Climate Crisis Disrupts Sundarbans Community Festival, Prosperity

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Two years ago, a Karam tree branch brought from another district was being planted in the SAMS office premises along the Shyamnagar-Munshiganj road, but it didn't survive. Credit: Rafiqul Islam Montu/IPS

Two years ago, a Karam tree branch brought from another district was being planted in the SAMS office premises along the Shyamnagar-Munshiganj road, but it didn’t survive. Credit: Rafiqul Islam Montu/IPS

SATKHIRA, Bangladesh, Dec 9 2025 (IPS) – A dried karam tree branch stands on the bank of a pond in a field in Datinakhali village adjacent to the Sundarbans. Despite many efforts, the tree could not be saved.

For two years, the Munda community in Bangladesh’s Sundarbans had been fighting to save the Karam tree so that they could bring back their traditional Karam festival—once the biggest festival in their community. Many trees are unable to survive due to the effects of salinity—this list includes the Karam tree, which is the main ingredient in celebrating the festival.

Bhakta Sardar, a priest from the Munda community, says the festival of the indigenous Munda community would be incomplete without the branches of the Karam tree

“We believe that our prosperity and well-being are hidden in the branches of the Karam tree. We pray to God to achieve our prosperity around this festival. But frequent cyclones and salinity have killed the Karam trees.”

“Now we celebrate this festival in its name only for the prosperity of the community. We cannot leave the festival for the next generation,” added Bhakta Sardar, referring to a smaller festival where the community uses fig tree branches as an alternative.

While the debate about how to integrate non-economic losses and damages due to the impact of climate change continued during the 30th Conference of the Parties to the UNFCCC (COP30) in Belém, Brazil, the Munda community is looking for ways to revive the Karam festival, a symbol of their prosperity. A recent study emphasized that these non-economic losses and damages included the loss of religious and cultural practices.

The study says that climate risks are increasing on the coast of Bangladesh. The risk is even higher in the southwest. If this situation continues in the future, small communities like the indigenous Munda community will be in even greater crisis. The study called for policy and financial reform to assist communities like this to adapt to the impacts of climate change.

In Search of the Karam Tree

The scientific name of the Karam tree is Mitragyna parvifolia. This tree in the Asian region is also known as Kelikadam. It mainly blooms before the monsoon. As the Karam tree has disappeared, the indigenous Munda community of Bangladesh now celebrates a similar festival on a smaller scale, with branches of a fig tree. The scientific name of this tree is Ficus religiosa.

There were once many Karam trees in the villages of southwestern Bangladesh. Datinakhali, adjacent to the Sundarbans in the Shyamnagar upazila (subdistrict) of Satkhira district, is one such village. This village celebrated the Karam festival with a grand event, with people from the Munda community from different areas joining in.

In addition to their time-honored religious tradition, the community in this village on the banks of the Chuna River faces economic difficulties.

The indigenous Munda community lives in several villages adjacent to the Sundarbans in Koyra upazila (sub-district) of Khulna district in southwestern Bangladesh.

Shukkuri Rani Munda used to attend the Karam festival organized in the courtyard of Fulsingh Munda’s house in Uttar Haztakhali village.

“To everyone now, the festival feels like a myth. A storm has swept away the entire festival. The next generation will forget the name of the Karam festival,” she says.

Munda Young Balai Krishna Sardar (38), president of the Sundarban Adivasi Unnayan Sangstha of that village, cannot recall attending the festival. Rangalal Munda’s 60-year-old father, Fulsingh Munda, witnessed a small-scale celebration five years ago. After Fulsingh’s death a year ago, no one in the village now knows how to initiate the Karam festival.

Geeta Rani Munda, 42, lives precariously in Datinakhali village, adjacent to the Sundarbans. She wants the Karam festival to return for her prosperity. Credit: Rafiqul Islam Montu/IPS

Geeta Rani Munda, 42, lives precariously in Datinakhali village, adjacent to the Sundarbans. She wants the Karam festival to return for her prosperity. Credit: Rafiqul Islam Montu/IPS

‘A Symbol of Our Faith’

The Munda community holds the belief that the branches of this tree conceal prosperity and well-being. They believe that the Karam festival ensures their good health and the well-being of future generations. Various tribal communities in Jharkhand, West Bengal, and Bihar, India, celebrate this festival with the same beliefs. Indigenous communities like Munda, Mahato, Kurmi, Matato, Santal, Orao, Baraik, Singh, Pahan, Mahali, Bhumij, etc., all celebrate the Karam festival.

“The Karam festival is our faith. Perhaps our economic condition is gradually deteriorating because we cannot follow our religious instructions,” said Anandini Rani Munda of Datinakhali village, articulating the belief that religious and economic wellbeing are intrinsically interlinked.

Nilkant Pahan, a priest of Burigoalini village in Shyamnagar upazila (sub-district), had been conducting the puja (religious ceremony) of the Munda community for eight years. He has organized the Karam festival several times following the ancestral tradition. But they were small events.

“Celebrating the Karam festival is our religious tradition. Our ancestors observed this tradition. We are trying to maintain its continuity. We are facing a much greater socio-economic and cultural crisis than before. We do not know what this crisis is because we cannot observe religious traditions,” Pahan says.

Impact of salinity

During Cyclone Aila in 2009, the entire area was submerged in the wave of salt water that broke the dam. The land was submerged in salt water for a long time, and the Karam trees could no longer survive. Many elderly Munda citizens believe that not only Aila but also other cyclones, especially a strong cyclone that hit the region in 1988, helped reduce the number of Karam trees.

GM Mostafizur Rahman, Chief Scientific Officer of Khulna Soil Resources Institute, said, “Both the intensity and extent of salinity in soil and water are increasing due to climate change; 81 percent of land in Shyamnagar is affected by varying degrees of salinity.”

Professor Saleh Ahmed Khan, Department of Botany, Jahangirnagar University, said, “The tree that the Munda community calls the ‘Karam’ tree is ‘Kelikadam.’ We did not find it among the 528 species under our research. The tree may not have survived due to the spread of salinity.”

Fight To Bring Back the Karam Festival

The Sundarbans Adivasi Munda Sangstha (SAMS) and leading members of the Munda community are working to bring back the Karam tree. They are trying to bring back the Karam festival by bringing branches of the Karam tree from other districts.

Two years ago, a branch of the Karam tree was planted in the SAMS office premises on the Shyamnagar-Munshiganj road, and another branch was planted in the Munda-dominated Datinakhali village. But it was not possible to save the tree. They will try again next year.

“We celebrate the Karam festival for our prosperity. We are trying to save the Karam trees for the festival. But due to salinity in the soil, the Karam trees cannot be saved. As an alternative, we use the branches of the fig (Ficus religiosa) tree,” said Geeta Rani Munda of Datinakhali village.

Krishnapada Sardar, Executive Director of SAMS, said it wasn’t enough that this festival only survives in the stories of elders.

“It was a major event in the rural culture of this community, which is proud of its identity. Climate change has changed the food habits of the Munda community, and the opportunities for livelihood have narrowed. The families of the community are facing an extreme economic crisis.

“Our lost festivals can be brought back by restoring the Karam tree. We want to return to our lost traditions. We want to return to our roots.”

IPS UN Bureau Report

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Trump’s Racist Somali Remarks, Signalgate Report, CDC Vaccine Meeting

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President Trump leans into a familiar political strategy of attacking immigrant communities as he intensifies racist comments about Minnesota’s Somali population and Congresswoman Ilhan Omar.
A Pentagon watchdog report finds Defense Secretary Pete Hegseth endangered U.S. troops by sharing classified strike plans over Signal, directly undercutting the White House’s claim that no harm was done.
And a CDC advisory panel appointed by the Trump administration prepares to revisit long-standing vaccine recommendations, including whether to scale back protections for newborns and young children.

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Rajagopal PV’s Blueprint for Another World: Peace

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Peace

Rajagopal P.V. at the International Civil Society Week (ICSW2025) in Bangkok. Credit: Zofeen Ebrahim/IPS

Rajagopal P.V. at the International Civil Society Week (ICSW2025) in Bangkok. Credit: Zofeen Ebrahim/IPS

BANGKOK, Nov 4 2025 (IPS) – “If nations can have defense ministries, why not peace ministries?” asks Rajagopal PV, the soft-spoken yet formidable founder of Ekta Parishad. “We are told to see issues through a gender lens—why not a peace lens? Why can’t we imagine a business model rooted in non-violence or an education system that teaches peace?”

Founded in 1989, Ekta Parishad—literally Forum for Unity—is a vast people’s movement of more than 250,000 landless poor, now recognized as one of India’s largest and most disciplined grassroots forces for justice.

To Rajagopal, these aren’t utopian dreams—they’re blueprints for a possible world.

Over the decades, Ekta Parishad has secured land rights for nearly half a million families, trained over 10,000 grassroots leaders, protected forests and water bodies, and helped shape key land reform laws and policies in India.

All this has been achieved not through anger, but through disciplined, nonviolent marches that stretch across hundreds of kilometers. Along the way, many leaders have walked beside him—among them, the current Prime Minister of Armenia.

In an age marked by deep disorder—where wealth concentrates in few hands, poverty spreads, and the planet itself trembles under human greed—the 77-year-old Gandhian remains unshaken in his belief that peace alone can redeem humanity.

“We must rescue peace from the clutches of poverty and all its evils,” he told IPS on the sidelines of the International Civil Society Week, standing on the football ground of Bangkok’s Thammasat University.

“And it can be done,” he insists—and his life is proof. In 1969, the centenary year of Mahatma Gandhi’s birth, the Government of India launched a unique exhibition on wheels, a ten-coach train carrying Gandhi’s life and message across the nation. Rajagopal was part of the team that curated and travelled with it.

“For an entire year, we journeyed from state to state. Thousands of schoolchildren would gather at railway platforms, their faces lit with curiosity, waiting to meet Gandhi through our displays,” he recalls.

Yet somewhere along those long railway tracks, Rajagopal began to feel that displaying Gandhi’s ideals wasn’t enough. “The exhibition was beautiful,” he says, “but what was the use of preaching non-violence if we couldn’t live it, breathe it, and bring it to life?”

That realization led him to one of the most daring experiments in peacebuilding India had ever seen—negotiating with the feared bandits of the Chambal valley. “It was 1970,” he recalls. “We moved cautiously, first meeting villagers on the periphery to build trust. Once we had their confidence, we sent word to the dacoits: we wanted to talk. With the government’s consent, we ventured into what we called a ‘peace zone’—often by night, walking for hours through deep ravines—to meet men the world only knew as outlaws.”

The dialogues continued for four years. Eventually, as many as 570 bandits laid down their arms before a photograph of Mahatma Gandhi—a sight India had never seen before. The government, in turn, promised they would not face the death penalty and would receive land and livestock to rebuild their lives. Rehabilitation took another four painstaking years, but it was a victory of conscience over fear.

“They didn’t just surrender their weapons—they surrendered their anger,” Rajagopal says quietly. “There was real repentance, and that takes time—but it lasts.” His commitment came at a cost. At his ashram—a spiritual retreat he had founded—he was threatened, beaten, and ordered to abandon his peace efforts. He talked them through to accepting his presence.

“Today that same region is heaven,” he smiles, his eyes crinkling with memory. “Fifty years ago, people trembled at sunset—terrified of the bandits. Today, you can travel at 2:00 pm in the night, where fear ruled once.”

The mass surrender may have looked like a triumph for the state, but Rajagopal urges people to look deeper. “It’s the invisible violence—poverty, injustice, and oppression—that breeds the visible one: dacoities, kidnappings, and killings,” he explains.

Though Rajagopal and his companions had ended one form of violence, the deeper, quieter kind—born of poverty and neglect—still festered. Until that was confronted, he knew, peace would remain incomplete.

Years of working alongside the poor had taught him one truth: non-violence needs structure. If India’s Indigenous and landless communities were to be heard, they had to be organized.

“We began training young people from dozens of villages,” he says. “They went door to door, teaching others not only about their rights—especially the right to land—but also how to claim them peacefully.”

With that foundation, a five-year plan took shape. Each village home chose one member to take part. Every day, the family set aside one rupee and a fistful of rice—a humble but powerful act of commitment.

They even created a “playbook” of possible scenarios—how to stay calm under provocation, how to respond to setbacks, and how to practice non-violence in thought and action. “In one of our marches, a truck ran over three of our people, killing them,” he recalls softly. “There was grief, but no retaliation. Instead, they sat in silence and meditated. That was our true test.”

In 2006, 500 marchers walked 350 kilometers from Gwalior to Delhi, demanding land rights. Nothing changed. But they didn’t stop.

A year later, in 2007, 25,000 people—many barefoot—set out again on the national highway. “Imagine that sight,” Rajagopal says, eyes gleaming. “Twenty-five thousand people walking for a month, powered only by hope.”

The march displayed not just India’s poverty but also its power—the quiet power of the poor united. It was among the most disciplined mobilizations the country had ever seen. “There was one leader for every hundred people,” Rajagopal explains. “We walked by day and slept on the highway by night. Those in charge of cooking went ahead each morning so that by sundown, a single meal was ready for all.”

In a later march, Rajagopal recalls, the government sent a large police force. “I was worried,” he admits. “I called the authorities to tell them this was a non-violent protest—we didn’t need protection. The officer replied, ‘They’re not there for you; they’re here to learn how disciplined movements should be.’”

Along the route, villages greeted them like family—offering bags of rice, water, and prayers. “There was never a shortage of food,” Rajagopal smiles. “When your cause is just, the world feeds you.”

By the time the march reached Delhi, the government announced a new land reform policy and housing rights and agreed to enact the Forest Rights Act.

The government dispersed the marchers with hollow promises and the reforms never happened.

So Ekta Parishad planned an even larger march—a Jan Satyagraha of 100,000 people in 2012.

“Halfway through, the government came running.”

Rajagopal’s face lights up as he recalls the event. “They agreed to our ten-point agenda and signed it in front of the people. That moment was historic—governments almost never do that; the Indian government certainly never does it!”

The agreement included land and housing rights, a national task force on land reform, the prime minister’s oversight of policy implementation, and fast-track courts to resolve land disputes.

Today, because of these long, barefoot marches, more than three million Indigenous people in India now have legal rights to land and housing. The struggle also gave birth to India’s Land Acquisition, Rehabilitation, and Resettlement Act—a landmark in people’s movements.

“The Act also safeguards fertile land,” Rajagopal explains. “Before the government can acquire any area, a social impact study must be done. And if farmland is taken, the owners receive four times its value in compensation.”

“The purpose of our marches,” Rajagopal says, “is not to fight the government, but to win it over. The government is not the enemy; injustice is. We must stand on the same side of the problem.”

For Rajagopal, peace is not a sentiment but a system—something that must be built, brick by brick, through dialogue and respect. “Non-violence,” he says, “isn’t passive. It’s active patience—listening, accepting differences, never policing thought.” The same principle, he believes, can heal families, neighborhoods, nations—and the world itself.

His next mission is to create a Youth Peace Force, ready to enter conflict zones and resolve disputes through dialogue. He has also launched the Peace Builders Forum, or Peace7, uniting seven countries—South Africa, Japan, Costa Rica, Switzerland, Canada, India, and Armenia. His dream is to expand it to Peace20, where, as he smiles, “wealth will never be a criterion for membership.”

IPS UN Bureau Report

 

Beijing+30: A Culmination of International, Intergenerational Dialogue

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IPS UN: Inside the Glasshouse

Participants at the Non-Governmental Organizations Forum meeting held in Huairou, China, as part of the United Nations Fourth World Conference on Women held in Beijing, China, on 4-15 september 1995. Credit: UN Photo/Milton Grant

Participants at the Non-Governmental Organizations Forum meeting held in Huairou, China, as part of the United Nations Fourth World Conference on Women held in Beijing, China, on 4-15 september 1995. Credit: UN Photo/Milton Grant

UNITED NATIONS, Sep 30 2025 (IPS) – Thirty years since the UN Fourth World Conference on Women in Beijing, the resolve that defined and united the world toward a global agenda for gender equality make it just as relevant in 2025.

The Beijing Conference represents a turning point for the global movement in gender equality. It is marked by the adoption of the Beijing Declaration and Platform for Action, which is still held up as a landmark document in presenting a comprehensive blueprint to achieve gender equality.

The Beijing Conference was just “one stop in a long and continuing journey of feminist advocacy,” said Sia Nowrojee, a Kenyan women’s rights advocate with more than thirty years’ experience.

“Even though it’s thirty years later, it’s absolutely relevant. It was the culmination of twenty years of advocacy and gender equality.” Nowrojee is the UN Foundation’s Associate Vice President of their Girls and Women Strategy division.

The Beijing Conference was the first time that the international community integrated gender equality into the global development and rights agenda. It was recognition that securing the rights and dignities for all women and girls would be integral to achieving widespread development. This was key for the countries that had emerged in the post-colonial era.

Sia Nowrojee, UN Foundation’s Associate Vice President of Girls and Women Strategy. Credit: UN Foundation

Sia Nowrojee, UN Foundation’s Associate Vice President of Girls and Women Strategy. Credit: UN Foundation

The leadership of advocates from the Global South was instrumental to the Beijing PoA. Representatives from Africa, Asia, and Latin America pushed for the measures that make the framework as inclusive as it is. Nowrojee gave the example of girls’ rights being recognized thanks to the efforts of African feminists in the lead-up to Beijing.

Hibaaq Osman, a Somali human rights activist and founder of El-Karama, considers that the Global South activists had been uniquely prepared to participate as they had lived through their countries’ great political upheavals against colonialism and racism.

Osman attended Beijing 1995 as part of the Center of Strategic Initiatives of Women, a civil society network.

Hibaaq Osman, a Somali human rights activist and founder of El-Karama. Credit: UN Foundation

Hibaaq Osman, a Somali human rights activist and founder of El-Karama. Credit: UN Foundation

“For me, as a young woman, I was shocked by the things that I heard. I was raised to believe that everything was a privacy. But to hear a woman speaking for herself and sharing things that I never thought you could share with others, including violence against women… It absolutely opened my eyes and made me see, ‘Oh my god, I can actually share things with other women,’” Osman told IPS.

For Osman, the Beijing conference represented the possibilities of what could be achieved through a shared agenda and a shared sense of hope. The unique energy from that conference drove her advocacy work through groups like the Strategic Initiative for Women in the Horn of Africa (SIHA) and then El-Karama, which is working to end violence against women in the Arab region and South Sudan.

General view of the opening session of the Fourth World Conference on Women in Beijing. Credit: UN Photo/Milton Grant

General view of the opening session of the Fourth World Conference on Women in Beijing. Credit: UN Photo/Milton Grant

Beijing 1995 also provided the expectation of accountability from governments and policy makers if they did not implement the PoA. “That had never happened before. There was a mechanism for the first time…,” said Osman. “You can hold governments and policymakers accountable. But you also have the connection with grassroots. That it was no longer the individual woman that could claim that she was the leader, but having accountability to your own people, I think that whole thing was fantastic.”

“I think the legacy of Beijing 1995 honestly, it gave us a legacy of getting out of our corners and just wide open to the rest of the women. And I think that vision, that framework is still working.”

Delegates working late into the night to draft the Beijing Declaration and Platform for Action. Credit: UNDP/Milton Grant

Delegates working late into the night to draft the Beijing Declaration and Platform for Action. Credit: UNDP/Milton Grant

The success of the Women’s Conferences also demonstrated the UN’s role as a space to build up the gender equality movement, Nowrojee remarked. The UN has also served as a platform for emerging countries to raise their issues to the international community and to shape global agendas on their terms.

Prior to Beijing, the UN World Conference on Women had previously been held in Nairobi (1985), Copenhagen (1980) and Mexico City (1975). These were also key forums for people from all parts of the world to build relationships and for there to be a “cross-pollination of ideas and experiences”, laying down the groundwork for what was later achieved in Beijing.

Nowrojee was 18 years old when she attended the Nairobi 1985 Conference as part of a school/youth delegation. The experience was formative in listening to women’s activists from the region impart their wisdom and insights.

“To see the world’s women come to my home and talk about the fact that we mattered was life-changing for me,” Nowrojee said. “I made friends who I still work with and love and see today. And I think there is that sort of personal part, which is both personally sustaining, but it’s a critical part of feminist movement building.”

Each conference built up momentum that saw no sign of slowing down. Osman and Nowrojee explained that as gains were being made at local, national and global levels, this encouraged those in the movement to act with urgency and go further. This provided them the spaces to learn how to refine the messages for local contexts.

Delegates at the Fourth UN World Conference on Women in Beijing 1995.' Credit: UNDPI /UN Women

Delegates at the Fourth UN World Conference on Women in Beijing 1995. Credit: UNDPI /UN Women

The gains towards gender equality should be noted: the codification of women’s rights around the world, their increased participation in politics and in peace negotiations. Evidence has shown that investing in women’s participation in society through health, education and employment leads to economic growth and prosperity. More women in the workforce mean greater economic gains and stability. Increased social protections for women lead to more stability in communities.

And yet, there was backlash to the momentum. Recent years have seen the rise of anti-rights and anti-gender movements gain greater traction, combined with increasing attempts to strip women of their rights. UN Women has warned that one in four countries are reporting a backlash to women’s rights.

Nowrojee remarked that the autocratic leaders that champion these movements target women’s rights because it threatens their own agenda. “If you are silencing half the human family, and you are hampering their ability to make decisions about their bodies, to participate in political process… these are very, very effective ways of undermining democracy, development, peace and the achievement of all the goals and values that we hold dear.”

“They understand that if you bring women down, you are bringing society down, because women are the core of society,” Osman added.

The modern movements are also well-funded and well-organized. But there is an irony to it in that they use the same tactics that feminist movements have been using for decades by organizing at the grassroots level before moving their influence up to the national level and beyond. But this should not be where activists fall to despair. Instead they should understand, Osman and Nowrojee remarked, that women in this space already know what actions need to be taken to regain lost momentum.

“I’m sure that Sia and I and many, many others who were part of that are also thinking about today and what’s happening, and we know the space for civil society is shrinking,” Osman said. “The space for democracy, human rights, justice, reproductive rights, for all of that, there is absolutely a rollback, But it’s not going to delay us. We are just going to be more sophisticated and ask ourselves “Where are the blocks, how do we build… diverse constituencies?”… So it is hard, but we are not slowing down whatsoever.”

Today, it may seem the pursuit of gender equality is an ongoing struggle that faces the threat of autocratic movements that sow distrust and division. For the people who championed the women’s rights movement and can recall a time before the Beijing PoA, they are all too aware of what is at stake. The leaders in modern movements today need to look back to the past to take lessons, and to take courage.

IPS UN Bureau Report

 

Hypertension and Diabetes Grows Among India’s Poor Communities

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Health

A patient being checked for BP at Mann PHC. Credit: Rina Mukherji/IPS

A patient being checked for BP at Mann PHC. Credit: Rina Mukherji/IPS

MANN, India, Aug 26 2025 (IPS) – Generally thought to be diseases of the wealthier classes, non-communicable diseases (NCDs) like hypertension and diabetes are on the rise among India’s underprivileged working classes in semi-urban and rural sprawls.

Take the case of Mohan Ahire. A middle-aged gardener in Pune, Mohan never realized that the heaviness in his head was a symptom of hypertension. Last summer, a mid-morning visit to the market saw him fall unconscious on return. Upon regaining consciousness, his wife and sons discovered the paralysis on the right side of his body, leading doctors to diagnose it as a stroke.

Bahinabai Gaekwad, a 56-year-old sweeper in Mann village, was at work when she suddenly collapsed and died. Doctors from the Primary Health Centre (PHC) next door found that she had been suffering from undiagnosed hypertension for a long time. The ailment ultimately led to a fatal cardiac arrest.

The worst problem is that most patients from underprivileged sections are not aware of their health condition.

Praful Mahato, a migrant laborer from Balasore in Odisha, who is currently employed in a dhaba (roadside eatery) in Mann, a fast-industrializing rural outpost of Pune city, had been suffering from heaviness and dizzy spells for some time. But he attributed his symptons to long hours at work and resulting fatigue. A chance visit to a medical camp confirmed high blood pressure and diabetes. Since the last four months, medication has controlled his blood pressure and brought down his sugar level.

Jagdish Mondol, in his 50s, did not realize he had hypertension and diabetes until he needed to undergo a hernia operation at a government hospital in Bhadrak, Odisha. This was despite blurred vision and difficulty in walking. Thankfully, the operation got him to wake up to his health condition. Regular medication has now improved his blood pressure and sugar level.

Fortunately, some patients may seek help on their own. Lalita Parshuram Jadhav, a 40-year-old migrant construction worker from Yavatmal, is one such. “Since the last two years, I have been experiencing pain in my legs; it became quite acute over the past year,” she tells IPS. A medical check-up confirmed hypertension and high sugar levels.

India’s Hypertension and Diabetes Epidemic

The cases cited above exemplify the rising burden of India’s non-communicable disease (NCD) of Hypertension and Diabetes. Ranked among the top ten NCDs responsible for untimely deaths worldwide, these two diseases are interlinked. This means those with hypertension are also vulnerable to developing prediabetes and diabetes.

According to the World Health Organization (WHO), an estimated 1.28 billion adults in the 30-79 age group suffer from hypertension, with two-thirds of them living in low- and middle-income countries. Yet, only 21 percent of those affected have their hypertension under control, while around 46 percent of these remain unaware of their condition and remain undiagnosed and untreated.

Diabetes, notably, can be of two varieties. Type 1 Diabetes is a congenital condition, while Type 2 diabetes is a lifestyle disease that develops later in life. South Asians, Pacific Islanders, and Native Americans have a significantly higher risk of developing the disorder.

The International Diabetes Federation (IDF) recorded a dramatic increase in the number of people affected by Type 2 Diabetes globally since the 1990s, and since 2000, the rise has been dramatic. In India, there are an estimated 77 million people above the age of 18 years suffering from diabetes (type 2), while nearly 25 million are prediabetic (at a higher risk of developing diabetes in the future). Yet, more than 50 percent of these are unaware of their diabetic status.

In India, the prevalence of Diabetes rose from 7.1 percent in 2009 to 8.9 percent in 2019. Meanwhile, 25.2 million adults are estimated to have Impaired Glucose Tolerance (IGT), a prediabetic condition that is estimated to increase to 35.7 million in the year 2045. It is also estimated that approximately 43.9 million people suffering from diabetes remain undiagnosed and untreated in India, posing a major public health risk.

It is a matter of concern that most deaths from these diseases occur in the 30- to 70-year-old age group, posing a major economic loss.

In Mann, doctors at primary health centers (PHCs) are battling this scourge, with hypertension affecting around 28 percent of the population and 12 percent being diabetic. The scenario is similar to that at Mullaheera, in rural Haryana, located just outside the national capital region of Delhi.

Dr. Sona Deshmukh, from the People-to-People Foundation, which is collaborating with the Government of India on its Viksit Bharat @2047 initiative and the in-charge for the Pranaa Project, tells me, “Diabetes is common among the older population, but hypertension is rising among the youth.”

Dangers Posed by Hypertension and Diabetes

The problem with both Hypertension and Diabetes is socio-cultural, with most people viewing these diseases as benign. Yet, ignoring them can lead to paralytic strokes and ultimately, death.

Characterized by headaches, blurred vision, nosebleeds, buzzing in the ears, and chest pain,  uncontrolled and untreated hypertension can lead to—

  • chest pain (also termed angina);
  • heart attack, which occurs when the blood supply to the heart is blocked and heart muscle cells die from lack of oxygen.
  • heart failure, which occurs when the heart cannot pump enough blood and oxygen to other vital body organs; and
  • sudden death due to irregular heartbeat.

This is because excessive blood pressure can harden arteries, decreasing the flow of blood and oxygen to the heart. This elevated pressure and reduced blood flow can result in the complications listed above, besides bursting or blocking arteries that supply blood and oxygen to the brain, causing a stroke. It can also cause kidney damage, resulting in kidney failure.

In the case of Diabetes, the body is unable to either produce or use insulin effectively. While individuals with Type I diabetes have a congenital condition wherein the insulin-producing cells in the pancreas are attacked and destroyed, patients with Type II diabetes—which is a preventable lifestyle-related disease—either do not produce enough insulin or are unable to use insulin effectively for the body’s needs. Uncontrolled diabetes can lead to blindness and organ failures that affect the kidneys, heart, and nerves, ultimately leading to diabetic strokes and death.

Reasons Behind the Spurt

So, what are the reasons behind the spurt? Government Medical Officers Dr. Mayadevi Gujar and Dr. Vaishali Patil say, “The transition of many rural outposts into semi-urban industrialized zones has brought in lifestyle changes. Locals, who once partook of healthy home-cooked millets or cereals, now eat cheap, oily snacks from wayside kiosks cooked in reused palm oil. With more disposable income, workers lean towards sugary soft drinks and fast food, making them prone to diabetes. Addictions like tobacco and alcohol are on the rise. Tobacco-chewing remains common to both men and women in rural India.”

Additionally, with climate change affecting agricultural incomes in rural India, the younger generation is stressed with employment issues. These make a potent recipe for hypertension and diabetes.

Dr. Sundeep Salvi, a noted specialist in cardiovascular diseases, who heads the Pulmocare Research and Education (PURE) Foundation and has chaired the respiratory group for the Global Burden of Disease Study, adds, “Unlike in the past, people eat and sleep late, watch late-night television, drink endless cups of tea and coffee, and work late hours. Skipping meals is common, with little time for exercise. Sleep deprivation is a fallout of this. Stress and inadequate sleep are a deadly combination, feeding hypertension and diabetes.”

Salvi calls for hydration and good nutrition to stave off hypertension and diabetes. “Excess tea and coffee are harmful. Caffeine-present in tea and coffee-is a diuretic; it prevents hydration. A dehydrated constitution results in hypertension and diabetes, which, in turn, cause heart disease, stroke, kidney diseases, and eventually, death.”

He also views air pollution as a major risk.

“By air pollution, I am referring to both indoor and outdoor pollution. In rural areas, the burning of crop waste causes outdoor pollution. But indoor pollution in rural homes and urban slums is 5–10 times greater than outdoor pollution. High levels of particulate matter contribute to 20 percent of the global burden of diabetes, as well as hypertension.

Diabetologist and Director of the Diabetes Unit at Pune’s KEM Hospital Prof. Chittaranjan Yajnik, who has been working on this issue for over two decades, has an interesting take on the matter based on his findings.

Yajnik sees a direct correlation between vulnerability to diabetes and poor intrauterine growth.

“Poor intrauterine growth reflects in poor organ growth, especially of the infra-diaphragmatic organs (liver, pancreas, kidneys, and legs), reducing their capacity to perform adequately in later years. Such individuals, when faced with overnutrition and calories later in life, end up with prediabetes and diabetes.”

Yajnik’s research found that two-thirds of prediabetic girls and a third of the prediabetic boys were underweight at birth.

“These findings are suggestive of a ‘dual teratogenesis’ concept, which envisages a combination of undernutrition and overnutrition over a life course due to rapid socio-economic and nutritional transition…” This means intrauterine programming of diabetes needs to be supported in growth-retarded babies since metabolic abnormalities develop very early in life.

Yajnik certainly has a point, since anemia in expectant mothers and low birthweight babies is a major problem all over India. The National Family Health Surveys conducted over the years by the Government have shown a persistently high prevalence of fetal growth restriction in Indian babies. This phenomenon is linked to low birth weight in newborns, which is as high as 18.24 percent, according to the latest data.

The Solution

Recently, the Ministry of Health and Family Welfare (MOHFW) of the Government of India has implemented several schemes nationwide at the primary health level, starting with nutrition, medical care, and immunization for pregnant mothers while ensuring institutional delivery. Offspring are also extended comprehensive help for the 4 D’s (defects at birth, diseases, deficiencies, and developmental delays), immunization, supplementary nutrition, and WASH interventions. These continue through adolescence to prepare a healthy population for reproductive age.

Meanwhile, weekly wellness sessions have been introduced all over India. Deshmukh adds, “Regular screenings for hypertension and diabetes are done every few months for early detection and follow-up. Counselling sessions encourage people to adopt healthier lifestyles, while Yoga is being popularized through events like the International Yoga Day.”

These initiatives, one hopes, will arrest the epidemic.

IPS UN Bureau Report

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Aid Funding Crisis Means Parliamentarians’ Visionary Leadership Even More Crucial

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Population

Dr. Alvaro Bermejo, Director General of the International Planned Parenthood Federation (IPPF) addresses the Let's Discuss the Future of Africa Together seminar that took place last week (August 21) on the sidelines of TICAD9 in Yokohama City, Japan. Credit: APDA

Dr. Alvaro Bermejo, Director General of the International Planned Parenthood Federation (IPPF) addresses the Let’s Discuss the Future of Africa Together seminar that took place last week (August 21) on the sidelines of TICAD9 in Yokohama City, Japan. Credit: APDA

YOKOHAMA CITY, Japan & JOHANNESBURG, South Africa, Aug 25 2025 (IPS) – As funding for sexual and reproductive health rights was on a “cliff edge,” parliamentarians now needed to play a “visionary” leadership role because “financing strong, resilient health systems for all their people rests with governments,” said Dr. Alvaro Bermejo, Director General of the International Planned Parenthood Federation (IPPF).

He was speaking at the Let’s Discuss the Future of Africa Together seminar that took place last week (August 21) on the sidelines of TICAD9 in Yokohama City, Japan.

The session was organized by the Asian Population and Development Association (APDA), in collaboration with the Forum of Arab Parliamentarians for Population and Development (FAPPD) and the African Parliamentary Forum on Population and Development (FPA).

He told parliamentarians that their role is most critical.

“Africa’s health faces a serious challenge: According to WHO’s latest analysis, health aid is projected to decline by up to 40% this year compared to just two years ago. This is not a gradual shift—it is a cliff edge,” Bermejo said. “You know as well as I do that lifesaving medicines are sitting in warehouses, health workers are losing jobs, clinics are closing, and millions are missing care.”

While this reality was outrageous, it needed to be adapted to.

“And in this crisis lies an opportunity—an opportunity to shake off the yoke of aid dependency and embrace a new era of sovereignty, self-reliance, and solidarity,” with a clear mission to protect the health and lives of women and vulnerable populations through delivering high-quality sexual and reproductive health services.

Parliamentarians engaged in debates during a policy dialogue seminar organised by the Asian Population and Development Association (APDA), in collaboration with the Forum of Arab Parliamentarians for Population and Development (FAPPD) and the African Parliamentary Forum on Population and Development (FPA). Credit: APDA

Parliamentarians engaged in debates during a policy dialogue seminar organized by the Asian Population and Development Association (APDA), in collaboration with the Forum of Arab Parliamentarians for Population and Development (FAPPD) and the African Parliamentary Forum on Population and Development (FPA). Credit: APDA

This seminar and another in the series, Policy Dialogue on the Africa-Japan Partnership for Population and Development, were both supported by the UN Population Fund (UNFPA) Arab States Regional Office (ASRO), the Japan Trust Fund (JTF) and IPPF.

During the discussions, a wide range of topics about population dynamics in Africa and Africa-Japan cooperation were discussed.

In his opening remarks, Ichiro Aisawa, a member of the House of Representatives of Japan, told the seminar it was necessary to take joint action across borders and generations.

“Youth holds the key to unlocking Africa’s future. By 2050, it is predicted that approximately 70 percent of Africa’s population will be under the age of 30. As African countries enter a demographic dividend period, the role played by parliamentarians in each country will be extremely important.

Aisawa said it was necessary to listen to the voices of the community in addressing issues related to youth empowerment, gender equality, and sexual and reproductive health (SRH).

Parliamentarians should take “concrete action through legislation and policies; it is essential to harnessing the potential of young people, directly linking them to social and economic growth, and creating a society in which no one is left behind.”

Yoko Kamikawa, Chairperson of Japan Parliamentarians for Population (JPFP), addresses a seminar for African and Asian parliamentarians on the sidelines of the TICAD9 in Yokohama City, Japan. Credit: APDA

Yoko Kamikawa, Chairperson of Japan Parliamentarians for Population (JPFP), addresses a seminar for African and Asian parliamentarians on the sidelines of the TICAD9 in Yokohama City, Japan. Credit: APDA

During the discussions, representatives from Africa gave examples of how Japan had supported their health initiatives, especially important in a climate of decreasing aid.

Maneno Zumura, an MP from Uganda, said what compounded the issues in her country and in Africa was “the changes in climate. The unpredicted climate has affected agricultural activities by 40 percent, especially in drought-prone areas of the country.” This had resulted in nearly a quarter (24 percent) of children experiencing malnutrition.

However, she noted that Japan had made considerable contributions to education and health.

“As we assess Uganda’s development and Japan’s impact, it’s clear that sustainable progress thrives on global solidarity and local governance. Key achievements include a 62 percent rise in women’s incomes through cooperatives, a 50 percent drop in maternal mortality in refugee settlements, and supporting the road infrastructure and education, illustrating how policy-driven interventions can break cycles of poverty and inequality.”

There were several specific projects she alluded to, including education experts from Japan who contributed to an improvement of the quality of primary education in districts of Wakiso, Mbale, and Arua through the Quality Improvement in Primary Education Project (2021-2023). They also trained 1,500 teachers in participatory teaching methods.

“The Government of Japan supported the vulnerable communities like refugees and host communities by strengthening the social services like health in refugee camps like Rhino Camp,” Zumura continued, including construction of a health center with antenatal facilities serving over 300,000 people in camps of Bidibidi and Rhino Camp. They also trained 200 health workers in the management of childhood illnesses and maternal health care.

Mwene Luhamba, MP, Zambia, said his country was looking forward to partnering with Japan in expanding One-Stop Reproductive Health Services, enhancing parliamentary engagement, and investing in youth programs.

Bermejo said part of the solution to the development issues is to confront constraints.

“Some countries in Africa do need global solidarity, but what Africa needs from the world, more than anything else, is fair terms. We must also confront the structural constraints. Debt service burdens are crowding out social investments. Let us seize this moment, not just to repair but to transform,” he said. “Sexual and reproductive health services save lives. They empower individuals, promote dignity, and drive national development.”

In her closing remarks, Yoko Kamikawa, Chairperson of Japan Parliamentarians for Population (JPFP), said that it was through dialogue across borders and sectors that “we build consensus, strengthen legal frameworks, and ensure that national strategies reflect the voices of all people and empower them—especially women and youth.”

IPS UN Bureau Report