Time to Rethink Health Financing: It’s Not Just a Public Sector Concern

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Opinion

Parents and caregivers line up with their children at an immunization centre in Janakpur, southern Nepal. Meanwhile recent funding cuts have caused “severe disruptions” to health services in almost three-quarters of all countries, according to the head of the UN World Health Organization (WHO), Tedros Adhanom Ghebreyesus. April 2025. Credit: UNICEF

LONDON, Jun 19 2025 (IPS) – As G7 leaders of the world’s wealthiest nations wrapped up their summit in Kananaskis June 16, a critical issue was absent from the agenda: the future of global health financing.


Amid escalating geopolitical tensions, trade conflicts and cuts to development aid, health has been sidelined – less than five years since COVID-19 devastated lives, health systems and economies.

With the fiscal space for health shrinking in over 69 countries, it’s time to recognise that health financing is no longer solely a public sector concern; it is a fundamental pillar of economic productivity, stability, and resilience.

A glimmer of hope has emerged from South Africa, the current G20 Presidency host, and from the World Health Organization (WHO). A landmark health financing resolution, adopted at last month’s World Health Assembly calls on countries to take ownership of their health funding and increase domestic investment.

While this is a promising step, the prevailing discourse continues to rely on outdated solutions which are often slow to implement and fall short of what is needed.

Invest Smarter, Not Just More, in Health

Recent trends among G20 countries show that annual healthcare expenditure is actually declining across member states. In 2022, health expenditure dropped in 18 out of 20 G20 nations, leading to increased out-of-pocket expenses for citizens.

While countries like Japan, Australia, and Canada demonstrate a direct correlation between higher per capita health expenditure and increased life expectancy, others, such as Russia, India, and South Africa, show the opposite.

This disparity underscores a crucial point: the quality and efficiency of investment matters more than quantity. Smart investment encompasses efficient resource allocation, equitable access to affordable care, effective disease prevention and management, and broader determinants of health like lifestyle, education, and environmental factors.

Achieving positive outcomes hinges on balancing health funding – the operational costs – with sustainable health financing – the capital costs.

Private capital is already moving into health, what’s missing is coordination and strategic alignment

Despite the surge in healthcare private equity reaching USD 480 billion between 2020 and 2024, many in the sector remain unaware of this significant shift. Recent G20 efforts have focused on innovative financing tools, but what’s truly needed are systemic reforms that reframe health as a core pillar of financial stability, economic resilience, and geopolitical security, not just a public service.

This year’s annual Health20 Summit at the WHO, supporting the G20 Health and Finance Ministers Meetings, addresses this need by launching a new compass for health financing: a groundbreaking report on the “Health Taxonomy – A Common Investment Toolkit to Scale Up Future Investments in Health.”

Why do we need an investment map for health?

The answer is simple: since the first ever G20 global health discussions under Germany’s G20 Presidency in 2017, there has been no consistent effort to rethink or coordinate investments. G20 countries still lack a strategic dialogue between governments, health and finance ministries, investors and the private sector.

Market-Driven, Government-Incentivised: The Path Forward

Building on the European Union’s Green Taxonomy, the health taxonomy aims to foster a shared understanding and common language among governments, companies, and investors to drive sustainable health financing. Investors, Asset Managers, Venture Capitalists, G20 Ministries of Health and Finance, Multilateral Development Banks (MDBs), and International Organisations broadly agree that a market-driven taxonomy is both credible and practical.

Governments can have greater confidence knowing it has been tested with investors and is grounded in market realities.

The Health Taxonomy report identifies a key barrier to progress: the fundamental confusion between health funding and health financing: Health financing refers to the system that manages health investments, such as raising revenue, pooling resources and purchasing services. In contrast, health funding refers to the actual sources of money.

Increasing health funding alone will not improve health outcomes if the financing system is poorly designed. Conversely, a well-developed health financing framework won’t succeed without sufficient funding. Both are essential and must work together.

The health taxonomy has the potential to serve as a vital tool for policy planning sessions, strategic boardroom discussions and investment committees, thereby enabling health to be readily integrated into existing portfolios and strategies. It could also support more systematic assessments of health-related risks and economic impacts, including through existing processes like the IMF’s Article IV consultations and other macroeconomic surveillance frameworks.

The report urges leading G20 health and finance ministers to rethink and align on joint principles for health funding and financing.

The next pandemic could be more severe, more persistent, and more costly. Failure to invest adequately in health before the next crisis is a systemic risk our leaders can no longer afford to ignore.

Hatice Beton is Co-Founder, H20Summit; Roberto Durán-Fernández; PhD, is Tec de Monterrey School of Government, Former Member of the WHO’s Economic Council; Dennis Ostwald is Founder & CEO, WifOR Institute (Germany); Rifat Atun is Professor of Global Health Systems, Harvard T.H. Chan School of Public Health

IPS UN Bureau

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Atoll Nation of Tuvalu Faces Climate Existential Crisis, Frustration With Slow Funding

Asia-Pacific, Biodiversity, Climate Change, Climate Change Finance, Climate Change Justice, Conferences, Development & Aid, Disaster Management, Editors’ Choice, Environment, Europe, Featured, Human Rights, Humanitarian Emergencies, Natural Resources, PACIFIC COMMUNITY, Pacific Community Climate Wire, Small Island Developing States, Sustainable Development Goals, TerraViva United Nations

Climate Change Finance

Water floods in, showing how nature and people are at risk. Trees can't grow because of salt, leaving no protection. This photo warns about climate change's effect on our islands and atolls. It's a clear sign we need to act to keep our world safe. Credit: Gitty Keziah Yee/Tuvalu

Water floods in, showing how nature and people are at risk. Trees can’t grow because of salt, leaving no protection. This photo warns about climate change’s effect on the islands and atolls. Credit: Gitty Keziah Yee/Tuvalu

NICE, Jun 12 2025 (IPS) – Prime Minister of Tuvalu, Feleti Teo, describes himself as an optimist—despite the existential crisis his atoll nation faces with climate change-induced sea level rise and frustration with existing international financial mechanisms to fund adaptation and mitigation.


The 3rd UN Ocean Conference was a success, he told a press conference today, June 12. At the beginning of the week, he ratified an agreement under the UN Convention on the Law of the Sea on the Conservation and Sustainable Use of Marine Biological Diversity of Areas beyond National Jurisdiction (BBNJ) and was also now party to the FAO’s international agreement to specifically target illegal, unreported, and unregulated (IUU) fishing—Agreement on Port State Measures (PSMA).

These agreements were crucial.

“The ocean is everything to us—a source of protein, income, and fisheries. It represents  40 percent of the domestic budget. It plays a vital role,” Teo said. But it is a double-edged sword because it also represents the greatest threat because of climate change-induced sea level rise, which for the atoll nation means that more than 50 percent of the country will be regularly inundated by tidal surges by 2050.

So, he needs to contemplate services for the needs of his people in a region where there is no scenario of moving to higher ground—because there isn’t any.

Tuvalu is “totally flat.”

Teo said USD 40-million had been spent on the country’s flagship Tuvalu Coastal Adaptation Project, known as TK of which phase one was completed.

But behind the small success was a clear sense of frustration.

“The coastal adaptation projects will continue into the future,” Teo said. “But it is a very expensive exercise.

Feleti Teo, Prime Minister, Tuvalu addresses the media at UNOC3. Credit: SPC

Feleti Teo, Prime Minister of Tuvalu, addresses the media at UNOC3. Credit: SPC

He made a quiet plea to development partners and financing mechanisms to be responsive.

“I’ve always urged or requested our development partners and our international financing mechanisms to be able to be more forthcoming in terms of providing the necessary climate financing that we need for us to be able to adapt and give us more time to continue to live in the land that we believe God has given us,” Teo said.

But he later admitted that the frustration with the Loss and Damage Fund and other climate financing mechanisms meant that applications could take as many as eight years to complete. This led to his Pacific partners establishing the Pacific Resilience Facility that would allow the Pacific to invest in small, grant-based but high-impact projects to make communities disaster-ready.

Teo said the UNOC3 had given them an opportunity to articulate their concerns, and he hoped that the states participating in the conference had listened to them.

“We don’t have that influence—except to continue to tell our story.”

The Pacific French Summit was a particular highlight and he believed that French President Emmanuel Macron had the region at heart.

IPS UN Bureau Report

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‘A Wake-Up Call from the Womb’—Indigenous People Rally for a Binding Plastics Treaty

Active Citizens, Civil Society, Climate Action, Conferences, Conservation, Development & Aid, Editors’ Choice, Environment, Europe, Featured, Global, Headlines, Health, Human Rights, Humanitarian Emergencies, Natural Resources, North America, Ocean Health, Sustainable Development Goals, TerraViva United Nations, Water & Sanitation

Health

Panelists engaged in a discussion with reporters about plastic pollution. Credit: Kizito Makoye/IPS

Panelists engaged in a discussion with reporters about plastic pollution. Credit: Kizito Makoye/IPS

NICE, France, Jun 11 2025 (IPS) – As the sun peeked through the French Riviera clouds and a dozen reporters sipped orange juice aboard the WWF Panda Boat docked at Port Lympia, Frankie Orona, a Native American rights advocate from the Society of Native Nations in San Antonio, Texas, stunned the room into a moment of absolute stillness.


“Imagine a baby in the womb, completely reliant on its mother for air, water, and nutrients—and yet, plastic chemicals are already finding their way into that sacred space,” he said, his voice trembling with emotion. “That baby has no choice. And neither do future generations if we don’t act now.”

Orona’s stark imagery marked a powerful appeal to the high-level delegation at the UN Ocean Conference on June 10 in Nice, where ministers and representatives from 95 countries backed The Nice Wake-Up Call—a collective demand for an ambitious, legally binding U.N. plastics treaty that addresses the full lifecycle of plastic pollution.

For Orona, the issue is deeply personal and spiritual. “In our culture, the womb is the beginning of the circle of life. Polluting it with plastics is like violating a sacred trust,” he said.

A Crisis in the Making

Plastics are now everywhere—in our oceans, our food, and even our bodies. In 2019 alone, an estimated 28 million metric tons of plastic ended up in the environment—equivalent to dumping the weight of the Titanic into nature every day. Without aggressive intervention, that figure could nearly double by 2040.

For  Orona, who doubles as UNEP co-chair of the Indigenous Peoples Major Group, the negotiations unfolding ahead of the August talks in Geneva are a fight for survival.

Speaking to reporters aboard the WWF Panda, Orona, a descendant of the Tonkawa and Apache tribes, did not mince words. “For Indigenous peoples and frontline communities, plastic pollution is not just an environmental issue—it is a human rights crisis that has been going on for generations,” he said.

With the Mediterranean breeze brushing across the harbor, Orona’s voice cut through the chatter of press briefings and policy handouts. “Our communities live near the extraction sites, the refineries, the chemical plants, the incinerators, and the waste dumps. We are the first to feel the impacts—in our lungs, our water, our food, and our children’s health. And too often, we are the last to be consulted.”

The declaration known as The Nice Wake-Up Call, endorsed by 95 countries at the conference, was a welcome shift in tone for many in the Indigenous rights movement. “It sends a strong signal that many governments are now recognizing what we’ve been saying for decades—that ending plastic pollution means addressing the full life cycle of plastics: from extraction to production to disposal,” Orona said.

From Environmental Damage to Systemic Injustice

Orona, who also represents the International Indigenous Peoples Forum on Plastics and is part of the Plastics Environment Justice Delegation, emphasized that plastic pollution must be understood in the context of historical and ongoing systems of exploitation.

“This is a continuation of environmental racism and systemic injustices. The human rights violations and violence that have been normalized in our communities for generations must stop,” he said.

Citing the disproportionate exposure of Indigenous populations to toxic chemicals used in plastics—some linked to cancer, reproductive harm, and endocrine disruption—he called for a global ban on these additives. “Many of these chemicals are dumped, burned, and leached into our waters, into our sacred lands,” Orona said. “We cannot talk about justice if these harms continue.”

A Just Transition Rooted in Indigenous Knowledge

While many governments are pushing for ambitious production caps and bans on single-use plastics, Orona warned that these measures must not shift the burden onto those least responsible for the crisis.

“A just transition means phasing out fossil fuel-based plastics while investing in community-led solutions, including Indigenous knowledge and science,” he said. “This isn’t just about cleaning up trash; it’s about restoring balance and protecting future generations.”

In a system long dominated by fossil fuel interests and extractive economies, Indigenous communities have often led the way in conservation and sustainable living. “Our knowledge systems are not just cultural—they are scientific. They are proven. And they are part of the solution,” Orona noted.

Follow the Money—and Ensure It Reaches the Frontlines

Orona’s final message was financial. Any treaty, he insisted, must include a mechanism that guarantees direct access to funds for Indigenous and frontline communities.

“Too often, we are shut out of global financing streams—even when we are the ones on the front lines, creating the very solutions the world needs,” he said. “That must end.”

While images of floating plastic bottles and entangled turtles often dominate headlines, experts at the Nice panel were adamant: the crisis begins long before a straw hits the ocean.

Disproportionate Impacts

Plastic production facilities are often located in marginalized communities—adding a layer of environmental injustice to the crisis.

“Indigenous peoples, rural communities, and minority populations suffer the worst impacts,” said Orona. “We’re talking about asthma, cancers, and cardiovascular diseases—especially in children. These are not abstract consequences; these are lived experiences.”

Reporters on the Panda Boat scribbled notes between bites of Mediterranean pastries, visibly moved by Orona’s personal account.

“This is genocide by pollution,” he added. “Our people are dying, and it’s largely invisible to the rest of the world.”

Wildlife at Risk

The panel also underscored the devastating effects of plastic on marine life. Every species of sea turtle has been documented ingesting or getting entangled in plastic. For blue whales, the planet’s largest animals, the reality is even more daunting—they are believed to ingest up to 10 million pieces of microplastic every day, sometimes weighing as much as 44 kilograms.

The next round of negotiations for the plastics treaty is scheduled for August in Geneva, where pressure is mounting to solidify a legally binding agreement that includes all five critical points outlined in the Nice declaration.

The sense of urgency also echoes in the corridors of the International Maritime Organization (IMO), the U.N. agency overseeing the global shipping industry. Tasked with ensuring environmental safety on the high seas, the IMO has stepped up efforts to address plastic waste, among other pressing marine threats.

In response to a question about the devastating 2021 marine spill in Sri Lanka—where a burning cargo vessel released over 1,680 metric tons of plastic pellets into the Indian Ocean—IMO Secretary-General Arsenio Dominguez noted that the agency has been developing new regulations specifically targeting the handling, packaging, and cleanup of plastic pellets. These measures, initially adopted by the European Union, mark a significant step in tightening maritime controls on plastic pollution.

Dominguez stressed that tackling marine pollution also demands inclusive governance. The IMO is increasingly encouraging the participation of Indigenous communities and young people—groups historically sidelined from international maritime decision-making. Their voices, he said, are crucial for shaping policies that are both just and effective.

Next Steps

Professor Bethany Carney Almroth—a renowned environmental toxicologist and one of the leading scientific voices in the negotiations—believes the business world is not the obstacle many assume it to be. Instead, she says, it’s a matter of giving business the legal clarity to act.

“Business follows the rule of law,” she said. “The situation we have today is a mix—some laws are written, others are absent. That’s the problem. If we create new regulations, then it’s no longer a question of whether businesses are voluntarily doing enough. It becomes a question of compliance.”

Carney Almroth, who has worked extensively on the science-policy interface for chemicals and plastics, said that a strong, enforceable treaty is essential to shift the status quo.

“The status quo is broken,” she said plainly. “We need to change the framework so regulations guide businesses to do the best thing possible—for the economy, for the environment, and for people.”

As one of the few experts who has consistently called for systemic reform in how plastics are managed, Carney Almroth said that relying on voluntary industry movements is simply not enough.

“We’ve seen global treaties deliver meaningful results before,” she said. “The Montreal Protocol worked. It changed how we handled chlorofluorocarbons, and it protected the ozone layer. People may not even realize how much their lives have improved because of those decisions—but they have.”

The Hidden Cost of Profit

Responding to a question about the profitability of the plastics industry—especially in countries where it contributes significantly to government revenues—Carney Almroth offered a sobering perspective.

“When we say plastics are profitable, that’s only because we’re not accounting for the real costs,” she said. “Those costs aren’t paid by the companies producing plastics. They’re paid by nature, and they’re paid by people.”

She cited staggering health implications, pointing out that plastics contain thousands of chemicals—many of which are toxic, carcinogenic, or endocrine-disrupting. “The human healthcare costs associated with exposure to these chemicals are astronomical—running into billions of dollars each year. But they’re not included in the price tag of plastic production.”

Building Standards that Protect People and the Planet

So what does it take to eliminate hazardous plastics from global markets?

According to Carney Almroth, we’re still missing a critical piece: effective, fit-for-purpose international standards.

“Right now, most of the existing standards—developed by organizations like ISO or OECD—are geared toward material quality or industrial use. They were never designed to protect human health or the environment,” she explained. “We need new standards. Ones that are developed by independent experts and shielded from vested interests.”

For such standards to be truly effective, she said, they must be holistic and interdisciplinary. “We need to move away from just focusing on economic sustainability. That’s what we’ve done in the past—and it’s failed us. Environmental and social sustainability must be given equal weight.”

As the panel wrapped up, Orona gazed over the Port Lympia waters.

“We have a choice right now,” he said. “To continue poisoning the womb of the Earth—or to become caretakers, protectors.”

And as the reporters descended the gangway of the Panda Boat, the symbolism was not lost: we’re all adrift in this ocean of plastic. Whether we sink or swim depends on what happens next.

IPS UN Bureau Report

 

Pandemic Agreement: Important Step but Big Decisions Deferred

Civil Society, COVID-19, Development & Aid, Featured, Global, Headlines, Health, Human Rights, Humanitarian Emergencies, Inequality, TerraViva United Nations

Opinion

Credit: WHO/Christopher Black

BRUSSELS, Belgium, Jun 11 2025 (IPS) – When the next pandemic strikes, the world should be better prepared. At least, that’s the promise states made at the World Health Organization’s (WHO) World Health Assembly on 19 May when they adopted the first global pandemic treaty. This milestone in international health cooperation emerged from three years of difficult negotiations, informed by the harsh lessons learned from COVID-19’s devastating global impacts.


Yet this step forward in multilateralism comes at a deeply difficult moment. The WHO, as the organisation tasked with implementing the agreement, faces its starkest ever financial crisis following the withdrawal of the USA, its biggest donor. Meanwhile, disagreements between states threaten to undermine the treaty’s aspirations. Some of the big decisions that would make the experience of the next pandemic a more equitable one for the world’s majority are still to be negotiated.

A treaty born from COVID-19’s failures

Processes to negotiate the Pandemic Agreement came as a response to the disjointed international reaction to the COVID-19 pandemic. When the virus spread across borders, global north countries hoarded vaccines for their populations but left much of the world unprotected – an approach that as well as being manifestly unfair enabled the virus to further mutate. The treaty’s text emphasises the need for proper pandemic prevention, preparedness and response in all states, with the potential to enhance multilateral cooperation during health crises.

With 124 countries voting in favour, 11 abstaining and none voting against, many diplomats presented the agreement’s finalisation as a victory for global cooperation. It comes at a time when multilateralism is being severely tested, with powerful governments tearing up international rules, pulling out of international bodies and slashing funding. The window of opportunity to reach some kind of agreement was rapidly closing.

A major absence loomed large over the final negotiations. Upon his inauguration in January, President Trump announced the USA would withdraw from the WHO and halt all funding. The withdrawal of a superpower like the USA harms the WHO’s legitimacy and sends a signal to other populist governments that withdrawal is an option. Argentina is following its lead and Hungary may too.

Funding crisis

US withdrawal will leave an enormous funding gap. In the pre-Trump era, the USA was the WHO’s biggest contributor: it provided US$1.28 billion in 2022-2023, amounting to 12 per cent of the WHO’s approved budget and roughly 15 per cent of its actual budget.

As the treaty was agreed, WHO Director-General Tedros Adhanom Ghebreyesus painted a disturbing picture of the organisation’s financial situation. Its 2022-2023 budget showed a US$2 billion shortfall and its current salary gap is over US$500 million. The proposed budget for 2026-2027 has already been slashed by 21 per cent, and this reduced budget is expected to receive only around 60 per cent of the funding needed. The WHO will likely have to cut staff and close offices in many countries.

This reflects a lack of political will: states are making the choice of cutting down on global cooperation while boosting their defence spending. The current WHO funding gap of US$2.1 billion is the equivalent of just eight hours of global military expenditure.

Big issues kicked down the road

Deteriorating political realities made it crucial to reach an agreement as soon as possible, even if this meant kicking some difficult decisions down the road. As a result, the text of the agreement has severe weaknesses.

The treaty lacks dedicated funding and robust enforcement mechanisms, which means the blatant inequalities that defined the global response to COVID-19 are likely to remain unconfronted. It doesn’t tackle the most critical and contested issues, including the international sharing of pathogens and vaccine access.

The treaty will open for ratification following the negotiation of an annex on a pathogen access and benefit-sharing system, a process that could take a further two years. This means implementation is likely still a long way away.

The current impasse reflects an enduring faultline between global south states that need better access to affordable health products and technologies, and global north states siding with powerful pharmaceutical corporations that want their assets protected. Wealthy governments are making their decisions safe in the knowledge they’ll be at the front of the line when the next pandemic starts, while the world’s poorest people will again face the brunt of the devastation.

Political will needed

The Pandemic Agreement is a step forward at a time when international cooperation faces increasing attacks. That 124 countries demonstrated their commitment to multilateral action on global health threats offers hope. But substantial work remains if the treaty is to enable a truly global and fair response to the next health crisis.

For that to happen, the world’s wealthiest states need to put narrow self-interest calculations aside. States also need to address the issue of long-term funding. Right now, global leaders have agreed on the need for coordinated pandemic preparedness, but the institution meant to lead this doesn’t have the resources needed to put goals into action.

The next pandemic will test not just scientific capabilities, but also collective commitment to the shared global values the treaty is supposed to represent. Political will and funding are needed to turn lofty aspirations into meaningful action.

Samuel King is a researcher with the Horizon Europe-funded research project ENSURED: Shaping Cooperation for a World in Transition at CIVICUS: World Alliance for Citizen Participation.

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

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UN Needs to Protect its Vital, Yet Underfunded, Human Rights Work

Armed Conflicts, Civil Society, Global, Global Governance, Headlines, Human Rights, Humanitarian Emergencies, International Justice, IPS UN: Inside the Glasshouse, TerraViva United Nations

Opinion

Louis Charbonneau is UN director, Human Rights Watch

Karla Quintana (centre), head of the Independent Institution on Missing Persons in Syria, visits Al Marjeh Square in Damascus, a place where families of missing persons display photos in the hope of finding their loved ones. Credit: IIMP Syria

May 8 2025 (IPS) – Major-power cutbacks and delayed payments amidst conflict and insecurity are testing the very principles and frameworks upon which the international human rights infrastructure was built nearly 80 years ago.


Human rights need defending now more than ever, which is why the United Nations leadership needs to ensure that its efforts to cut costs don’t jeopardize the UN’s critical human rights work.

The Trump administration’s review of US engagement with multilateral organizations and its refusal to pay assessed UN contributionswhich account for 22 percent of the UN’s regular budget—have pushed the cash-strapped international organization into a full-blown financial crisis.

China, the second biggest contributor, continues to pay but has been delaying payments, exacerbating the UN’s years-long liquidity crisis. With widespread layoffs looming, UN Secretary-General Antonio Guterres has been forced to dig deep for cost-saving measures.

A six-page memo seen by Human Rights Watch—entitled “UN80 structural changes and programmatic realignment” and marked as “Strictly Confidential”—outlines proposals for eliminating redundancies and unnecessary costs across the UN.

The proposals include consolidating apparently overlapping mandates, reducing the UN’s presence in expensive locations like New York City, and cutting some senior posts.

While some UN80 proposals have merit, the section on human rights is worrying. It suggests downgrading and cutting several senior human rights posts and merging different activities. But at a time when rights crises are multiplying and populist leaders hostile to rights are proliferating, any reduction of the UN’s human rights capacities would be shortsighted.

Efficiency and cost-effectiveness are important, but the UN’s human rights work has long been grossly underfunded and understaffed. The Office of the High Commissioner for Human Rights gets just 5 percent of the UN’s regular budget.

Countless lives depend on its investigations and monitoring, which help deter abuses in often ignored or inaccessible locales. Investigations of war crimes and other atrocities in places like Sudan, Ukraine, Israel/Palestine, and elsewhere are already struggling amidst a UN-wide hiring freeze and pre-Trump liquidity shortfall.

For years, Russia and China have lobbied to defund the UN’s human rights work. There is now a risk that the United States, which has gutted its own funding for human rights worldwide, will no longer oppose these efforts and will instead enable them.

During these trying times, the UN should be reminding the world that its decades-long commitment to human rights is unwavering.

IPS UN Bureau

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Lawyer-Turned-Activist Bhuwan Ribhu Honored for Leading a Campaign to End Child Marriage

Active Citizens, Asia-Pacific, Child Labour, Civil Society, Crime & Justice, Editors’ Choice, Education, Featured, Gender, Gender Violence, Headlines, Human Rights, Human Trafficking, Humanitarian Emergencies, Latin America & the Caribbean, Sustainable Development Goals, TerraViva United Nations, Women’s Health, Youth

Human Rights

Dominican Republic’s Minister of Labor Eddy Olivares Ortega and Javier Cremades, President of the World Jurist Association, hand the Medal of Honor award to Just Rights for Children founder Bhuwan Ribhu.

Dominican Republic’s Minister of Labor Eddy Olivares Ortega and Javier Cremades, President of the World Jurist Association, hand the Medal of Honor award to Just Rights for Children founder Bhuwan Ribhu.

NEW DELHI, May 6 2025 (IPS) – Bhuwan Ribhu didn’t plan to become a child rights activist. But when he saw how many children in India were being trafficked, abused, and forced into marriage, he knew he couldn’t stay silent.


“It all started with failure,” Ribhu says. “We tried to help, but we weren’t stopping the problem. That’s when I realized—no one group can do this alone. Calling the problem for what it truly is—a criminal justice issue rather than a social justice issue—I knew the solution needed holistic scale.”

Today, Bhuwan Ribhu leads Just Rights for Children—one of the world’s largest networks dedicated to protecting children. In recognition of his relentless efforts to combat child marriage and trafficking, he has just been awarded the prestigious Medal of Honor by the World Jurist Association. The award was presented at the recently concluded World Law Congress in the Dominican Republic.

But for Ribhu, the honor isn’t about recognition. “This is a reminder that the world is watching—and that children are counting on us,” he tells IPS in his first interview after receiving the award.

Looking Back: One Meeting Changed Everything

For Ribhu, a lawyer by profession, it has been a long, arduous, and illustrious journey to getting justice for children. But this long journey began during a meeting of small nonprofits in eastern India’s Jharkhand state, where someone spoke up: “Girls from my village are being taken far away, to Kashmir, and sold into marriage.”

That moment hit Ribhu hard.

“That’s when it struck me—one person or one group can’t solve a problem that crosses state borders,” he says. He then started building a nationwide network.

And just like that, the Child Marriage-Free India (CMFI) campaign was born. Dozens of organizations joined, and the number grew steadily until it reached 262.

So far, more than 260 million people have joined in the campaign, with the Indian government launching Bal Vivah Mukt Bharat—a national mission towards ending child marriage in India.

Across villages, towns, and cities, people are speaking up for a child marriage-free India.

“What used to feel impossible is now within reach,” Ribhu says.

Taking the Fight to Courtrooms

Ribhu is a trained lawyer, and for him, the law is a powerful weapon.

Since 2005, he’s fought—and won—dozens of important cases in Indian courts. These have helped define child trafficking in Indian law; make it mandatory for police to act when children go missing; criminalize child labor; set up support systems for abuse survivors; and remove harmful child sexual abuse content from the internet.

One big success came when the courts accepted that if a child is missing, police should assume they might have been trafficked. This changed everything. Reported missing cases dropped from 117,480 to  67,638 a year.

“That’s what justice in action looks like,” said Ribhu.

Taking Along Religious Leaders

One of the most powerful moves of CMFI was reaching out to religious leaders.

The reason was simple: whatever the religion is, it is the religious leader who conducts a marriage.

“If religious leaders refuse to marry children, the practice will stop,” says Ribhu.

The movement began visiting thousands of villages. They met Hindu priests, Muslim clerics, Christian pastors, and others. They asked them to take a simple pledge: “I will not marry a child, and I will report child marriage if I see it.”

The results have been astonishing: on festivals like Akshaya Tritiya—considered auspicious for weddings—many child marriages used to happen until recently. But temples now refuse to perform them.

“Faith can be a big force for justice,” Ribhu says. “And religious texts support education and protection for children.”

Going Global with a Universal Goal

But the campaign is no longer just India’s story. In January of this year, Nepal, inspired by the campaign, launched its own Child Marriage-Free Nepal initiative with the support of Prime Minister K. P. Sharma Oli. All the seven provinces of the country have joined it, vowing to take steps to stop child marriage

The campaign has also spread to 39 other countries, including Kenya and the Democratic Republic of Congo, where calls for a global child protection legal network are gaining momentum.

“The legal systems of different countries and regions may differ, but justice should be the same everywhere,” says Ribhu, who has also authored two books—Just Rights and When Children Have Children—where he has laid out a legal, institutional, and moral framework to end child exploitation called PICKET. “It’s not just about shouting for change. It’s about building systems that protect children every day,” Ribhu says.

Sacrifices and Hope

Ribhu gave up a promising career in law practice. Many people didn’t understand why.

“People said I was wasting my time,” he remembers. “But one day my son said, ‘Even if you save just one child, it’s worth it.’ That meant everything to me.”

A believer in the idea of Gandhian trusteeship—the belief that we should use our talents and privileges to serve others, especially those who need help the most.

“I may not be the one to fight child marriage in Iraq or Congo. But someone will. And we’ll stand beside them.”

A Powerful Award and a Bigger Mission

The World Jurist Association Medal isn’t just a trophy. For Ribhu, it’s a platform. “It tells the world: This is possible. Change is happening. Let’s join in.”

He also hopes that the award will help his team connect with new partners and expand their work to new regions.

“In 2024 alone, over 2.6 lakhs Child Marriages were prevented and stopped and over 56,000 children were rescued from trafficking and exploitation in India. These numbers show that change is not just a dream—it’s real,” he says.

By 2030, Ribhu hopes to see the number of child marriages in India falling below 5 percent.

But there’s more to do. In some countries, like Iraq, girls can still be married as young as 10, and in the United States, 35 states still allow child marriage under certain conditions.

“Justice can’t be occasional,” Ribhu says. “It must be a part of the system everywhere. We must make sure justice isn’t just a word—it’s a way of life.”

IPS UN Bureau Report

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