Spotlight on Landlocked Developing Countries Ahead of Third UN Conference

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Sustainable Development Goals

Uganda's Malaba town borders Kenya to the east and is a major entry point for goods destined for landlocked Uganda, Rwanda, and South Sudan from Kenya's Mombasa Port. Credit: Joyce Chimbi/IPS

Uganda’s Malaba town borders Kenya to the east and is a major entry point for goods destined for landlocked Uganda, Rwanda, and South Sudan from Kenya’s Mombasa Port. Credit: Joyce Chimbi/IPS

NAIROBI, Aug 1 2025 (IPS) – Landlocked developing countries face a unique set of challenges. Without coastal ports, they rely on transit nations, causing higher trade costs and delays.

To explore solutions to these complex hurdles, the Third UN Conference on Landlocked Developing Countries (LLDCs) or LLDC3, will take place in Awaza, Turkmenistan, 5–8 August 2025.

May Yaacoub, LLDC3 spokesperson and head of Advocacy and Outreach at the United Nations Office of the High Representative for the Least Developed Countries, Landlocked Developing Countries and the Small Island Developing States (UNOHRLLS), told IPS that the conference is “an opportunity to unlock the full potential of landlocked countries and address the challenges faced by some of the world’s most marginalized countries.”

“In every LLDC the map itself shapes the economy. Without a coastline, even the simplest export, whether cotton lint, copper cathode or cloud‑based software, must first cross at least one foreign border and frequently an entire transit corridor before it reaches a port,” Tomás Manuel González Álvarez, Senior Programme Management Officer and LLDC Team Lead at UNOHRLLS told IPS.

“The UN estimates that this physical detour means average transport costs in LLDCs are about 1.4 times higher than in comparable coastal economies. Those added costs depress profit margins, narrow the range of viable products and deter investors who value just‑in‑time delivery.”

Against this backdrop and while lacking direct sea access causes and exacerbates hurdles in trade, connectivity, and development, Yaacoub says LLDCs host vibrant communities with untapped potential and that these countries “have the ideas and know what they need to prosper. By supporting them at LLDC3 with partnerships, innovations and cooperation, we can help to build a more equitable and prosperous future for all.”

“This conference comes at the heels of the expiration of the Vienna Programme of Actions, which was adopted in Vienna, Austria, in November 2014, during LLDC2. LLDC3 will continue the work of LLDC2 and serve as a platform to explore innovative solutions, build meaningful and strategic partnerships, and increase the investment in LLDCs,” she observed.

The theme of the conference is ‘Driving Progress through Partnerships’, which she says underscores a shift from donor-recipient dynamics to mutual accountability and co-investment. And, that this includes a stronger role for transit countries, enhanced multilateral cooperation, and alignment with the SDGs, Paris Agreement and the Pact of the Future.

Álvarez emphasizes that this key, landlockedness, is experienced very differently and that the conference agenda reflects an understanding of these complexities. In Africa, “for countries such as Niger or Zambia, the critical pain point is the sheer length and fragility of overland routes—1,800 km from Niamey to Cotonou; 1,900 km from Lusaka to Durban.”

“Road and rail bottlenecks meet frequent customs stops and, in parts of the Sahel, insecurity. The result is chronic delays and freight rates that can exceed the f.o.b. (a term that defines who pays for the transportation costs) value of low‑margin agricultural commodities.”

He says in Asia, Kazakhstan or Uzbekistan possess better road and rail grids yet face. At the same time, these economies are accelerating an energy transition, moving from hydrocarbons to renewables and green hydrogen so they now need corridors that can carry high‑voltage electricity and fiber as well as bulk ore.

“Bolivia and Paraguay rely on the 3,300‑km Paraguay–Paraná waterway for almost four‑fifths of their trade. Low river levels during recent droughts have stranded barges and cost Paraguay an estimated USD 300 million in 2024 alone. Moreover, new tolls levied by Argentina highlight the vulnerability that comes with dependence on a single transit state,” he says.

Within this context, Yaacoub says LLDC3 represents a major change in both scope and ambition compared to its predecessors—LLDC1 held in Almaty in 2003, which was a ministerial meeting, and LLDC2 in Vienna in 2014. The first conference of this nature, or LLDC1 focused primarily on transit policy, infrastructure development, international trade, and technical and financial assistance.

LLDC2 expanded to include structural economic transformation, regional integration, and means of implementation. Notably, she says, LLDC3 “introduces a more holistic and forward-looking agenda, emphasizing climate resilience and adaptation, digital transformation and technology access, sustainable industrialization, reforming the global financial architecture, shock-resilience and disaster risk reduction.”

Yaacoub says the LLDC3 agenda reflects the unprecedented global complexities of the current era—climate change, pandemics, geopolitical tensions, and economic shocks. Key thematic areas include climate vulnerability and financing, with an emphasis on operationalizing the Loss and Damage Fund, doubling adaptation finance, and ensuring access to concessional resources.

Álvarez says the conference is particularly focused on converting the narrative from landlocked to land‑linked and that unlocking these countries potential relies on a strategy built on mutually reinforcing pillars that include “how Multibillion‑dollar investments in regional corridors, the Central and Northern Corridors in East Africa, the Trans‑Caspian route into Europe, and new dry‑ports on the Paraguay‑Paraná system can cut door‑to‑port time by 30 percent within the decade.”

He says building climate resilience is critical due to a “heavy reliance of LLDCs on agriculture, especially rain-fed agriculture, as a primary source of income, employment, and sustenance. Climate variability has already begun to disrupt agricultural cycles, reduce crop yields, and threaten food security. These effects ripple across rural economies, deepening poverty and forcing difficult choices for households.”

Álvarez says these issues are critical, as the same remoteness that inflates freight costs also hampers relief when drought, flood or storm strikes. Many LLDCs suffer disproportionately from climate‑related disasters because they lack redundant road and telecom links, and that “as extreme weather intensifies, production shocks travel quickly through thinly diversified economies and can wipe out years of growth.”

Overall, he says, “collectively these headwinds jeopardize progress on at least six Sustainable Development Goals—most visibly Goals 1 (No Poverty), 9 (Industry and Infrastructure) and 13 (Climate Action). Unless structural constraints are eased, many LLDCs risk missing the 2030 milestones by a full generation.”

Álvarez says the “developmental drag created by geography is not merely inconvenient; it is systemic.”

Stressing that high logistics costs shrink the set of competitive exports and that “many LLDCs remain reliant on two or three unprocessed commodities, leaving them vulnerable to price swings and limiting the spill‑overs that normally accompany industrial clustering.”

He says limited fiscal space means that governments struggle to finance education, health and social protection at scale. LLDCs as a group record poverty rates 50–60 percent higher than the global developing‑country average and score lower on the World Bank’s human‑capital index, 0.36 versus 0.48 in 2024.

Yaacoub confirms that all these issues will be explored in depth across key thematic areas that also include the private sector, civil society and youth engagement to foster inclusive partnerships and South-South and Triangular Cooperation with an emphasis on regional and interregional collaboration.

“This inclusive process ensures that the new Awaza Programme of Action is grounded in the lived realities of LLDCs and their partners,” she observes.

After all is said and done, Yaacoub says the most desirable outcome from the Third UN Conference on Landlocked Developing Countries would be the global endorsement and operationalization of the Awaza Programme of Action, which is a transformative and actionable framework that empowers LLDCs to overcome their structural challenges and thrive in a rapidly evolving global landscape.

Stressing that LLDC3 will serve as “a high-level platform to present, promote, and mobilize support for the implementation of the Awaza PoA that was adopted in December 2024. The second outcome would be the mobilization of resources and investment commitments from development partners to support infrastructure, climate resilience, and digital transformation.”

Ultimately, she is optimistic that the conference will lead to strengthened partnerships and regional cooperation to renew and expand transit agreements and regional integration initiatives, including enhanced South-South and Triangular Cooperation frameworks and commitments to multilateral collaboration aligned with the SDGs, the Paris Agreement and the pact of the Future.

IPS UN Bureau Report

 

Protect Women’s Rights, Especially in a Time of Equality Backlash, Say Activists

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Gender

UN Women's Executive Director Sima Bahous at a 2025 UN High-Level Political Forum on Sustainable Development side event. Credit: Naureen Hossain/IPS

UN Women’s Executive Director, Sima Bahous, at a 2025 UN High-Level Political Forum on Sustainable Development side event. Credit: Naureen Hossain/IPS

UNITED NATIONS, Jul 21 2025 (IPS) – Discriminatory laws and the absence of legal protections impact more than 2.5 billion women and girls worldwide in various ways. Legal reform is paramount to securing gender equality, and the world cannot afford to roll back on decades of progress in women’s rights.

On the sidelines of the 2025 High-Level Political Forum on Sustainable Development on July 17, Equality Now and UN Women, with their partners the International Development Law Organization (IDLO), the Global Campaign for Equality in Family Law, the Global Campaign for Equal Nationality Rights (GCENR), Inter-parliamentary Union (IPU), hosted an official side event, “Accelerating Law Reform to Keep the Promise of Beijing, the SDGs, and the Pact for the Future.”

The purpose of the event was to spotlight the success in ending discrimination through the passing of robust, inclusive legislation and acknowledging the work that remains in combatting legal discrimination against women and girls. Bringing together stakeholders across the public sector and nongovernmental organizations, the event highlighted the relevance of global agreements that center on sustainable development and uphold international law, Equality Now Executive Director Mona Sinha pointed out.

“It is ever more urgent in these times of backlash against gender equality that the right to equality on the basis of sex as a fundamental human right is protected and promoted by States and the international community,” said Sinha.

“At UN Women, we are proud to lead a global strategy to achieve equality in law for women and girls by 2030 with our partners… We are racing against time to repeal discriminatory laws and to replace them with protections rooted in dignity and equality,” said UN-Women Executive Director Sima Bahous.

The event coincided with the launch of a joint publication from Equality Now and GCENR  ‘Select Draft Articles on Nationality Rights to Ensure Gender Equality.’

The publication is intended to be used by policymakers as guidelines for drafting inclusive policies that enshrine protections for nationality rights for women and their children and partners. This was spotlighted as a persistent form of discrimination that restricts certain rights by virtue of their identity.

Panelists at the Equality Now side event at the 2025 UN High-Level Political Forum on Sustainable Development. Credit: Naureen Hossain/IPS

Panelists at the Equality Now side event at the 2025 UN High-Level Political Forum on Sustainable Development. Credit: Naureen Hossain/IPS

Catherine Harrington, Campaign Manager of the Global Campaign for Equal Nationality Rights, remarked on the “utter injustice” that men should have the “inherent right” to pass down nationality to their child or spouse, but women are not granted the same.

There are 24 countries where women legally cannot pass down their citizenship to their child, and at least 40 countries where women cannot confer the rights of citizenship to a non-citizen spouse. Such restrictions prevent impacted people from exercising other fundamental rights, including access to education, healthcare and even the right to enter the country they were born in or consider home.

The fight over equal nationality rights is emblematic of the broader issue of gender equality, as it demonstrates how a lack of legal protections can leave people vulnerable to having their rights denied or exploited.

“What does it say about women’s status as citizens and their equality in the family when the law that establishes the very foundation of political personhood, citizenship, holds that men naturally have the right to pass citizenship as full citizens and women do not and are not deserving of the same?” said Harrington. “What does it mean to be committed to combating gender-based violence when we know that gender discriminatory laws are linked with multiple forms of GBV and contribute to the root cause of gender-based violence, which is women’s unequal status in society?”

Women’s participation in public spaces, including politics, is also a measure of gender equality and a step toward sustainable development. A report from UN Women stated that while there was a boost in the proportion of women in parliament, as countries had taken steps to boost women’s participation in national and local legislatures, such as with gender quotas, three out of four parliamentarians were still men. These environments need to be created to be gender-inclusive and safe to ensure women’s participation. As long as the institutions that are meant to represent the people are shaped by laws that only benefit a select few, there is no room for equality.

“Democracy cannot be credible or effective if it does not reflect the diversity of people,” said Paddy Torsney, Inter-Parliamentary Union (IPU) Permanent Observer to the UN. Tornsey remarked that fostering inclusive political environments allows women the “power, protection and the platform to lead.” These environments can be created through inclusive policies and a zero tolerance for gender-based violence in all forms.

Effective, inclusive legislation can only be driven by “reliable data,” according to Hikaru Yamagishi from the World Bank. Yamagishi added that through the Women, Business and Law Project, the World Bank has provided “comprehensive, comparable data” on how laws affect women’s jobs to lawmakers across 190 economies.

Among their findings was that although women have 64 percent of the rights of men, economies have less than 40 percent of the systems in place needed to implement those rights in practice. This indicates a ‘significant’ implementation gap, Yamagishi said, between formal legislation and what women actually experience in real life.

“This implementation gap must be tracked alongside legal [gaps]. The Women Business and Law report evidences the importance of legal reforms like banning discrimination… but it also shows that those reforms only go so far without supportive policies,” she added.

The event brought together representatives from member states to share how their countries dealt with eliminating discrimination through legal reform. In the Kyrgyz Republic, steps were taken to reform the labor code, including 400 professions that were previously restricted from women.

Bakyt Sydykov, Minister of Economy and Commerce of the Kyrgyz Republic, remarked on federal programs that boosted employment opportunities for women living in rural areas. Along with civil society and trade unions, international partners like UN Women and the International Labour Organization (ILO) consulted the country’s legislative reform in ensuring equal employment opportunities.

“We believe that Kyrgyzstan’s experience can offer a useful reference point for other countries where similar challenges arise,” said Sydykov. “Our approach shows that when reforms stem from nationwide dialogue and international standards, implemented in partnership with all segments of society, they can succeed.”

“As a country that has elected two women to the highest position in the government, the Philippines can confidently say that gender equality is robust and highly needed in our society. However, there are still areas for improvement along the way,” said Noel Mangaoang Novicio, Minister, Permanent Mission of the Philippines to the UN. Novice cited his country’s Magna Carta of Women, adopted in 2009, a comprehensive human rights law for women that is based on the principles of international law.

These examples demonstrate that widespread gender equality is achievable. Nevertheless, no country has achieved true gender parity, so it remains an ongoing effort. This also shows the importance of partnerships across multiple sectors and stakeholders. Governments can enforce legal reforms on a wide scale, the private sector can advocate for reforms and lead by example, and multinational organizations such as the UN and the World Bank have the resources to provide evidence of where change is needed and bring stakeholders together.

“When we work together to make legal equality a reality, it unlocks economic potential and fuels inclusive progress,” said Yamagishi.

The event, which included youth advocates and representatives from around the world among its attendees, demonstrated one of the UN’s roles in a microcosm: a convening body that brings together governments, civil society and experts on a global stage to drive forward shared commitments.

Antonia Kirkland, Equality Now’s Global Lead, Legal Equality and Justice, remarked that this makes the UN “an indispensable force in pushing for transformative, rights-based legal reforms worldwide.”

“By amplifying the voices of women’s rights advocates, particularly those from the Global South, UN platforms provide an opportunity to elevate grassroots demands to the international level, to influence legal and policy change. The UN provides an essential space for peer accountability, shared learning, and collective pressure that no single organization or government could generate alone,” said Kirkland.

Kirkland explained to IPS the ‘uniquely powerful’ role the UN and its agencies play in promoting legal reforms for gender equality. The UN has helped to set international legal standards, and its treaties and special mechanisms provide the frameworks to hold members accountable and call them out on legal discrimination.

With that said, the UN must continue its support and wield its influence amidst increasing attacks from anti-rights movements that threaten to reverse the progress on women’s legal rights.

Kirkland told IPS that anti-gender equality and anti-rights movements have been working to “erase or dilute the concept of ‘gender’ from UN documents, negotiations, and frameworks.” Erasing gender-inclusive language risks undermining international human rights standards and further weakening accountability for gender-based violence and discrimination and marginalizing the diverse experiences of women and girls.

Therefore, the UN needs to strengthen its monitoring and enforcement mechanisms for international commitments such as CEDAW and the Sustainable Development Goals (SDGs) and use its platforms to publicly track progress in legal reform. This will also require the support of member states through reaffirming their international commitments and through sustained funding to the UN.

“At a time of rising authoritarianism and anti-rights backlash, a strong, well-resourced UN is essential. Governments also need to enhance and defend the UN’s legitimacy in multilateral forums and resist political efforts to weaken its role in protecting rights and holding states accountable,” Kirkland said.

“Let us invest in feminist leadership. Let us enshrine equality, not only in our speeches, but in our statutes and in our actions,” Bahous said in her closing remarks. “The law must not be a tool of oppression. It must be the first guarantee of justice. Only when we achieve equality for all women and girls under the law can we get back on track to the SDGs, and SDG 5 [Gender Equality] remains our docking station upon which all SDGs depend.”

IPS UN Bureau Report

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Man, Sea, Algae: HOMO SARGASSUM’s Stirring Critique of Human Culpability in the Caribbean

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Arts

“Plastic Ocean” by Alejandro Duràn, one of the artworks previously on display in the UN lobby. Credit: Jennifer Levine/IPS

“Plastic Ocean” by Alejandro Duràn, one of the artworks previously on display in the UN lobby. Credit: Jennifer Levine/IPS

UNITED NATIONS, Jul 14 2025 (IPS) – The United Nations’ HOMO SARGASSUM exhibition served as a public immersion into the marine world and called upon viewers to take action in the face of the climate crisis, specifically regarding invasive species and water pollution.

For the past month, an art exhibition entitled HOMO SARGASSUM took up residence in the New York headquarters lobby in connection to World Ocean Month and the 2025 UN Ocean Conference. Organized by the Tout-Monde Art Foundation. In its final week on display, visitors walked through the various projected films, sculptures and photographs. The exhibit closed on July 11.

The work is described as an immersive multisensorial art and science exhibition intended to bring together various experts in science, scholarship and creativity from the Caribbean to share their perspectives on the prevalent environmental and social issue. The exhibit is primarily an introspective study of sargassum, a type of seaweed or algae commonly found on the coast of the Americas and in the Caribbean.

Sargassum, which has proliferated significantly in recent years due to pollution and chemical fertilizer, releases toxic gases that harm nearby residents in water and on land. Animals struggle to survive, and humans experience respiratory failures and burns. This algae has inspired fear since Christopher Columbus recorded his crew’s sighting of the plant. Sargassum has also become a symbol recently for climate change in the Caribbean as well as the coexisting nature of marine and human life.

Co-curator and executive and artistic director of the Tout-Monde Art Foundation Vanessa Selk described the exhibit as a journey rather than a singular experience. She said, “Much like sargassum migrating through the Atlantic Ocean, we encounter natural and human-made challenges such as pandemics, pollutants and hurricanes. This narrative of the global ecological crisis, reflected in silent floating algae, warns us to change our existing paradigms and consider ourselves as one with our environment.”

Billy Gerard Frank, one of the featured artists in HOMO SARGASSUM, echoes this sentiment.

Frank created a mixed-media piece entitled “Poetics of Relation and Entanglement” with a painting featuring Columbus’ archival notes and sargassum pigment, as well as a film he shot on the island of Carriacou. The film centered on a large metal tank surrounded by sargassum, which had washed on shore and rusted onto the massive object. He specifically shot the film around the sargassum and the tank, an eyesore for the locals who used the beach and a barrier to boats trying to leave. Growing up in Grenada, Frank recalls sargassum as a mild inconvenience but explained how it has become more prevalent due to climate change.

However, only in recent years has conversation around sargassum shifted towards the impact of climate change and geographical inequities, like, as Frank noted, how smaller islands that produce significantly lower levels of pollution are the worst affected by climate change through natural disasters.

He referenced the recent Hurricane Beryl, a Category 5 storm that “completely devastated” islands like Carriacou. His inclusion of Columbus’ notes brings a decolonial perspective: the threats Caribbean islands face from mounting climate change are exacerbated by their history of occupation, mostly from European colonial powers. In a global organization like the UN where historical, geographical and environmental context is key to making any decision, such an interdisciplinary perspective is key.

From countless gifts from member states to various donations, the UN has been an artistic hub since its inception. As both a tourist attraction and space of work for international diplomats, the UN is a particularly ripe space for more radical, political art—notably Guernica, a tapestry based on a Picasso painting portraying the Spanish Civil War—due to its broad audience.

Speaking to IPS, Frank shared how influential art has been in political, social and intellectual movements, saying, “historically…creators, writers, and artists have been able to forge ahead and create new spaces…it gives us some hope that our work and the calling are even more important.”

Frank also told IPS how important it was for him to have the work featured at the UN.

“Because the UN is also a site of consternation right now, specifically with everything that’s happening globally. And in fact, that’s the space where this type of work should be, where there should be more conversation, and a space in which it could create a critical dialogue amongst people who work there, but also the public facing that too.”

IPS UN Bureau Report

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UN Funding Crisis Threatens Work of Human Rights Council

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Opinion

The Human Rights Council is an intergovernmental body within the UN system responsible for strengthening the promotion and protection of human rights around the globe, and for addressing situations of human rights violations, and making recommendations on them, according to the UN. It has the ability to discuss all thematic human rights issues and situations that require its attention throughout the year. It meets at the United Nations Office at Geneva (UNOG).

NEW YORK / GENEVA, Jul 11 2025 (IPS) – The United Nations Human Rights Council (HRC) has expressed concern at the UN High Commissioner for Human Rights’ announcement that certain activities mandated by the council cannot be delivered due to a lack of funding. The council has sought clarity on why certain activities had been singled out.

Among the activities the commissioner says can’t be delivered is the commission of inquiry on grave abuses in Eastern Congo, an important initiative created—at least on paper—at an emergency session of the HRC in February in response to an appeal by Congolese, regional, and international rights groups.

The establishment of the commission offered a glimmer of hope in the face of grave and ongoing atrocities in the region, and it was hoped it might be an important step toward ending the cycle of abuse and impunity and delivering justice and reparations for victims and survivors.

It is not only the activities highlighted by the commissioner that are impacted by the funding crisis, however. Virtually all the HRC’s work has been affected, with investigations into rights abuses—for example in Sudan, Palestine, and Ukraine—reportedly operating at approximately 30-60 percent of capacity.

In discussions about the proposed cuts, several states—notably those credibly accused of rights abuses—have sought to use the financial crisis as cover to attack the council’s country-focused investigative mandates or undermine the Office of the High Commissioner’s broader work and independence. For example, Eritrea invoked the crisis in its ultimately unsuccessful effort to end council scrutiny of its own dismal rights record.

Amid discussions on the current crisis, there has been little reflection among states on how the UN got into this mess. States failing to pay their membership contributions, or failing to pay on time, has compounded the chronic underfunding of the UN’s human rights pillar over decades.

The United States’ failure to pay virtually anything at the moment, followed by China’s late payments, bear the greatest responsibility for the current financial shortfall given their contributions account for nearly half of the UN’s budget.

But they are not alone: 79 countries reportedly still haven’t paid their fees for 2025 (expected in February). Among those that haven’t yet paid this year are Eritrea, Iran, Cuba, Russia, and others that have used the crisis to take aim at the council’s country mandates or to undermine the work or independence of the high commissioner’s office.

Rather than seeking to meddle in the office’s work or reduce the HRC’s scrutiny of crises, states should work with the UN to ensure funds are available for at least partial delivery of all activities they mandate through the council, particularly in emergencies.

Urgent investigations into situations of mass atrocities are key tools for prevention, protection, and supporting access to justice. They cannot wait until the financial crisis blows over.

Lucy McKernan is United Nations Deputy Director, Advocacy, Human Rights Watch (HRW), and Hilary Power is UN Geneva Director, HRW

IPS UN Bureau

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HIV/AIDS Funding Crisis Risks Reversing Decades of Global Progress

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Health

About 9.2 million people across the world living with HIV were not receiving treatment in 2024, according to the UNAIDS report. At the launch of the report was Rev. Mbulelo Dyasi, Executive Director of SANARELA. Winnie Byanyima, UNAIDS Executive Director, Aaron Motsoaledi, Minister of Health of South Africa. Juwan Betty Wani, Programme Coordinator, Adolescents Girls and young women Network South Sudan. Helen Rees, Executive Director, Wits RHI. Credit: UNAIDS

About 9.2 million people across the world living with HIV were not receiving treatment in 2024, according to the UNAIDS report. At the launch of the report was Rev. Mbulelo Dyasi, Executive Director of SANARELA. Winnie Byanyima, UNAIDS Executive Director, Aaron Motsoaledi, Minister of Health of South Africa. Juwan Betty Wani, Programme Coordinator, Adolescents Girls and young women Network South Sudan. Helen Rees, Executive Director, Wits RHI. Credit: UNAIDS

UNITED NATIONS, Jul 10 2025 (IPS) – UNAIDS called the funding crisis a ticking time bomb, saying the impact of the US cuts to the President’s Emergency Plan for AIDS Relief (PEPFAR) could result in 4 million unnecessary AIDS-related deaths by 2029.

A historic withdrawal of global HIV/AIDS funding threatens to derail decades of hard-won progress in the fight against AIDS, according to UNAIDS’ annual report, entitled Aids, Crisis and the Power to Transform. This funding shortage – caused by sudden and massive cuts from international donors – is already dismantling frontline services, disrupting lifesaving treatments for millions and endangering countless lives in the world’s most vulnerable communities.

“This is not just a funding gap—it’s a ticking time bomb,” said UNAIDS Executive Director Winnie Byanyima.

Despite major strides in 2024, including a decrease in new HIV infections by 40 percent and a decrease in AIDS-related deaths by 56% since 2010, the onset of restricted international assistance, which makes up 80 percent of prevention in low- and middle-income countries, could have disastrous effects. The report, mostly researched at the end of 2024, concluded that the end of AIDS as a public health threat by 2030 was in sight.

However, in early 2025 the United States government announced “shifting foreign assistance strategies,” causing them to withdraw aid from organizations like the President’s Emergency Plan for AIDS Relief (PEPFAR), which had earlier promised 4.3 billion USD in 2025. PEPFAR is one of the primary HIV testing and treatment services in countries most affected. Such a drastic decision could have ripple effects, including pushing other major donor countries to revoke their aid. The report projected that if international funding permanently disappears, they expect an additional 6 million HIV infections and 4 million AIDS-related deaths by 2029.

At a Press Briefing, Assistant Secretary-General for UNAIDS Angeli Achrekar noted the importance of PEPFAR since its inception in 2003, calling it one of the most successful public health endeavors. She expressed hope that as the US lessens its support, other organizations and countries are able to take up the global promise of ending AIDS without eroding the gains already made.

Achrekar noted “acute shifts” in a weakening of commitment from countries less directly affected by HIV/AIDS since the US has pulled funding.

UNAIDS also reports a rising number of countries criminalizing populations most at risk of HIV – raising stigma and worsening gender-based violence and non-consensual sex, two of the highest HIV risk-enhancing behaviors. The report showed the primary groups who lacked care were child HIV infections and young women, which is likely related to government campaigns  “attacking HIV-related human rights, including for public health, with girls, women and people from key populations.”

These punitive laws include criminalization or prosecution based on general criminal laws of HIV exposure, criminalization of sex work, transgender people and same-sex sexual activity and possession of small amounts of drugs. These laws have been on the rise for the past few years, and in conjunction with limited funding, the results for HIV/AIDS-positive patients could be fatal.

Recently, scientific breakthroughs have been made regarding long-acting medicine to prevent HIV infection. Health workers have seen tremendous success, both with new technologies like annual injections and the potential for more growth in the form of monthly preventative tablets and in old prevention techniques like condom procurement and distribution and access to clean, safe needles for drug users. However, due to various global conflicts and wars, supply chains have been disrupted, often harming countries not in the thick of the altercation but reliant on products like PrEP, an HIV prevention medication.

Although many countries most afflicted with the AIDS crisis have stepped up, promising more national funding for the issue, and many community networks have doubled down on their efforts, the disruption of supply chains and the lack of international frontline health workers cannot be solved overnight. To entirely restructure how healthcare is provided takes time – something those with HIV do not always have.

Areas like sub-Saharan Africa, which in 2024 housed half of the 9.2 million people not receiving HIV treatment, have been particularly affected by the recent changes. The majority of child infections still occur there, and combinations of “debt distress, slow economic growth and underperforming tax systems” provide countries in sub-Saharan Africa with limited fiscal room to increase domestic funding for HIV.

Despite the loss of funding, significant progress has been made to protect essential HIV treatment gains. South Africa currently funds 77% of its AIDS response, and its 2025 budget review includes a 3.3% annual increase for HIV and tuberculosis programs over the next three years. As of December 2024, seven countries in sub-Saharan Africa have achieved the 95-95-95 targets established by UNAIDS: 95% of people living with HIV know their status, 95% of those are on treatment, and 95% of those on treatment are virally suppressed. UNAIDS emphasized the importance of this being scaled up to a global level.

Achrekar observed, referring to countries whose domestic funds towards AIDS have increased, that “prevention is the last thing that is prioritized, but we will never be able to turn off the tap of the new infections without focusing on prevention as well.”

She reiterated the importance of countries most affected by the HIV/AIDS crisis establishing self-sustaining health practices to ensure longevity in both prevention and treatment.

Achrekar praised the global South for their work in taking ownership of treatment while still calling upon the rest of the world to join.

She said, “The HIV response was forged in crisis, and it was built to be resilient. We need, and are calling for, global solidarity once again, to rebuild a nationally owned and led, sustainable and inclusive multi-sectoral HIV response.”

IPS UN Bureau Report

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For the Aged, Their Sunset Years Will Be Bedeviled by Lethal Heatwaves

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Climate Change

Facing frequent climate hazards, resultantly offsprings having migrated out, this South Sikkimese elder in India battles depression, anxiety and early onset of dementia. Credit: Manipadma Jena/IPS

Facing frequent climate hazards, resultantly offsprings having migrated out, this South Sikkimese elder in India battles depression, anxiety and early onset of dementia.
Credit: Manipadma Jena/IPS

NAIROBI & BHUBANESWAR, Jul 10 2025 (IPS) – The global population is aging at a time when heat exposure is rising due to climate change. Extreme heat can be deadly for older populations given their reduced ability to regulate body temperature. Already there has been an 85 percent increase since 1990 in annual heat-related deaths of adults aged above 65, driven by both warming trends and fast-growing older populations.

If this were not heartbreakingly disastrous enough, heat-related deaths in older populations are projected to increase by 370 percent annually if global temperatures rise by 2˚ Centigrade mid-century. The world is currently on track to reach 2.7°C by the end of the century, up from 1.14°C above pre-industrial levels in 2013-2022.

With 2024 the hottest year ever recorded and the past 11 years declared the 11 warmest on record since records began in 1880, the World Meteorological Organization (WMO) report warning of an 80% chance that 2025-2029 will be warmer than 2024, predicting severe climate impacts, and nearing the 1.5°C warming threshold is alarming if not surprising.

As extreme heat grips many countries and becomes ‘the new normal,’ the UN Environment Programme (UNEP) warns of heightened health risks for older persons in the Frontiers 2025 Report published today.

Older persons, especially those with chronic illnesses like diabetes, hypertension and heart ailments, limited mobility, or age-related frailty, are particularly vulnerable to severe health issues, depending on the intensity, duration, and frequency of heat spells. These could range from respiratory and cardiovascular to metabolic diseases, as well as increased mortality.

Inger Andersen, Executive Director of UNEP said solutions exist that can help protect communities and ecosystem. Courtesy: UNEP

Inger Andersen, Executive Director of UNEP said solutions exist that can help protect communities and ecosystems. Courtesy: UNEP

“Heat waves are among the most frequent and deadly impacts of climate change, along with floods and shrinking ice cover,” said Inger Andersen, Executive Director of UNEP. “We must be prepared for the risks these impacts pose, especially for society’s most vulnerable, including older persons.”

The 7th edition of the Frontiers Report, The Weight of Time – Facing a new age of challenges for people and Ecosystems, is part of UNEP’s Foresight Trajectory initiative and highlights emerging environmental issues as well as doable solutions. The first edition, in 2016, warned of the growing risk of zoonotic diseases, four years before the COVID-19 pandemic.

Those worst effected by rising temperatures: where and why

“The (third) issue is the risk to aging populations from environmental degradation. It is estimated that the global share of people over 65 years old will rise from 10 percent in 2024 to 16 percent by 2050. Most of these people will live in cities where they will be exposed to extreme heat and air pollution, and experience more frequent disasters. Older people are already more at risk. Effective adaptation strategies will need to evolve to protect these older populations,” says UNEP’s Executive Director, Inger Andersen.

Projections indicate that heatwaves will become more intense, frequent and persistent in nearly all regions. As heatwaves intensify, scientists warn of the amplified danger when extreme heat and humidity combine. Higher humidity tends to limit the human body’s ability to cool itself through the evaporation of sweat.

When temperatures rise by 1o C, estimates peg 275 million people will be exposed to humid heatwaves. The impact will shoot up to 789 million with 2o C, and with an apocalyptic 3oC rise, 1220 million people will be battling absolutely lethal humid heatwaves.

Already experiencing humid heatwaves are low-lying tropical regions of India and Pakistan, the Persian Gulf, the Arabian Gulf, the Red Sea, and eastern China.

Urban centers usually experience higher temperatures than surrounding rural areas because buildings, pavement, and other artificial surfaces trap, retain and re-radiate heat. This urban heat island effect and heat waves interact synergistically, exposing urban residents to greater heat and amplifying health risks.

Developing and low-income countries that are urbanizing at a fast pace are more at risk.

Rural-to-urban migrants often live in tin- or asbestos-roofed one-roomed houses, crowded and ill-ventilated, in informal settlements that spring up in low-value, hazardous land parcels without water supply, sanitation or electricity facilities. In recent hotter years, surveys have found the temperature inside these housing units is even higher than the ambient high heat outside on heat-wave days. Often poorer parts of cities have less green and heat up faster. Worse, night temperatures are not cooling down in cities owing to the heat-island effect.

Older adults who are uprooted from their traditional communities into cities, are socially isolated, economically disadvantaged, have cognitive, physical, or sensory impairments, and live in substandard housing with inadequate cooling systems or even basic water, are especially ill-equipped to withstand or adapt to heat extremes, say other studies.

Are only the elderly in low- and middle-income countries at heat risk? Latest reports suggest even the developed countries cannot protect their aged from growing climate heat.

A first rapid study released earlier in July by scientists at the Grantham Institute at Imperial College London and the London School of Hygiene & Tropical Medicine focused on ten days of heatwaves in 12 European cities from June 23 to July 2, 2025. The researchers estimated that climate change nearly tripled the number of heat-related deaths, with fossil fuel use having increased heatwave temperatures up to 2°C – 4°C across the cities.

Of the 2,305 estimated heat deaths in those ten days, people aged 65-plus made up 88 percent of the deaths, highlighting how those with underlying health conditions are most at risk of premature death in heatwaves.

“It is society’s most vulnerable … who suffer most in the midst of record temperatures. Europe’s dependence and soft hand on oil and gas corporations who are fueling this extreme heat is giving a death blow to our parents and grandparents,” said Ian Duff, Head of Greenpeace International’s ‘Stop Drilling Start Paying’ campaign, called on polluters to pay up.

It is not heat alone that the aged are vulnerable to

Exposure to air pollutants such as fine particulate matter, ground-level ozone, nitrogen dioxide and sulfur dioxide often triggers the onset and progression of a variety of respiratory, cardiovascular, neurological and cognitive illnesses and related deaths in older people, according to the Frontier report.

Nearly half of the 1.24 million deaths attributable to air pollution in India in 2017 were those aged 70 years or older.

Accelerating climate change that brings extreme heat, worsening air pollution, drought and dust storms, floods and melting glaciers is, in multiple ways, directly and indirectly, not only responsible for physical ailments but also for the development of dementia, late-life depression, anxiety and mental health in elders.

Building climate resilience for aging population: the time is now

“As this year’s Frontiers Report shows, solutions exist that can help protect communities and restore ecosystems long thought to have been lost,” Inger Andersen urges governments to implement adaptation strategies.

On its part, the report recommends transforming cities into age-friendly, pollution-free, resilient, accessible spaces with expansive vegetation through better urban planning.

Community-based disaster risk management and access to climate information are key approaches to help aging people adapt successfully to climate change. Investing in weather stations to monitor extreme heat is critical to protect lives.

The digital divide among older populations in cities needs to be addressed. Digital ignorance may affect their capacity to live in smart cities and be adequately informed of possible extreme events that may affect their survival. Otherwise too, day-to-day living—banking, medicine purchases, and shopping for essentials—are all going digital and, once mastered, convenient to the aged.

IPS UN Bureau Report

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