNewsUNBureau
  

On 26 June 2026, groups search through rubble in the state of La Guaira, Venezuela, after two major earthquakes on 24 June caused homes and buildings to collapse. Thousands remain unaccounted for, and many may still be searching for loved ones trapped beneath the debris. Credit: UNICEF/Rosali Hernandez

By Oritro Karim
UNITED NATIONS, Jul 7 2026 (IPS)

In recent weeks, Venezuela’s humanitarian situation has deteriorated sharply following the twin earthquakes on June 24. Marking the strongest seismic event since 1990, the earthquakes and subsequent aftershocks have resulted in a significant loss of life, widespread damage to critical infrastructure, and considerable disruption to livelihoods and humanitarian response efforts.

Before these earthquakes, Venezuela was already in the midst of a severe humanitarian crisis defined by economic collapse, political instability, and the disintegration of basic services. As of June 2026, the International Rescue Committee (IRC) estimated that nearly 8 million civilians were in dire need of humanitarian assistance, while the Office of the United Nations High Commissioner for Refugees (UNHCR) reported over 7.6 million forced displacements due to persistent insecurity.

The earthquakes have severely compounded these preexisting vulnerabilities, with power outages, access constraints, and communications blackouts obstructing emergency, life-saving operations and preventing millions from accessing basic needs. According to figures from the United Nations Children’s Fund (UNICEF), the total number of civilians in urgent need of humanitarian assistance has skyrocketed to nearly 1.8 million since the earthquakes, including roughly 680,000 children.

According to figures from the Venezuelan government, as of July 5, the death toll stood at over 3000, while over 16740 people have been injured and 17000 have lost their homes. On June 29, Gianluca Rampolla, the UN Humanitarian Coordinator in Venezuela, told reporters during a press briefing that the death toll “will unavoidably and sadly keep on growing as the search-and-rescue operation continues, and as we are able to detail further assessment of the impacts and quakes.”

Local authorities have recorded 942 aftershocks in the days following the initial earthquakes, with the latest recorded on July 4. La Guaira has been among the hardest-hit regions, with humanitarian experts describing entire neighborhoods reduced to rubble and displaced civilians living in makeshift camps for survival.

“Families across the affected states are in urgent need of safe water, as well as access to health care,” said UNICEF Regional Director for Latin America and the Caribbean, Roberto Benes. “Many are sleeping outside, afraid of more aftershocks. These supplies will help us reach children and families with what they need most right now…But the needs on the ground are far greater than what’s arrived.”

Doctors and humanitarian experts have raised alarm about the thousands of displaced civilians now residing in overcrowded, unsanitary camps. With civilians facing limited access to clean water and a healthcare system on the brink of collapse, experts warn that the emerging medical crisis will claim more lives if urgent intervention is not secured soon.

“It’s very hot, and there’s a lot of concern about potential vector-borne diseases,” said Veronique Durroux, the Head of Information and Advocacy, Regional Office for Latin America and the Caribbean at OCHA. “Waste management is an issue. Debris management, when you see the scale of devastation, it’s very concerning.”

“The issue we foresee just around the corner is the infections that patients who have been exposed to the disaster for the longest time might bring,” added Eugenio Cova, the head of the trauma unit at Hospital del Oeste Dr. José Gregorio Hernández in Caracas. “We’ve already gone through a period of complex trauma — which will continue to occur — but now it’s complicated by infections.”

Local authorities report that the earthquakes damaged 38 hospitals across the nation, further depleting an already severe shortage of medical personnel, emergency responders, ambulances, and medical equipment. Dr. Huníades Urbina, a board member of the Venezuelan Pediatrics Association, told reporters that the country has only half the number of physicians recommended by the World Health Organization (WHO) to meet its needs. He noted that these earthquakes have only further emphasized “the Venezuelan government’s inability to provide an adequate healthcare system that meets the needs of the Venezuelan people.”

A preliminary assessment by the United Nations Office for Disaster Risk Reduction (UNDRR) shows that the earthquakes caused approximately USD 37 billion in direct physical damage to buildings and critical infrastructure. This includes USD 24 billion in direct losses from damage to residential, commercial, industrial, educational, healthcare, and government buildings. Another USD 13 billion in losses was attributed to damage to critical infrastructure, including water and sanitation, telecommunications, roads, railways, energy, ports, airports, oil, and gas.

These losses do not account for indirect production losses, emergency response costs, or costs associated with reconstruction or recovery. Experts project that it will take significant time and a sustained flow of aid to allow for recovery and reconstruction. UNICEF estimates that approximately $52 million is urgently required to adequately respond to the crisis, as part of its 2026 Humanitarian Action for Children Appeal for Venezuela, which has been funded by only 35 percent.

The UN and its partners have been on the frontlines of this crisis since the onset of the earthquakes, helping vulnerable communities access essential services. In La Guaira, OCHA is providing beds, tents, water and sanitation services, primary healthcare, and psychosocial support.

Additionally, OCHA is planning a Rapid Needs Assessment to determine which areas and groups require prioritized assistance. Furthermore, the data collected by this initiative will be used to inform the next phase of the humanitarian response. The Humanitarian Response Plan for Venezuela has received USD 274 million, while over USD 32 million was contributed by the private sector for humanitarian support.

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

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 Maximilian Malawista
UNITED NATIONS, Jul 6 2026 (IPS)

A new assessment from the United Nations Development Programme (UNDP) warns that the Ebola outbreak could cost Africa USD 3.6 billion, push 985,000 people into poverty, and put 300,000 jobs at risk.

The new analysis shows that the damage extends well beyond just those infected, disproportionately harming vulnerable populations and creating trade disruptions, transport delays, border restrictions, declining consumer confidence, along with interruptions to informal markets.

Currently, the Bundibuygo species of Ebola has no vaccine or treatment, and garners a fatality rate around 50 percent. The Democratic Republic of The Congo (DRC) records 1307 confirmed cases and 377 confirmed deaths as of June 30th, according to the DRC Ministry of Health. Separately the US Center for Disease Control and Prevention (CDC) recorded 20 confirmed cases and 2 confirmed deaths in Uganda, along with 1 confirmed case and no deaths in France.

According to Dr Abdirahman Mahamud, Director of Health Emergency Alert and Response Operations at the World Health Organization, the new virus only took 37 days to reach 250 deaths, while in 2014 and 2016, during the West Africa outbreak, it took 78 days, and in 2016-2019 it took 130 days to reach the same amount of deaths. “This is the largest number of confirmed cases in the first month of an Ebola disease outbreak in Africa,” said Dr. Mahamud.

Ahunna Eziakonwa, UN Assistant-Secretary-General and UNDP Regional Director for Africa says “Ebola does not stop at the hospital gate. It affects livelihoods, education, food security, trade, public finances and trust. If we treat this Ebola outbreak solely as a health challenge, we risk missing the much larger development emergency unfolding around it.”

This indicates that this outbreak could affect much more than just health. Rather it can be a challenge for all forms of livelihood, among disrupting the movement of goods, food, and money: the backbone behind resilience.

“Ebola is more than a health crisis. It touches every aspect of daily life, bringing uncertainty and fear.” Says Ugochi Daniesl, Deputy Director General for Operations at the International Organization for Migration (IOM)

UNICEF notes that children make up 15 percent of confirmed cases, and over 25 percent of deaths, making children almost twice as likely to die compared to adults. UNICEF Executive Director Catherine Russel says that “Children are especially vulnerable because they depend on caregivers and cannot distance themselves from a sick parent or sibling in the same way that an adult can,” revealing a stark reality where more than 130 children have lost one or both parents in the Ituri region, the origin of the current outbreak.

While much of the outbreak looks dark, the WHO Director General, Dr Tedros Adhanom Ghebreysus said on June 24th, “With support from the WHO and the Africa CDC, laboratory capacity has increased from 30 tests a day at the central laboratory in Kinshasa to over 2000 tests a day in nine labs across three provinces.”

The Director General also said that more than 100 people have recovered since, noting that early detection and supportive care can help patients survive the disease. He added “But we could save many more lives with therapeutics. And preparations are now complete for a trial of two therapeutics that is expected to start in DRC next week (The Week of June 28th). The trial will evaluate whether two antivirals, MBP134 and remdesivir, can help to reduce mortality in patients with Bundibugyo virus disease, alone or in combination. We thank the United States and Gilead Sciences for donating doses for the trial.”

The WHO Director General affirmed that “With early detection and supportive care, many can survive this disease.”

The clinical trial opened enrollment for Ebola patients in the DRC on July 2. The trial is coordinated by WHO, the Institut National pour la Recherche Biomédicale (INRB) in the DRC, the Institute of Tropical Medicine in Belgium, and the University of Oxford in the United Kingdom, in coordination with international research, clinical and humanitarian partners. The trial will be integrated into clinical care, and will allow for additional treatments to be added as they become available.

IPS UN Bureau Report

Follow @IPSNewsUNBureau
  

A mobile clinic supported by the President's Emergency Plan for AIDS Relief (PEPFAR) in South Africa. The U.S. announced it would cut off funding for HIV projects in the country. Credit: Instagram

By Ed Holt
BRATISLAVA, Jul 2 2026 (IPS)

A U.S. decision to cut off funding for HIV projects in South Africa has been condemned amid warnings it could be “catastrophic” for efforts to control the disease in the country.

At the start of last year, the White House had announced massive cuts to U.S. foreign aid, including to South Africa, significantly impacting some HIV projects in the country.

But last month (June 2026), U.S. officials confirmed plans to begin a drawdown of what remaining financial support it was providing through the President’s Emergency Plan for AIDS Relief (PEPFAR), saying the money was no longer needed given South Africa’s wealth but also seemingly linking the move to the government’s failure to meet specific U.S. political demands.

HIV experts and activists have warned the abrupt ending to the funding – all financing is expected to end by early next year and funding for most projects is planned to be cut by the end of September this year, according to the U.S. State Department – could drive increased spread of the disease and many avoidable deaths in a country which already has the world’s highest HIV burden.

“The phased withdrawal of U.S. HIV funding from South Africa is likely to have significant implications for HIV prevention, treatment, and community health systems. The withdrawal of funding threatens a wide range of services, including community outreach programmes, HIV testing services, mobile clinics, data and monitoring systems, PrEP delivery, and targeted interventions for populations at highest risk of HIV acquisition,” Bruce Tushabe, an HIV activist and consultant with the South African Litigation Centre-SALC, told IPS.

For more than two decades, PEPFAR funding has been crucial to South Africa’s response to HIV and tuberculosis, providing around USD 8 billion since 2003 to civil society organisations, community health programmes, clinics, researchers, health worker salaries, and government institutions.

Data from PEPFAR itself shows that almost three quarters of people living with HIV in the country are on treatment with some form of support from the organisation.

PEPFAR’s funding is thought to have helped save millions of lives by strengthening and expanding access to prevention, treatment, care, and support services in South Africa.

While over the years HIV treatment has increasingly been covered by state funding – today the state procures 90% of Antiretrovirals (ARVs) using government funds, with the remaining 10% coming from the Global Fund to Fight AIDS, Tuberculosis and Malaria – PEPFAR money has remained essential for financing much prevention.

Activists say that the withdrawal of funding now, without a proper transition plan in place, could be devastating, especially given how hard prevention services have already been hit by the funding cuts announced in early 2025.

According to media reports in South Africa, thousands of jobs, including at frontline healthcare partners, have been lost because of those cuts.

Meanwhile, the Treatment Action Campaign (TAC), a South African HIV NGO, says community-led monitoring has shown that since the 2025 cuts, 82% of facility managers have reported staffing shortages, 15% of public healthcare users surveyed said waiting times were longer than usual, 30% of public healthcare users surveyed reported not being offered HIV testing when attending a health facility, and 28% of people said it took longer to collect ARVs.

“The withdrawal of this funding at this critical juncture, without an adequate transition plan, threatens to reverse hard-won gains in the fight against HIV and TB,” TAC said in a statement.

“These cuts are not abstract budget decisions. They have real consequences for people living with HIV, particularly adolescent girls and young women; sex workers; people who use drugs (PWUDs); transgender people; gay, bisexual and other men who have sex with men (GBMSM); migrants; and people living in poverty. Reduced access to testing, prevention, treatment adherence support, and community outreach will inevitably lead to increased HIV transmission, treatment interruptions, preventable illness, and avoidable deaths,” the group said.

Some studies have estimated a complete, unmanaged withdrawal of U.S. funding for HIV programmes could lead to as many as 296,000 additional HIV infections and up to 65,000 extra deaths by 2028.

Tushabe said there was particular concern over the impact of the funding withdrawal on key and vulnerable populations who often depend on community-led and network-based services that operate outside conventional healthcare facilities.

“Many of these services provide stigma-free, accessible, and trusted points of care that are not easily replaced within mainstream health systems,” he said.

The South African Department of Health has tried to play down the potential impact of the withdrawal of funding.

In a statement, it said that while the government had not officially been informed by the U.S. about the end of the funding, the move was not a surprise and  that the Health Ministry has been working on a “self-reliance plan” to minimise the impact of funding withdrawal since the cuts to U.S. foreign aid last year.

“Thus, there is no need for the public to panic because the transition plan has long been developed, and the implementation has been ongoing,” the Department of Health said.

It added that while PEPFAR had supported the Department of Health in 27 HIV/AIDS ‘high burden’ districts out of 52 districts in the country in eight provinces, public health facilities remain accessible for clients, including those who used to receive health services from PEPFAR funded clinics.

But HIV experts say despite the government’s statements, the HIV response is going to inevitably suffer.

“This is serious,” Linda-Gail Bekker, Director of the Desmond Tutu HIV Centre, told IPS.

“Although the health ministry has publicly stated that we should be fine and it is business as usual, [the funding that is being withdrawn] was a large amount of money that supported some very key components of our HIV/TB response, especially primary prevention. Losing this must have significant impact. It may not directly impact the general treatment program, but I have no doubt it is having an immediate impact on many aspects of the HIV response,” she added.

HIV activists have called on the U.S. to rethink its decision.

Speaking ahead of the high-level UN conference on HIV/AIDS on June 22, Winnie Byanyima, Executive Director of UNAIDS, said, “Taking [the funding] away is taking away life-saving support ​from the most vulnerable people. So, that is sad. And I would ask the United States to reconsider their position.”

Other groups, such as TAC, called on the White House to “engage with affected governments, communities, and civil society organisations to mitigate the devastating consequences of the funding withdrawal”.

But amid the calls for a rethink on the move, there is also a deep anger among many activists over the reasons given for the decision.

Reports of the funding stop carried in U.S. media cited a U.S. State Department official saying the funding stop had come “following South Africa’s failure to make demonstrable progress on policy requests by the administration” and that South Africa “is a middle-income country and is more than capable ​of supporting its own health programs.”

The policy requests included that it pare back its partnership with Iran, end Black Economic Empowerment policies, and condemn race-based incitement to violence, including singing of “Kill the Boer”, an anti-apartheid liberation song. Some have interpreted the latter as a call for violence against Afrikaners.

This has left many activists incensed.

“This is a clear and unambiguous reflection of the U.S. government’s irrational foreign policy conflict with a sovereign country that it is seeking to bully but cannot. It makes a mockery of claims made by the U.S. embassy in South Africa that it is concerned about South Africans living with HIV, when really, this shows it is not,” Fatima Hassan of the Health Justice Initiative (HJI) told IPS.

“The U.S. State Department is claiming that because South Africa is a middle-income country, it should be able to pay for its own HIV response. South Africa is actually an upper-middle-income country, but South Africa pays more to its HIV response than any other non-OECD company, and the epidemiology [situation with HIV in South Africa] indicates that because South Africa’s HIV burden is so astronomically higher than any other country that [financial] solidarity is required,” Asia Russell, Executive Director of HIV advocacy group Health Gap, told IPS.

She said the other political reasons reportedly linked to the decision were indefensible and driven by anti-South African political policies based on utterly unfounded claims of, among other things, “the fiction of a white genocide in south Africa” being pushed by some people in the White House.

Meanwhile, those at the frontline of helping people with HIV and stopping the disease spreading say that politics must not get in the way of saving lives and that regardless of what happens with international funding, essential HIV services in South Africa must be ensured.

“The government must immediately assess the impact of funding losses, mobilise domestic resources where necessary, and ensure that no person is denied access to lifesaving healthcare because of donor withdrawal. The HIV epidemic has taught us a painful lesson: when political decisions undermine access to healthcare, people die. South Africa cannot afford a return to the devastating losses of the past, where we buried comrades every weekend. The gains achieved through decades of activism, scientific progress, and public investment must not be sacrificed,” TAC said.

IPS UN Bureau Report

Follow @IPSNewsUNBureau

Anyone whose life has been touched by cancer knows that care is highly complex.

From first symptoms through diagnosis and treatment, patients may need multiple diagnostic tests, combinations of surgery, systemic therapy and radiotherapy, and input from several specialists, alongside support services such as financial counselling, psychological support and palliative care.

Such a complex chain is inherently vulnerable, with one weak link meaning that a vital referral is missed, test results not delivered, or a patient is lost in the system while awaiting follow-up.

As a chronic disease, cancer tests the full breadth of health systems like few other illnesses, exposing system-wide gaps that affect us all.

In low- and-middle income countries (LMICs), where more people are experiencing and dying from cancer, and resources are limited, the infrastructure that connects the elements of cancer care is often missing.

Health systems in cities offer a unique entry-point for building this connective tissue – for people with cancer and, ultimately, all others. Cities are close enough to patients to reveal the failures in care, and large enough to bring together the institutions, workforce, data and governance needed to fix it.

Cities are ground zero for closing the gap between cancer care policy and delivery in LMICs, which are projected to see cancer incidence rise 142 per cent by 2040 and represent more than half of new cancer cases and two-thirds of deaths by 2050.

Cities can offer the full range of health services that a patient needs: from primary care appointments to discuss initial symptoms to laboratory tests, imaging, surgery, chemotherapy and radiotherapy. These services are connected by a city governance architecture ensuring patients are referred from one institution to another, treatment is uninterrupted and services are financially accessible.

Cities also serve as referral and treatment hubs for surrounding areas, and even for neighbouring countries, meaning that developing stronger urban systems will undoubtedly create stronger national pathways of care, provided equity is designed in from the start.

This makes the city the most strategic starting point for closing the gap between cancer policy and delivery.

National cancer plans are essential, but they do not deliver care. Patient outcomes will only improve when these are actually implemented. And this requires policies being translated into time-bound, costed, funded programmes, and health authorities being given the governance structure, funding and authority to act earlier and more seamlessly to support better treatment and survival rates.

To transform this and turn policy into practice, governments and funders need to make at least two fundamental shifts.

First, they must move beyond externally designed interventions and invest in locally owned systems that can diagnose their own gaps, set priorities and sustain improvements over time.

Second, governments and funders need to stop treating national policy as proof of delivery and invest in the implementation mechanisms that make delivery possible and strengthen the systems at large.This means sustained investment in robust governance systems, defined referral pathways, sustainable financing and a trained and empowered health workforce.

At City Cancer Challenge (C/Can), we know this approach can work. We have seen how locally-led healthcare reform can ensure the fundamental processes and networks are in place to deliver long-lasting sustainable cancer care.

In Asunción, Paraguay, this approach showed what strengthening health systems means in practice. Improved diagnostic processes meant that women with suspected cancer were diagnosed earlier, started treatment sooner, and ultimately had better survival chances. It also meant that fewer women got lost along the pathway.

Asunción’s success came from coordinated action, not a single intervention. Laboratory quality improved, workforces were trained and empowered, protocols upgraded to international standards, and sample traceability strengthened across hospital services. Because these changes were locally owned and co-developed, they hold. This is what distinguishes real health system improvement from equipment that sits in a locked room, or protocols that disappear the moment external support does.

The value of this locally-owned model lies in its sustainability and scalability. Learnings from Asuncion can be used by other cities to identify bottlenecks in their own healthcare delivery, align institutions and build the local systems needed for better cancer care.

Cities have always been where health systems evolve, integrate and scale. And the impetus for strengthening LMIC health systems, starting in cities, is even greater to address the growing cancer crisis.

Where you live and who you are should not determine the quality of care you receive. Governments and funders should stop looking only at national cancer plans, protocols or new equipment. Instead, they should also ask whether local health systems can deliver timely, coordinated and equitable care, and invest accordingly.

Isabel Mestres, CEO, City Cancer Challenge (C/Can)

IPS UN Bureau

Follow @IPSNewsUNBureau
  

The report - Military Escalation in the Middle East: Cushioning the Global Shock – reveals that low- and middle-income countries have partially protected their populations from soaring oil prices through fossil fuel subsidies, price caps, tax rebates and demand-management measures. Credit: UNDP

By UN Development Programme
NEW YORK, Jul 1 2026 (IPS)

Developing countries’ efforts to tackle the ongoing effects of conflict in the Middle East carry a high price that leaves little room for critical investments in education, health and other development priorities, according to a new report by the UN Development Programme (UNDP) released today.

The report – Military Escalation in the Middle East: Cushioning the Global Shock – reveals that low- and middle-income countries have partially protected their populations from soaring oil prices through fossil fuel subsidies, price caps, tax rebates and demand-management measures.

Fossil fuel subsidies, which had been on a downward trend globally, are on track to reach US$1.1 trillion in 2026 – US$ 410 billion more than in 2025, assuming the current average oil price settles at US$88.6 per barrel.

This projection climbs to as much as US$1.43 trillion in a ‘severe’ scenario where oil prices climb to an average of US$110 per barrel.

The UNDP report warns that while fossil fuel subsidies provide temporary relief, they ultimately undermine climate and development goals, locking countries into high-carbon pathways and limiting future investment.

“The global spillover of the Middle East conflict is profound and potentially long-lasting. Developing countries, many already struggling with debt, have temporarily managed to protect people from the worst of the energy shock,” said UNDP Administrator Alexander De Croo. “These countries are doing everything they can, but there is a hidden cost. To deal with today’s crisis, governments are postponing tomorrow’s investments. Money that should be building schools, hospitals, and clean energy systems is being used simply to keep economies afloat. Without international support, these countries won’t escape the shock. They are absorbing it at the expense of future growth.”

Close to half of the world’s poorest countries are already either ‘in’ or at ‘high risk’ of debt distress, and debt continues to crowd out development spending at an increasing rate, according to the report.

This year, it is estimated that the median developing economy will spend 9.53 percent of total government revenue on interest payments alone – double the share of a decade ago and the highest level seen in 25 years.

Averaged over the three-year period 2024 to 2026, 55 developing economies are estimated to pay more than 10 percent of revenue in interest payments, compared to 32 countries a decade ago.

“No country should have to sacrifice its future development to manage a crisis it did not create,” said De Croo. “First, we must unlock multilateral liquidity in ways that are easy to access for low and middle-income countries. Second, we must accelerate investment in renewable energy. Every clean energy investment reduces exposure to future shocks. The crisis has made one thing clear: energy security and the energy transition are no longer separate agendas. They are one and the same.”

The report is being launched in the context of the Hamburg Sustainability Conference (HSC) taking place this week. The HSC is an annual high-level meeting that aims to foster new partnerships and collective action by global policymakers, private sector leaders, academia experts, and civil society representatives. The annual event is a joint initiative of the German Federal Ministry for Economic Cooperation and Development (BMZ), the United Nations Development Programme (UNDP), the Free and Hanseatic City of Hamburg and the Michael Otto Foundation.

Full report
The full report is available online at https://www.undp.org/publications/military-escalation-middle-east-cushioning-global-shock

IPS UN Bureau

Follow @IPSNewsUNBureau
  

Excerpt:

 
CIVICUS discusses Ghana’s anti-LGBTQI+ law with Leila Lariba, Executive Director of One Love Sisters Ghana, a community-driven organisation that advances human rights, social inclusion and wellbeing for Muslim LGBTQI+ people in Ghana.

On 29 May, Ghana’s parliament approved the Human Sexual Rights and Family Values Bill, which imposes prison terms of up to three years for people who identify as LGBTQI+ and three to five years for anyone deemed to promote, sponsor or support LGBTQI+ activities. With it, Ghana joins a growing group of West African states, including Burkina Faso, Mali, Niger and Senegal, that have recently passed anti-LGBTQI+ laws.

What does the new bill do, and how different is it from the version parliament approved in 2024?

Parliament approved the new anti-LGBTQI+ bill on 29 May and it now awaits President John Dramani Mahama’s signature. The bill criminalises LGBTQI+ people and anyone perceived to support, advocate for or provide services to them. It reaches far beyond identity and relationships into the freedoms of association, education, expression, healthcare and human rights advocacy. I have worked directly with LGBTQI+ communities across Ghana for years and I see this not as a legal document but as a tool that legitimises discrimination.

The version parliament approved in 2024, which former president Nana Akufo-Addo left office without signing, was already one of the continent’s most restrictive. The new text keeps most of its harmful provisions. It comes at a moment when LGBTQI+ people already face heightened fear, insecurity and stigma, and it makes simply existing, seeking support or speaking about human rights a potential crime.

Why is the bill being pushed now, and who’s behind it?

The bill is being pushed by anti-rights groups that have increasingly turned LGBTQI+ people into a political target. As many Ghanaians struggle with economic hardship, unemployment and governance concerns, public attention is being redirected towards a small and already excluded community.

Behind it stands a coalition of political figures, conservative religious groups and traditional leaders who frame LGBTQI+ rights as a threat to culture and family values. This narrative ignores Ghana’s long history of diversity and the fact that LGBTQI+ people belong to every family, community and faith group in the country and the world.

Do you expect President Dramani to sign the bill, and what would the consequences be?

It’s uncertain whether President Dramani will sign. But the damage is already done. The prolonged public debate has fuelled fear, encouraged discrimination and left many people feeling less safe. Even before it becomes law, the bill has emboldened hostility.

At One Love Sisters Ghana, we have documented rising reports of blackmail, evictions, family rejection, mental health crises, online harassment and workplace discrimination. People are now afraid to seek healthcare, legal help and psychosocial support in case they are exposed or targeted. When fear becomes institutionalised, people stop seeking help precisely when they need it most.

The law would threaten fundamental rights and deepen the stigma, isolation and vulnerability of people who already face daily barriers. As a queer Muslim activist, I know what it means to navigate many layers of exclusion. Many LGBTQI+ people are balancing identity, faith, family and safety. This law would make that even harder.

The impact would reach beyond individual people. Community organisations, healthcare providers, human rights defenders and support networks would also face risk, making it harder for vulnerable people to reach essential services and protection.

How are LGBTQI+ groups, including your organisation, responding?

Ghana’s LGBTQI+ communities are remarkably resilient. Across the country, people are supporting one another, sharing information, strengthening their safety and keeping community ties alive.

At One Love Sisters Ghana, we focus on community care, protection and wellbeing. We have tightened safety and security measures, expanded psychosocial support, documented rights violations and kept referring people in crisis to the help they need.

We work closely with activists, community leaders, health professionals, lawyers and regional partners to track developments and keep people informed and supported. Through our national support systems, we keep hearing from people worried about their safety, livelihoods and future.

We also hold on to hope. Our communities have survived hard times before, and we keep building solidarity, caring for one another and advocating for dignity and human rights.

What further restrictions could follow, and what support do you need to prevent them?

Our greatest fear is that this law lays the groundwork for broader restrictions on civil society, free expression and human rights work. Organisations could face tighter scrutiny, activists greater risk and excluded groups even harder access to services.

To prevent further harm, we need sustained support from national, regional and international allies for community safety initiatives, emergency response, legal assistance, mental health services and the protection of human rights defenders.

International solidarity should be led by local communities and grounded in human rights. Allies should amplify local voices, back grassroots organisations and keep advocating for fundamental freedoms.

This is bigger than LGBTQI+ rights. It’s about the kind of society we want to be. Respect for human rights can’t be selective. When the rights of one group are restricted, it creates a precedent that can affect everyone.

As a queer Muslim feminist and human rights defender, I believe that dignity, freedom and safety belong to all people. The conversations happening today will shape the future of our democracy. I hope Ghana chooses compassion over fear, inclusion over exclusion and human dignity over discrimination.

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.

GET IN TOUCH
Website
Facebook
Instagram
LinkedIn
Twitter

SEE ALSO
Gender rights: rollback and resistance CIVICUS | State of Civil Society Report 2026
Senegal: ‘The new law criminalises not only LGBTQI+ people but also anyone offering support’ CIVICUS Lens | Anonymous interview 21.May.2026
Ghana: ‘The anti-LGBTQI+ law enshrines prejudice and discrimination and perpetuates inequalities’ CIVICUS Lens | Interview with Solomon Atsuvia | 01.May.2024

Exactly 15 years ago today rinderpest, or “cattle plague", was declared eradicated. Credit: Wolfgang Hasselmann/Unsplash

By Armin Wiesler
BRUSSELS, Belgium, Jun 27 2026 (IPS)

Animal disease is no longer a distant concern for farmers and veterinarians alone. It is increasingly visible in household budgets: global egg prices surged more than 60% during recent bird flu outbreaks. In South Africa, foot-and-mouth disease pushed beef prices up by 34%. These are not isolated fluctuations in price. They are reminders that when prevention falls short, families, farmers and food systems all pay the price.

Exactly 15 years ago today, the world proved there is another way. On June 28, 2011, the United Nations (UN) declared rinderpest, or “cattle plague,” eradicated. It remains the only animal disease ever wiped from the planet. For centuries, the virus had killed millions of livestock animals, devastated herds and triggered famines across continents.

The eradication campaign succeeded because science, logistics and political commitment all came together. A global prevention effort was supported by surveillance, international coordination, and an effective, heat-stable vaccine that could reach remote, tropical areas without the need for refrigeration. This turned an ancient threat into a preventable one – and then into a disease of the past.

The lesson was not only scientific. It was economic. According to estimates by the UN’s Food and Agriculture Organization, rinderpest control cost around $610 million while the annual benefits for Africa alone amounted to $1 billion. In other words, prevention did not just save animals. It protected livelihoods, strengthened food security and paid for itself many times over.

Yet, in the past 15 years, the world has not applied that lesson more broadly or consistently enough. When outbreaks occur, the response still too often defaults to emergency measures such as culling, movement restrictions and trade disruption. Rather than rapid deployment of preventive tools like surveillance, biosecurity measures, vaccination and close international cooperation.

Lumpy skin disease is a current case in point: diagnostics, biosecurity practices and effective vaccines exist, yet many countries struggle to use them quickly enough to stop spread and limit damage. The barriers are structural. International trade rules with potential economic risk impact decision-making, even when it is a necessity. Countries may face an impossible choice: protect their animals and farmers or protect access to export markets. The result is a system that remains perpetually reactive.

Meanwhile, these diseases continue to spread. Lumpy skin disease and peste des petits ruminants (PPR) reached new regions for the first time last year, disrupting trade, harming rural communities and undermining food security. For the more than one billion people who rely on livestock for food, income and livelihoods, these are not abstract events. They have a real economic and social impact.

That is why the rinderpest eradication anniversary should be more than a moment of reflection. It should be a reminder that prevention only works when it is planned before the next emergency, not improvised during it. National preparedness remains essential, but diseases respect no borders. No country can fully control animal health threats alone.

Global collaboration is needed to improve surveillance, align incentives for vaccination, and remove the trade and policy barriers that discourage prevention. This is the role initiatives such as the World Organisation for Animal Health’s PREVENT Forum can play: bringing governments, international organizations and the private sector together to help remove the barriers that individual countries cannot on their own.

But collaboration must move beyond discussion. It should lead to practical changes: stronger investment in surveillance and diagnostics, clearer pathways for the use and recognition of vaccination, and faster access to these tools during outbreaks. The goal should not be to respond better to every crisis. It should be to prevent more crises from happening.

The past three years alone have brought outbreaks of avian influenza, bluetongue virus, foot-and-mouth disease and Newcastle disease across continents. We do not yet know which animal disease will cause the next major shock, or where it will emerge.

But rinderpest proved that the world knows how to act when science, political will and global coordination are aligned. The question is not whether prevention is possible. The question is whether we will choose to make it a priority before the next crisis strikes.

Dr Armin Wiesler is President of HealthforAnimals

IPS UN Bureau

Follow @IPSNewsUNBureau
  

AI job exposure and risk of human jobs lost to AI. Image generated by IA

By Isabel Ortiz and Bill Shoulder
NEW YORK, Jun 26 2026 (IPS)

Artificial intelligence (AI) promises remarkable gains in productivity, science, medicine and education. But it is also poised to wipe out millions of jobs, hollow out the middle class, and drain the tax revenues that pay for hospitals, schools and pensions. The process has already begun, and the time to act is running out.

The International Monetary Fund (IMF) estimates that AI will affect almost 40% of jobs worldwide. In advanced economies, around 60% of jobs are exposed and as many as one in three (33%) human jobs are at high risk of being replaced by AI. In emerging markets, about 40% are exposed, with roughly one in four (24%) at high displacement risk; and in low-income countries, an estimated 26%, with close to one in five (18%) human jobs lost to AI.

Isabel Ortiz

New jobs will appear but, according to the IMF, far more are likely to vanish. The effects spread beyond the workers who lose their jobs. Wages fall, insecure work multiplies, and bargaining power collapses once employers can credibly threaten to swap workers for AI. More income flows to those who own the technology and to a handful of dominant firms, while the share reaching ordinary employees and workers shrinks.

Middle-class households are the economy’s main consumers. If their incomes fall, shops and small businesses sell less, investment slows, and closures rise. The economy can then slip into a low-growth trap of weak demand, low wages and chronic underemployment.

Falling tax revenues weaken the welfare state
The pressure then moves to public finances. Much of governments’ funding depends on the middle class: income taxes, consumption taxes and social security contributions. If wage income falls and stable employment shrinks, public revenues shrink with it. At the same time, more people need unemployment support, retraining, healthcare and income assistance. Governments then face the fiscal vise of lower revenue and higher need, a risk highlighted in the IMF’s 2026 analysis of AI, labor markets and public policy.

Bill Shoulder

Public services and democracy come under strain
History suggests what often comes next: austerity policies. Governments under pressure raise consumption taxes, increase user fees, tighten eligibility rules and cut public spending. When revenues weaken, education, health, care services and social protection are often treated as budget lines to be “rationalized,” even though they are human rights and indispensable public services that hold societies together. The result is a two-tier world: quality private services for the wealthy few and failing public provision for everyone else.

Economic insecurity erodes democratic trust. If people feel that work no longer provides stability, that public institutions no longer protect them, and that the gains from technology flow upward to a small elite, resentment grows. Polarization intensifies. Scapegoating becomes easier, as does the appeal of surveillance, manipulation and more authoritarian forms of control, especially when AI itself can be used to shape information and public debate.

The future is ours to shape
None of this is inevitable. As Nobel laureates Acemoglu and Johnson argue, the impact of AI depends far less on the technology than on the political and economic choices we make about how to use it. Governments can tax the windfall profits and concentrated power AI creates. With these funds, they can protect demand and guarantee income security through the transition. Governments can and should expand public services and social security as fundamental human rights. States should also give workers and citizens a real say in how AI is deployed, and regulate AI to strengthen democracy, prevent disinformation and surveillance from eroding civic trust before it is damaged beyond repair.

AI is already transforming society. The decisive question is whether democracies can ensure that its enormous gains are shared widely enough to foster prosperity for all, preserving the social contract on which stable, dignified societies depend. That choice is still ours, but not for much longer.

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.

Bill Shoulder is an AI software engineer and a researcher, with a background in artificial intelligence and international project management.

IPS UN Bureau

Follow @IPSNewsUNBureau