UN Secretary-General António Guterres visiting a shelter hosting displaced people from areas affected by the ongoing conflict in the Dekwaneh area of Beirut during his visit to Lebanon in March 2026. Credit: UN Photo/Haider Fahs

By Naureen Hossain
UNITED NATIONS, Apr 9 2026 (IPS)

On April 8, Israeli military forces launched the deadliest series of airstrikes on Lebanon since hostilities escalated in early March, resulting in the deaths of at least 254 civilians. This latest incident threatens to further complicate humanitarian efforts in Lebanon that are already under immense pressure.

This latest escalation occurred just as a two-week ceasefire deal between the United States and Iran was announced the night prior on April 7, more than a month after the United States, Iran and Israel began engaging in military strikes against each other, which also led to Arab States in the Gulf getting caught in the crossfire. The parties targeted military bases and civilian infrastructure in Iran and Gulf states allied with the United States. Israeli and Lebanese armed forces exchanged fire across borders, which has resulted in a new wave of civilian casualties and mass displacement in a continuation of the conflict between the Israeli military and the Lebanese militant group Hezbollah. Israeli strikes on Lebanon have resulted in nearly 1,530 deaths since March 2, including more than 100 women and 130 children.

While the temporary ceasefire was welcomed, including by UN Secretary-General António Guterres, questions were raised about where it extended, even among major players in the negotiation process. Iran and Pakistan, a mediator in the peace negotiations, have stated that the deal includes Lebanon. Meanwhile, Israeli leadership initially claimed that the ceasefire did not include Lebanon and that the airstrikes specifically targeted Hezbollah-owned strongholds. Wednesday’s airstrikes targeted residential and commercial neighborhoods in Beirut, the Bekaa Valley and southern Lebanon.

Humanitarian actors expressed concern and alarm over the airstrikes and urged the parties involved to consider the safety and dignity of civilians in Lebanon.  The International Committee of the Red Cross (ICRC) was “outraged” by the “devastating death and destruction” in Lebanon.

Displaced families at a makeshift shelter in a parking lot in Beirut, the capital of Lebanon. Credit: WFP Arete/Ali Yunes

Oxfam International Executive Director Amitabh Behar welcomed the news of a ceasefire but said in a statement that until there was an end to the hostilities across the entire region, “no one will feel truly safe.”

“This pause must become a stepping stone for wider peace,” Behar said.

The war in Iran and the Middle East has put greater strain on humanitarian aid workers on the ground, including UN agencies.

Imran Riza, the UN resident and humanitarian coordinator for Lebanon, explained that even before the latest escalation, the UN and its partners were aiming to support 1.5 million vulnerable people and that they have been forced to scale up their response with fewer resources than in previous years.

Less than a third of the emergency flash appeal for USD 308 million has been funded as of now. Yet despite these challenges, the UN and its partners have been able to provide more than four million meals and distribute more than 130,000 blankets and 105,000 mattresses to shelters. Multi-purpose cash assistance has also been provided to households as well.

Briefing reporters virtually from Beirut mere hours after the airstrikes, Riza commented on how civilians reacted to the news of a ceasefire.

“This morning, many people across Lebanon were cautiously optimistic about returning home—some even began to move. The events of the past hours, however, are likely to have triggered further displacement,” said Riza.

Also briefing from Lebanon was UNFPA Arab Regional Director Laila Baker, who described how the city of Beirut slowed to a standstill in the wake of the airstrikes. Cars are lining the streets while tents spread across the city as families seek shelter, she noted. She warned that the initial sense of unity that the Lebanese government and its partners had been working towards was now under threat due to the month-long “devastating aggression” from military forces.

“The risk is not only humanitarian collapse but also renewed fragmentation at a time when unity is most needed,” said Baker.

Displacement is already at an “unprecedented scale”, Riza said, as more than 1.1 million people—or one in five people in Lebanon—are internally displaced. More than 138,000 civilians, of which a third are children, are sheltering in 678 collective sites. The majority are dispersed across informal settings and host communities, which Riza noted leaves them with limited access to basic services. Overcrowding in shelters and limited sanitation services will likely lead to increased health risks.

The health system has also been overwhelmed and “under severe pressure.” Many facilities have been forced to close or have been damaged. Riza reported at least 106 attacks on healthcare, which have resulted in more than 50 deaths and 158 injuries among health workers.

Women and children are particularly vulnerable in this situation. Baker estimates that at least 620,000 women and girls have experienced displacement. Among them are at least 13,500 pregnant women who have been cut from essential maternal health services. At least 200 pregnant women will be delivering babies without essential support from midwives or nurses or with access to maternal and neonatal healthcare.

More than 52 primary healthcare facilities are no longer facilities and are forced to close. Among the six hospitals forced to close, five of them had maternity wards.

“These are not just statistics. They are grave violations of international humanitarian law – direct assaults on life, health, and dignity,” said Baker. “This is not only a humanitarian crisis – it is a crisis of humanity. It is a crisis of trust in the international system and in the principles meant to protect civilians.”

The UN and other humanitarian agencies urge for a permanent end to the fighting and call for international law to be upheld by all parties. Under the ceasefire agreement, all parties are urged to pursue diplomatic dialogue and work toward a long-term solution to the war.

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Dr. Natalia Kanem, UNFPA’s Executive Director. Credit: UNFPA

By Naureen Hossain
UNITED NATIONS, Sep 26 2024 (IPS)

On the heels of the Summit of the Future and the sidelines of the United Nations High-Level Meeting Week, governments and philanthropies pledged to commit at least USD 350 million to boost family planning, sexual and reproductive health and supplies on the national and global level. As enshrined in the newly-adopted Pact for the Future, seeking new international finance models is critical to solving the issues that the world faces today. The decision to pledge forward is a demonstration of commitment to ongoing health issues.

On September 24, the United Nations Population Fund (UNFPA), the Bill and Melinda Gates Foundation, Family Planning 2030 (FP2030) and the Children’s Investment Fund Foundation (CIFF) invited prominent figures across the private, development and government sectors to promote political will on the matter of sustainable investments towards sexual and reproductive health (SRH). 

“Investing in reproductive health supplies is a ‘best buy’ for development, empowering women, improving maternal and newborn health outcomes, and uplifting economies,” said Dr. Natalia Kanem, UNFPA’s Executive Director.

When speaking on UNFPA’s partnerships with the co-organizers, Kanem remarked: “What we’re doing is transforming lives. The life of a girl in her community, the life of an adolescent in her city, and empowering communities and families to be able to harness and take control of their futures.”

“So much of our world has been made possible by family planning,” said Dr. Samukeliso Dube, Executive Director of FP2030. “By enabling more women to shape their lives and futures, family planning has helped women to finish their education, join the workforce, ascend to leadership positions, and achieve their dreams.”

Donor countries, such as the United Kingdom, Canada, Norway, and Spain, announced pledges to the UNFPA Supplies Partnership, which delivers modern contraceptives and maternal health supplies to women and girls in low-income countries. Through this partnership, UNFPA has helped to prevent 1.6 million child deaths, 254,000 maternal deaths, and 2.6 million unsafe abortions. The contributions to UNFPA could potentially save up to 9000 women and girls worldwide. As Anneliese Dodds, UK Minister for Development and Women and Inequalities, remarked, investing in SRH was “critical to making sure that women have the power.”

Speakers representing their countries’ governments pledged their support through domestic financial investments. The governments of Madagascar, Nepal, and the Kyrgyz Republic, for example, announced domestic financial commitments that would invest in SRH services in their countries.

Madagascar announced a contribution of USD 15 million to procure health supplies through UNFPA. Their minister of public health, Zely Arivelo Randriamanantany, added that their goal was to increase access to contraceptives by over 50 percent. Arzu Rana Deube, foreign minister of Nepal, announced the government’s commitment of USD 600,000 to purchase high-quality contraceptives. Renat Mavlyanbai Uulu, Advisor to the Minister of Health, of the Kyrgyz Republic, announced a commitment of USD 119,000 to domestic resources for family planning commodities.

Feri Anita Wijayanti, a registered midwife from Indonesia. Credit: UNFPA

As UNFPA Chief of Sexual and Reproductive Health and Rights Ayman Abdelmohsen told IPS, the commitments to domestic financing are significant; it shows that in “allocating from their own resources… and [making] budgetary allocations,”  these governments will prioritize SRH without relying on foreign donors. It is in line with UNFPA’s compact agreements with 44 countries, through which countries will build up their capacity to provide comprehensive reproductive health through their own resources.

Despite the predicted growth in contraceptive access and maternal health by 2030, the current financing gap why this is still far off in the future. The gap currently sits at at least USD 1.5 billion in the world’s poorest countries.

Throughout the event, the speakers emphasized the ‘transformative’ power of SRH in countries. That to invest in SRH is to invest in girls’ and women’s’ agency over the health and life choices. In guaranteeing women’s sexual and reproductive health, it pays forward in protecting families and communities. In terms of financing, every dollar spent on family planning can yield more than 8 dollars in benefits for families and societies.

Investing in healthcare also goes forward to the practitioners within the sector. As Feri Anita Wijayanti, a registered midwife from Indonesia, explained to the panel, many communities rely on the expertise of midwives, whose responsibilities extend “far beyond delivering babies,”  for they are at the frontlines to address other health issues.

“Every second in every corner of the world, midwives work tirelessly to protect the lives of women and babies, and to provide sexual and reproductive health services,” she said. Midwives have the power to save an estimated 4.3 million lives each year by 2025. We urge you to invest in us, to believe in the transformative power of midwives and to begin by investing in sexual and reproductive health.”

The commitments made by countries and the private sector are a step forward in closing the considerable financing gap. They come at a time where senior leadership within the UN, namely the Secretary-General, has called for countries to explore innovative and sustainable financing to address global inequalities. The commitments made at this event demonstrate that despite the challenges to SRH, there is political will in support of, and it can be mobilized to ensure this care for all.

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Natalia Kanem, Executive Director of the United Nations Population Fund, gives the keynote address at the 8th International Parliamentarians’ Conference on the Implementation of the ICPD Programme of Action (ICPD). Credit: Naureen Hossain/IPS

By Naureen Hossain
OSLO, Apr 10 2024 (IPS)

Gearing up for the 30^th anniversary of the International Conference on Population and Development (ICPD), the world’s parliamentarians and ministers are meeting in Oslo to determine the course of action needed to promote sexual and reproductive human rights (SRHR).

Over 170 parliamentarians from more than 110 countries, UN experts, civil society leaders, and other stakeholders are expected at the 8th International Parliamentarians’ Conference on the Implementation of the ICPD Programme of Action. 

The IPCI conference, which starts today (April 10, 2024), will facilitate dialogue and cooperation to improve parliamentarians’ capacity to improve sexual and reproductive health and rights (SRHR) across the world. It is grounded in the 2030 Agenda for Sustainable Development, leading up to the 2024 Summit of the Future this September. This year’s conference is organized by the United Nations Population Fund (UNFPA) and the European Parliamentary Forum for Sexual and Reproductive Rights (EPF). The conference is hosted by APPG Norway and its secretariat, Sex og Politikk, Norway’s parliamentary group dedicated to sexual and reproductive health rights.

In recent years, many countries have seen a regression of SRHR across the spectrum, from banning family planning options such as legal abortions to suppressing or attacking women’s presence in national policy and the continued practice of female genital mutilation.

Lubna Jaffery, Minister of Culture and Equality of Norway, addresses the 8th International Parliamentarians’ Conference on the Implementation of the ICPD Programme of Action (ICPD). Credit: Naureen Hossain/IPS

Minister of International Development of Norway, Anne Beathe Tvinnereim, addresses the 8th International Parliamentarians’ Conference on the Implementation of the ICPD Programme of Action (ICPD). Credit: Naureen Hossain/IPS

Governments have passed legislation that limits reproductive rights and access to basic services, which impact the general population and, more often, vulnerable or underrepresented communities such as refugees, internally displaced people, and LGBTQ+ groups. It speaks to a spread of fundamentalist viewpoints influencing public policy and opinion and the strengthening of anti-human rights parties, according to EPF President Petra Bayr.

If these developments—or regressions—in global SRHR are to be challenged, then they could be countered through evidence of the impact of comprehensive SRHR and the belief that self-determining one’s body, reproductive, and sexual life is a realization of fundamental human rights, according to Bayr.

She told IPS by email, enforcing this will take hard work that, among others, “lies in the hands of many committed MPs who believe in the universality of human rights.”

“Fundamental human rights issues must never be dependent on ideology and religion.”

During Wednesday’s opening ceremony, UNFPA Executive Director Dr. Natalie Kanem addressed the conference by remarking on the role that parliamentarians play and the influence they can wield when working across the political spectrum to advance a shared vision of rights for women.

“Parliamentarians around the world have been instrumental in the achievements of the past three decades, speaking up for those whose voices often go unheard and passing legislation to protect women and girls at home and abroad,” she said.

Despite the setbacks in achieving universal access to SRHR, the strides should not be forgotten. The ICPD Programme of Action, first adopted in 1994 and then extended in 2010, remains a critical guideline for its goals in population and a keystone for sustainable development.

As Bayr notes, the ICPD made reference to people’s needs in humanitarian settings and the diversity of family dynamics, concepts that remain relevant in the present day. “The focus on the impact of population policies on the environment, sustainability, and fair distribution of economic values is even more pressing than it was 30 years ago,” she said.

“There is still a lot to do and we have to consider very carefully how we invest our potential. We will need energy to defend what we already have, but we still need enough power to make relevant steps towards all these goals we haven’t met yet.”

This year, IPCI will focus on three common themes from the ICPD agenda. These themes will be observed through their impact on and ability to achieve universal access to SRHR:

• Converging megatrends, such as demographic diversity and the climate crisis.
• Digital technology, more specifically the forms of violence employed online or through technology, which UNFPA refers to as technology-facilitated gender-based violence.
• The funding landscape of SRHR in a time where governments’ priorities are threatened by security concerns

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Students joined APDA-affiliated parliamentarians at a two-day workshop on mental health. Credit: APDA

By Cecilia Russell
SRI JAYAWARDENEPURA KOTTE & ATHENS, Mar 25 2024 (IPS)

Sri Lankan lawmaker Hector Appuhamy, in conversation with IPS ahead of a two-day conference aimed at educating  and involving university students in mental health issues, said parliamentarians were concerned about gaps in the programmes and financing for youth mental health. They were looking beyond the country’s health budget for support in ensuring that youth were able to access mental health facilities in a supportive environment.

IPS: According to my research, Sri Lanka has one of the highest suicide rates in the world. While the revised mental health policy for 2020–2030 identifies the needs of adolescents and youth, it would seem there are few policies and programmes that deal specifically with the issue for youth. How are parliamentarians addressing this issue?

Hon. Hector Appuhamy, MP, Sri Lanka

Hector Appuhamy: Suicide rates in Sri Lanka have indeed been a concerning issue, with the country historically having one of the highest rates globally. According to the World Health Organization (WHO), Sri Lanka’s suicide rate was estimated at 14.6 per 100,000 population in 2016. While addressing this issue, it’s imperative to recognize that mental health policies and programs tailored specifically for youth are crucial in mitigating such challenges.

As parliamentarians, we understand the urgency of addressing mental health issues among youth, including the risk of suicide.

Even though the mental health policy for 2020–2030 recognizes the needs of young people, there aren’t enough programs in place to help them properly. In response, parliamentarians are working on different ways to tackle this issue.

The new statistics have made government officials and parliamentarians take a closer look at mental health services in Sri Lanka, especially for young people. They’ve realized that there aren’t enough programs or resources to help young people with their mental health. So, parliamentarians are trying to find out why this is happening and what needs to change. They’re doing assessments to find the gaps and come up with new policies and programs to help young people with their mental health.

Parliamentarians are also working with different groups, like the government, charities, and mental health experts, to find solutions. They’re trying to develop programs that specifically address the needs of young people. By working together, they hope to make sure that young people’s mental health is a priority and that they get the help they need.

The proposed program isn’t just about fixing things now—it’s about planning for the future too. Parliamentarians want to make sure that young people in Sri Lanka have the support they need for their mental health, both now and in the years to come.

IPS: Only a small proportion of the 5% of national expenditure that is spent on health, is used for mental health. One of the shortcomings is the resource gap. What ways, including involving the private sector, are parliamentarians working on to ensure that the funds and programmes become available for youth mental health?

Appuhamy: Addressing the resource gap in mental health services, particularly for youth, necessitates a multi-faceted approach involving collaboration with both public and private sectors.

Organizations including APDA, UNDP, and UNICEF always support Sri Lanka through diverse programs. Recognizing this imperative, we are to initiate discussions aimed at devising strategies to secure funding and attract support from these and many other organizations. This novel initiative seeks to garner their attention and enlist their support in fortifying the resilience of our youth, given their established track record of extending aid where it is most needed.

By underscoring the pivotal role of mental health services for young people, we endeavor to ensure a substantial allocation of the health budget towards mental health initiatives. In line with these efforts, discussions are underway to implement the following initiatives:

Public-Private Partnerships (PPPs): Promote partnerships between the government and private sector entities, such as corporate organizations and philanthropic foundations, to support youth mental health programs. These partnerships can involve financial contributions, in-kind donations, or expertise sharing to enhance the effectiveness and reach of mental health services.

Corporate Social Responsibility (CSR) Initiatives: Parliamentarians will collaborate with private sector companies to develop CSR initiatives focused on youth mental health. Through CSR programs, companies can allocate resources, including funding, employee volunteering, and in-kind support, towards addressing mental health challenges among young people in their communities.

Incentives for Private Sector Investment: Parliamentarians may propose incentives, such as grants, subsidies, or preferential access to government contracts, to encourage private sector investment in youth mental health programs. These incentives can attract private sector participation and stimulate innovation in mental health service delivery.

By employing these strategies and fostering collaboration between the public and private sectors, parliamentarians aim to bridge the resource gap and ensure that funds and programs are available for youth mental health initiatives in Sri Lanka.

IPS: WHO suggests that supportive environments, education and awareness, the involvement of youths in policy development, peer support with trained peers, and the collection of reliable data are all crucial to assisting with youth mental health How are lawmakers ensuring that a comprehensive social package is available to address mental health in youth?

We acknowledge the significance of a comprehensive approach to addressing mental health issues among youth, a stance echoed by the World Health Organization (WHO). In Sri Lanka, the existence of a youth parliament comprising young participants endowed with diverse insights and innovative ideas underscores the potential reservoir of knowledge within this demographic. As parliamentarians, we are committed to adapting our strategies by actively involving youth in decision-making processes.

In our capacity as parliamentarians, we are strategizing to actively engage young individuals in the formulation of mental health policies and programs. By integrating youth voices and perspectives into policymaking endeavors, we endeavor to ensure that mental health initiatives are contextually relevant, responsive, and inclusive of the unique needs and preferences of young people.

We are trying to push for more education and awareness campaigns to increase understanding of mental health issues among youth, families, educators, and communities. These campaigns aim to destigmatize mental illness, promote early intervention, and provide information about available resources and support services.

As parliament members, we prioritize the collection of reliable data on youth mental health to inform evidence-based policies and programs. This includes monitoring mental health indicators, prevalence rates, service utilization, and outcomes to assess the effectiveness of interventions and identify areas for improvement.

By implementing these strategies and collaborating with stakeholders, lawmakers strive to create a supportive and inclusive environment that promotes the mental health and well-being of youth in Sri Lanka. Through ongoing efforts and investments, they aim to build a sustainable framework that addresses the complex and evolving mental health needs of young people.

IPS: What outcomes do you expect from your two-day conference aimed at educating university students about mental health issues?

Appuhamy: Our strategy entails convening approximately 40 students from diverse universities across the nation for a comprehensive two-day conference, structured as a residential program. This initiative, aimed at educating university students about mental health issues, is anticipated to yield numerous beneficial outcomes:

Firstly, the conference aims to enhance awareness and deepen understanding among university students regarding various facets of mental health. Topics to be covered include identifying mental health issues, coping mechanisms, triggers for such issues, relevant laws and regulations, avenues for seeking assistance, and contact information for relevant authorities. These crucial insights will be imparted to students through interactive sessions facilitated by esteemed resource persons, including university professors, a consultant psychiatrist, a chief inspector of police, a deputy solicitor general, and motivational speakers.

Furthermore, the program seeks to achieve several objectives, including:

Reduced Stigma: By providing accurate information and fostering open discussions, the conference aims to reduce the stigma surrounding mental issues. This can help create a more supportive and accepting environment where students feel comfortable discussing their mental health concerns and seeking assistance when needed.

Improved Help-Seeking Behaviors: The conference will equip students with knowledge about available mental health resources and support services, empowering them to seek help proactively for themselves or their peers who may be struggling with mental health challenges.

Enhanced Coping Skills: Through workshops, presentations, and interactive sessions, students will learn practical strategies for managing stress, building resilience, and promoting mental well-being. These skills can empower students to navigate the pressures of university life more effectively.

Inspiration for Advocacy and Action: By hearing from experts, advocates, and individuals with lived experience, students may be inspired to become mental health champions within their university community and beyond. This can lead to increased advocacy efforts, initiatives to improve campus mental health services, and broader societal change.

Long-term Impact: The knowledge and skills gained during the conference have the potential to have a lasting impact on students’ mental health and well-being throughout their academic journey and beyond. By investing in mental health education and awareness at the university level, we aim to create a culture of support and resilience that benefits students for years to come.

IPS: How are parliamentarians encouraging universities’ leadership (both academic and student) to ensure that mental health programs are available to students?

Appuhamy: We are cognizant of the fact that our current engagement with universities may not be sufficient to address mental health issues among students. Consequently, we are planning to open discussions with higher-ranking officials to elevate the prominence of this matter. Through these dialogues, we aim to shed more light on the challenges faced by students regarding mental health and identify priority areas for intervention. By fostering open communication with university authorities, we seek to enhance our understanding of the specific needs and concerns of students, thus enabling us to tailor our approach more effectively and address mental health issues comprehensively within the university setting.

As parliamentarians, we are proposing to engage directly with university leadership, including academic administrators, deans, and student affairs officials, to discuss the importance of mental health and encourage proactive measures to support student well-being. This may involve meetings, forums, and consultations to share best practices and identify areas for improvement.

It is a plan to exercise legislative oversight to ensure that universities are fulfilling their responsibilities in addressing mental health issues among students. They may conduct hearings, inquiries, or audits to assess the effectiveness of mental health programs and hold universities accountable for meeting established standards. So that they can manage the issues arising due to harassment happening with the universities, which leads to problems in student’s mental health capacity.

Overall, parliamentarians play a vital role in advocating for the availability of mental health programs at universities by engaging with university leadership, allocating resources, fostering collaboration, and promoting student involvement. By working together, they can create supportive environments where students have access to the resources and support, they need to thrive academically and emotionally.

IPS: Is there anything else you would like to add?

In closing, I would like to emphasize the critical importance of prioritizing mental health at all levels of society, including within educational institutions like universities. Mental health issues among students not only impact academic performance but also have profound implications for overall well-being and future success.

As parliamentarians, educators, healthcare professionals, and community leaders, we have a collective responsibility to ensure that mental health programs and support services are accessible, inclusive, and effective. By investing in mental health education, destigmatization efforts, and proactive intervention strategies, we can create environments where students feel valued, supported, and empowered to prioritize their mental well-being.

Additionally, it’s essential to recognize that addressing mental health requires a holistic and multi-sectoral approach. Collaboration between government agencies, academic institutions, healthcare providers, NGOs, and community organizations is essential to creating comprehensive solutions that address the diverse needs of students and promote a culture of mental well-being.

I encourage continued dialogue, collaboration, and advocacy to advance mental health initiatives in Sri Lanka and beyond. Together, we can make meaningful strides towards creating a society where mental health is valued, supported, and prioritized for all individuals, including our youth.

Note: The two-day conference was supported by the AFPPD and funded by the Japan Trust.
Fund”.

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African Lawmakers seek to learn from best practices on how to hold their respective Governments accountable in the implementation of the Addis Ababa Declaration on Population and Development and the International Conference on Population and Development commitments. Credit: APDA

By Aimable Twahirwa
KIGALI, Oct 30 2023 (IPS)

Asian and African parliamentarians have committed to accelerate the implementation of a people-centered development agenda as the African continent continues to face rapid demographic change with several challenges, such as youth unemployment and gender inequities.

During the African and Asian Parliamentarians’ Dialogue towards ICPD30 and AADPD10, which took place in October 2023 in Kigali, Rwanda, lawmakers shared measures their countries have undertaken by adopting new legislation seeking to provide opportunities for the youth while empowering women as a critical step for reaping the demographic dividend in Africa.

Official estimates show that young people between 18 years and 35 years of age make up more than 70 percent of the population in Africa,  where women account for more than 50 percent of the continent’s combined population.

According to Professor Kiyoko Ikegami, the Executive Director of the Japan-based Asian Population and Development Association (APDA), a basic condition for building global partnerships is to use legislation to promote transparency, accountability, and good governance for the people.

Whereas Africa is expected to account for more than 90 percent of the future increase in world population, Ikegami stresses the need to boldly implement those changes as well as respond to newly emerging needs in the population structure.

In 1994, the International Conference on Population and Development (ICPD), held in Cairo, Egypt, set a bold new vision of the relationships between population, development, and individual rights and well-being.

Its framework for action, endorsed then by 179 governments at the global level, affirmed that inclusive, sustainable development is not possible without prioritizing human rights, including reproductive rights; empowering women and girls; and addressing inequalities as well as the needs, aspirations, and rights of individuals.

As stakeholders are now set to celebrate the 30th anniversary of implementing ICDP resolutions, Ikegami emphasizes the need for African and Asian nations to consolidate views on how countries should specifically carry out parliamentary activities for the global review process.

Professor Kiyoko Ikegami, the Executive Director of the Japan-based Asian Population and Development Association (APDA), says lawmakers play a critical role in enacting policies that advance sustainable outcomes guiding people-centered development. Credit: Aimable Twahirwa/IPS

“As the representative body of the people, lawmakers play a critical role in enacting policies that advance sustainable outcomes guiding to people-centered development progress,” Ikegami told IPS.

Although nearly 30 years since the landmark conference in Cairo, people-centered development has enabled numerous gains in different parts of Africa; experts still believe that the long-term solution to the pending population issues still requires elected representatives to be actively engaged in formulating and implementing appropriate policies and programmes.

“Lagging regions in Africa have employed various policies and instruments to put in place the comprehensive needs of people and communities, but there are several reasons why some countries can still do better,” she said.

Some participants at the African and Asian Parliamentarians’ Dialogue in Kigali emphasized the need to take lessons from experience towards implementing ICDP’s commitments stressing the lack of effective monitoring strategies.

Kwabena Asante-Ntiamoah, country representative in Rwanda for the United Nations Population Fund (UNFPA) pointed out that demographic change is one of the key challenges in Africa, where there is unprecedented growth of the youth population.

“This current demographic structure with a large youthful population, he observed, can be leveraged for socio-economic transformation, with the right investments,” he said.

Jeanne Henriette Mukabikino, chair of the Rwandan Parliamentarians’ Network on Population and Development (RPRPD), told IPS that considering the current population growth, Africa should utilize its youthful population potential for its socio-economic progress.

Both Asante-Ntiamoah and Mukabikino are convinced that Africa’s young population brings many opportunities for economic growth despite deepening inequality within and across the continent.

Apart from conflicts and climate change, such as cyclones and droughts, which continue to contribute to food insecurity in Africa, some lawmakers see hope in positive trends at a time when Africa and Asia are working together to tackle global issues of population and development.

Donatille Mukabalisa, Speaker of Rwanda’s Chamber of Deputies, is convinced that the demographic dividend presents a unique opportunity for Africa to drive economic growth and poverty reduction. Credit: APDA

However, some lawmakers believe that despite progress made by several African countries in addressing population and development issues, these efforts are still threatened by multifaceted challenges, backsliding on the rights and choices of women and girls, and the polarization of the sexual and reproductive health and rights agenda.

The 2022 UNFPA’s State of World Population 2022 report indicates that nearly half of all pregnancies, totaling 121 million each year throughout the world, are unintended.

The report urges policymakers, community leaders, and all individuals to empower women and girls to make affirmative decisions about sex, contraception, and motherhood and to foster societies that recognize the full worth of women and girls.

Dr Celestin Fiarovana Lovanirina, member of the National Assembly of Madagascar, told IPS that with such a large population of young people, supportive policies and programs on inclusive youth development are critical more than ever.

“As legislators, we have a responsibility to make laws in a move to address such kind of issue that is presently affecting our population,” he said.

During the three-day parliamentary dialogue, which featured multiple sessions covering topics such as the ICPD30 review process and Addis Ababa Declaration on Population and Development (AADPD10), some participants shared experiences of their countries where for example, adopting a new law on minimum legal age of marriage for girls has been critical to harnessing the demographic dividend.

Latest estimates by the United Nations Population Fund (UNFPA) show that in many parts of Africa, women and girls are still vulnerable to a disproportionate range of risks, particularly to their sexual and reproductive health.

The UN agency’s report shows that in most cases, girls are subject to child marriage, female genital mutilation, and limited education and are denied equal opportunities.

Experts point out that with more people in the labor force and fewer children to support, a country has a window of opportunity for rapid economic growth if the right social and economic investments and policies are made in health, education, governance, and the economy.

Madina Ndangiza, a member of the Rwandan parliament, shared her experience in adopting new laws to ensure that girls and boys enjoy the dignity and human rights to expand their capabilities.

“We believe that education is a cornerstone to protecting girls from child marriage … at 21 young girls are supposed to have graduated from university and are healthier to make their choice and participate more in the formal labor,” Ndangiza told delegates.

On the sidelines of the parliamentary dialogue, some lawmakers agreed that the lack of an implementation plan of policy has been a hindrance to many countries needed to capture demographic dividends.

However, Ikegami pointed out that beyond the current situation, most African and Asian countries are also experiencing a demographic transition which they should use to their advantage.

“This dialogue serves as a platform of exchanges between African and Asian lawmakers to assess how their framework legislation should create an enabling environment for decision-making, to harness the growing population to accelerate the achievement of development aspirations,” she said.

While the aging population is the most emerging issue in Asia, Ikegami points out that youth unemployment is an issue that might be a concern for Africa.

“Context and realities are different at each continent and country’s levels, but we are trying to create opportunities for lawmakers to learn from each other,” she said.

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Getting back on track post-COVID-19 is crucial says Regional Director of UNFPA ASRO, Dr Luay Shabaneh. The UNFPA runs several programmes for women and girls, here girls listen to a youth educator network Y-PEER presentation on the harms of female genital mutilation at their school in Garowe, Puntland. Credit: UNFPA Somalia/Tobin Jones

By IPS Correspondent
Johannesburg , Feb 27 2022 (IPS)

Parliamentarians’ leadership in a post-COVID-19 recovery is crucial to achieving the International Conference on Population and Development (ICPD) agenda. The involvement of lawmakers in ensuring a more equal, just, and sustainable society will come under the spotlight during a two-day inter-regional meeting organized by the Asian Population and Development Association (APDA) and the Forum of Arab Parliamentarians on Population and Development (FAPPD,) and supported by UNFPA ASRO in early March 2022.

The Regional Director of UNFPA ASRO, Dr Luay Shabaneh, spoke exclusively to IPS.

Under the spotlight at the meeting will be efforts by lawmakers to ensure that no one is left behind.

“To this end, parliamentarians’ leadership is vital in ensuring population issues are addressed using a human rights approach and a gender lens and in securing rights and choices for all,” Shabaneh says.

At the Cairo hybrid meeting, APDA, with support from UNFPA ASRO and FAPPD, will engage parliamentarians in a debate on issues impacting human rights and gender-based violence (GBV). The aim is to champion a rights-based approach to policies and legislation to achieve the 2030 Agenda and ICPD PoA.

Regional Director of UNFPA ASRO, Dr Luay Shabaneh.

Here are excerpts from the interviews:

Inter Press Service:

UNFPA works extensively with women displaced, often affected by wars/conflicts, living in crises, and now over the past two years, has had to deal with COVID protocols characterized, in many countries, by lockdowns and restrictions. How has UNFPA continued with its GBV services during this time?

Regional Director of UNFPA ASRO, Dr Luay Shabaneh

It is well known that the pandemic has had a disproportionate impact on women and girls and has exacerbated pre-existing inequalities, resulting in alarming health and economic impacts for women and increased reports of GBV.

UNFPA adjusted its support to mitigate against some of the impacts through programmes like Women and Girls Safe Spaces. UNFPA and partners have adopted different delivery modalities due to COVID-19 restrictions such as hotlines and online counseling instead of face-to-face engagement. It is increasingly investing in cash and voucher assistance (CVA) in the Arab States region to address economic barriers to access SRH and GBV services or purchase necessary items.

On the ground, UNFPA continues to address GBV prevention and response through sensitizing national partners on intersections of gender and public health and how to manage the increased risk of GBV ethically and effectively.

UNFPA works to ensure barriers and risks of exclusion faced by women and girls with intersecting and multiple forms of discrimination are lowered. It developed online tools on GBV prevention and response during COVID-19 supported hotlines to address the immediate needs of GBV survivors. It distributed dignity kits adapted to COVID-19 for female healthcare workers, women and girls in quarantine and isolation, and refugees and asylum seekers. UNFPA updated the GBV referral pathways to compensate for the disruption of services, particularly for clinical management of rape and offering GBV prevention and response essential services package at UNFPA-supported safe spaces.

At the regional level, UNFPA continues to provide capacity building and support to government and civil society representatives responsible for delivering GBV services to ensure that service provision continues to meet international human rights standards in light of COVID-19 restrictions.

In 2021, capacity-building training was delivered online to officials in Iraq, Tunisia, Jordan, Morocco, Lebanon, and Bahrain based on a regional handbook on essential services for GBV developed by the UNFPA ASRO.

IPS:  In the Arab region, as in other areas, child and early marriage, harmful practices like FGM continue. How is UNFPA working with parliamentarians to ensure legislation, budget, and support services for women and girls?

Shabaneh: The collaboration with the parliamentarians in Somalia includes advocacy efforts for the passage of the draft sexual offenses bills, which considers child marriage as a violation of the bodily autonomy of young girls and therefore is considered a sexual offense. The women’s caucus of the national parliament is the focal point for child/women-related policies and strategies.

On June 10, 2021, Puntland State in Somalia passed a zero-tolerance FGM bill to the parliament. It is expected that this bill, once passed into law, will have a ripple effect in the campaign to end FGM in Puntland. The approval of the FGM bill in Puntland makes it one of the first constituencies in Somalia to approve a zero-tolerance FGM bill.

Substantial advocacy efforts have been invested ahead of the passing of this legislation. The Ministry of Justice in Puntland, which is among the key recipients of UNFPA UNICEF Joint Program funds, has been vigorously pushing to endorse the zero tolerance of FGM. UNFPA supported consultations with religious leaders, parliamentarians, and communities and in drafting the FGM Zero Tolerance Bill. UNFPA has also supported FGM campaigns in Puntland, leading to many abandoning the practice. Currently, UNFPA Somalia is working with the women caucus in the parliament and the human rights committee to ensure the passage of the zero-tolerance bill.

In Djibouti, the UNFPA has put two strategies to end harmful practices and child marriages.

This includes article 333 of the penal code and Article 13 of the 2013 Family Code now stipulate that the legal age of marriage is 18 years old. In February 2020, a law on the promotion, protection, and care of victims of gender-based violence with the technical support of UNFPA was adopted by a presidential decree.

UNFPA continues to implement activities through a joint program against FGM. UNFPA has also supported the development of a national protocol for the care of victims of GBV, including FGM. It established a circuit for the care of victims through the adoption of essential service packages by the three key sectors such as health, justice, and social.

IPS:  How is UNFPA supporting parliamentarians in developing human rights-based legislative frameworks in the region?

Shabaneh: ICPD affirmed the application of universally recognized human rights standards to all aspects of population programmes. Its Programme of Action (PoA) provides that the promotion rights for all people in reproductive health, including family planning and GBV, is deeply rooted in gender inequality. It is a notable human rights violation in all societies.

To this end, parliamentarians’ leadership is vital in ensuring population issues are addressed using a human rights approach and a gender lens and securing rights and choices for all.

ASRO proved to have interlinkages between the executive and legislative authorities to collaborate and work closely towards implementing Nairobi commitments and the ICPD’s unfinished agenda through Parliamentarians’ declarations.

These declarations rolled out at the country level, for example, Lebanon, Morocco, Djibouti, Palestine, to ensure concrete implementation and linkage between the regional and national levels, promoting and advocating for the UNFPA mandate.

IPS: Many countries are far off course to meeting the ICPD25 agenda. How can parliamentarians assist in getting the Programme of Action back on track?

Shabaneh: Parliamentarians can support the enforcement of laws and policies to respect and protect human rights-based approaches and eliminate GBV to accelerate the implementation of the ICPD PoA.

IPS: Is there anything else you would like to add?

Shabaneh: It is important to plan for growing numbers and proportions of older persons and ensure budgetary issues to achieve the goals laid out in the 2030 Agenda for Sustainable Development.

There is a need to invest in young people (life cycle approach) by promoting healthy habits and ensuring education and employment opportunities. We also need to broaden access to health services and social security coverage for all workers to improve the lives of future generations of older persons.

Overall, opportunities to strengthen partnerships to use informal support systems and unveil the potential capacities can significantly drive the agenda forward.

IPS UN Bureau Report

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Asian Population and Development Association (APDA) and the Asian Forum of Parliamentarians on Population and Development (AFPPD) continued their crucial role of supporting parliamentarians in promoting population and development agenda during the COVID-19 pandemic by organizing online and hybrid events. The organizations this year celebrate their 40th anniversary. Credit: APDA

By Cecilia Russell
Johannesburg, South Africa, Dec 1 2021 (IPS)

COVID-19 highlighted significant gaps in the world’s ability to deal with pandemics, and it’s crucial these are addressed to mitigate the impacts of future global health problems, Masato Kanda, Japan’s Vice Minister of Finance for International Affairs, told a recent online meeting of parliamentarians.

The meeting with the theme ‘Nairobi Commitments Follow-up under COVID-19’ heard that the gaps were serious and significantly affected and in the future, would impact the world’s ability to respond to pandemics.

“These gaps include insufficient coordination, information sharing amongst multilateral and bilateral agencies, limited the collaboration between financial and health policymakers, inadequate finance to both effectively prevent or prepare for future pandemics,” Kanda said. He elaborated that governance, financing of the current global health system, including development, manufacturing, procurement and delivery of vaccines and medical equipment needed urgent attention.

Japan had energetically participated in recent discussions at the G20 meeting in Italy. Kanda noted that without proper and integrated governance reform, the world would again “end up with fragmented, inappropriate and uncoordinated responses.”

Professor Keizo Takemi, MP and Chair of Asian Forum of Parliamentarians on Population and Development (AFPPD), opened the session with a reminder that discussions at the forum and beyond would need to look at the impact of the COVID-19 pandemic, which had caused “prolonged and devastating changes to our daily lives”.

He said a face-to-face meeting in Tokyo was planned for February 2022 to celebrate the 40th anniversary of the AFPPD and APDA.

Counting the cost of the pandemic, he noted it had an “unprecedented impact on many areas, such as education, global workforce, food systems, public health and individual decision making on childbearing.”

In terms of health, it has impacted the delivery of sexual and reproductive health services, and these needed to form the agenda for discussions in the future.

Yoko Kamikawa, MP and Former Minister of Justice, Chair of Japan Parliamentarians Forum for Population (JPFP), said at the 40th anniversary next year she hoped parliamentarians could look at the “steps the Asian parliamentarians had taken in the past and discuss how to build a society where all people can live their lives with dignity.”

Parliamentarians play a crucial role in the delivery of the SDGs, she said.

“To achieve sustainable development, we need to go beyond the nation-state and establish a new set of standards and rules that will allow us to live humanely on this planet and that will benefit human society as a whole. And this is precisely why it is critically important for parliamentarians who legislate on behalf of its citizens to further efforts in cooperation,” Kamikawa said.

As AFPPD and APDA prepare for their 40th anniversary Parliamentarians heard about challenges the world faces to meet the ICPD25 commitments. Credit: APDA

Björn Andersson, Regional Director of UNFPA APRO stated that the ICPD25 Nairobi summit brought together 8000 delegates from 170 countries and territories. It emphasized the importance of universal access to health care. Nobody at the Nairobi summit could have anticipated the impact of COVID-19.

“Over the last 18 months, health systems have been stretched to the brink. And we have noted a decrease in investments in routine health services in favour of procurement and delivery of COVID-19 supplies,” he said.

This has had a significant impact on communities. For example, over the past 18 months, there have been changes in patterns of health-seeking behaviour of many people, including pregnant women, who were fearful of leaving their houses and coming into contact with COVID-19 in health facilities.

“This has had a negative impact on maternal mortality. It is clear that more public funding for health is needed alongside innovative strategies that leverage resources to work more effectively without further increasing out-of-pocket costs for individuals and households,” Andersson said.

Parliamentarians had a critical role in achieving universal access to Sexual and Reproductive Health Rights as part of universal health coverage (UHC).

“In light of the COVID 19 pandemic and its impacts. It is more important than ever to increase public funding for health be strategic and targeted investments to achieve and sustain the health-related Sustainable Development Goals. Well-functioning delivery of quality health care and essential services cannot be compromised even in the context of the COVID 19 pandemic.”

Dr Takeshi Kasai, WHO Regional Director for Western Pacific, agreed that a global solution was critical to counter public health emergencies.

“COVID-19 made it clear that the health, the economy, the broader social well-being are inextricably linked,” he said. “The second lesson was the global health (issues) needed a global solution, and for that, effective multilateral mechanisms and institutions are needed.”

While nobody expected effective vaccines to be developed as quickly as they were, the challenges with COVAX meeting its mandate of ensuring equitable access to vaccines was concerning.

“Unless every country is protected, no country is safe,” he said.

It was critically important for the world to prepare as it moved toward a 4th wave of the pandemic, and the key to this was effective multilateral mechanisms.

• The online meeting was organised by: Asian Forum for Parliamentarians on Population and Development (AFPPD); Japan Parliamentarians Federation for Population (JPFP) and Asian Population and Development Association (APDA). The event was supported by The Japan Trust Fund (JTF) and United Nations Population Fund (UNFPA).

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Chiring Tamang holds the family’s new baby while his wife Priya looks on. She delivered the girl at home in their village in Nepal’s Sindhupalchowk district in February 2021. Credit: Marty Logan / IPS

By Marty Logan
Kathmandu, Nepal, Jul 21 2021 (IPS)

One year after Nepal’s Ministry of Health (MoH) appealed to international organisations in the country to urgently supply a drug used to stop excessive bleeding after childbirth, a UN agency has delivered $1 million worth of contraceptives to prevent another shortage.

The 1.6 million cycles of oral contraceptive pills and 776,000 units of injectable contraceptives and syringes will prevent roughly 75 000 unintended pregnancies, 22 000 unsafe abortions and 80 maternal deaths, according to the UN Population Fund (UNFPA).

As it was last year at this time, Nepal is at the tail end of a lockdown designed to break a runaway number of Covid-19 cases. Between April and May 2021, daily cases went from 150 to more than 8,000—fuelled by outbreaks in neighbouring India. Intensive care unit beds were unavailable in most hospitals in the capital Kathmandu and some cities on the southern border with India, and patients attached to oxygen tanks were forced into hospital parking lots. Crematoriums had to be expanded to accommodate the dead.

More than 9 500 people have died, and 667 000 had been infected as of 18 July, according to official figures, which are widely considered to underestimate the true impact.

“This support is very timely as Nepal was on the verge of facing a shortage of the injectable contraceptives and oral pills,” said Dr Tara Nath Pokhrel, Director of the Family Welfare Division (FWD) of the MoH. “These supplies will greatly help the federal, provincial and local governments to address the increasing family planning needs during the COVID-19 pandemic,” he added in a UNFPA press release.

Last year’s urgent need was misoprostol, a drug used for medical abortion and to stop excessive bleeding of new mothers, also known as postpartum haemorrhage (PPH). The condition is the leading cause of death among women who give birth at home, a number that skyrocketed after the first case of Covid-19 was detected in January 2020. Deliveries in health facilities fell by more than 50% during the 2020 lockdown, according to The Lancet journal.

The shortage affected only the three-pill package of misoprostol used to prevent PPH, not medical abortion kits. It was December before UNFPA could deliver nearly 500 000 doses to the government, a one-year supply.

Maintaining a steady supply of misoprostol has been a challenge for the Government of Nepal since it took over the programme from a project sponsored by the US government in 2010. Initially, it was able to turn to international partners to source the drug outside of the country, but it soon absorbed the purchasing into its procurement system.

However, in 2014 the government’s corruption agency charged eight ministry of health employees with importing poor quality misoprostol into the country at inflated prices.

Eventually, they were acquitted, along with private-sector suppliers, but the high-profile case put a ‘chill’ on further buying by government officials, a former employee of the project told IPS. “If the person needed to justify (misoprostol procurement) maybe they were thinking, ‘this created lots of tension in the past, so let’s not go for procurement’.

Shortages resulted. Then in 2015, earthquakes rocked Nepal, killing nearly 9,000 people. That disaster was followed by a months-long blockade of road routes from India after Nepal’s politicians approved a controversial new Constitution. Supply chains became twisted and unreliable.

In 2017, following Nepal’s first elections under a federal governance system, some health responsibilities were transferred from central authorities to provincial or local officials, including the purchase and distribution of misoprostol. But local governments appeared unprepared.

“In general, local governments did not have sufficient time and resources to strengthen their procurement capacity on lifesaving maternal and neonatal health commodities,” a spokesperson for UNFPA noted in a statement. “It also depended on how much priority each local government had given to the health sector in general.”

Before Covid-19 hit, the misoprostol programme was in place in 56 of Nepal’s 77 districts, but in January 2020, a survey of 12 of the 56 districts found that none had the drug, says Surya Bhatta, executive director of One Heart Worldwide, an international NGO working in Nepal.

“I think misoprostol is one of the most discussed matters in our office,” he adds. “We talk about this a lot with local leaders, pregnant mothers, female community health volunteers during their monthly meetings, and with service providers in the health facilities. Even for the managers, in larger government forums, there is a lot of discussion happening, but the implementation side has a lot of holes to fill.”

During the 2020 lockdown, misoprostol shortages and PPH deaths of women who gave birth at home generated many headlines. This year there have been no reports of misoprostol shortages, Dr Punya Poudel of the FWD told IPS. However, maternal deaths remained above average for the second year running. From mid-March 2020 to mid-June 2021, there were 258 maternal deaths, compared to 51 in the same period pre-Covid, according to preliminary statistics.

Nepal’s maternal mortality rate of 239 per 100,000 births is equivalent to roughly 1,200 deaths annually.

In the agency’s press release, UNFPA Representative to Nepal Lubna Baqi urged the government and partners to make reproductive health a priority.

“Nepal has continued to struggle with shortages in supplies due to competing priorities and demands, but it is time for the government and development partners to turn their attention to preventing unwanted pregnancies and unsafe abortions by investing in family planning and comprehensive sexuality education.”

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