Hypertension and Diabetes Grows Among India’s Poor Communities

Asia-Pacific, Civil Society, Climate Change, Featured, Gender, Headlines, Health, Population, Sustainable Development Goals, TerraViva United Nations, Women’s Health

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

Africa, Asia-Pacific, Civil Society, Climate Change, Conferences, Development & Aid, Economy & Trade, Editors’ Choice, Featured, Gender, Headlines, Health, Humanitarian Emergencies, Middle East & North Africa, Population, Sustainable Development Goals, TerraViva United Nations, Women’s Health, Youth

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

 

Human Rights Watch Warns of Surge in Executions in Saudi Arabia

Civil Society, Crime & Justice, Headlines, Human Rights, Middle East & North Africa, Press Freedom, TerraViva United Nations

Eloy Alfaro de Alba (with gavel), Permanent Representative of Panama to the United Nations and President of the Security Council for the Month of August, chairs the Security Council meeting on the situation in the Middle East. Credit: UN Photo/Evan Schneider

UNITED NATIONS, Aug 21 2025 (IPS) – Human rights groups have expressed alarm over the surge in unprecedented executions in Saudi Arabia in 2025. Humanitarian experts have underscored the Saudi Arabian monarchy’s use of the death penalty to silence peaceful dissent among civilians and impose justice for minor offenses, with little to no due process.


On August 11, Human Rights Watch (HRW) raised the alarm on the rise in executions of civilians and foreign nationals in Saudi Arabia. Their new report highlighted the June 14 execution of journalist Turki al-Jasser, who worked to expose corruption and human rights violations linked to the Saudi monarchy.

Following al-Jasser’s execution, Saudi Arabia’s Interior Ministry issued a statement in which it accused al-Jasser of committing “terrorist crimes” and “destabilizing the security of society and the stability of the state”. This follows the 2024 execution of Abdullah al-Shamri, a Saudi political analyst, after appearing as a political commentator on broadcast news for prominent media organizations.

“The June 2025 execution of Saudi journalist Turki al-Jasser, after seven years of arbitrary imprisonment on fabricated charges over his online publications, is a chilling testament to the kingdom’s zero tolerance to peaceful dissent and criticism, and a grim reminder of the peril journalists face in Saudi Arabia,” said Sylvia Mbataru, a researcher of civic space at CIVICUS Global Alliance.

HRW reports that Saudi authorities are pursuing the death penalty against Islamic scholar Salman al-Odah and religious reformist activist Hassan Farhan al-Maliki on vague charges related to the peaceful and public expression of their beliefs.

“Behind closed doors, Saudi Arabia is executing peaceful activists and journalists following politicized trials,” said Abdullah Alaoudh, senior director of countering authoritarianism at the Middle East Democracy Center. “These state-sanctioned killings are an assault on basic human rights and dignity that the world cannot afford to ignore.”

Figures from HRW show that as of August 5, Saudi authorities had carried out over 241 executions in 2025. including 22 alone on the week of August 4. Amnesty International reports that 2024 set a new record for annual executions in Saudi Arabia, documenting at least 345. The human rights organization Reprieve projects that if executions are carried out at the same rate, 2025 could exceed all prior records.

“Saudi authorities have weaponized the country’s justice system to carry out a terrifying number of executions in 2025,” said Joey Shea, researcher for Saudi Arabia and the United Arab Emirates at Human Rights Watch. “The surge in executions is just the latest evidence of the brutally autocratic rule of Crown Prince Mohammed bin Salman.”

Estimates from Reprieve show that roughly 162 of this year’s recorded executions were for minor drug-related offenses, with over half involving foreign nationals. HRW reports that none of these executions followed due process, making it highly unlikely that any of those executed received a fair trial.

“Saudi Arabia’s relentless and ruthless use of the death penalty after grossly unfair trials not only demonstrates a chilling disregard for human life; its application for drug-related offenses is also an egregious violation of international law and standards,” said Kristine Beckerle, Amnesty International’s Deputy Regional Director for the Middle East and North Africa.

“We are witnessing a truly horrifying trend, with foreign nationals being put to death at a startling rate for crimes that should never carry the death penalty. This report exposes the dark and deadly reality behind the progressive image that the authorities attempt to project globally.”

Earlier this year, Amnesty International, the European Saudi Organization for Human Rights, and Justice Project Pakistan documented the cases of 25 foreign nations who were on death row or have been executed in Saudi Arabia for drug-related offenses. The investigation found that the majority of individuals on death row were not afforded their fundamental human rights, such as access to a legal representative, interpretation services, and consular support. Additionally, Amnesty International reported that in many of these cases, individuals from disadvantaged socio-economic backgrounds faced heightened risks of discrimination in legal proceedings.

Furthermore, it was reported that at least four of these cases involved the use of torture and ill treatment in detention facilities to extract confessions from individuals charged with drug-related crimes. For many of these individuals, their families were not informed of the status of their convictions and were only notified of an execution the day prior. In all cases of execution, Amnesty International reported that the bodies of executed individuals were withheld by Saudi authorities.

The recent surge in executions has drawn immense criticism from human rights groups for violating international humanitarian law. Although Saudi Arabia has not acceded to the International Covenant on Civil and Political Rights (ICCPR), a multilateral treaty adopted by the UN that promoted an inherent right to life and due process, it has ratified the Arab Charter on Human Rights, which obligates that Saudi Arabian security forces are only to use the death penalty for the “most serious crimes”.

Mandeep Tiwana, the Secretary-General of CIVICUS Global Alliance, informed IPS that the current civic space conditions in Saudi Arabia are listed as “closed”, indicating that civilians hold little to no power and are bereft of the ability to represent themselves in governmental affairs and peacefully dissent. “This means that those who criticize the authorities or engage in protests of any kind or seek to form associations that demand transformational change can face severe forms of persecution including imprisonment for long periods, physical abuse and even death.”

IPS UN Bureau Report

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Southern Voices: Grief, Resilience, and Daily Life in Jnoub

Armed Conflicts, Civil Society, COP29 Blog, Disaster Management, Editors’ Choice, Featured, Headlines, Human Rights, Humanitarian Emergencies, Middle East & North Africa, TerraViva United Nations

Armed Conflicts

Morning after an Israeli attack in Tyre, Lebanon. Credit: Nour

JNOUB, Lebanon, Aug 15 2025 (IPS) – “Special, targeted operations in southern Lebanon,” a phrase that has echoed repeatedly over the past two years in Israeli Defence Force (IDF) statements. But behind these clinical military terms lies a human cost that statistics cannot capture.


The residents of southern Lebanon—mothers, fathers, children, and elders—are the ones who face the daily reality of displacement, loss, and uncertainty. Their homes become coordinates on military maps; their neighborhoods, theaters of “operations.” Yet their stories of endurance, grief, and quiet acts of resilience rarely reach beyond the headlines.

Through interviews with residents of “Jnoub,” we examine how communities are navigating displacement, processing communal loss, and finding ways to grieve while continuing to live. These are voices from a region too often reduced to geopolitical analysis, voices that reveal the profound human dimension of conflict.

“Ironically, my workplace is close to my old house’s rubble. I see it, as well as the zone where my pet died, on a daily basis. I haven’t grieved as I should… haven’t cried as much as I should have.

“I hate the sound of phone calls, especially the landlines and my father’s good old Blackberry phone, as they remind me of the time we received the threat and people were calling to warn us,” said Sarah Soueidan when asked about her daily routine after her home was destroyed.

Having both her residential house and her family’s house bombed by the Israeli Defence Forces, she and her family had to move repeatedly throughout the past two years. Her hometown, Yater, located in South Lebanon, was directly affected by the war, leaving nothing but old memories and rubble.

The night they had to flee their house in Southern Beirut, Sara and her family woke up to a series of calls while listening to the sounds of ‘warning shots’ on the streets. These shootings were made to help draw attention to residents who did not receive the warning to leave their houses and find shelter before the attack.

As it was only 10 am, they had to act fast, so she and her mother left the house first to see what was going on and then realized that their building would be hit. Sarah had to go back home to warn her father and siblings. Since there was not enough time, and her father needed assistance in movement, they had to pick him up and leave the house with as few objects as possible.

They made sure to put Halloum (Sarah’s cat) in his cage, but due to the rush and many people in the house trying to help, Halloum got scared and jumped out of his cage. Sara and her siblings tried to look for him before leaving, but there was no more time; people were dragging them out of the house. On that day, Sarah took his toys and food, hoping to find him again, but she never did. The Israeli attack on Sarah’s house in Southern Beirut reduced it to rubble.

Sarah and her family had nowhere to go as their house in their hometown, Yater, was also bombed, and they had to leave the area until things settled down.

The interview took place a while after the attack, as Sarah was now ready to talk about what happened with her and her family, stating, “While I am not politically affiliated with anyone, nor would I discuss the reasons for escalation, as it is debatable, yet aggression and terrorism would always be so, without any reason. I was born and raised in these areas and streets. None of the allegations regarding ‘weapons, machinery, or drones under a three-story building’ are true. We need answers or proof.”

Halloum the cat, lying next to a Christmas tree. Credit: Sarah Soueidan

Many neighborhoods, streets, and buildings were targeted in the process; no one knew how or why, they only received images of their building with a warning that they needed to evacuate.

“The bomb was so close and I heard the sound of the missiles just before they reached the ground (and here you didn’t know if the missile would fall on you or no) and when I heard that, I ran toward my son and hugged him, then the missile exploded. This was repeated three or four times,” said Zaynab Yaghi, who is a resident in Ansar, a village in South Lebanon. Zaynab and her family had to leave South Lebanon under stress and fear of the unknown, all while trying to control the emotions of her son in order not to scare him even more.

Zaynab, like many others, had to live under stressful conditions, waiting for the unknown. Even after the ceasefire was agreed upon, residents in Southern Lebanon were still unable to go back home or live a normal life.

“Nearby buildings were struck after the ceasefire (one as far as 100m away from our own home). We were very surprised the first time it happened and scrambled to leave. It was very frightening,” said Mohammad Wehbe, who lost his home in Ainata and his apartment in the suburbs of Beirut, which was affected by the bombing of nearby buildings.

After talking to many people from different villages and areas in South Lebanon, there was one thing that made them feel a sense of hope, and that was community, traditions, and resistance. Resistance by choosing to go back, to have a future, present, and past within their grandparents’ land, and to grieve by holding on to what was left.

When asked, Nour described her village as a step back in time, a place of simplicity, serenity, and beauty. Nature all around and people who are warm and always have their doors open for strangers. Nour’s village, which is located within the Tyre district, was directly affected by the Israeli attacks. Her old neighborhood was completely demolished, and while the streets feel empty, she is trying to visit the area as much as possible to remember, to tell the story of those forgotten, and to belong to something greater than a title.

“The first time I went in winter, it felt strange: silence and destruction. But visit after visit, nature and the people of nature try to live again. That gives me hope. We’ll be fixing our home again. What matters is that we acknowledge this land is ours. And on our land, I can sense existence.”

While Nour gets her strength from people around her and her will to go back and build her home again, some have lost it completely, as it is not black or white; there is not a single way of grieving, existing, and living within times of chaos and displacement. “What beliefs I had before the war are long gone now. I don’t think I have processed what happened and I cope by ignoring everything and focusing on survival. Hope certainly feels like a big word these days,” Mohammad Wehbe said.

Compounding these challenges is the absence of government support. None of the interviewees have received any assistance from official channels, instead relying on their savings and help from family members to survive. This reality adds another layer of uncertainty to their daily struggles, as they navigate displacement and loss without institutional backing

These stories from Southern Lebanon reveal the complexity of human resilience in the face of displacement and loss. While some find strength in community and connection to their ancestral land, others struggle with the weight of survival itself. What remains constant is the need to bear witness to these experiences, to ensure that behind every military briefing and policy discussion, the human cost is neither forgotten nor reduced to mere statistics.

The residents of Jnoub continue to navigate an uncertain future, carrying with them the memories of what was lost and the fragile hope of what might be rebuilt. Their voices remind us that recovery is not just about reconstructing buildings but about healing communities and honoring the stories of those who endure.

IPS UN Bureau Report

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Fiji’s Truth and Reconciliation Commission Aims To Restore Trust and Peace After Decades of Political Crises

Active Citizens, Asia-Pacific, Civil Society, Conferences, Editors’ Choice, Featured, Headlines, Human Rights, Humanitarian Emergencies, PACIFIC COMMUNITY, Peace, Small Island Developing States, Sustainable Development Goals, TerraViva United Nations

Democracy

Fiji is a Pacific Island nation renowned for its tourism industry, but it has also endured four armed coups and 38 years of political instability. Photo credit: Julie Lyn

Fiji is a Pacific Island nation renowned for its tourism industry, but it has also endured four armed coups and 38 years of political instability. Credit: Julie Lyn

SYDNEY, Aug 14 2025 (IPS) – Fiji, a nation located west of Tonga in the central Pacific, is renowned for its natural beauty and beach resorts. But for 38 years it has endured a political rollercoaster of instability with four armed coups that overturned democratically elected governments and eroded human rights.


Now, following a peaceful transition of power at the last 2022 election, Prime Minister Sitiveni Rabuka and his coalition government want to deal with the past with a Truth and Reconciliation Commission (TRC) to pave the way for a more peaceful and resilient future.

The commission will “facilitate open and free engagement in truth-telling regarding the political upheavals during the coup periods and promote closure and healing for the survivors,” Rabuka, who led the first coup, told parliament before supporting legislation that was passed in December last year. Now he has pledged to oversee the country’s reconciliation and return to democratic norms.

The TRC is tasked with investigating what happened during the coups d’état of 1987, 2000 and 2006, related human rights abuses and the grievances that have driven the relentless struggle for power between Fiji’s indigenous and Indo-Fijian communities. Its focus is on truth-telling and preventing a repetition of conflict; it will not prosecute perpetrators of abuses or provide reparations to victims.

“This commission aims to serve the people of Fiji to come to terms with your own history… the purpose is not to put blame and to deepen the trauma and the difficulties, but to help the people of Fiji to move on for a better future for everyone,” Dr. Marcus Brand, the TRC chairman, who has extensive experience with transitional justice initiatives and held senior roles in the United Nations and European Union, said in January.

He is joined by four Fijian commissioners, namely former High Court Judge Sekove Naqiolevu, former TV journalist Rachna Nath, former Fiji Airways Captain Rajendra Dass, and leadership expert Ana Laqeretabua.

The Fiji Parliament, Suva, Fiji. Credit: Josuamudreilagi

The Fiji Parliament, Suva, Fiji. Credit: Josuamudreilagi

Florence Swamy, Executive Director of the Pacific Centre for Peacebuilding, a non-governmental organization based in the capital, Suva, told IPS that the TRC is important to building trust in the country, where many people still experience fear and anxiety about the violence they witnessed.

“As a first step, it is creating a safe space for people to talk about what happened to them,” she emphasized.

Fiji’s political turmoil has roots in the past. British colonization in the nineteenth century was accompanied by policies that were intended to strengthen indigenous land rights and prevent dispossession, rights that were reinforced in Fiji’s first constitution at Independence in 1970.

But, at the same time, Fijian society was irrevocably changed by the organized immigration of Indians to work on sugar plantations and boost development of the colony. By the mid-twentieth century, the Indo-Fijian population was larger than the indigenous community and their demands for equal rights increased.

“Fijian Indians were brought to the country, in many cases, under the false pretense of better work and wage opportunities, to develop the economy of Fiji…while indigenous Fijians were hardly consulted about such a momentous decision,” Dr. Shailendra Singh, Head of Journalism at the University of the South Pacific in Fiji, told IPS.

Soon the country’s politics were mired in a fierce contest for power. And in 1987, Rabuka, then an officer in the Fiji military, led the overthrow of the first elected Indo-Fijian government under Prime Minister Timoci Bavadra.

Rabuka then became Prime Minister from 1992 to 1999 before another Indo-Fijian government, led by Mahendra Chaudhry, was voted in. This triggered a second coup instigated by nationalist George Speight in 2000 in which the government was held hostage in the nation’s parliament for weeks. Then, in 2006, Frank Bainimarama, head of the armed forces, orchestrated the third coup, which he claimed was necessary to eliminate corruption and divisive policies in the government of the day presided over by Prime Minister Laisenia Qarase. For the next eight years he oversaw an authoritarian military government until democratic elections were held again in 2014.

Suva, capital city of Fiji. Photo credit: Maksym Kozlenko

Fiji’s capital city Suva. Credit: Maksym Kozlenko

The coups inflicted a significant human cost. Lawlessness, inter-community violence, military and police brutality, and arrests and torture of people critical of the regime occurred increasingly after 2006.

Three years later, Amnesty International called for “an immediate halt to all human rights violations by members of the security forces and government officials, including the arbitrary arrests, intimidation and threats, and assaults and detentions of journalists, government critics and others.” It also called for the repeal of the Public Emergency Regulations imposed by the government in 2009 that led to impunity for state officials involved in abuses.

Today, the demographic balance has shifted again in the wake of an outward exodus of Indo-Fijians, who now comprise about 33 percent of Fiji’s population of about 900,000, while Melanesians constitute about 56 percent. But societal divisions remain entrenched and the past has not been forgotten.

The commission is now preparing to hold hearings over the next 18 months. And Rabuka has promised to be one of the first to testify of his involvement in the political upheavals.

I will swear to say everything, the truth… I want to continue to live with a clear conscience. I want people to know that at least they understand my reasons for doing it,” he told the media in January. But the TRC also promises to place victims and survivors at the center of its mission, claiming that “their lived experiences are vital to fostering accountability, encouraging healing and building a more united and compassionate society.”

However, there are voices of caution, too, warning of the risks of reviving memories of conflict and pain and the need to prevent this from inflaming divisions.

While experts in the country speak of the need to go beyond the TRC and tackle structural issues of inequality and disenfranchisement, which have driven community grievances, “to make everyone feel a sense of belonging and loyalty to the country of their birth,” Singh said.

In particular, “indigenous fears concerning political dominance in Fiji” and “Indo-Fijians’ feeling of being marginalized by the state and not treated as equal citizens” need to be addressed, she continued.

The Fijian armed forces, which played a decisive role in executing the coups, often justifying their actions in protecting Fiji’s internal order, are also critical to the success of the country’s return to democratic governance.

In 2023 an internal reconciliation process began, aimed at ending military intervention in the country’s politics and elections. In April, during an official meeting with the TRC, the military leadership pledged ‘to ensure that past mistakes are not repeated, and that its role as a guardian of Fiji’s constitutional order remains anchored in service to all citizens, regardless of ethnicity, background or political belief.’

After the commission has concluded its estimated two years of work, it will make recommendations in its final report for public measures and policy reforms to support the country’s social cohesion. Here Swamy emphasizes that it is crucial the recommendations do not remain on paper but are acted on.

“In terms of the recommendations, who will be responsible for them? Will they ensure that the recommendations are implemented? And what mechanisms will be put in place to make sure that institutions are held accountable?” she declared.

Looking into the future, Swamy said that she would like to see her country become one “where everyone feels safe, where there is equal opportunity… a country where everyone can realize their potential.”

Note: This article is brought to you by IPS Noram in collaboration with INPS Japan and Soka Gakkai International in consultative status with ECOSOC.

IPS UN Bureau Report

 

How the UN Can Prevent AI from Automating Discrimination

Civil Society, Featured, Global, Global Governance, Headlines, IPS UN: Inside the Glasshouse, TerraViva United Nations

Opinion

The AI for Good Global Summit took place in Geneva on 8 July 2025. Credit: ITU/Rowan Farrell

 
The Summit brought together governments, tech leaders, academics, civil society and young people to explore how artificial intelligence can be directed toward Sustainable Development Goals (SDGs) – and away from growing risks of inequality, disinformation and environmental strain, according to the UN.

 
“We are the AI generation,” said Doreen Bogdan-Martin, chief of the International Telecommunications Union (ITU) – UN’s specialized agency for information and communications technology – in a keynote address. But being part of this generation means more than just using these technologies. “It means contributing to this whole-of-society upskilling effort, from early schooling to lifelong learning,” she added.

ABUJA, Nigeria, Aug 14 2025 (IPS) – Artificial Intelligence (AI) is reshaping the world at a speed we’ve never seen before. From helping doctors detect diseases faster to customizing education for every student, AI holds the promise of solving many real-world problems. But along with its benefits, AI carries a serious risk: discrimination.


As the global body charged with protecting human rights, the United Nations—especially the UN Human Rights Council and the Office of the High Commissioner for Human Rights (OHCHR)—has a unique role to play in ensuring AI is developed and used in ways that are fair, inclusive, and just.

The United Nations must declare AI equity a Sustainable Development Goal (SDG) by 2035, backed by binding audits for member states. The stakes are high. A 2024 Stanford study warns that if AI bias is left unchecked, 45 million workers could lose access to fair hiring by 2030, and 80 percent of those affected would be in developing countries.

The Promise—and Peril—of AI

At its core, AI is about using computer systems to solve those problems or perform those tasks that us to use human intelligence. Algorithms drive the systems that make these possible—sets of instructions that help machines make sense of the world and act accordingly.

But there’s a catch: algorithms are only as fair as the data they are trained on and the humans who designed them. When the data reflects existing social inequalities, or when developers overlook diverse perspectives, the result is biased AI. In other words, AI that discriminates.

Take, for example, facial recognition systems that perform poorly on people with darker skin tones. Or hiring tools that favor male candidates because they’re trained on data from past hires in male-dominated industries.

Or a LinkedIn verification system that can only verify NFC-enabled national passports that the majority of Africans don’t yet possess. These are more than technical glitches; they are human rights issues.

What the UN Has Already Said

The UN is not starting from scratch on this. The OHCHR has already sounded the alarm. In its 2021 report on the right to privacy in the digital age, the OHCHR warned that poorly designed or unregulated AI systems can lead to violations of human rights, including discrimination, loss of privacy, and threats to freedom of expression and thought.

The report asked powerful questions we must keep asking:

    • ● How can we ensure that algorithms don’t replicate harmful stereotypes?
    • ● Who is responsible when automated decisions go wrong?
    • ● Can we teach machines our values? And if so, whose values?

These are very vital, practical questions that go to the heart of how AI will shape our societies and who will benefit or suffer as a result, and I commend the UN for conceptualizing these questions.

UNESCO, another UN agency, has also taken a bold step by adopting the Recommendation on the Ethics of Artificial Intelligence, the first global standard-setting instrument of its kind. Their Recommendation emphasizes the need for fairness, accountability, and transparency in AI development, and calls for banning AI systems that pose a threat to human rights.

This is a good start. But the real work is just beginning.

The Danger of Biased Data

A major driver of AI discrimination remains biased data. Many AI systems are trained on historical data; data that often reflects past inequalities. If a criminal justice algorithm is trained on data from a system that has historically over-policed Black communities, it will likely continue to do so.

Even well-meaning developers can fall into this trap. If the teams building AI systems lack diversity, they may not recognize when an algorithm is biased or may not consider how a tool could impact marginalized communities.

That’s why it’s not just about better data. It’s also about better processes, better people, and better safeguards.

Take the ongoing case with Workday as an example.

When AI Gets It Wrong: 2024’s Most Telling Cases

In one of the most significant AI discrimination cases moving through the courts, the plaintiff alleges that Workday’s popular artificial intelligence (AI)-based applicant recommendation system violated federal antidiscrimination laws because it had a disparate impact on job applicants based on race, age, and disability.

Judge Rita F. Lin of the US District Court for the Northern District of California ruled in July 2024 that Workday could be an agent of the employers using its tools, which subjects it to liability under federal anti-discrimination laws. This landmark decision means that AI vendors, not just employers, can be held directly responsible for discriminatory outcomes.

In another case, the University of Washington researchers found significant racial, gender, and intersectional bias in how three state-of-the-art large language models ranked resumes. The models favored white-associated names over equally qualified candidates with names associated with other racial groups.

In 2024, a University of Washington study investigated gender and racial bias in resume-screening AI tools. The researchers tested a large language model’s responses to identical resumes, varying only the names to suggest different racial and gender identities.

The financial impact is staggering. A 2024 DataRobot survey of over 350 companies revealed: 62% lost revenue due to AI systems that made biased decisions, proving that discriminatory AI isn’t just a moral failure—it’s a business disaster. It’s too soon for an innovation to result in such losses.

Time is running out. A 2024 Stanford study estimates that if AI bias is not addressed, 45 million workers could be pushed out of fair hiring by 2030, with 80 percent of those workers living in developing countries. The UN needs to take action now before these predictions turn into reality.

What the UN Can—and Must—Do

To prevent AI discrimination, the UN must lead by example and work with governments, tech companies, and civil society to establish global guardrails for ethical AI.

Here’s what that could look like:

    • 1. Develop Clear Guidelines: The UN should push for global standards on ethical AI, building on UNESCO’s Recommendation and OHCHR’s findings. These should include rules for inclusive data collection, transparency, and human oversight.
    • 2. Promote Inclusive Participation: The people building and regulating AI must reflect the diversity of the world. The UN should set up a Global South AI Equity Fund to provide resources for local experts to review and assess tools such as LinkedIn’s NFC passport verification. Working with Africa’s Smart Africa Alliance, the goal would be to create standards together that make sure AI is designed to benefit communities that have been hit hardest by biased systems. This means including voices from the Global South, women, people of color, and other underrepresented groups in AI policy conversations.
    • 3. Require Human Rights Impact Assessments: Just like we assess the environmental impact of new projects, we should assess the human rights impact of new AI systems—before they are rolled out.
    • 4. Hold Developers Accountable: When AI systems cause harm, there must be accountability. This includes legal remedies for those who are unfairly treated by AI. The UN should create an AI Accountability Tribunal within the Office of the High Commissioner for Human Rights to look into cases where AI systems cause discrimination.
    • This tribunal should have the authority to issue penalties, such as suspending UN partnerships with companies that violate these standards, including cases like Workday.
    • 5. Support Digital Literacy and Rights Education: Policy makers and citizens need to understand how AI works and how it might impact their rights. The UN can help promote digital literacy globally so that people can push back against unfair systems.
    6. Mandate Intersectional Audits: AI systems should be required to go through intersectional audits that check for combined biases, such as those linked to race, disability, and gender. The UN should also provide funding to organizations to create open-source audit tools that can be used worldwide.

The Road Ahead

AI is not inherently good or bad. It is a tool, and like any tool, its impact depends on how we use it. If we are not careful, AI could lengthen problem-solving time, deepen existing inequalities, and create new forms of discrimination that are harder to detect and harder to fix.

But if we take action now—if we put human rights at the center of AI development—we can build systems that uplift, rather than exclude.

Ahead of the UN General Assembly meeting in September, the United Nations must declare AI equity a Sustainable Development Goal (SDG) by 2035, backed by binding audits for member states. The time for debate is over; the era of ethical AI must begin now.

The United Nations remains the organization with the credibility, the platform, and the moral duty to lead this charge. The future of AI—and the future of human dignity—may depend on it.

Chimdi Chukwukere is a researcher, civic tech co-founder, and advocate for digital justice. His work explores the intersection of technology, governance, and social justice. He holds a Masters in Diplomacy and International Relations from Seton Hall University and has been published at Politics Today, International Policy Digest, and the Diplomatic Envoy.

Gift Nwammadu is a Mastercard Foundation Scholar at the University of Cambridge, where she is pursuing an MPhil in Public Policy with a focus on inclusive innovation, gender equity, and youth empowerment. A Youth for Sustainable Energy Fellow and Aspire Leader Fellow, she actively bridges policy and grassroots action. Her work has been published by the African Policy and Research Institute addressing systemic barriers to inclusive development.

IPS UN Bureau

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