‘The International Response Should Follow the Principle of ‘Nothing about Us, Without Us’’

Armed Conflicts, Civil Society, Crime & Justice, Europe, Featured, Gender, Gender Violence, Global, Headlines, Health, Human Rights, Labour, Migration & Refugees, Press Freedom, TerraViva United Nations

May 1 2025 (IPS) – CIVICUS speaks with Ukrainian gender rights activist Maryna Rudenko about the gendered impacts of the war in Ukraine and the importance of including women in peacebuilding efforts.

Russia’s full-scale invasion of Ukraine has profoundly impacted on women and girls. Many have been displaced and are struggling with poverty and unemployment. Those who’ve stayed endure daily missile attacks, damaged infrastructure, lack of basic services and sexual violence from Russian forces if they live in occupied territories. Women activists, caregivers and journalists are particularly vulnerable. The international community must increase support to ensure justice for victims and women’s inclusion in peace efforts.


Maryna Rudenko

What have been the impacts of the war in Ukraine, particularly on women and girls?

The war began in 2014 when Russia annexed Crimea, with Indigenous women, particularly Crimean Tatars, immediately and severely affected. They risked losing their property and livelihoods, and to continue working they were forced to change their citizenship. Pro-Ukraine activists had to flee and those who stayed faced arrest. This placed a heavier burden on many women who were left in charge of their families.

At the same time in 2014, Russia began supporting separatist movements in eastern Ukraine, leading to the occupation of territories such as Donetsk and Luhansk and the displacement of over a million people. When Russia launched its full-scale invasion in 2022, many lost their homes again. Nearly seven million fled to European countries. This population loss poses a significant demographic challenge to Ukraine’s post-war development.

Since 2015, conflict-related sexual violence has been a major issue. Around 342 cases have been documented. The International Criminal Court recognised that conflict-related sexual violence has been committed in the temporarily occupied territories since 2014.

Ukraine also experienced the largest campaign of child abduction in recent history: Russia took close to 20,000 Ukrainian children from occupied territories and sent then to ‘camps’ in Crimea or Russia, where the authorities changed their names and nationalities and gave them to Russian families. Ukrainian children were forced to change their national identity. This is evidence of genocidal approach in Russia’s war activities.

The war has also devastated infrastructure and the economy. In my town, 30 km from Kyiv, the heating station was hit by 11 ballistic missiles, leaving us without electricity or water for a long time. It was very scary to stay at the apartment with my daughter and know that Russian ballistic missiles were flying over our house. Roughly 40 per cent of the economy was destroyed in 2022 alone, causing job losses at a time when the government spends over half its budget on the military. Civilians, including a record 70,000 women, have taken up arms.

Beyond the immediate human cost, the war is causing serious environmental damage, with weapons and missile debris polluting soil and water beyond national borders. Russia’s occupation of Zaporizhzhia, the largest nuclear power plant in Europe, poses a very real risk of a nuclear disaster for Ukraine and Europe as a whole.

How have Ukrainian women’s organisations responded?

Starting in 2014, we focused on advocacy, championing United Nations (UN) Security Council Resolution 1,325, which reaffirms the role of women in conflict prevention and resolution. The government adopted its National Action Plan on the implementation of the resolution in 2016. We formed local coalitions to implement this agenda, leading to reforms such as opening military roles to women, establishing policies to prevent sexual harassment, integrating gender equality in the training curriculum and gender mainstreaming as part of police reform.

Following the full-scale invasion, Ukrainian women’s civil society organisations (CSOs) shifted to providing immediate humanitarian relief, as survival became the top priority. Women’s CSOs began helping people, particularly those with disabilities, relocate to western Ukraine and providing direct aid to those who remained. As schools, hospitals and shelters for survivors of domestic violence were destroyed, women’s CSOs tried to fill the gap, providing food, hygiene packages and cash and improvising school lessons in metro tunnels.

People stood up and helped. In Kharkiv, which is located 30 km from the boarder with Russia, the local government created underground schools. It’s unbelievable that this happened in the 21st century and because of the aggression of a permanent member of the UN Security Council. Our children, women and men can’t sleep normally because every night there are missile and drone attacks.

In the second half of 2022, women’s CSOs and the government tried to refocus on long-term development. One of the first initiatives was to amend the National Action Plan on Women, Peace and Security to better address conflict-related sexual violence in both occupied and liberated areas. This was a much-needed response given the many reported cases of killing, rape and torture. This involved training law enforcement officers, prosecutors and other officials on how to document these crimes and properly communicate with survivors, who often blame themselves due to stigma surrounding the violence.

We have also reported Russia’s violations of the Geneva Conventions, particularly those concerning women, to UN human rights bodies.

Women’s groups are pushing for more donor support for psychological services to address trauma and helping plan for long-term recovery, aiming to rebuild damaged infrastructure and improve services to meet the needs of excluded groups. Some donors, like the Ukrainian Women’s Fund, have agreed to support the costs of mental recovery for women activists to help them restore their strength and support others.

How should women’s voices be integrated into recovery and peacebuilding efforts?

Women must have a real seat at the negotiation table. Genuine participation means not just counting the number of women involved but ensuring their voices are heard and their needs addressed. Unfortunately, the gender impacts of the war remain a secondary concern.

We have outlined at least 10 key areas where the gender impacts of the war should be discussed and prioritised in negotiations. However, it looks like these are being largely ignored in the current high-level negotiations between Russia and the USA. We heard that President Volodymyr Zelenskyy highlighted the importance of returning Ukrainian children when he met with Donald Trump. It’s highly important for the mothers and fathers of these children and for all Ukrainians.

Women’s CSOs are working to ensure all survivors can access justice and fair reparations, and that nobody forgets and excuses the war crimes committed. We urgently need accountability; peace cannot be achieved at the expense of truth. This is particularly important because the Council of Europe’s Register of Damage for Ukraine only accepts testimonies of war crimes that happened after the 2022 invasion, leaving out many survivors from crimes committed since 2014. We are working to amend this rule.

The international response should follow the principle of ‘nothing about us, without us’. International partners should collaborate directly with women-led CSOs, using trauma-informed approaches. For women affected by combat, loss or abduction, recovery must start with psychological support, and civil society can play a vital role in this process.

The effective implementation of Resolution 1,325 also requires reconstruction funds that incorporate a gender perspective throughout. Ukrainian women’s CSOs prepared a statement to highlight the importance of analysing the war’s impact on the implementation of the UN’s Beijing Platform for Action on gender equality and we used this as common message during the recent meeting of the UN Commission on the Status of Women.

Additionally, we believe it’s time to consider the successes and failures in implementation of Resolution 1,325 and its sister resolutions, because it’s 25 years since its adoption and the world is not safer.

We appreciate any platforms where we can speak about the experience of Ukraine and call for action to support Ukraine to help make a just and sustain peace in Europe and the world.

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Mexico Bans GM Corn Cultivation in Constitutional Reform: Action Follows Trade Ruling That Ignored Evidence of Genetic Contamination

Biodiversity, Civil Society, Economy & Trade, Food and Agriculture, Food Systems, Headlines, Health, Indigenous Rights, Latin America & the Caribbean, TerraViva United Nations

Opinion

Credit: Michael Farrelly, AFSA

CAMBRIDGE, MA., Apr 30 2025 (IPS) – On March 17, Mexican President Claudia Scheinbaum signed into law a constitutional reform banning the cultivation of genetically modified (GM) corn. The action followed a December ruling by a trade tribunal, under the U.S.-Mexico-Canada (USMCA) trade agreement, in favor of a U.S. complaint that Mexico’s 2023 presidential decree, with broader restrictions on the consumption of GM corn, constituted an unfair trade practice by prohibiting the use of GM corn in tortillas.


The Mexican government publicly disagreed with the ruling, claiming that the three arbitrators had failed to consider the scientific evidence Mexico presented in the yearlong case. But the government chose to comply, rescinding the three specific parts of the decree deemed to limit future GM corn imports. Still, the government left intact the decree’s measures phasing out the use of the herbicide glyphosate, establishing a protocol for tracking GM corn imports into the country, and banning the cultivation of GM corn in the country.

The constitutional amendment enshrines that last measure in a more permanent manner. While GM corn has faced planting restrictions for more than a decade, the constitutional ban represents an important act of resistance and sovereignty, particularly in light of the flawed decision by the tribunal.

Trade panel fails to consider evidence

Corn is central to Mexico’s agriculture, cuisine, nutrition, and culture. Mexico is the center of origin for corn, where the crop was domesticated thousands of years ago. It remains at the core of the country’s farming, diet, and culture. As President Sheinbaum acknowledged in approving the constitutional ban on GM corn cultivation, “Sin maiz no hay pais” – without corn there is no country.

In defense of Mexico’s 2023 decree, the panel acknowledged that the government presented scientific evidence from qualified and reputable sources of “risks to human health arising from the direct consumption of GM corn grain in Mexico, and risks to native corn of transgenic contamination arising from the unintentional, unauthorized, and uncontrolled spread of GM corn in Mexico.” (That evidence is summarized in an extensive publication from Mexico’s national science agency.)

The trade tribunal dismissed concerns about such risks in its ruling, essentially giving itself a pass on reviewing the scientific evidence of human-health risks by arguing that Mexico had not conducted an approved risk assessment “based on relevant scientific principles,” a reference to prevailing international codes for such processes.

The panel also failed to evaluate the risks to native corn. Mexico presented strong evidence that GM corn has cross-pollinated native corn varieties, gene flow that threatens to undermine the genetic integrity of the country’s 64 “landraces” and more than 22,000 varieties adapted by farmers over millennia to different soils, altitudes, climates, foods, and customs.

The tribunal argued that no special protection from GM corn was needed because gene flow already takes place from non-GM hybrid varieties of corn, and GM contamination is no different from non-GM gene flow. “Mexico has not demonstrated how the threat to the traditions and livelihoods of indigenous and farming communities from GM corn is greater than the threat posed by non-native, non-GM corn,” the panel wrote. Cross-pollination from hybrid corn “could equally threaten the genetic integrity of native corn.”

Equating contamination from GM corn with that of hybrid corn is a serious misreading of the science and of Mexico’s culture. GMOs by definition – and by explicit definitions in the constitutional amendment – involve crossing species boundaries, introducing, for example, a gene from a bacterium into a corn plant to repel insects. In contrast, hybrid corn is produced by cross-breeding different corn varieties, the resulting offspring remaining pure corn, with no non-corn genes in its DNA.

Mexican farmers have a long history of developing some of their own cross-pollinated varieties, intentionally combining a native variety with a hybrid that has properties the farmer desires. Such cross-pollination has nothing in common with unwanted contamination from GM corn, imposed on farmers without their informed consent. They call it “genetic pollution.”

It can pose a long-term risk to native varieties. Transgenic traits do not always reveal themselves after contamination. That means farmers can unknowingly spread such contamination from their pollen year after year to other corn plants. Mexican researchers discovered such contamination in their 2013 survey of native corn varieties. Biotechnologist Antonio Serratos reported that some of the native varieties he found even within Mexico City had transgenic traits in their DNA.

“In Mexican fields, transgenic native maize is being created,” he told me at the time. ”If [GM] maize seeds are sold or exchanged, the contamination will grow exponentially. That is the point of no return.”

Seed-sharing under threat

The tribunal’s alternative recommendation for controlling unwanted gene flow suggested that “the informal seed exchange practices of indigenous and farming communities” was one of the “underlying issues” Mexico should address to prevent contamination instead of restricting imports.

Limiting seed-sharing is entirely at odds with the science of seed diversity and evolution, says researcher Erica Hagman, who helped prepare Mexico’s defense in the USMCA dispute. Mexico’s rich corn diversity is the direct result of millennia of adaptive practices by farmers in their fields. The tribunal’s suggestion that Mexico should limit such seed-sharing to prevent GM corn contamination runs counter to the practices of in situ conservation of agricultural biodiversity.

Mexico’s constitutional ban on GM corn cultivation ensures that such misguided reasoning will not guide public policy. The amendment was strengthened by proposals from civil society that extended the ban to new genetically engineered seeds by banning any crops “produced with techniques that overcome the natural barriers of reproduction or recombination, such as transgenics.” This limits some of the new generations of genetically engineered crops.

While the constitutional reform does not include some of the original language restricting GM corn consumption, no doubt in deference to the trade ruling, the final version shows a clear preference for non-GM crops, leaving the door open to tighter regulation.

Tania Monserrat Téllez from the Sin Maíz No Hay País coalition called the reform “a major step forward for the defense of native corn varieties, the health of the Mexican population, and the protection of Mexico’s biocultural heritage associated with corn.”

Timothy A. Wise is the author of Eating Tomorrow: Agribusiness, Family Farmers, and the Battle for the Future of Food (New Press 2019) and a researcher at Tufts University’s Global Development and Environment Institute.

IPS UN Bureau

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African Countries Still Underfunding Health by as Much as 50 Percent

Africa, Aid, Civil Society, Development & Aid, Editors’ Choice, Featured, Financial Crisis, Gender, Health, Humanitarian Emergencies, Sustainable Development Goals, TerraViva United Nations, Women’s Health

Health

Health workers getting ready for duty at an mpox treatment center in Lwiro in DR Congo, a hotspot for the pandemic that CD Africa handled in 2024. Credit: WHO

Health workers getting ready for duty at an mpox treatment center in Lwiro in the Democratic Republic of Congo’, a hotspot for the pandemic that CD Africa handled in 2024. Credit: WHO

NAIROBI, Apr 24 2025 (IPS) – The majority of African countries are yet to commit 15 percent of their GDP to funding the health sector, despite the growing disease burden weighing down the continent and two decades after the coming into force of the Abuja declaration on health sector funding.


Only a few countries, including Rwanda, Botswana, and Cabo Verde, have consistently met the 15 percent target, with some countries allocating less than 10 percent of their budget to the crucial sector.

Under the Abuja Declaration of 2001, African Union (AU) member states made a commitment to end the continent’s health financing crisis, pledging to allocate at least 15 percent of national budgets to the sector. However, more than two decades later, only three countries—Rwanda, Botswana, and Cabo Verde—have consistently met or exceeded this target (WHO, 2023). In contrast, over 30 AU member states remain well below the 10 percent benchmark, with some allocating as little as 5–7 percent of their national budgets to health.

Countries including Nigeria, Chad, and the Central African Republic are allocating as little as 5–7 percent to the sector, thanks to a myriad of political and economic challenges, including a high debt burden and narrow tax base, according to Director General of Africa Centres for Disease Control (Africa CDC), Dr. Jean Kaseya.

Competing demands for security and infrastructure financing and limited coordination between ministries of health and finance, plus the fact that the COVID-19 pandemic “hit national budgets hard,” worsened by global economic instability, haven’t helped matters, he said, while commenting on the latest annual report of the continental health body and the 2025 concept paper on Africa’s Health Financing in a New Era, both released in April.

Wivine M'puranyi, a 30-year-old mother of six,from village of Karanda in D.R Congo's South Kivu reflects on the distressing days when her two daughters were diagnosed with mpox, one of the pandemics that hit Africa in 2024.

Wivine M’puranyi, a 30-year-old mother of six from the village of Karanda in the Democratic Republic of Congo’s South Kivu, reflects on the distressing days when her two daughters were diagnosed with mpox, one of the pandemics that hit Africa in 2024. Credit: WHO

“It also exposes just how costly underinvesting in health can be. The real story here is political will, where leaders prioritize health, and budgets follow,” he noted.

The report finds that only 16-29 percent of African countries currently have updated versions of the National Health Development Plan (NHDP) supported by a National Health Financing Plan (NHFP), the two documents being critical in driving internal resource mobilization.

“Updating National Health Development Plans (NHDPs) and National Health Financing Plans (NHFPs) is not just a matter of paperwork—it’s a heavy lift. Countries need robust data, skilled teams, funding, and strong inter-ministerial coordination,” he said.

Low funding has a consequence: it has led to many health departments being understaffed and overstretched, partly because some governments ‘deprioritize’ updating the two documents because they fear the plans won’t be implemented or be funded. “But without current, credible plans, it’s nearly impossible to make a case for more domestic or external investment. These documents are not bureaucratic checkboxes—they’re investment blueprints,” the DG told IPS.

He noted that countries that have updated and actively used their NHDPs and NHFPs have seen tangible benefits, one such country being Burkina Faso, where an updated NHFP had helped streamline funding and implementation for free healthcare policy.

In Senegal, incorporating macroeconomic forecasting into the NHFP improved budget predictability and donor alignment. “These tools are powerful when they are costly, realistic, and regularly monitored. But let’s be clear; plans must be funded and used—not just filed away—to make a real difference,” Kaseya added.

According to the documents, Africa continues to carry a disproportionate share of the global disease burden—25 percent—but with only 3 percent of the global health workforce, resulting in a “dangerously overstretched workforce,” according to the documents. Should this shortage be prioritized over all other health needs and deficiencies, or what should be addressed first?

The shortage of health workers remains a fundamental challenge, with Africa carrying 25 percent of the global disease burden but a disproportionate 3 percent of the global health workforce—a challenge that cannot be addressed “in isolation.”

Likobiso Posholi, 35, from Ha Sechele village in Mohale's Hoek in Lesotho who is recovering from a recent caesarean section. Many countries in Africa are yet to commit 15% of the national budgets so that women like Posholi can access affordable maternity services.

Likobiso Posholi, 35, from Ha Sechele village in Mohale’s Hoek in Lesotho, recovering from a recent cesarean section. Many countries in Africa are yet to commit 15 percent of the national budgets so that women like Posholi can access affordable maternity services. Credit: WHO

However, recruiting en masse without sustainable financing or strategic deployment can strain the system, and in some countries, trained professionals remain unemployed due to fiscal constraints or wage bill ceilings. “Kenya, for example, is piloting co-financing mechanisms between national and local governments to overcome this. The key is to tackle workforce gaps through integrated, context-specific reforms that link financing, recruitment, and health system needs,” Kaseya said.

The Africa CDC has drafted a three-pronged strategy and placed it at the forefront of a health financing revolution that could potentially represent a paradigm shift from dependency to self-determination. Some aspects of the strategy can be implemented immediately without being subjected to a lot of bureaucracy in view of the emergency brought about by cuts in Overseas Development Assistance (ODA), he added.

Reductions in ODA went down by 70 percent between 2021 and 2025, exposing health systems to deep-rooted structural vulnerabilities and placing immense pressure on Africa’s already fragile health systems, with overseas financing being seen as the backbone of critical health programmes.

These include pandemic preparedness, maternal and child health services, and disease control initiatives, all of which are at risk, threatening Sustainable Development Goal 3 and Universal Health Coverage.

“Some components of our strategy can be rapidly deployed. Health taxes on products like tobacco, sugar, and alcohol are politically sensitive but technically straightforward and yield dual benefits, generating revenue and promoting healthier populations. Strengthening health financing units within ministries is a high-impact, low-cost intervention that can dramatically improve budget execution and efficiency,” Kaseya suggested.

Likewise, deploying digital tools—such as real-time dashboards to track financing flows—can happen quickly and with limited bureaucracy. Countries like Benin, South Africa, and Ethiopia are already implementing such reforms with measurable progress.

He pitched that digitization of the health sector is no longer a luxury, as it is foundational to the much-needed resilient, transparent, and efficient health systems.

On the other hand, the platforms improve decision-making, enable better resource tracking, and enhance service delivery. However, fragmentation of digital solutions remains a challenge, with many platforms developed in ‘silos,’ often “donor-driven and poorly integrated,” he commented.

He singled out Ghana, which offered a strong example of progress, having developed a national platform that integrates health and financing data. “The true value of digitization is realized when countries lead the process, ensure interoperability, and embed digital solutions into broader system reforms,” Kaseya said.

On the positive side, CDC Africa for the first time led an emergency response, putting in place a Joint Continental Incidence Management Support Team (IMST) co-led with the World Health Organization and bringing together over 28 partners to collaborate on the Mpox response. This work was done under the “One team with a One unified plan, One budget, and One monitoring framework.”

“This is a historic first that marked a significant milestone in Africa’s leadership of public health emergencies of continental significance,” the report observed.

It further supported national responses to “multiple major public health emergencies,” including the mpox outbreak in 20 AU member states and the Marburg virus disease outbreak in Rwanda. This was in declaring the former a Public Health Emergency of Continental Security (PHECS) on August 13, 2024, in consultation with the affected countries and relevant stakeholders.

Also on the positive side, the continental health body was advancing a comprehensive three-pillar strategy centered on domestic resource mobilization, innovative financing, and blended finance.

IPS UN Bureau Report

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Children at the Center

Armed Conflicts, Civil Society, Climate Change, Crime & Justice, Education, Education Cannot Wait. Future of Education is here, Global, Health, Human Rights, Humanitarian Emergencies, Migration & Refugees, TerraViva United Nations

World Creativity & Innovation Day Statement by Education Cannot Wait Director Yasmine Sherif

The ruins of a residential building in northern Gaza following an Israeli airstrike. Credit: UNICEF/Mohammed Nateel

NEW YORK, Apr 21 2025 – Creativity and innovation are essential to finding extraordinary solutions to abnormal problems. Now more than ever we must continue finding creative solutions to protect the world’s most vulnerable children from the excruciating pain of war, dispossession and destruction of their last hope: a quality education. The current humanitarian and development funding levels are falling. However, with creativity we can prevent further deterioration and instead turn towards an upward direction.


With bold, innovative action and connected problem-solving in a world of abundance we can better connect the dots between donors, governments, the private sector, UN agencies, civil society and other key partners to unleash our wealth of humanity towards those in unwanted scarcity: the world’s most vulnerable children whose only wealth is their hope for a quality education.

In 1543, Nicolaus Copernicus published his groundbreaking theory, “On the Revolutions of Heavenly Spheres.” His new ideas sparked a revolution by placing the Sun – rather than the Earth – at the centre of our solar system.

We need a Copernican Revolution of our own today – one guided by data, evidence, creativity and innovation, and the highest of all values: empathy. We can then deliver on the reforms envisioned in the UN80 Initiative, Pact for the Future and other initiatives designed to reimagine the delivery of humanitarian aid. In short, we must place children at the center of our universe and use education as our single most powerful instrument to tap their vast potential. Only then can their hope turn into reality.

Education Cannot Wait (ECW), the global fund for education in emergencies and protracted crises in the United Nations, is embracing evidence-driven reforms to streamline our operations and ensure every donor dollar creates a positive impact on the lives of children caught on the frontlines of conflict, climate change and forced displacement. With the lowest overhead costs, we are lean, agile and fast-acting, and we place children and adolescents in emergencies and protracted crises at the center of everything we do.

Our work – and our value proposition – is driven by data and evidence to achieve optimal results and impact. Let’s start with the growing needs. When ECW became operational in 2017, it was estimated that approximately 75 million crisis-affected children needed education support. Today, with violent conflicts in places like the Democratic Republic of the Congo, Gaza, Sudan and Ukraine, horrific shocks from climate change-related natural disasters, and a unprecedented rise in human displacement and migration, that number has skyrocketed to nearly a quarter of a billion – 234 million to be precise.

Data also tell us that a lack of quality education – especially across the Global South – is costing us trillions of dollars in lost opportunities every year. “Limited educational opportunities and barriers for girls cost the world economy between US$15 trillion and US$30 trillion. In nine countries, the cost of out-of-school children was estimated to be greater than the value of an entire year of GDP growth,” according to the World Bank.

Additionally, investing US$1 in early childhood education can generate returns as high as US$17 for the most disadvantaged children worldwide. Imagine the impact every dollar could have in creating a million more opportunities for the world’s most vulnerable children.

Given the current funding environment, we must embrace our creative problem-solving and solutions orientation. Besides revisiting budgets and finding human-centred solutions to those left furthest behind, another creative approach toward resource mobilization comes from impact investments. Through partnerships with visionary businesses like Swiss Cantonal Banks and Tribe Impact Capital LLP, Education Cannot Wait is able to connect private capital with public goods as a driving force toward long-term economic growth, resilience and security. With the ability to crowd-in resources and expertise, pool funds and broker partnerships, ECW is igniting global reform to deliver on a development sector, such as education, in humanitarian crises with coordination, speed and impact.

Together with our strategic donor partners, ECW is reimagining the way we deliver life-saving education supports on the frontlines of the world’s most severe humanitarian crises. One thing is certain, by following Copernicus’ evidence-based vision – and placing children at the center of our collective efforts – we can make the seemingly impossible possible – provided that we all do our part keeping our eyes on what really matters: those left furthest behind and every child’s right to a quality education – especially when this is their very last hope. By transforming their lives through a quality education, we empower them to arise from their suffering and become creative and innovative contributors to their society and, indeed, all of humanity.

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Funding Crunch Puts Years of Progress at Risk in Fight Against Tuberculosis

Aid, Civil Society, Development & Aid, Editors’ Choice, Featured, Global, Headlines, Health, Human Rights, Humanitarian Emergencies, Sustainable Development Goals, TerraViva United Nations

Health

Mycobacterium tuberculosis drug susceptibility test. Credit: CDC

Mycobacterium tuberculosis drug susceptibility test. Credit: CDC

BRATISLAVA, Mar 24 2025 (IPS) – Governments and donors must ensure funding is sustained to fight tuberculosis (TB), organizations working to stop the disease have said, as they warn the recent US pullback on foreign aid is already having a devastating effect on their operations.


NGOs and other groups that play a critical role in national efforts to stop what is the world’s deadliest infectious disease say the US administration’s recent decisions to first freeze and then cancel huge swathes of foreign aid funding have put countless lives at risk around the world.

And they warn that if that funding gap is not filled, years of progress in fighting TB could be lost.

“The impact of these cuts has been massive. There’s a gaping hole in financing, and if we don’t keep the pressure up on TB it will come back,” Dr. Cathy Hewison, Head of Médecins sans Frontières (MSF)’s TB working group, told IPS.

Every year, 10 million people develop TB, and in 2023 1.25 million died from the disease. It disproportionately affects low- and middle-income countries, with the largest TB burdens being among the world’s poorest states.

While in many states government funding accounts for at least the bulk of first-line treatment, community groups play a crucial and outsized role in national efforts to combat the disease, providing vital diagnosis, prevention, advocacy, and support services.

Many such groups rely heavily or exclusively on foreign funding with financing through US schemes, primarily USAID, predominant. USAID is the largest bilateral donor in the fight to end TB, having invested more than USD 4.7 billion to combat the disease since 2000.

In late January, an executive order from US President Donald Trump put a 90-day freeze on all US foreign aid while a review of funded projects was carried out, and then earlier this month, it was announced that 83% of all USAID projects were to be cancelled.

The effects on community groups on the frontlines of the fight against TB have been immediate and severe.

“Many community organizations have suspended outreach services, such as active case finding, contact tracing, treatment adherence, and psychosocial support,” Rodrick Rodrick Mugishagwe, a TB advocate with the Tanzania TB Community Network (TTCN), told IPS.

“Furthermore, transportation allowances for community health workers conducting home visits have been reduced, resulting in lower TB case detection rates. There have also been job losses among community health workers and peer educators, undermining service delivery,” he added.

Mugishagwe recounted how a woman from the city of Arusha in northern Tanzania who was diagnosed with TB last year had relied on a USAID-supported community programme for transport to a clinic for monthly treatment. But following the funding cuts, her programme shut down, and she could not afford the transport costs.

“She has disappeared from her residence and can no longer be traced, putting her at risk of treatment failure and developing drug-resistant TB, while there is a risk of further transmission to the community,” he said.

Bruce Tushabe, regional training and capacity strengthening lead at the AIDS and Rights Alliance for Southern Africa (ARASA), which works with partners in South Africa on TB interventions, most of whom were supported through USAID, said treatment and access to TB medication had been stopped. There had also been a breakdown in community-led monitoring tracking progress in treatment access and availability, he said.

“There is a high burden of TB – an incidence rate of 468 per 100,000 of the population—and we now expect to see an increase in deaths, and in the long term, [rising] multi-drug resistant TB (MDR-TB) among the populace, as well as increased TB cases since contact tracing is now paused in many areas and facilities,” he told IPS.

The spread of drug-resistant (DR-TB) and MDR-TB in the wake of the funding cuts is a particular concern, especially in poorer countries where DR TB is often widespread, as it is much harder and costlier to treat, putting an even greater burden on limited resources.

“There is a lot of DR-TB here and when people don’t have the right information and don’t take the right medicine or don’t have support during lengthy, sometimes very hard treatment, they might not be able to finish their course or treat their TB properly, and then the disease spreads. People with TB who had been going to TB centers may now turn up and find there is no one to answer their questions or give them the right advice on treatment, and so they might just turn away,” Atul Shengde, National Youth Coordinator—Global Coalition of TB Advocates, India, told IPS.

While TB often affects the poorest and most vulnerable communities, even within those communities there are some groups which are especially at risk, such as children.

“Children’s immune systems are less developed, which makes them more vulnerable to TB. Figures show 25% of the world is infected with TB, but just because someone is infected it does not mean they will get sick from it. But if your immune system is less developed or compromised in any way you are more likely to get TB, more likely to get ill with TB, and more likely to have more severe TB,” Hewison said.

“Children at risk of having TB are often overlooked, either going undiagnosed or facing delays in diagnosis. Now, with the recent US funding cuts, these gaps in identifying and treating children with TB will only widen further which threatens to roll back years of progress in TB care,” she added.

The World Health Organization has issued stark warnings of the devastating effects of the abrupt cessation of US global health funding, and affected organizations have pleaded with the US to reverse its decision.

But community groups who spoke to IPS admitted it appeared unlikely funding would resume any time soon.

And because US funding played such a large role in global TB efforts, they worry it will be very difficult to plug the current financing gap, certainly in the short to medium term, and possibly even long term, especially at a time when governments in high-income countries, such as the UK, Germany, and France, among others, are reducing foreign aid.

“I see no high-income donor countries stepping in to fill the gap left by the US funding cuts. Countries are faced with a lot of resource pressures at the moment; for instance, defense is a big issue now, and to pay for that, cuts are going to have to be made elsewhere, and that usually starts with healthcare,” Dr Lucica Ditiu, Executive Director of the Stop TB Partnership, told IPS.

“In future, low and middle income countries, especially, will have to relearn the hard lesson, as they did with Covid, that they are on their own. They will have to think about reducing their reliance on external donors for their health programmes and put the resources in themselves,” she added.

Buy while some governments may be able to up their financing of national TB programmes, poorer countries are likely to struggle to do so, and new forms of financing need to be considered, experts say.

“Of course, raising funding is impossible for some low-income countries. Innovative forms of funding need to be looked at—for example, financing from the different international development banks, debt swaps between countries, and others,” said Ditiu.

However, even if the funding gap is plugged somehow, or there is an unlikely dramatic reversal of US policy in the near future, there are fears the damage has already been done.

“We are going to see a massive spread of TB, and especially DR-TB, whatever happens now because cases have been missed, people have gone undiagnosed, and treatment has been interrupted,” said Ditiu.

IPS UN Bureau Report

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New Survey: US Funding Freeze Triggers Global Crisis in Human Rights and Democracy

Civil Society, Democracy, Gender, Global, Headlines, Health, Human Rights, Press Freedom, TerraViva United Nations

Opinion

Distribution of rice for vulnerable communities in Port-au-Prince, Haiti, by USAID, PICRYL.

THE HAGUE, Netherlands, Mar 19 2025 (IPS) – A new survey carried out by the EU System for an Enabling Environment (EU SEE) network exposes the impact of the US funding freeze on civil society organisations (CSOs) in over 50 countries. With 67% of surveyed organisations directly impacted and 40% of them losing between 25-50% of their budgets, the abrupt halt in funding is disrupting critical human rights, democracy, gender equality and health programs, leaving vulnerable communities without essential support.


Explore the survey in this link

Key Findings:

– The decision by the US to reduce foreign aid funding has become an opportunity to further limit civic space. CSOs are increasingly facing public attacks fuelled by misinformation and negative narratives, along with restrictive regulatory frameworks and heightened scrutiny, according to the new data.

– 67% of surveyed CSOs by EU SEE are directly affected, with 40% of them losing 25-50% of their budgets, forcing them to reduce programs, cut staff or close operations.

– Human rights, democracy and gender equality programs face the most severe disruptions with a real risk of setting the world decades behind.

– Many organisations lack alternative funding sources and risk shutting down permanently.

Across the world, the immense contributions of civil society to democracy, the rule of law, good governance, policy making and in advancing the rights of excluded voices continue to be undermined by actions that constrain their enabling environment. The time is now for joint action with civil society to push back on these restrictions by advocating for open spaces and progressive laws that promote and protect rights for all,” says David Kode, Global Programme Manager EU SEE.

What Needs to Happen?

The EU SEE network urges governments, donors and policymakers to take immediate action in the following ways:

– Emergency financial support to stabilize affected CSOs
– Stronger donor coordination to ensure sustained support for democracy, human rights, and media freedom programmes.
– Flexible and sustainable funding mechanisms that allow CSOs to adapt.
– Support civil society organisations to develop stronger advocacy & communication strategies to counter narrative backlash.

If we don’t act now, vital programs which are the direct result of civil society’s impact, supporting democracy, human rights, and communities will disappear,” warns Sarah Strack, Forus Director.

A message echoed by Gina Romero, UN Special Rapporteur on the Rights to Freedoms of Peaceful Assembly and of Association, in an interview with CIVICUS: “These measures are a stake in the heart of the right to freedom of association, especially because of the way the decision is made: radical, surprising, with no possibility of gradual action, with little transparency and zero participation of the affected actors.” CIVICUS has also conducted a survey on the impact of the changing global funding landscape for civil society among its members around the world.

The US funding freeze, along with the insecurities and “unknowns” it is triggering, is already having far-reaching consequences, and its long-term effects could be even more devastating. The data is clear: civil society is at risk, and the time to act is now.

Read the full report here: https://eusee.hivos.org/document/the-impact-of-the-us-funding-freeze-on-civil-society/

Tanja Brok, is EU SEE Communications Lead

IPS UN Bureau

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