Equal Footing: Building Pathways for Landlocked Developing Countries to Participate in Global Economy

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Conferences

The raised flags of Turkmenistan and the United Nations marked the official opening of the Third UN Conference on Landlocked Developing Countries (LLDC3). Credit: Joyce Chimbi/IPS

The raised flags of Turkmenistan and the United Nations marked the official opening of the Third UN Conference on Landlocked Developing Countries (LLDC3). Credit: Joyce Chimbi/IPS

AWAZA, Turkmenistan, Aug 5 2025 (IPS) – Heads of State, ministers, investors and grassroots leaders are gathered in Awaza on Turkmenistan’s Caspian coast for a once-in-a-decade UN conference aimed at rewiring the global system in support of 32 landlocked developing countries whose economies are often ‘locked out’ of opportunity due to their lack of access to the sea.

Geography has long dictated the destiny of landlocked nations. Trade costs are up to 74 percent higher than the global average. It can take twice as long to move goods across borders compared to coastal countries. As a result, landlocked nations are left with just 1.2 percent of world trade and are at great risk of being left furthest behind amid global economic shifts.

Speaking during the opening plenary and in the context of implementing the Sustainable Development Goals (SDGs), President of Turkmenistan Serdar Berdimuhamedow stated that his country believes “in the need to accelerate the process of ensuring transport connectivity, as well as to bring fresh ideas and momentum to this process.”

“In connection with this, last year at the World Government Summit in Dubai, Turkmenistan proposed creating a new partnership format, namely a global atlas of sustainable transport connectivity. I invite all foreign participants to carefully consider this initiative.”

The Third UN Conference on Landlocked Developing Countries, or LLDC3, is pushing for freer transit, smarter trade corridors, stronger economic resilience, and fresh financing to boost development prospects for the estimated 600 million people living in those countries.

The UN Secretary-General António Guterres stressed that the conference is centered on reaffirming a fundamental truth: that “geography should never define destiny.”

“Yet,” Guterres continued, “For the 32 landlocked developing countries across Africa, Asia, Europe, and South America, geography too often limits development opportunities and entrenches inequality.”

Rabab Fatima, Under-Secretary-General and High Representative for the Least Developed Countries, Landlocked Developing Countries and Small Island Developing States, and Secretary-General of the Third United Nations Conference on Landlocked Developing Countries, said, “For too long, LLDCs have been defined by the barriers of geography, remoteness, inaccessibility, and the fact that they do not have a sea. But that is only part of the story.”

She stressed that LLDCs may be landlocked, but they are not opportunity locked, as they are rich in resources, resilience, and ambition. These countries seek to lean into these resources and strong partnerships to counter challenges such as an infrastructure financing shortfall of over USD 500 billion.

For these countries, goods take 42 days to enter and 37 days to exit their borders. Paved road density stands at just 12 percent of the global average. Internet access is only 39 percent. To address these constraints, the Awaza Programme of Action proposes a new facility for financing infrastructure investments. This new initiative aims to mobilize capital in large quantities to bridge the gaps and construct roads.

Meanwhile, as these daunting challenges prevail, Guterres said debt burdens are rising to dangerous and unsustainable levels. And one-third of LLDCs are grappling with vulnerability, insecurity, or conflict. Despite representing 7 percent of the world’s population, LLDCs account for just over one percent of the global economy and trade—a stark example of deep inequalities that perpetuate marginalization.

Guterres emphasized that these inequalities are not inevitable. They are the result of an unfair global economic and financial architecture unfit for the realities of today’s interconnected world, compounded by systemic neglect, structural barriers, and—in many cases—the legacy of a colonial past.”

“Recent shocks—from the COVID-19 pandemic to climate disasters, supply chain disruptions, conflicts and geopolitical tensions—have deepened the divide, pushing many LLDCs further away from achieving the SDGs.”

Further stressing that the conference is not about obstacles but solutions that include launching a new decade of ambition—through the Awaza Programme of Action and its deliverables—and fully unlocking the development potential of landlocked developing countries.

Fatima said the Awaza Programme of Action is a bold and ambitious blueprint to transform the development landscape for the 32 landlocked developing countries for the next decade. The theme of the conference, ’Driving Progress Through Partnerships,’ captures a collective resolve to unlock that potential. It underscores the new era of collaboration where LLDCs are not seen as isolated or constrained but as fully integrated.

Emphasizing that the Awaza Programme of Action provides “the tools to unlock the full potential of LLDCs and turn their structural challenges into transformative opportunities. The implementation of the Programme of Action has begun. We arrive in Awaza with momentum on our side. We have put together a UN system-wide development and monitoring framework with clear milestones and outcomes, comprising over 320 complete projects, programs, and activities.”

“Over the course of the week, we will see here the launch of many new partnerships and initiatives that will bring fresh momentum to its implementation. As we take this process forward, allow me to highlight three strategic priorities that will guide our work in Awaza. First, bridging the infrastructure and connectivity gap remains our top priority,” she said.

Heads of state and governments, including the presidents of the Republic of Uzbekistan, the Republic of Armenia, Tajikistan, the Republic of Kazakhstan, and His Majesty King Mswati III from the Kingdom of Eswatini, stressed the significance of the conference for the group of landlocked developing countries in terms of identifying priority areas for further efforts with a focus on addressing modern challenges the international community is facing.

Mswati III said the conference reaffirms a shared commitment to having the structural barriers that hinder LLDCs from participating in the global economy, offering a platform to chart a path of resilience, innovation and inclusive growth. The leaders also shared many of the successes they have achieved amidst daunting challenges.

“To build resilience and ensure sustainable growth, Eswatini is diversifying beyond traditional sectors. We are promoting investment in agroprocessing, tourism, renewable energy, ICT, creativity, industries and private enterprise. This strategy broadens our economic base, creates jobs and supports inclusive development, aligning with our national priorities for 2030 and 2063,” he said.

Shavkat Mirziyoyev, President of the Republic of Uzbekistan, said that his country was “demonstrating strong momentum towards greater openness and transparency in logistics. Complex measures are being implemented to facilitate the digitalization of trade and transport processes. Structural transport and logistics spaces are the basis for dynamic transport implementation.”

Mirziyoyev stated that today, a single transport and logistics space is being established in the region. Comprehensive programs and projects are being implemented to transform Central Asia into a fully-fledged transit hub between East and West and North and South. Recently, mutual trade volumes have grown 4.5-fold, investments have doubled, and the number of joint ventures has increased 5-fold.

“This year, jointly with our partners, we have started construction of the China-Kyrgyzstan-Uzbekistan railway. Freight traffic on the Uzbekistan-Turkmenistan-Iran-Turkey transport corridor has increased significantly. In today’s world, it is crucial to have concrete, feasible, and institutionally supported solutions to overcome common threats and challenges,” he stated.

Fatima, the Secretary-General of the Conference, said the challenges are many, varied and complex, requiring investing in robust implementation tools and partnerships at all levels.

“Our mapping confirms that every target adopted here in Awaza advances inclusive, resilient and sustainable development. But policy alignment alone is not enough. We need a whole-of-society approach,” she expounded.

“This Conference marks a turning point in that regard. For the first time, LLDC3 features dedicated platforms for civil society, the private sector, youth, women leaders, parliamentarians, and South-South partners – each playing a critical role in making the APOA people-centered and responsive.”

Overall, she urged the global community to seize the present moment—with ambition, unity, and purpose—to chart a new path for the LLDCs: one of prosperity, resilience, and full global integration. She stressed that the true legacy of the ongoing conference will not be measured by declarations, but by the real and lasting change that is delivered on the ground.

IPS UN Bureau Report

 

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

 

Conflict, Climate Change Push Migrants in Yemen to Return to Their Home Countries

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Humanitarian Emergencies

People in Yemen impacted by war and climate shocks receive aid from the IOM. Photo credit: Majed Mohammed/IOM Yemen

People in Yemen impacted by war and climate shocks receive aid from the IOM. Photo credit: Majed Mohammed/IOM Yemen

UNITED NATIONS, Jul 13 2025 (IPS) – Yemen’s humanitarian crisis, driven by conflict, economic collapse and climate shocks, leaves migrants desperate to return to their home countries.

In March 2025, the Global Data Institute Displacement Tracking Matrix recorded that 1,234 non-Yemeni migrants left the country.

Once a critical transit and destination point, Yemen is unable to support incoming asylum seekers. Yemenis are struggling to survive amidst a decade-long conflict and worsening climate change impacts. Over 4.8 million people are internally displaced, and 20 million rely on aid.

Most migrants come from Ethiopia and Somalia, searching for safety or work in the Gulf countries. However, many become stranded in Yemen due to the harsh conditions and abuse.

The International Organization for Migration (IOM) found that in 2024, around 60,900 migrants arrived in Yemen with no means to survive. Subsequently, they are exposed to severe protection risks, including physical and sexual violence, exploitation, abduction, detention, and debt bondage.

“With limited humanitarian resources and few service providers on the ground, migrants often suffer from hunger, untreated medical conditions, and lack of shelter. Many are stranded without access to even the most basic services,” said the IOM to IPS.

“Meanwhile, public hostility toward migrants has increased, as they are increasingly viewed as competing with vulnerable Yemeni populations for scarce assistance. The ongoing conflict in Yemen further compounds these vulnerabilities, with migrants caught in airstrikes, exposed to explosive ordnance, and lacking access to safety.”

Women and girls are the most vulnerable group of migrants traveling through Yemen. They are disproportionately threatened with gender-based and sexual abuse.

“I’ve been beaten, detained, and exploited in Yemen,” said a 24-year-old Ethiopian woman to IOM. “Most nights, I went hungry. After everything that happened to me, I am happy to go back to my home and family.”

Severe climate impacts also make it increasingly difficult for both migrants and Yemenis to access food and water. Around 17.1 million Yemenis are struggling with food insecurity, and climate-related issues are only exacerbating this crisis.

The June 2025 Migration, Environment, and Climate Change (MECC) Country Report on Yemen by the IOM says that Yemen is the 12th most water-scarce country in the world. This significantly influences food insecurity, as rising temperatures caused by climate change create unpredictable rainfall.

In some areas, severe droughts are turning fertile farmland into arid deserts, forcing farmers to plant new crops or move in search of better conditions. Meanwhile, in other communities, heavy rain is sparking extreme flooding. Impacted areas are decimated by soil erosion and disease from contaminated water.

“Areas that used to experience heavy rainfall have now suffered from drought, and farmers have to adapt to this drought by either planting drought-resistant crops, changing their livelihoods, or migrating to another location. And some areas used to suffer from drought but now experience heavy rainfall, where the intensity of rainfall has led to the emergence of new diseases brought by floods,” said an official in the General Authority for Environmental Protection responsible for planning and information to the IOM.

Together, brutal conflict and a lack of access to vital necessities significantly limit migrants’ ability to return to their home countries. The IOM reported that in 2020, around 18,200 people risked their lives traveling by sea. Overcrowded vessels traversing rough waters often capsize, killing dozens on board.

For others, their journey back home leads them through heavily war-inflicted areas. Without proper assistance, migrants are left to navigate through dangerous frontlines, risking death from armed violence and landmines.

However, programs like the IOM’s Voluntary Humanitarian Return (VHR) aim to facilitate migrants’ safe return home. VHR is one of the only solutions for stranded migrants to voluntarily return in a safe and dignified manner.

So far, the IOM has helped 66 migrants safely return this year. This is a significant drop compared to the 5,200 individuals returned in 2024.

“IOM provides lifesaving protection and health service through Migrant Response Points (MRPs) in Aden, Sanaa and Marib and Community-based Care centers in Aden and Sanaa, as well as through mobile teams along the migratory routes funded by ECHO and UK FCDO,” said the IOM to IPS. “Since 2015, IOM has been facilitating Voluntary Humanitarian Return (VHR) as the only viable solution for stranded migrants who wish to return home voluntarily, safely, and with dignity.”

The IOM is backed by numerous groups such as the European Union, the King Salman Humanitarian Aid and Relief Centre (KSrelief), the US State Department’s Bureau of Population, Refugees and Migration, and the governments of Germany, France, Norway, and Finland. Unfortunately, despite widespread support for the program, more donations are urgently needed. The IOM is struggling to help migrants due to significant funding cuts.

“As migration flows continue to surge, the demand for safe and dignified return options for migrants has reached critical levels,” said Matt Huber, IOM’s former Chief of Mission in Yemen. “Without immediate funding support, the continuity of this vital programme is at risk, leaving thousands of vulnerable migrants stranded in precarious conditions with many experiencing serious protection violations.”

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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Time to Rethink Health Financing: It’s Not Just a Public Sector Concern

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Opinion

Parents and caregivers line up with their children at an immunization centre in Janakpur, southern Nepal. Meanwhile recent funding cuts have caused “severe disruptions” to health services in almost three-quarters of all countries, according to the head of the UN World Health Organization (WHO), Tedros Adhanom Ghebreyesus. April 2025. Credit: UNICEF

LONDON, Jun 19 2025 (IPS) – As G7 leaders of the world’s wealthiest nations wrapped up their summit in Kananaskis June 16, a critical issue was absent from the agenda: the future of global health financing.

Amid escalating geopolitical tensions, trade conflicts and cuts to development aid, health has been sidelined – less than five years since COVID-19 devastated lives, health systems and economies.

With the fiscal space for health shrinking in over 69 countries, it’s time to recognise that health financing is no longer solely a public sector concern; it is a fundamental pillar of economic productivity, stability, and resilience.

A glimmer of hope has emerged from South Africa, the current G20 Presidency host, and from the World Health Organization (WHO). A landmark health financing resolution, adopted at last month’s World Health Assembly calls on countries to take ownership of their health funding and increase domestic investment.

While this is a promising step, the prevailing discourse continues to rely on outdated solutions which are often slow to implement and fall short of what is needed.

Invest Smarter, Not Just More, in Health

Recent trends among G20 countries show that annual healthcare expenditure is actually declining across member states. In 2022, health expenditure dropped in 18 out of 20 G20 nations, leading to increased out-of-pocket expenses for citizens.

While countries like Japan, Australia, and Canada demonstrate a direct correlation between higher per capita health expenditure and increased life expectancy, others, such as Russia, India, and South Africa, show the opposite.

This disparity underscores a crucial point: the quality and efficiency of investment matters more than quantity. Smart investment encompasses efficient resource allocation, equitable access to affordable care, effective disease prevention and management, and broader determinants of health like lifestyle, education, and environmental factors.

Achieving positive outcomes hinges on balancing health funding – the operational costs – with sustainable health financing – the capital costs.

Private capital is already moving into health, what’s missing is coordination and strategic alignment

Despite the surge in healthcare private equity reaching USD 480 billion between 2020 and 2024, many in the sector remain unaware of this significant shift. Recent G20 efforts have focused on innovative financing tools, but what’s truly needed are systemic reforms that reframe health as a core pillar of financial stability, economic resilience, and geopolitical security, not just a public service.

This year’s annual Health20 Summit at the WHO, supporting the G20 Health and Finance Ministers Meetings, addresses this need by launching a new compass for health financing: a groundbreaking report on the “Health Taxonomy – A Common Investment Toolkit to Scale Up Future Investments in Health.”

Why do we need an investment map for health?

The answer is simple: since the first ever G20 global health discussions under Germany’s G20 Presidency in 2017, there has been no consistent effort to rethink or coordinate investments. G20 countries still lack a strategic dialogue between governments, health and finance ministries, investors and the private sector.

Market-Driven, Government-Incentivised: The Path Forward

Building on the European Union’s Green Taxonomy, the health taxonomy aims to foster a shared understanding and common language among governments, companies, and investors to drive sustainable health financing. Investors, Asset Managers, Venture Capitalists, G20 Ministries of Health and Finance, Multilateral Development Banks (MDBs), and International Organisations broadly agree that a market-driven taxonomy is both credible and practical.

Governments can have greater confidence knowing it has been tested with investors and is grounded in market realities.

The Health Taxonomy report identifies a key barrier to progress: the fundamental confusion between health funding and health financing: Health financing refers to the system that manages health investments, such as raising revenue, pooling resources and purchasing services. In contrast, health funding refers to the actual sources of money.

Increasing health funding alone will not improve health outcomes if the financing system is poorly designed. Conversely, a well-developed health financing framework won’t succeed without sufficient funding. Both are essential and must work together.

The health taxonomy has the potential to serve as a vital tool for policy planning sessions, strategic boardroom discussions and investment committees, thereby enabling health to be readily integrated into existing portfolios and strategies. It could also support more systematic assessments of health-related risks and economic impacts, including through existing processes like the IMF’s Article IV consultations and other macroeconomic surveillance frameworks.

The report urges leading G20 health and finance ministers to rethink and align on joint principles for health funding and financing.

The next pandemic could be more severe, more persistent, and more costly. Failure to invest adequately in health before the next crisis is a systemic risk our leaders can no longer afford to ignore.

Hatice Beton is Co-Founder, H20Summit; Roberto Durán-Fernández; PhD, is Tec de Monterrey School of Government, Former Member of the WHO’s Economic Council; Dennis Ostwald is Founder & CEO, WifOR Institute (Germany); Rifat Atun is Professor of Global Health Systems, Harvard T.H. Chan School of Public Health

IPS UN Bureau

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Agenda for Nuclear Non-Proliferation Review Conference Still Unclear

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Nuclear Disarmament

The closing session of the Preparatory Committee for the 2026 Review Conference of the Parties to the Treaty on the Non-Proliferation of Nuclear Weapons (NPT). Credit: UN TV

The closing session of the Preparatory Committee for the 2026 Review Conference of the Parties to the Treaty on the Non-Proliferation of Nuclear Weapons (NPT). Credit: UN TV

NEW YORK, May 21 2025 (IPS) – The Treaty on the Non-Proliferation of Nuclear Weapons must not be allowed to collapse under the weight of geopolitical cynicism, the preparatory committee at the UN heard.

This year, the Third Session of the Preparatory Committee for the 2026 Review Conference of the Parties to the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) (April 28-May 9) was intended to address procedural issues related to the treaty and the upcoming conference next year. The meeting was the third and final preparatory session before the review conference next year. As such, the session was an opportunity for countries to reaffirm the principles of the NPT by agreement.

Throughout the two weeks, delegations expressed their positions and deliberated over recommendations that would shape the agenda for the 2026 conference. Beyond member states, other stakeholders such as civil society groups were emphatic in expressing the urgency of the nuclear issue and calling for member states to take action.

“The continued existence of nuclear weapons remains one of the most urgent and existential dangers facing life on this planet,” said Florian Eblenkamp, an advocacy officer for the International Coalition Against Nuclear Weapons (ICAN). He went further to state, “The non-proliferation norm must not be allowed to collapse under the weight of geopolitical cynicism. If the NPT is to have a future, States Parties must send an unambiguous signal: Nuclear weapons are not to be spread. Not to be shared. Not to be normalized.”

The committee’s chair, Ambassador Harold Agyeman, who serves as the Permanent Representative of Ghana to the United Nations, told reporters early on that the success of the review conference in 2026 would be “dependent on the political will of state parties” in demonstrating progress on their obligations of the treaty and to “strengthen accountability for the related implementation of existing commitments.”

“Indeed, many around the world are concerned by the lack of raw progress on nuclear disarmament, and emerging proliferations risk that could undermine the hard-won norms established to bring about a world free of nuclear weapons and a regime to achieve that goal,” said Agyeman.

The third preparatory session took place in a time of increasing global anxiety over nuclear proliferation and even escalation. The most recent conflict between India and Pakistan has the world on edge that two nuclear powers might engage in war. Since April, Iran and the United States have been in negotiations over a new nuclear deal, which at times has seen both sides at a deadlock over limiting Iran’s nuclear programme.

Given that context, plus pre-existing tensions between other global powers, such as Russia and the war in Ukraine, this session was an opportunity for countries to act with urgency towards non-proliferation and to respect their obligations under the NPT. By the end of the conference, however, it seemed no agreement was reached. Revised recommendations for the review conference failed to reach consensus. This continues a concerning pattern of preparatory meetings that also failed to adopt an outcome.

As the meeting reached its conclusion on May 9, delegations expressed regret that the draft agreement did not reach consensus. “We regret that the desired breakthrough on transparency and accountability in the context of the strengthened due process was not reached,” said one delegate from Egypt. “The discussion was mature and based itself on mutual respect and commitment to multilateralism.

Many delegations made sure to reaffirm their commitment to the NPT and to strengthening the review process. Yet there was also a recurring acknowledgement of the “complex geopolitical situation” that presented a challenge in reaching consensus.

Civil society organizations have also been vocal in their disappointment at the lack of agreement or outcome document. ICAN stated that the lack of an agreement reflected a “horrifying lack of urgency in response to current risks.” Reaching Critical Will went further to criticize nuclear-armed states for refusing to comply with international law and their obligations to the NPT, which calls for them to eliminate nuclear weapons.

The NPT Review Conference (RevCon) is expected to be held in New York from 27 April to 22 May 2026. The PrepComm nominated Vietnam to chair the RevCon. Ambassador Dang Hoang Giang, Permanent Representative of Vietnam to the United Nations, stated that the presidency would be “characterized by inclusive, transparent, and balanced proceedings” that would ensure that the perspectives and interests of all state parties would be respected.

“The road ahead will be challenging, but we remain confident that through collective wisdom and shared determination, meaningful progress is not only possible but achievable. A robust and effective treaty ensures a safer and more secure work for everyone,” said Giang.

The presence—and threat—of nuclear weapons looms large. For good reason, they cannot simply be relegated to history as a relic of hubris and ambition when we can observe their influence in modern geopolitics. If the spirit for nuclear nonproliferation is indeed still there, then the international community must be vigilant in advocating for the NPT and other disarmament treaties, rather than let a small percentage of parties dictate the global agenda. This must be an ongoing process, lest we see the continued undermining of nonproliferation and multilateralism.

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

IPS UN Bureau Report

IPS UN Bureau, IPS UN Bureau Report, NUCLEAR ABOLITION

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