Rights with No Age Limit: Hopes for a Convention on the Rights of Older People

Posted on by admin

Armed Conflicts, Civil Society, Climate Change, Featured, Global, Headlines, Health, Human Rights, TerraViva United Nations

Opinion

Cover photo by Defensoría del Pueblo de Bolivia

BRUSSELS, Belgium / MONTEVIDEO, Uruguay, May 9 2025 (IPS) – The world’s population is ageing. Global life expectancy has leapt to 73.3 years, up from under 65 in 1995. Around the world, there are now 1.1 billion people aged 60-plus, expected to rise to 1.4 billion by 2030 and 2.1 billion by 2050.

This demographic shift is a triumph, reflecting public health successes, medical advances and better nutrition. But it brings human rights challenges.

Ageism casts older people as burdens, despite the enormous social contribution many older people make through family roles, community service and volunteering. Prejudice fuels widespread human rights violations, including age discrimination, economic exclusion, denial of services, inadequate social security, neglect and violence.

The impacts are particularly brutal for those facing discrimination for other reasons. Older women, LGBTQI+ elders, disabled seniors and older people from other excluded groups suffer compounded vulnerabilities. During conflicts and climate disasters, older people face disproportionate hardships but receive disproportionately little attention or protection.

These challenges aren’t limited to wealthy countries such as Japan, where more than one in 10 people are now aged 80 and over. Global south countries are experiencing population ageing too, and often at a much faster pace than occurred historically in the global north. Many people face the daunting prospect of becoming old in societies with limited infrastructure and social protection systems to support them.

Despite these escalating challenges, no global human rights treaty specifically protects older people. The current international framework is a patchwork that looks increasingly out of step as global demographics shift.

The first significant international breakthrough came in 2015, when the Organization of American States adopted the Inter-American Convention on Protecting the Human Rights of Older Persons. This landmark treaty explicitly recognises older people as rights-bearers and establishes protections against discrimination, neglect and exploitation. It demonstrates how legal frameworks can evolve to address challenges faced by ageing populations, although implementation remains uneven across signatory countries.

Globally, the World Health Organization’s Decade of Healthy Ageing (2021-2030) represents progress in promoting age-friendly environments and responsive healthcare systems. But it’s a voluntary framework without legally enforceable protections. Only a binding treaty can deliver human rights guarantees.

That’s why the UN Human Rights Council’s decision on 3 April to establish an intergovernmental working group to draft a convention on older persons’ rights offers real hope. In the current fractured geopolitical landscape, the resolution’s adoption by consensus is encouraging.

This positive step came as a result of over a decade of dogged advocacy through the Open-ended Working Group on Ageing, established by the UN General Assembly in 2010. Through 14 sessions, states, civil society and national human rights institutions built an overwhelming case for action, culminating in an August 2024 recommendation to develop a treaty. Strategic cross-border campaigning and coalition-building by civil society organisations such as AGE Platform Europe, Amnesty International and HelpAge International were instrumental in advancing the cause.

Now the crucial phase of transforming principles into binding legal protection begins. The Human Rights Council resolution sets out the path forward. The first meeting of the drafting working group is due before the year’s end. Once drafted, the text will advance through the UN system for consideration and adoption. If adopted, this convention will follow in the footsteps of those on the rights of children in 1989 and people with disabilities in 2006, which have significantly advanced protections for their target groups.

This convention offers a rare opportunity to redefine how societies value their older members. The journey from declaration to implementation will demand persistent civil society advocacy, first to ensure the text of the convention delivers meaningful, enforceable protections rather than mere aspirational statements, and then to prevent the dilution of protections through limited implementation. But the potential reward is profound: a world where advancing age enhances rather than diminishes human dignity and rights.

Samuel King is a researcher with the Horizon Europe-funded research project ENSURED: Shaping Cooperation for a World in Transition and Inés M. Pousadela is Senior Research Specialist at CIVICUS: World Alliance for Citizen Participation, writer at CIVICUS Lens and co-author of the State of Civil Society Report.

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

  Source

Speaking Out for SRHR: Why Lived Experiences Must Shape Policy and Practice 

Posted on by admin

Civil Society, Development & Aid, Gender, Headlines, Health, TerraViva United Nations

Opinion

Advocacy for policies that protect and expand comprehensive sexuality education, safe abortion (where permitted), and youth-friendly SRHR services must not stop at international commitments. We must hold our governments accountable and ensure those commitments translate into action

The Commission on Population and Development (2024)

NAIROBI, May 7 2025 (IPS) – Just a month ago, I found myself in a hospital, anxiously waiting for my son to be attended to. As we sat quietly in one of the waiting rooms, an emergency case was wheeled in — a young woman, barely out of her teens. Her face contorted in visible pain. Her dress was soaked with blood, which had begun to pool beneath the wheelchair and trickle onto the floor.

I couldn’t help but overhear the nurse asking the girl who had accompanied her, “What happened?” “She just started her periods,” the friend whispered, her voice laced with fear and confusion.

But from my own experience, I knew periods don’t arrive like this. The heavy bleeding, the extreme pain, the sheer urgency: something was terribly wrong. In a country where abortion is criminalized and conversations on reproductive health are often shrouded in silence, there are things you don’t say out loud, not even in a hospital.

Presentations were dominated by government departments and bureaucrats. I couldn’t help but wonder — where were the voices of the people these policies are meant to serve? Where was the civil society that brought these stories from their grassroots partners?

Later, I learned the young woman had been referred to a higher-level facility because the hospital couldn’t handle her case. I left that day with a prayer on my lips, hoping she lived to tell her story.

So why am I sharing this? Because last week, I sat in another room, far away from that hospital, attending the 58th Session of the Commission on Population and Development (CPD58) at the United Nations.

This was my first time attending the annual conference. The conversations were a sobering reminder of how precarious sexual and reproductive health and rights (SRHR) remain, especially for young women like the one I saw that day.

Despite the gravity of the global challenges, CPD58 felt like a more formal than interactive space. At many of the side events I attended, audiences sat silent, rarely given the chance to ask questions.

Presentations were dominated by government departments and bureaucrats. I couldn’t help but wonder — where were the voices of the people these policies are meant to serve? Where was the civil society that brought these stories from their grassroots partners?

Breaking the silence

One of the few spaces that broke this silence was a gathering organized by the International Sexual and Reproductive Rights Coalition (ISRRC), a coalition of organizations from all regions of the world dedicated to advancing SRHR. It offered a rare moment of authentic exchange, where the few CSO voices present could reflect on the battles we face both at home and on the global stage.

But overall, the opposition to SRHR remained stubborn and vocal. I listened as some delegations pushed back against terms that should be non-negotiable: Comprehensive Sexuality Education (CSE), safe abortion, gender equality.

These are not just words; they are lifelines for young women, especially those navigating complex realities in countries like mine, Kenya.

Ironically, many CPD58 conversations just wanted to focus on maternal health, not on teenage pregnancies or young mothers. Basically, addressing maternal health without discussing the process that leads to pregnancy (sex and sexuality) and therefore CSE.

I couldn’t help but think: How do we talk about preventing HIV without talking about sex? How do we address teenage pregnancy without speaking openly about reproductive health? How can we ignore child marriages when they remain a heartbreaking reality across many countries? And what do we say to survivors of rape — young or old — who become pregnant? Should they be forced to carry these pregnancies, regardless of the trauma or the risks?

As an advocate and a believer in the power of quality data to inform decisions, these questions weigh heavily on me. Are the policies we design grounded in real, lived experiences? Do we collect and use data to reflect the brutal realities so many young women face daily?

Combating anti-rights narratives

One clear takeaway from CPD58 was this: facts and stories must go hand in hand. Data alone can inform, but stories can transform. Both are essential to combating anti-rights narratives and creating spaces for conversations.

Another key take away is the critical need for civil society to maintain both its presence and momentum in these spaces. The CPD remains one of the least attended UN meetings, and its negotiation process is opaque.

The anti-rights movement’s growing clout risks reversing many SRHR gains by easily passing resolutions without push back. If civil society isn’t present and organized, no one will be the wiser. It is essential to occupy and safeguard this space.

We must train youth activists to counter opposition and challenge anti-gender, anti-abortion, and anti-CSE rhetoric not just with facts, but with human stories.

Tell the stories that humanize the data; stories like the one I witnessed in that hospital room. Digital spaces hold tremendous potential to advance SRHR, especially for marginalized communities.

Yet, with opportunity comes risk. The same platforms that can empower young women are breeding grounds for misinformation. Our efforts must include both creating digital solutions and equipping young women to navigate these spaces safely and wisely.

I was encouraged to see progressive voices from the European Union, Latin America, and parts of Africa and Asia stand firm in defending SRHR within the final negotiated text. But the fight doesn’t end there.

From Nigeria to Mozambique, from Jordan to Guatemala — and every corner in between — we must ensure young women in all their diversities are not left behind. Their voices, rights, and choices must be respected.

Finally, we must keep the pressure on at home. Advocacy for policies that protect and expand comprehensive sexuality education, safe abortion (where permitted), and youth-friendly SRH services must not stop at international commitments. We must hold our governments accountable and ensure those commitments translate into action.

The young woman in that hospital room deserved better. So do countless others like her.

And the only way forward is by standing up, speaking out, and refusing to let silence win.

Mary Kuira is Global DMEL Coordinator at Hivos East Africa

  Source

Uncertainty Looms for Kenya Following Tense IMF/World Bank Spring Meetings

Posted on by admin

Civil Society, Climate Change, Environment, Gender, Global, Global Governance, Headlines, Health, Human Rights, Humanitarian Emergencies, IPS UN: Inside the Glasshouse, TerraViva United Nations

Opinion

Janet Ngombalu is Kenya Country Director, Christian Aid

Aerial view of Diff in Wajir South submerged in floodwaters, highlighting the devastating impact of heavy rains on homes and livelihoods – 2024. Credit: Pasca Chesach/Christian Aid Kenya

NAIROBI, Kenya, May 5 2025 (IPS) – Reflecting on this year’s IMF/World Bank Spring Meetings, one word lingers in my mind: uncertainty. The shifting global geopolitical landscape loomed large—none more so than the US administration’s initial threat to withdraw from the Bretton Woods institutions.

Although that threat was later withdrawn, it’s clear the US wants sweeping reforms. What exactly those changes will look like remains unknown, but it’s clear that the US wants the IMF and World Bank to focus more on its biggest shareholders rather than people and the planet. For countries in the Global South, like my own—Kenya—that could be disastrous.

As the world knows, the people of Kenya made their frustrations against the IMF known last year, with protests against IMF fiscal and austerity policies. And this unrest led to President William Ruto withdrawing a finance bill aiming to raise more than $2 billion in taxes.

Then, just last month, a four-year $3.6 billion IMF deal was terminated by mutual agreement. A new deal is now being negotiated—but finding balance will be difficult. The IMF is demanding fiscal consolidation, while the government is under immense pressure to ease the burden on a struggling population.

Without raising taxes, Kenya faces drastic cuts to public spending. But the people have had enough—and they shouldn’t be forced to endure more.

Dead livestock in Bubisa, Marsabit County due to prolonged drought: Credit: Pasca Chesach/Christian Aid Kenya

This is happening at a critical moment. The IMF is undergoing two major reviews this year that will shape its lending and surveillance approach for the next five years. If the Trump administration gains more sway over IMF leadership, civil society fears a regression to the 1990s era of even harsher austerity.

The reality on the ground in Kenya makes this unacceptable. We already face high taxes, and cuts to essential services are tearing the social fabric apart. Our health system is stretched beyond its limits.

Last year, doctors were driven to suicide under the weight of low pay, impossible hours, and the heartbreak of losing patients due to inadequate care.

School feeding programmes – lifelines for many children – have been cut. For some, that was the only meal of the day. Businesses are closing, jobs are vanishing, and those of us still employed are helping family members who are struggling.

A resident of Makueni fetches water from a community booth made possible through Christian Aid Kenya’s sand dam project, offering a reliable water source amid prolonged drought. Credit: Fauzia Hussein/Christian Aid Kenya

Meanwhile, the US is calling on the IMF and World Bank to scale back focus on gender equality and climate change. This is deeply alarming. As Kenya’s country director for Christian Aid, I am currently seeking emergency funds to respond to severe flooding in Marsabit and Wajir in the northeast of the country, which have also been heavily affected by drought.

Kenya loses up to KSh870 billion every year, around 3–5% of GDP, due to climate impacts. Yet we’ve done almost nothing to cause this crisis.

Women in particular continue to bear the brunt of IMF-imposed austerity. They face rising food prices head-on, as the ones more responsible for food shopping. They dominate the informal and public sectors – precisely the sectors most affected by spending cuts.

We had started to make scant progress in getting the IMF to consider these gendered impacts. Now, that progress is under threat.

There’s also growing unease about the politicisation of global financial governance. If the US gains even more influence over the IMF, will there be favouritism in lending decisions? The recent cancellation of US Secretary of State Marco Rubio’s trip to Kenya, following President Ruto’s visit to China, raises eyebrows.

The rise of this selfish, unilateral approach is troubling—and it’s already hurting us. Massive aid cuts are hitting hard. In addition to the proposed $60 billion USAID budget reduction, the UK, Germany, France, and the Netherlands have announced cuts totalling over $11 billion combined.

It feels as though the Global South is being abandoned in a power struggle we didn’t start. The IMF and World Bank, created in the colonial era, have always tilted toward northern interests. The US holds 16% of IMF voting power and therefore a veto over most important decisions which require 85% agreement. Meanwhile, the entire African continent holds just 4.7%. That imbalance is not only unjust; it’s unsustainable.

And now, it could get worse. But there is hope.

The upcoming Financing for Development Conference in Seville this June offers a rare and crucial opportunity. It is the only global forum where all countries negotiate economic governance on equal terms.

We must seize this moment to push for meaningful reform—debt relief, fairer international tax rules, and real climate finance. These are the changes we need to unlock a future where all countries have the tools and autonomy to shape their own development.

We cannot afford more uncertainty. We need control over our economic destiny, not to be tossed around by the shifting whims of the Global North.

Bring on Seville. It’s time for change.

IPS UN Bureau

  Source

African Countries Still Underfunding Health by as Much as 50 Percent

Posted on by admin

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

Health

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

IPS UN Bureau Report

  Source

Children at the Center

Posted on by admin

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

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

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

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

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

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

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

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

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

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

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

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

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

  Source

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

Posted on by admin

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

Health

Mycobacterium tuberculosis drug susceptibility test. Credit: CDC

Mycobacterium tuberculosis drug susceptibility test. Credit: CDC

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

IPS UN Bureau Report

  Source