‘Nothing Compares to Human Lives Lost’ – Reflections on Ukraine War

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Armed Conflicts

Ukrainian Red Cross teams have delivered over 3,300 hot meals to Kyiv residents at support points around the city. Credit: Red Cross

Ukrainian Red Cross teams have delivered over 3,300 hot meals to Kyiv residents at support points around the city. Credit: Red Cross

BRATISLAVA, Feb 24 2026 (IPS) – “We have a saying here in Ukraine now – ‘young people meet at their friends’ funerals rather than at weddings.’ It’s sad, but very true.”

As Russia’s full-scale invasion of her country moves into its fifth year, Iryna Yakova, 29, is looking back at how her life has changed over the past four years.

Speaking from Lviv, the western Ukrainian city where she lives, she tells IPS that her “values and attitude towards life” have changed. “Material things become unimportant when your loved ones or friends are in danger,” she says. She has also developed a keen sense of her national identity and an empathy for the suffering of her fellow Ukrainians.

“During the full-scale invasion, I realised that all of Ukraine is my home. I cry for people who were killed by a missile in Kyiv while they were sleeping at night. Even though I didn’t know them, it hurts me because they are Ukrainians. It also pains me to see children growing up without their parents because their parents are at the front. The war has intensified my sense of empathy and belonging.”

Her mental health has suffered. She says anxiety is ever-present in her life.

But what she returns to often as she answers questions about how her life is today compared to before the war is the loss she, and others, have experienced.

“What I miss most [from my life before the full-scale invasion] are the people who have been killed in the war. I have lost friends, acquaintances, and relatives. Nothing compares to human loss. The hardest thing I have had to deal with during this war is going to the funerals of friends — people you used to go to parties with, travel with, study with,” she says.

The human cost of Russia’s full-scale invasion of Ukraine has been enormous – Ukraine’s government does not officially give figures for military casualties, but it has been estimated they could be up to 600,000 (Russian military casualties are thought to be more than twice that amount).

But the scale of civilian casualties has been huge, too. According to UN bodies, more than 15,000 civilians have been killed and over 41,000 injured in Ukraine since the start of the invasion on February 24, 2022.

Worryingly, as Ukraine marks the fourth anniversary of the start of the war, research suggests there has been a sharp increase in civilian casualties over the last year.

Data from Action on Armed Violence (AOAV), released earlier this month, showed civilian casualties in Ukraine increased by 26 percent in 2025 compared with 2024, despite there being a 6 percent drop in the number of injurious explosive weapon incidents recorded nationwide.

In Kyiv, response efforts continue amid attacks on energy infrastructure and severe cold. The Ukrainian Red Cross is supporting warming centres around the clock, providing people with a safe place to warm up, receive assistance, and feel cared for during difficult conditions. Credit: Red Cross

In Kyiv, response efforts continue amid attacks on energy infrastructure and severe cold. The Ukrainian Red Cross is supporting warming centres around the clock, providing people with a safe place to warm up, receive assistance, and feel cared for during difficult conditions. Credit: Red Cross

The group said its data showed a worrying shift in the character of the conflict – the average number of civilians killed or injured per incident in Ukraine rose 33 percent over the year, with a total of 2,248 civilians reported killed (an 11 percent rise) and 12,493 injured (a 28 percent rise) by explosive violence.

This suggests that explosive weapons are being used by Russia in Ukraine in ways that generate greater civilian impact, whether through more drone strikes, heavier munitions, specific targeting choices of populated areas, or repeated strikes on urban infrastructure, the group said.

Nearly seven in ten civilian casualties recorded in AOAV data occurred in residential neighbourhoods, up from just over four in ten in 2024.

Niamh Gillen, a researcher at AOAV, told IPS it was impossible to definitively say that Russian forces were deliberately targeting Ukrainian civilians, but that “the data speaks for itself.”

“It shows that civilian areas are being attacked, that the attacks are occurring within civilian areas like hospitals, schools, cities, towns. In general, in areas where civilians are heavily concentrated, like cities and towns, villages, anywhere like that, if you’re using an explosive weapon with wide area impacts, then you’re likely to harm more civilians,” she said.

On top of the deaths and destruction Russian attacks have caused, they have also led to massive displacement. It is thought that at least 3.4 million people are internally displaced in the country. This has put massive pressure not just on the displaced themselves, but also on host communities and services.

People’s physical health has deteriorated in such conditions – the World Health Organisation (WHO) has said that more than two-thirds of the population have reported a worsening of their health since the start of the invasion.

But the harm caused by these attacks is far from just physical. Mental health professionals in the country, as well as international bodies including the WHO, have warned of a mental health crisis in Ukraine, with possibly up to 10 million people suffering with mental health problems.

IPS spoke to scores of people in cities and towns across Ukraine about how the war had affected their mental health. Many spoke of experiencing anxiety, sometimes permanently to some level, which could be intensified at any moment by the frequent sound of air raid sirens warning of an attack, or for those closer to frontlines, the sounds of explosions and bombings.

“What affects my mental health on a daily basis are the constant nighttime drone and missile attacks. Because of them, it is impossible to relax or get proper rest, as reaching a shelter for safety is essential, even at night,” Mihail*, a teenager who lives in the Kyiv region, told IPS.

The situation for many Ukrainians has acutely worsened this winter. In what has been one of the coldest winters the country has seen for many years, Russian forces have repeatedly attacked Ukraine’s energy infrastructure, resulting in massive, widespread power outages. Thermal heating facilities have also been destroyed in targeted attacks.

As temperatures have plunged to as low as minus 30 degrees Celsius on some occasions, millions of people have been left freezing in their homes.

Jaime Wah, Deputy Head of Delegation with the International Federation of Red Cross and Red Crescent Societies (IFRC) in Ukraine, said people were suffering desperately in the cold.

“Some nights have been very unbearable. There is no escape from the cold. When you leave your apartment, it’s cold. Sometimes people have been joking that it’s warmer inside a fridge than inside their apartment. I’ve been here for over four years now, and it’s been the worst winter,” she told IPS.

Humanitarian organisations, including the Ukrainian Red Cross, and state emergency services have set up emergency heating points in cities and towns where people can keep warm, recharge devices and get food.

But Wah said while this has become a humanitarian crisis, it is one of just many crises Ukrainians are battling.

“In frontline regions, there are communities that are under evacuation orders, and some communities have essentially had most of their resources cut off. Family ties are quite strained – mental health needs are also immense, not only in the frontline regions but across Ukraine,” she said.

“There are lots of repairs to homes that are needed, not to mention the energy crisis, which is a humanitarian crisis… with no heating and no electricity, just the day-to-day things – just even heating your food becomes a problem. A lot of families are having to spend more time outside their homes, having to spend more money. On top of that, the cost of living has increased. These are some of the real, tangible situations that people in Ukraine are facing now,” she added.

Amid these problems, many Ukrainians admit that they are exhausted after four years of war.

But among the many people IPS spoke to on the eve of the fourth anniversary of the war, there was a widespread, although certainly not universal, determination to not give up.

“I feel a sense of responsibility. I do not have the right to give up, because many people have died so that I could have the chance to live. Of course, there is exhaustion, but, unlike those in the military, a civilian like me has time to rest and reset,” said Iryna.

For many, such resilience is born out of a desire not just for them and their country to survive what they see as Russia’s attempt to destroy them as an independent state and nation, but also a hope that, ultimately, there will be some justice served for what has been done to them.

The Russian military and authorities have repeatedly been accused of war crimes, crimes against humanity, breaches of international humanitarian law, as well as genocide, during the invasion of Ukraine.

The sheer volume of alleged crimes – at least 180,000 war crimes have been registered by Ukraine’s Prosecutor General – and the constraints of documenting, investigating and prosecuting during an ongoing conflict mean that bringing those behind them to justice was never expected to be easy. Only over 100 people have been prosecuted in Ukraine so far for crimes during the invasion.

But there are fears that international bodies such as the International Criminal Court (ICC), which has issued an arrest warrant for, among others, Russian President Vladimir Putin over alleged war crimes, could be rendered increasingly toothless in their ability to ever prosecute major figures who ordered such crimes because world leaders, such as US President Donald Trump, are no longer interested in upholding international justice for war crimes.

“I truly hope that the war will end very soon and that all war criminals will be brought to justice. However, what I see happening right now is the opposite: while institutions like the UN are unable to punish Russia, people are starting to forget about its war crimes. Countries are gradually lifting sanctions,” said Mihail.

“For example, Russian athletes are going to be able to take part in the Paralympics this year. As a result, people who committed war crimes just months or years ago can now take part in one of the world’s biggest sporting events. So we need to act – by refusing to normalise aggression, keeping sanctions firm and, most importantly, remembering about war.”

Others, though, are more hopeful.

“There is no doubt among Ukrainians that war criminals can be brought to justice,” Oleh Martynenko, an expert at the Ukrainian NGO Center for Civil Liberties, which documents war crimes, told IPS.

“This is evidenced by the participation of Ukrainians in international missions and courts where war criminals have been convicted. Also, thanks to the European Union, Ukrainians are building their own criminal prosecution systems, which provide for the arrest and imprisonment of Russian war criminals in accordance with UN international standards,” he said.

Regardless of these concerns and the other problems Ukrainians are facing as the full-scale invasion goes into its fifth year, some are looking to the future with a degree of hope.

“I feel a mix of determination, resilience, anger, and hope of victory,” Tetiana, a nurse in the Dnipropetrovsk region, who asked not to be identified for security reasons, told IPS. “Glory to Ukraine!” she added.

*Name changed to protect identity.

IPS UN Bureau Report

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‘When Rains Come, Our Hearts Beat Faster’

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Aid, Asia-Pacific, Civil Society, Climate Change, Climate Change Justice, Development & Aid, Disaster Management, Economy & Trade, Editors’ Choice, Environment, Featured, Headlines, Human Rights, Humanitarian Emergencies, Sustainable Development Goals, TerraViva United Nations

Disaster Management

A recent report reveals that Asia faces about 100 natural disasters every year, affecting 80 million people. Beyond the statistics are the disrupted lives, damaged homes, and a cycle of repair that drains communities.

A woman in a remote hamlet in Kashmir, India, migrates to a safer location with her child as floodwater inundates her hometown. Credit: Umar Manzoor Shah/IPS

A woman in a remote hamlet in Kashmir, India, migrates to a safer location with her child as floodwater inundates her hometown. Credit: Umar Manzoor Shah/IPS

SRINAGAR & NEW DELHI, Feb 9 2026 (IPS) – When the rain begins in Kashmir’s capital Srinagar, Ghulam Nabi Bhat does not watch the clouds with relief anymore. He watches them with calculation. How much can the gutters take? How fast will the river rise? Which corner of the house will leak first? Where should the children sleep if the floor turns damp?

“Earlier, rain meant comfort,” said Bhat, a resident of a low-lying neighbourhood close to the city’s waterways. “Now it feels like a warning.”

On many days, the rain does not need to become a flood to change life. Streets fill up within hours. Shops shut early. The school van turns back. A phone call spreads across families, asking the same question, “How is your area?”

For millions across India and the wider region of emerging Asia (a group of rapidly developing countries in the region, including China, India, Indonesia, Malaysia, the Philippines, Thailand, and Vietnam), this is the new normal. Disasters no longer arrive as rare, once-in-a-generation ruptures. They come as repeated shocks, each one leaving behind repair bills, lost wages, and a deeper sense that recovery has become a permanent routine.

A recent analysis from the OECD Development Centre shows that emerging Asia has been facing an average of around 100 disasters a year over the past decade, affecting roughly 80 million people annually. The rising trend is powered by floods, storms, and droughts. The report estimates that natural disasters have cost India an average of 0.4 percent of GDP every year between 1990 and 2024.

Behind the national figure lies a quieter, more poignant story. It is the story of how repeated climate and weather shocks get absorbed by households and not just spreadsheets. By the savings a family built for a daughter’s education. By a shopkeeper’s stock bought on credit. By a farmer’s seed money saved from the last season.

In the north Indian state of Bihar’s flood-prone belt, Sunita Devi, a mother of three, says she has stopped storing anything valuable on the floor. Clothes sit on higher shelves. The grain container has moved to a safer corner. The family’s documents stay wrapped in plastic.

Local residents in Kashmir's capital, Srinagar, stack sandbags to safeguard their homes from floods in 2025. Credit: Umar Manzoor Shah/IPS

Local residents in Kashmir’s capital, Srinagar, stack sandbags to safeguard their homes from floods in 2025. Credit: Umar Manzoor Shah/IPS

“When water comes, you run with children,” she said. “The rest is left to fate. You can rebuild a wall. You cannot bring back the days you lost.”

Her village has lived with floods for decades, but she says what has changed is frequency, uncertainty, and cost. It is not only about big river floods that make headlines. It is also about sudden waterlogging, damaged roads, broken embankments, and illnesses that rise after the water recedes.

“Earlier we could predict. Now we cannot. Sometimes the water comes fast. Sometimes it stays. Sometimes it leaves and then comes again,” Devi told IPS.

Professor Kaveh Madani, director of the United Nations University’s Institute for Water, Environment, and Health, told IPS that water bankruptcy in Asia should be treated as a national security issue, not a sector issue.

“The priority is shifting from crisis response to bankruptcy management: honest accounting, enforceable limits, protection of natural capital, and a just transition that protects farmers and vulnerable communities,” said Madani.

Across emerging Asia, floods have emerged as one of the strongest rising trends since the early 2000s, the OECD Development Centre report notes. The reasons vary from place to place, but the result looks familiar: disrupted lives, damaged homes, and a cycle of repair that drains communities.

In Kashmir’s capital Srinagar, small shop owner Bashir Ahmad keeps an old wooden rack near the entrance. It is not for display. It is for emergencies. When rain intensifies, he quickly moves cartons of goods off the floor.

“My shop is small; my margin is smaller. One day of water is enough to destroy many things. Customers do not come. Deliveries stop. You just wait and watch,” Ahmad said.

He says the biggest loss is not always the damaged stock. It is the days without work. For families that live week to week, even a short shutdown becomes a long crisis. Rent does not pause. School fees do not pause. Loans do not pause.

The OECD analysis, while regional in scope, points to a hard truth that communities already know. It claims that disasters have economic aftershocks that last long after television cameras leave. When repeated losses occur every year, they reduce growth and reshape choices. Families postpone building stronger houses. They avoid investing in small businesses. They spend more time recovering than progressing.

“Disasters are no longer exceptional events. They have become recurring economic shocks. The problem is not only the immediate damage. It is the repetition. Repetition breaks household resilience,” Dr Ritu Sharma, a climate risk researcher based in Delhi, said.

Sharma says India’s disaster losses should not be viewed as a headline percentage alone.

They should be viewed as accumulated pressure on ordinary life.

“A flood does not only damage a bridge. It delays healthcare visits. It interrupts immunisation drives. It breaks supply chains for food and medicines. It can push vulnerable families into debt traps. What looks like a climate event becomes a social event. It becomes a health event. It becomes an education event.”

In the report’s regional comparisons, the burden is uneven. Some countries face higher average annual losses as a share of GDP, especially those exposed to cyclones and floods. India’s size allows it to absorb shocks on paper, but that size also means more people remain exposed. From Himalayan slopes vulnerable to landslides to coastal districts bracing for cyclones to plains dealing with floods and heat, risk is spread across geography and across livelihoods.

Prof. Nasar Ali, an economist who studies climate impacts, says the real damage is often hidden in the informal economy.

“A formal sector company can claim insurance, borrow on better terms, and restart faster. A vegetable vendor cannot. A small grocery shop cannot. A family with a single daily wage earner cannot. Their loss is immediate and personal. They also take the longest to recover,” Ali said.

He believes disaster impacts also deepen inequality because the poorest households lose what they cannot replace.

“A damaged roof for a rich family is a renovation problem. A damaged roof for a poor family can mean sleeping in damp rooms for weeks, infections, missed work and children dropping out temporarily.”

The report also turns attention toward a policy question that has become urgent across Asia: how should governments pay for disasters in a way that does not repeatedly divert development funds?

The analysis highlights disaster risk finance, tools that help governments prepare money in advance rather than relying mainly on post-disaster relief. This includes dedicated disaster funds, insurance mechanisms, and rapid financing that can be triggered quickly after a shock.

For communities, the debate may sound distant. But the outcomes are visible in the speed of recovery and the dignity of response.

“When a disaster happens, help should come fast,” said Meena Devi, who runs a small grocery shop in Jammu’s RS Pura area and has seen repeated waterlogging during intense rains. “We close our shop. Milk spoils. People cannot buy things. Then we borrow money to restart. If support is slow, we fall behind.”

She said her biggest fear is not a single disaster but the feeling that another one is always near.

“If it happens once, you survive. If it happens again and again, you get tired from inside,” she said.

For Sharma, preparedness must be more than emergency drills. It must include planning that reduces exposure in the first place.

“Some risks are unavoidable, but many are amplified by where and how we build,” she said. “If cities expand without drainage capacity, or if construction spreads into floodplains, then disasters become predictable. That is not nature alone. That is policy.”

In Srinagar, Bhat says residents often feel they fight the same battle every year. Cleaning drains. Stacking sandbags. Moving belongings. Calling relatives. Watching the river level updates. The work looks small, but it is exhausting because it never ends.

He pointed to marks on a wall that show where water once reached.

“We always think, maybe this year it will be better,” he said. “Then rain comes, and your heart starts beating faster.”

Asked what would make him feel safe, he did not talk about big promises. He spoke about basics. A drain that works. A road that does not collapse. A warning that comes early. Help that comes on time.

For Sunita Devi in Bihar, the dream is even simpler: a season where the family can plan without fear.

“We want to live like normal people. We want to save money, not spend it on repairing what the water broke,” she said.

IPS UN Bureau Report

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Myanmar: Five Years Since the Coup and No End in Sight To War

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Armed Conflicts

Prosthetics marketed by I-Walk at an event marking resistance to Myanmar’s military coup of five years ago. The enterprise has a waiting list of over 3,000 people. Credit: Guy Dinmore/IPS

Prosthetics marketed by I-Walk at an event marking resistance to Myanmar’s military coup of five years ago. The enterprise has a waiting list of over 3,000 people. Credit: Guy Dinmore/IPS

MYANMAR & THAILAND, Feb 4 2026 (IPS) – Five years of conflict since the military seized power have reduced Myanmar to a failed state and taken a huge toll of lives lost and destroyed. But with all sides seeking total victory, there is no end in sight.

Levels of medieval brutality enhanced by modern technology have enabled the military junta, with help from China, to swing the fortunes of war back in its favour, often through air strikes and drone attacks on civilian targets. Torched villages are deserted.

Kyaw Thurein Win, on the anniversary of the military’s February 1, 2021, coup against the elected civilian government, watched his village of Shut Pon burning in the southern region of Tanintharyi – through satellite imagery.

“Today my village is witnessing the cruelty of the military. They set the fires and ordered that they not be stopped. This is beyond inhuman and beyond cruel. Watching this happen from afar is unbearable,” he wrote on Facebook.

While the strength of anti-regime defiance and determination is undeniable among many in Myanmar, there is also a growing realisation – especially among former combatants — that the resistance will not win this war so soon, if at all.

“It is a stalemate. Nobody can win,” said one military defector, saying that cries of total victory by both the regime and the resistance ring hollow.

A young woman who runs a safe house for former child soldiers as young as 13 says she joined the People’s Defence Forces of the resistance that sprang up against military rule in 2021. But she soon came to realise that, for her at least, war was not the answer and started taking in children forced by poverty and displacement to become fighters against the regime.

She rails against the “whatever it takes” mentality and the toll it takes.

“The civilian suffering is ignored or exploited,” she says, attending a coup anniversary event – a mix of politics and culture and foodstalls –  organised by anti-regime civilian activists in Chiang Mai, northern Thailand. She shares a picture of ‘Commando’ in uniform, armed to the teeth. He was 12 at the time.

Sayarma Suzanna, fundraising for her school in Kayin State, the Dr Thanbyah Christian Institute for displaced and local children, said she and her 97 students spent all of November hiding in the nearby forest because of air strikes.

“You have to understand that when the students don’t listen to you during lessons, it is because of their trauma,” she said, recounting how one student lost seven family members in air strikes on their village.

At a nearby stall, the manager of I-Walk displayed an array of quality prosthetic limbs made by his enterprise as affordable as possible. He has a waiting list of over 3,000 people.

Myanmar is the most landmined country in the world with the highest rate of casualties. It also ranks as the biggest producer of illicit opium and a major source of synthetic drugs. Networks of online scam centres run by criminal gangs and militia groups close to the regime have trafficked tens of thousands of people from multiple countries, scamming billions of dollars.

The UN says 5.2 million people have been displaced by conflict inside the country and across borders. Cuts by rich countries to aid budgets have had a crippling impact. Some clinics are reduced to dispensing just paracetamol.

This year’s coup anniversary coincided with the conclusion of parliamentary and regional elections tightly orchestrated by the regime over the scattered and sometimes totally isolated areas of territory it controls, which include all major cities.

The three-phase polls – endorsed by China and Russia but slammed by the UN and most democracies except notably the US – excluded the National League for Democracy, which won landslide election victories in 2015 and 2020.

NLD leader Aung San Suu Kyi has been held in prison since the coup. There is speculation that Senior General Min Aung Hlaing might move her to better conditions of house arrest after the military’s Union Solidarity and Development Party, led by former senior officers, forms a nominally civilian government in April.

The USDP is cruising towards its managed landslide victory, according to almost complete results released last week.

The UN said it had reliable reports of at least 170 civilians killed in regime attacks during the month-long election period. Other estimates put the figure considerably higher.

One airstrike in Kachin State in northern Myanmar reportedly killed 50 civilians on January 22. Long-running attempts by the Kachin Independence Army and resistance forces to capture the nearby and heavily defended Bhamo town from the military have been costly. Some analysts ask, for what gain?’

Kachin State’s second biggest town is strategically located on a trade route to China but most of its 55,000 or so inhabitants have long since fled. The military would surely respond with heavy air strikes to any occupation by the resistance.

Data gathered by ACLED, a nonprofit organisation that analyses data on political violence, indicates over 90,000 total conflict-related deaths since the coup. The military, reliant on forced conscription, has borne the brunt of casualties, but civilian deaths are estimated at over 16,000.

“The military has carried out air strikes, indiscriminately or deliberately attacking civilians in their homes, hospitals, and schools,” said Nicholas Koumjian, head of the Independent Investigative Mechanism for Myanmar, adding that there is evidence that civilians have endured atrocities amounting to crimes against humanity and war crimes since the military takeover.

The IIMM is also investigating a growing number of allegations of atrocities committed by opposition armed groups, over which the parallel National Unity Government set up by lawmakers ousted in the coup has little or no control.

Former combatants say rogue People’s Defence Forces are also extorting money from local populations and holding people to ransom.

“Myanmar remains mired in an existential crisis – measured both in human security and the state’s shrinking sovereignty as rival centres of power harden on the ground,” the Institute for Strategy and Policy – Myanmar, a think-tank, stated in its recent annual review.

“The regime is meanwhile trying to break the current stalemate by accelerating counter-offensives on three fronts: military, diplomatic and political,” it said. The military-staged elections of 2010 led to a process of political and economic reforms but this time the regime intended to impose its own terms, the think tank said.

It warned of the risk that ethnic armed groups controlling swathes of border territories with Bangladesh, India, China and Thailand would end up – not for the first time – negotiating bilateral ceasefires and “rent sharing arrangements” with the regime. These would “consolidate the power of armed elites and reinforce central control rather than advance democracy, human rights or the rule of law.”

On Sunday, a panel discussion featuring anti-regime politicians and activists hosted by Chiang Mai University reinforced the sense of an opposition fragmented along ethnic and geographical lines, even if speakers upheld the principles behind their shared goal of a democratic federal union.

There was the customary rhetoric of “taking down this junta” and “whatever it takes”, but barely a mention of the National Unity Government that is struggling to knit together these diverse forces under the umbrella of a “Federal Supreme Council”.

On the panel, Debbie Stothard, a Malaysian democracy and women’s rights activist long involved with Myanmar, said the resistance needed two more years for victory, as the generals had “bought” one more year with their sham elections.

“Hang in there. We have to keep on going for at least two more years,” she said.

But in the big cities where the regime is starting to try and foster a sense of normality against a dire economic backdrop, the mood on the street appears more of resignation than defiance.

“When we started protesting against the regime in the streets in 2021, I told my husband we would defeat the military in three months,” an elderly Chin activist told IPS in Yangon, the former capital. “He replied it would take five years. Now I am afraid it will take another five years,” she said.

IPS UN Bureau Report

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Steering Nepal’s Economy Amid Global Challenges

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Opinion

Steering Nepal 's Economy Amid Global Challenges

The country faces a challenging transition, but it can progress if the people work together.

WASHINGTON DC, Jan 22 2026 (IPS) – Nepal has a unique opportunity for transformation. The recent youth-led protests underscored aspirations for greater transparency, governance and a more equal distribution of economic opportunities and resources. This yearning resonated in Nepal and beyond.

Now, Nepal must find a balance in setting prudent political, economic and financial policies to steer a difficult transition in an orderly manner. Adding to the complex domestic situation is the lingering uncertainty in the global economy. The transition process in this challenging environment should ensure an inclusive future for Nepal’s people.

Economic challenges

History shows that more equal societies tend to be associated with greater economic stability and more sustained growth. This will be a helpful guiding strategy as Nepal charts its own path to change. Indeed, a solid strategy needs to be founded on two key pillars: economic stability and inclusive growth.

In 2022, stability was among the top priorities when the country’s leaders approached the IMF for support. The collapse of tourism in the wake of the Covid-19 pandemic took a heavy toll on Nepal’s economy, including on its job market.

The IMF’s financing package assisted the authorities’ Covid-19 response in mitigating the pandemic’s impact on economic activity, protecting vulnerable groups and laying the groundwork for sustained growth. The program also supported reforms to foster durable growth and reduce poverty over the medium term, including by implementing cross-cutting institutional reforms to improve governance and reduce corruption vulnerability.

In October, Nepal completed the sixth of seven program reviews, showing tangible improvement in the economy. Indeed, Nepal has been seeing the green shoots of recovery with real GDP growth rising from a mere 2 percent in FY 2023, to 3.7 percent in FY 2024, to an estimated 4.3 percent in FY 2025—more than double the pace in just a few years.

In FY 2026, we still expect the country’s economic recovery to continue, though at a more moderate pace amid a complex domestic environment and global uncertainty.

Nepal has also been very successful in rebuilding policy buffers. Foreign exchange reserves have risen to nearly $20 billion, enough to cover almost a full year of imports. Fiscal discipline has helped stabilise public debt. Inflation remains well below the Nepal Rastra Bank’s target.

This hard-won economic stability should be safeguarded. At the same time, the economy hasn’t fully recovered. Domestic demand remains subdued, investor confidence is waning, and more efforts are needed to protect vulnerable people.

Nepal has achieved significant milestones on structural reforms, in part with support from the IMF capacity development. On the fiscal front, frameworks for increasing government revenue and fiscal transparency have improved with the publication of the domestic revenue mobilization strategy, fiscal risk statement and the tax expenditure report. The National Planning Commission has issued revised guidelines for the National Project Bank, which will strengthen capital project selection and execution.

Likewise, in the financial sector, bank supervision has improved through the Supervisory Information System. The Nepal Rastra Bank has also recently launched a loan portfolio review of 10 large commercial banks, which is expected to provide deep insights into the health of the banking sector.

Measures have been taken to improve governance and transparency, including by improving the anti-money laundering framework, though further efforts are needed to enhance implementation.

As part of the program, four priority nonfinancial public enterprises had their financial statements audited. Work is underway to amend the Nepal Rastra Bank Act to strengthen its autonomy and governance.

Yet, unresolved structural issues and emerging headwinds are testing these gains. Policymakers must ensure that the fruits of macroeconomic stability and growth are broadly shared. Continued reforms will help. In the near term, this implies accelerating budget execution and improving project readiness—particularly in areas such as hydropower and trade-related infrastructure—and reducing logistics frictions, which will crowd-in private investment.

This will also lay the foundation for a more diversified, higher value-added growth model that creates more domestic jobs.

Unlocking private sector growth to deliver more jobs and better livelihoods is critical. This can only be accomplished when the basic building blocks of private enterprise are in place: Strong institutions, free and fair markets and a stable macroeconomic environment.

Over the medium term, strengthening governance and anti-corruption institutions, improving the investment climate, enhancing financial oversight, trade integration and expanding targeted social protection will be key to unlocking inclusive and sustainable growth.

Reason for hope

Let us conclude by expressing our deep sympathy for the profound loss during the recent social unrest. We are deeply saddened by the loss, but also heartened by the resilience of the Nepali people striving for a better future.

While global economic prospects remain dim amid uncertainty, Nepal gives reason for hope—a nation reimagined with greater equality and good governance. The country faces a challenging transition, but it can make the most progress if the people work together. For policymakers, this implies steering the economy on the course of continued reforms that safeguard macroeconomic and financial stability while laying strong foundations for durable and inclusive growth, coupled with good governance.

This is a unique moment in the country’s long history, and a time to set a new standard for the future. The IMF is ready to support Nepal in its journey.

Krishna Srinivasan is the head of the Asia and Pacific Department at the IMF. Sarwat Jahan is the mission chief for Nepal and a deputy division chief in the Asia and Pacific Department.

IPS UN Bureau

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World Enters ‘Era of Global Water Bankruptcy’

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Opinion

Lead author Prof. Kaveh Madani

 
Flagship report calls for fundamental reset of global water agenda as irreversible damage pushes many basins beyond recovery.

UNITED NATIONS, Jan 21 2026 (IPS) – The world is already in the state of “water bankruptcy”. In many basins and aquifers, long-term overuse and degradation mean that past hydrological and ecological baselines cannot realistically be restored.

While not every basin or country is water-bankrupt, enough critical systems around the world have crossed these thresholds, and are interconnected through trade, migration, climate feedbacks, and geopolitical dependencies, that the global risk landscape is now fundamentally altered.

The familiar language of “water stress” and “water crisis” is no longer adequate. Stress describes high pressure that is still reversible. Crisis describes acute, time-bound shocks. Water bankruptcy must be recognized as a distinct post-crisis state, where accumulated damage and overshoot have undermined the system’s capacity to recover.

A group of women fetching water from a dam in Taha, Northern Region of Ghana. Credit: Evans Ahorsu. Source: UN University’s Institute for Water, Environment and Health

Water bankruptcy management must address insolvency and irreversibility. Unlike financial bankruptcy management, which deals only with insolvency, managing water bankruptcy is concerned with rebalancing demand and supply under conditions where returning to baseline conditions is no longer possible.

Anthropogenic drought is central to the world’s new water reality. Drought and water shortage are increasingly driven by human activities, over-allocation, groundwater depletion, land and soil degradation, deforestation, pollution, and climate change, rather than natural variability alone. Water bankruptcy is the outcome of long-term anthropogenic drought, not just bad luck with hydrological anomalies.

Water bankruptcy is about both quantity and quality. Declining stocks, polluted rivers, and degrading aquifers, and salinized soils mean that the truly usable fraction of available water is shrinking, even where total volumes may appear stable.

Managing water bankruptcy requires a shift from crisis management to bankruptcy management. The priority is no longer to “get back to normal”, but to prevent further irreversible damage, rebalance rights and claims within degraded carrying capacities, transform water-intensive sectors and development models, and support just transitions for those most affected.

Governance institutions must protect both water and its underlying natural capital. The existing institutions focus on protecting water as a good or service disregarding the natural capital that makes water available in the first place. Efforts to protect a product are ineffective when the processes that produce it are disrupted.

Recognizing water bankruptcy calls for developing legal and governance institutions that can effectively protect not only water but also the hydrological cycle and natural capital that make its production possible.

Water bankruptcy is a justice and security issue. The costs of overshoot and irreversibility fall disproportionately on smallholder farmers, rural and Indigenous communities, informal urban residents, women, youth, and downstream users, while benefits have often accrued to more powerful actors. How societies manage water bankruptcy will shape social cohesion, political stability, and peace.

Water bankruptcy management combines mitigation with adaptation. While water crisis management paradigms seek to return the system to normal conditions through mitigation efforts only, water bankruptcy management focuses on restoring what is possible and preventing further damages through mitigation combined with adaptation to new normals and constraints.

Water can serve as a bridge in a fragmented world. Water can align national priorities with international priorities and improve cooperation between and within nations. Roughly 70% of global freshwater withdrawals are used for agriculture, much of it by farmers in the Global South. Elevating water in global policy debates can help rebuild trust between South and North but also within nations, between rural and urban, left and right constituencies.

Water must be recognized as an upstream sector. Most national and international policy agendas treat water as a downstream impact sector where investments are focused on mitigating the imposed problems and externalities. The world must recognize water as an upstream opportunity sector where investments have long-term benefits for peace, stability, security, equity, economy, health, and the environment.

Water is an effective medium to fulfill the global environmental agenda. Investments in addressing water bankruptcy deliver major co-benefits for the global efforts to address its environmental problems while addressing the national security concerns of the UN member states.

Elevating water in the global policy agenda can renew international cooperation, increase the efficiency of environmental investments, and reaccelerate the halted progress of the three Rio Conventions to address climate change, biodiversity loss, and desertification.

A new global water agenda is urgently needed. Existing agendas and conventional water policies, focused mainly on WASH, incremental efficiency gains and generic IWRM guidelines, are not sufficient for the world’s current water reality. A fresh water agenda must be developed that takes Global Water Bankruptcy as a starting point and uses the 2026 and 2028 UN Water Conferences, the conclusion of the Water Action Decade in 2028, and the 2030 SDG 6 timeline as milestones for resetting how the world understands and governs water.

Global Water Bankruptcy: Living Beyond Our Hydrological Means in the Post-Crisis Era | UN University Institute for Water, Environment and Health (UNU-INWEH) (20 January) (press release)

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Madani K. (2026) Water Bankruptcy: The Formal Definition, Water Resources Management, 40 (78) doi: 10.1007/s11269-025-04484-0)

IPS UN Bureau

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Gaza: Physicians Call For Unimpeded Aid To Restore Reproductive Healthcare

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Aid, Armed Conflicts, Civil Society, Development & Aid, Editors’ Choice, Featured, Gender, Headlines, Health, Human Rights, Humanitarian Emergencies, Middle East & North Africa, Population, Sustainable Development Goals, TerraViva United Nations, Women’s Health

Armed Conflicts

Cardiologist Dr. Marwan Sultan, then Director of the Indonesian Hospital in north Gaza, in February 2025 showing damage to hospital equipment following an Israeli attack on the facility a few months prior. In July 2025, Dr. Sultan was killed in an Israeli strike on the apartment where he was sheltering with his family. Credit: PHR/GHRC

Cardiologist Dr. Marwan Sultan, then Director of the Indonesian Hospital in north Gaza, in February 2025 showing damage to hospital equipment following an Israeli attack on the facility a few months prior. In July 2025, Dr. Sultan was killed in an Israeli strike on the apartment where he was sheltering with his family. Credit: PHR/GHRC

BRATISLAVA, Jan 14 2026 (IPS) – Israel must lift all restrictions on medicine, food and aid coming into Gaza, rights groups have demanded, as two reports released today (Jan 14) document how maternal and reproductive healthcare have been all but destroyed in the country.

In two separate reports released jointly, Physicians for Human Rights (with the Global Human Rights Clinic at the University of Chicago Law School) and Physicians for Human Rights–Israel (PHR-I) show how the war in Gaza has led to rising maternal and neonatal mortality, births under dangerous conditions, and the systematic destruction of health services for women in Gaza.

The reports from the two groups, which are independent organizations, provide both detailed clinical analysis of the collapse of Gaza’s health system and its medical consequences as well as firsthand testimonies from clinicians and pregnant and breastfeeding women in Gaza forced to live and care for their newborns in extreme conditions.

And the organizations say that with conditions improving only marginally for many women despite the current ceasefire, Israel must roll back restrictions placed on aid and immediately help ensure people in Gaza get access to the healthcare they need.

“Israel’s destruction of Gaza’s health infrastructure, combined with untreated malnutrition resulting from restrictions on food and medical supplies, including baby formula, has created an environment in which the fundamental biological processes of reproduction and survival have been systematically destroyed, resulting in known and foreseeable harm, pain, suffering, and death,” Sam Zarifi, Physicians for Human Rights (PHR) Executive Director, said.

“Israel must immediately allow food and essential medical material to enter Gaza with a proper medical plan for helping the besieged population,” he added.

Israeli military operations following Hamas’s attack on Israel on October 7, 2023, have left massive destruction across Gaza, including to healthcare facilities. According to UNICEF, 94 percent of hospitals have been damaged or destroyed.

1.Destroyed incubators and equipment at the Kamal Adwan Hospital Neonatal Intensive Care Unit in north Gaza, following the targeting and raid of the facility by the Israeli forces in December 2024. Credit: PHR/GHRC

Destroyed incubators and equipment at the Kamal Adwan Hospital Neonatal Intensive Care Unit in north Gaza, following the targeting and raid of the facility by the Israeli forces in December 2024. Credit: PHR/GHRC

Maternal and reproductive healthcare has suffered. Before the war, Gaza had eight neonatal intensive care units with 178 incubators. Today, the number of incubators has dropped by 70 percent. In the north, there were 105 incubators across three NICUs, now there are barely any functional units remaining, UNICEF told IPS.

It says that the numbers of low birth weight babies have nearly tripled compared to pre-war levels and the number of first-day deaths of babies increased by 75 percent.

The PHR and PHR-I reports paint a similar picture.

The PHR report, which focuses on the period between January 2025 and October 2025 when a ceasefire was agreed, details how between May and June last year, the Palestinian Ministry of Health reported a 41 percent decrease in the birth rate in Gaza compared to the same time period in 2022; there was a significant increase in miscarriages that affected more than 2,600 women, and 220 pregnancy-related deaths that occurred before delivery.

The ministry also reported a sharp increase in premature births and low birth weight cases; over 1,460 babies were reported to be born prematurely, while more than 2,500 were admitted to neonatal intensive care. Newborn deaths also increased, with at least 21 babies reported to have died on their first day of life.

Meanwhile, the PHR-I report includes personal testimonies illustrating the severe problems pregnant women and women with newborns have faced in Gaza during the war, from lacking safe routes to care and being forced to give birth in unsanitary, dangerous conditions to battling hunger and severe food shortages as they try to breastfeed their children.

One woman, Samah Muhammad Abu Mustafa, a 30-year-old mother of two from Khuza’a, Khan Youni, described how when her contractions began in the middle of the night, because there were no vehicles and very few ambulances, which are reserved for shelling or other critical emergencies, she had to walk a long distance through rain. When she eventually reached the hospital, she said it was “horrifying.”

“I swear, one woman gave birth in the corridor, and her baby died. It was very crowded, and the doctors worked nonstop. I felt as though I could give birth at any moment. After giving birth to my eldest daughter, I was told I should not deliver naturally again because my pelvis was too narrow. Despite this, the doctors said I would have to deliver naturally because a cesarean section required anesthesia, and there was not enough available. I stood for three hours until it was finally my turn, without sitting even for a moment,” she said.

But despite the October 2025 ceasefire, massive problems remain with women’s access to and the provision of, maternal and reproductive healthcare in Gaza.

“Maternal health units in Gaza are largely non-functional and face critical shortages of essential medicines, consumables, and equipment,” Lama Bakri, project coordinator in the Occupied Territories Department at PHR-I, told IPS.

“Neonatal and diagnostic equipment remains scarce or blocked, including portable incubators for premature and low-birth-weight newborns. Although some aid has entered since the ceasefire, these gaps are not being addressed at the scale required, and meaningful improvement in the immediate future remains unlikely.”

Malnutrition also remains a serious problem.

“The ceasefire has allowed us to significantly scale up our nutrition response, but we are still treating pregnant and breastfeeding women for acute malnutrition in alarmingly high numbers,” Ricardo Pires, Communication Manager, Division of Global Communications & Advocacy at UNICEF, told IPS.

He said that between July and September 2025 about 38 percent of pregnant women screened were diagnosed with acute malnutrition.

“In October alone, we admitted 8,300 pregnant and breastfeeding women for treatment, about 270 a day, in a place where there was no discernible malnutrition among this group before October 2023,” he added.

UNICEF has documented almost 6,800 children admitted for acute malnutrition treatment in November 2025 compared to 4,700 cases in November 2024. So far, the number of admitted cases more than doubled in 2025 compared to 2024: almost 89,000 admissions of children to date in 2025, compared to 40,000 cases in 2024, and almost none before 2023.

“What we’re seeing is that no child meets minimum dietary diversity standards, and two-thirds of children are surviving on just two food groups or less. Around 90 percent of caregivers reported their children had been sick in the previous two weeks, which compounds the malnutrition crisis,” Pires said.

And there are fears for the longer-term demographic future of Gaza given the damage to maternal and reproductive healthcare.

“For Gaza’s demographic future, the implications are serious. Even with reconstruction, we will be dealing with a generation of children who were scarred before they took their first breath, children who may face lifelong health complications, developmental challenges, and the effects of stunting. The rebuilding must start now, but we should be clear-eyed: the damage to maternal and newborn health will echo for years, potentially decades,” said Pires.

But others say that with cooperation between international actors and the right political will, the situation need not remain so dire.

“To rehabilitate the population after everything that has happened is going to be a real issue, [but] now there is a Board of Peace, the needs of pregnant women and maternal and reproductive healthcare can be prioritized,” Zarifi told IPS.

“The capacity and the will exist among Gazans and Gazan healthcare workers to rebuild the healthcare system, including maternal and reproductive health services,” added Bakri. “The primary obstacle is not technical or professional but political: Israel’s control over Gaza’s borders and the restrictions on the entry of essential equipment, medical supplies, and reconstruction materials. With unrestricted access to what is needed to rehabilitate hospitals, rebuild destroyed units, and restock essential medicines, recovery is entirely feasible. Whether maternal and reproductive healthcare can return to pre-war levels depends on sustained international pressure to allow that access.”

Although some aid has entered since the ceasefire, these gaps are not being addressed at the scale required, and meaningful improvement in the immediate future remains unlikely.

However, while both NGOs like PHR and PHR-I and others, alongside international bodies like the UN, stress that any recovery and reconstruction in Gaza requires the ceasefire to hold and consolidate, repeated violations underline its fragility, and the effect that has on women.

Meanwhile, PHR and PHR-I point out that extreme weather and ongoing Israeli restrictions on medicine and food getting to Gaza to this day continue to severely affect pregnant women, new mothers, and babies. On top of this, Israel has also announced it will bar 37 international aid groups from working in Gaza, potentially compounding the problems.

Bakri said such measures were jeopardizing what small gains had been made since the ceasefire and “raise serious concerns about whether the situation can improve.”

“Even after the ceasefire, while bombardment has decreased, the reality these women face remains catastrophic – not only for their bodies and well-being but for the survival of the entire society,” said Bakri.

Zarifi added, “We are worried that the restrictions placed by Israel on some of the major actors in the humanitarian response will hamper access to assistance for those that need it. We have raised questions with the Israeli government as to why specific medicines are not allowed to be brought into Gaza and they say that they are not stopping them from being brought in but they can be brought in by commercial means. That is hard for people who can barely put any money together. These medicines should definitely be coming in through humanitarian channels.”

He also highlighted how important the issue of accountability is in ensuring any progress is made in rebuilding healthcare in Gaza and also limiting the probability of similar devastation in the future.

Both reports concluded that the harms caused by Israeli attacks are not isolated incidents but part of an ongoing pattern of systematic damage to the health of women and their children in Gaza, amounting to reproductive violence.

Israel has denied this and said that attacks on hospitals in Gaza have been because the medical facilities are being used by Hamas, and it has maintained that its forces adhere to international law.

While under international law healthcare facilities have special protection even in war, and attacks on them are prohibited, that protection is lost if they are deemed to fulfill criteria to be considered military objectives, such as housing militaries and arms.

However, any attack on them must still comply with the fundamental principles of distinction, proportionality and precautions in attack and failure to respect any of these principles constitutes a breach of international humanitarian law, according to the UN.

“These attacks are part of a deliberate policy designed to create a domino effect of suffering. From starvation and militarized aid distribution by the GHF, to lack of access to clean water, repeated displacement orders, living in shelters under continuous bombardment, and exposure to infections, disease, and harsh weather, the attacks on maternal and reproductive healthcare are another piece of this puzzle. Together, these conditions were created to systematically destroy the fabric of life in Gaza and reduce the population’s ability to survive,” said Bakri.

“The Israeli government has justified attacks on healthcare facilities by saying this was a problem caused by Hamas. We haven’t had an indication of this but it might be true. But in any case there has to be an investigation of these incidents and we hope the Israeli government will carry out such an investigation,” said Zarifi.

“But what is really alarming to us is that the norms prohibiting attacks on healthcare have been repeatedly violated, and there are also laws governing the protection of women and children that appear to have been violated. The only thing that makes these norms work is accountability. There has to be accountability for what happened, as it is the only way we can ensure that what has happened won’t happen in other conflicts. Impunity is watched by other actors around the world,” he added.

IPS UN Bureau Report

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