Gaza: Physicians Call For Unimpeded Aid To Restore Reproductive Healthcare

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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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Refugees Forced to Fill Gaps as Funding, Power and Legal Recognition Move Out of Reach

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Migration & Refugees

A new global synthesis report and refugee voices from East Africa and the Middle East warn that reductions in humanitarian footprints risks breaking the refugee protection system.

Sahrawi refugees walk near the Awserd Refugee Camp in the Tindouf Province of Algeria. Credit: UN Photo/Evan Schneider

Sahrawi refugees walk near the Awserd Refugee Camp in the Tindouf Province of Algeria. Credit: UN Photo/Evan Schneider

SRINAGAR, India, Dec 16 2025 (IPS) – The global refugee system is entering a period of deep strain. The delivery of protection and assistance is undergoing a transformation due to funding cuts, institutional reforms, and shifting donor priorities.

Against this backdrop, a new Global Synthesis Report titled From the Ground Up highlights the many issues faced by refugees in the Middle East and Africa.

Regional Perspectives on Advancing the Global Compact on Refugees has highlighted a rare, refugee-centered assessment of what is working, what is failing, and what must change. The report draws on regional roundtables held in East Africa and the Middle East and North Africa, followed by a global consultation in Geneva, to feed into the 2025 Global Refugee Forum progress review

According to the report, refugee-led and community-based organizations are increasingly taking on responsibilities, but they are not receiving power, funding, or legal recognition. As international agencies scale back under what is being called the Humanitarian Reset and UN80 reforms, refugees are expected to fill widening gaps without the authority or resources required to do so safely and sustainably.

The East Africa roundtables, held in Kampala with participation from refugee organizations in Uganda, Kenya, and Ethiopia, highlight a region often praised for progressive refugee policies. Countries here host millions displaced by conflict, hunger, and climate stress from South Sudan, Sudan, Somalia, and the Democratic Republic of the Congo.

Laws and regional frameworks promise freedom of movement, inclusion in national systems, and meaningful participation. The lived reality, however, remains uneven.

Education emerged as a central concern. Refugee children are enrolling in schools at higher rates, especially where they have been integrated into government-aided systems. Yet access remains unequal. Refugee students struggle to have prior qualifications recognized.

Many are treated as international students at universities and charged higher fees. Refugee teachers, often qualified and experienced, receive lower pay than nationals or are excluded from formal recognition. Language barriers and lack of psychosocial support further undermine learning outcomes. Refugee-led groups are already stepping in with mentorship, counseling, and bursary support, but they do so with fragile funding and limited reach.

Documentation and freedom of movement form another critical fault line. Uganda is widely cited for its rapid issuance of refugee IDs and settlement-based approach. Kenya and Ethiopia have made progress through new refugee laws and policy reforms. Still, gaps between policy and practice persist. Refugees in urban areas remain undocumented in large numbers. Identity documents often have short validity, forcing repeated renewals.

Travel documents are difficult to obtain, especially in Ethiopia, limiting cross-border movement, livelihoods, and participation in regional or global policy forums. Without documentation, refugees face arrest, harassment, and exclusion from services. For refugee organizations, lack of legal registration means operating in constant uncertainty.

Access to justice, described in the report as one of the least discussed yet most pivotal issues, cuts across all others. Refugees cannot claim rights or seek redress without functioning justice pathways. Language barriers in courts, xenophobic profiling, and lack of legal aid remain common.

Refugee-led organizations already provide mediation, paralegal support, and court accompaniment, often acting as the first point of contact between communities and authorities. Yet their work is rarely formalized or funded at scale.

These findings came alive during a webinar held at the launch of the report, where refugee leaders from different regions spoke directly about their experiences. One participant from East Africa reflected on repeated engagement in international forums. This event was his third such process, following meetings in Uganda and Gambia. He noted that participation was no longer symbolic. Governments and institutions were beginning to listen more closely.

He pointed to concrete differences across countries. In Kenya, refugees do not require exit visas. In Ethiopia, they do. Sharing such comparisons, he argued, helps governments rethink restrictive practices and adapt lessons from neighbors.

From the Middle East and North Africa, the discussion shifted to documentation and access to justice. A Jordan-based lawyer explained that civil documentation is not mere paperwork. It is the foundation of rights and accountability. Without birth registration, children cannot access education.

Without legally recognized marriages, women and children remain unprotected. Many Syrian refugees arrived in Jordan without documents, having lost them during flight or lacking legal awareness. Over time, Jordan introduced measures such as fee waivers, legal aid, and even Sharia courts inside camps like Zaatari to facilitate birth and marriage registration. Civil society groups have provided thousands of consultations and legal representations, bridging gaps between refugees and state systems.

The webinar also highlighted language as a structural barrier. In Jordan, Arabic serves as a common language for Syrians, easing communication. In East Africa, linguistic diversity complicates access to justice and services. Uganda hosts South Sudanese, Sudanese, and Congolese refugees, each with distinct languages, while official processes operate in English and Kiswahili. Governments have made efforts to provide interpretation, but gaps remain, particularly in courts and police interactions.

In Ethiopia, where Amharic dominates official institutions, refugee organizations often rely on founders or leaders who speak the language fluently, limiting broader participation.

As the conversation turned to the future of the humanitarian system, the tone grew more urgent. Participants acknowledged that funding cuts have already halted programs and exposed vulnerabilities. One speaker stressed that legal aid and documentation cannot be seen as optional sectors.

Without sustained support, entire protection systems risk collapse. Empowerment, he argued, goes beyond providing lawyers. It means building refugees’ confidence and capacity to navigate legal systems themselves.

Another participant addressed donors and UN agencies directly. Localization, he said, will fail if refugee organizations are treated only as implementers of predesigned projects. Power must shift alongside responsibility.

Refugee organizations should help design programs, raise resources, and make decisions based on community priorities. Otherwise, localization becomes another layer of outsourcing rather than a genuine transfer of agency.

The speaker’s final intervention starkly highlighted the stakes involved. With funding shrinking and uncertainty growing, refugees may soon have no option but to rely on themselves. Investing in refugee-led organizations, the speaker said, is not a luxury. This represents the final line of hope for refugees on the ground.

The MENA roundtables echo many of these concerns but in a more restrictive political context. Civic space is tighter. Legal recognition for refugee organizations is often impossible or risky. In Jordan, refugees cannot legally register organizations. In Egypt, civil society laws limit advocacy.

In Türkiye, registration is technically possible but bureaucratically daunting. Despite this, refugee-led initiatives have multiplied, filling gaps in education, protection, and livelihoods as international actors retreat.

The report warns of a dangerous paradox. Localization is advancing by necessity, not design. International agencies withdraw. Local actors step in. Yet funding, decision-making, and protection remain centralized. Refugee organizations absorb risk without safeguards. Participation is often tokenistic. Refugees are present in meetings but absent from real influence.

IPS UN Bureau Report

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Defending Democracy in a “Topsy-Turvy” World

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Secretary General of CIVICUS, Mandeep Tiwana, at International Civil Society Week 2025. Credit: Civicus

Secretary General of CIVICUS, Mandeep Tiwana, at International Civil Society Week 2025. Credit: Civicus

BANGKOK, Nov 1 2025 (IPS) – It is a bleak global moment—with civil society actors battling assassinations, imprisonment, fabricated charges, and funding cuts to pro-democracy movements in a world gripped by inequality, climate chaos, and rising authoritarianism. Yet, the mood at Bangkok’s Thammasat University was anything but defeated.

Once the site of the 1976 massacre, where pro-democracy students were brutally crushed, the campus—a “hallowed ground” for civil society actors—echoed with renewed voices calling for defending democracy in what Secretary General of CIVICUS, Mandeep Tiwana, described as a “topsy-turvy world” with rising authoritarianism—a poignant reminder that even in places scarred by repression, the struggle for civic space endures.

“Let it resonate,” said Ichal Supriadi, Secretary General, Asian Democracy Network. “Democracy must be defended together,” adding that it was the “shared strength” that confronts authoritarianism.

Despite the hopeful spirit at Thammasat University, where the International Civil Society Week (ICSW) is underway, the conversations often turned to sobering realities. Dr. Gothom Arya of the Asian Cultural Forum on Development and the Peace and Culture Foundation reminded participants that civic freedoms are being curtailed across much of the world.

Citing alarming figures, he spoke bluntly of the global imbalance in priorities—noting how military expenditure continues to soar even as civic space shrinks. He pointedly referred to the United States’ Ministry of Defense as the “Ministry of War,” comparing its USD 968 billion military budget with China’s USD 3 billion and noting that spending on the war in Ukraine had increased tenfold in just three years—a stark illustration of global priorities. “This is where we are with respect to peace and war,” he said gloomily.

Ichal Supriadi, Secretary General, Asian Democracy Network. Credit: Civicus

Ichal Supriadi, Secretary General, Asian Democracy Network. Credit: Civicus

At another session, similar reflections set the tone for a broader critique of global power dynamics. Walden Bello, a former senator and peace activist from the Philippines, argued that the United States—especially under the Trump administration—had abandoned even the pretense of a free-market system, replacing it with what he called “overt monopolistic hegemony.” American imperialism, he said, “graduated away from camouflage attempts and is now unapologetic in demanding that the world bend to its wishes.”

Dr. Gothom Arya of the Asian Cultural Forum on Development and the Peace and Culture Foundation. Credit: Civicus

Dr. Gothom Arya of the Asian Cultural Forum on Development and the Peace and Culture Foundation. Credit: Civicus

Dr. Pervez Hoodbhoy, a Pakistani physicist and author, echoed the sentiment, expressing outrage at his own country’s leadership. He condemned Pakistan’s decision to nominate a “psychopath, habitual liar, and aggressive warmonger” for the Nobel Peace Prize, saying that the leadership had “no right to barter away minerals and rare earth materials to an American dictator” without public consent.

Hoodbhoy urged the international community to intervene and restart peace talks between Pakistan and India—two nuclear-armed neighbors perpetually teetering on the edge of renewed conflict.

But at no point during the day did the focus shift away from the ongoing humanitarian crises. Arya reminded the audience of the tragic loss of civilian lives in Gaza, the devastating fighting in Sudan that had led to widespread malnutrition, and the global inequality worsened by climate inaction. “Because some big countries refused to follow the Paris Agreement ten years ago,” he warned, “the rest of the world will suffer the consequences.”

That grim reality was brought into even sharper relief by Dr. Mustafa Barghouthi, a Palestinian physician and politician, who delivered a harrowing account of Gaza’s devastation. He said that through the use of  American-supplied weapons, Israel had killed an estimated 12 percent of Gaza’s population, destroyed every hospital and university, and left nearly 10,000 bodies buried beneath the rubble.

“Even as these crises unfolded across the world, the conference demonstrated that civil society continues to persevere, as nearly 1,000 people from more than 75 organizations overcame travel bans and visa hurdles to gather at Thammasat University, sharing strategies, solidarity, and hope through over 120 sessions.

Among them was a delegation whose presence carried the weight of an entire nation’s silenced hopes—Hamrah, believed to be the only Afghan civil society group at ICSW.

“Our participation is important at a time when much of the world has turned its gaze away from Afghanistan,” Timor Sharan, co-founder and programme director of the HAMRAH Initiative, told IPS.

“It is vital to remind the global community that Afghan civil society has not disappeared; it’s fighting and holding the line.”

Through networks like HAMRAH, he said, activists, educators, and defenders have continued secret and online schools, documented abuses, and amplified those silenced under the Taliban rule. “Our presence here is both a statement of resilience and a call for solidarity.”

“Visibility matters,” pointed out Riska Carolina, an Indonesian woman and LGBTIQ+ rights advocate working with ASEAN SOGIE Caucus (ASC). “What’s even more powerful is being visible together.”

“It was special because it brought together movements—Dalit, Indigenous, feminist, disability, and queer—that rarely share the same space, creating room for intersectional democracy to take shape,” said Carolina, whose work focuses on regional advocacy for LGBTQIA+ rights within Southeast Asia’s political and human rights frameworks, especially the ASEAN system, which she said has historically been “slow to recognize issues of sexuality and gender diversity.”

“We work to make sure that SOGIESC (Sexual Orientation, Gender Identity and Expression, and Sex Characteristics) inclusion is not just seen as a niche issue, but as a core part of democracy, governance, and human rights. That means engaging governments, civil society, and regional bodies to ensure queer people’s participation, safety, and dignity is part of how we measure democratic progress.”

She said the ICSW provided ASC with a chance to make “visible” the connection between civic space, democracy, and queer liberation and to remind people that democracy is not only about elections but also about “who is able to live freely and who remains silenced by law or stigma.”

Away from the main sessions, civil society leaders gathered for a candid huddle—part reflection, part reckoning—to examine their role in an era when their space to act was shrinking.

“The dialogue surfaced some tough but necessary questions,” he said. They asked themselves: ‘Have we grasped the full scale of the challenges we face?’ ‘Are our responses strong enough?’ ‘Are we expecting anti-rights forces to respect our rules and values?’ ‘Are we reacting instead of setting the agenda? And are we allies—or accomplices—of those risking everything for justice?’

But if there was one thing crystal clear to everyone present, it was that civil society must stand united, not fragmented, to defend democracy.

IPS UN Bureau Report

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They Have Known Nothing but War—The Plight of Syria’s Out-of-School Children

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Education

The community gets together to repair a school in the city of Saraqib, located south of Idlib, that was destroyed by bombing during the Assad regime. Credit: Sonia Al Ali/IPS

The community gets together to repair a school in the city of Saraqib, located south of Idlib, that was destroyed by bombing during the Assad regime. Credit: Sonia Al Ali/IPS

IDLIB, Syria, Oct 16 2025 (IPS) – The war has deprived thousands of Syrian children of their right to education, especially displaced children in makeshift camps. Amidst difficult economic conditions and the inability of many families to afford educational costs, the future of these children is under threat.

Adel Al-Abbas, a 13-year-old boy from Aleppo, northern Syria, was forced to quit his education after being displaced from his city and moving to a camp on the Syrian-Turkish border. He says, “I was chasing my dream like any other child, but my family’s poverty and the harsh circumstances stood in my way and destroyed all my dreams.”

Adel had hoped to become an engineer, but he left school and gave up on his goal. He replaced books and pens with work tools to help his impoverished family secure life’s necessities. He adds, “We are living in extremely difficult conditions today; we can’t even afford food. So, I have to find a job to survive and help my family, especially after my father was hit by shrapnel in the head, which caused him a permanent disability.”

Adel’s mother is saddened by her son’s situation, saying to IPS, “We need the income my son brings in after my husband got sick and became unable to provide for our family. In any case, work is better than an education that is now useless after he’s been out of school for so long and has fallen behind his peers.”

Reem Al-Diri, an 11-year-old, left school after her family was displaced from rural Damascus to the city of Idlib in northern Syria. Explaining why, she speaks with a clear sense of regret: “I loved school very much and was one of the top students in my class, but my family decided I had to stop my education to help my mom with the housework.”

The young girl confirms that she watches children on their way to school every morning, and she wishes she could go with them to complete her education and become a teacher in the future.

Reem’s mother, Umayya Al-Khalid, justifies her daughter’s absence from school, saying, “After we moved to a camp on the outskirts of Idlib, the schools became far from where we live. We also suffer from a lack of security and the widespread kidnapping of girls. So, I feared for my daughter and preferred for her to stay at home.”

Causes of school dropout

Akram Al-Hussein, a school principal in Idlib, northern Syria, speaks about the school dropout crisis in the country.

“School dropouts are one of the most serious challenges facing society. The absence of education leads to an unknown future for children and for the entire community.”

Al-Hussein emphasizes that relevant authorities and the international community must exert greater efforts to support education and ensure it does not remain a distant dream for children who face poverty and displacement.

He adds, “The reasons and motivations for children dropping out of school vary, ranging from conditions imposed by war—such as killings, displacement, and forced conscription-to child labor and poverty. Other factors include frequent displacement and the child’s inability to settle in one place during the school year, as well as a general lack of parental interest in education and their ignorance of the risks of depriving a child of schooling.”

In this context, the Syria Response Coordinators team, a specialized statistics group in Syria, noted in a statement that the number of out-of-school children in Syria has reached more than 2.5 million, with northwestern Syria alone accounting for over 318,000 out-of-school children, with more than 78,000 of them living in displacement camps. Of this group, 85 percent are engaged in various occupations, including dangerous ones.

In a report dated June 12, 2024, the team identified the key reasons behind the widening school dropout crisis.

A shortage of schools relative to the population density, a shift towards private education, difficult economic conditions, a lack of local government laws to prevent children from entering the labor market, displacement and forced migration, and a marginalized education sector with insufficient support from both local and international humanitarian organizations are seen as the causes.

The team’s report warned that if this trend continues, it will lead to the emergence of an uneducated, illiterate generation. This generation will be consumers rather than producers, and as a result, these uneducated children will become a burden on society.

Initiatives to Restore Destroyed Schools

The destruction of schools in Syria has significantly contributed to the school dropout crisis. Throughout the years of war, schools were not spared from destruction, looting, and vandalism, leaving millions of children without a place to learn or in buildings unfit for education. However, with the downfall of the Assad regime, several initiatives have been launched to restore these schools. This is seen as an urgent and immediate necessity for building a new Syria.

Samah Al-Dioub, a school principal in the northern Syrian city of Maarat al-Nu’man, says, “Syria’s schools suffered extensive damage from both the earthquake and the bombings. We have collected funds from the city’s residents and are now working on rehabilitating the school, but the need is still immense and the costs are very high, especially with residents returning to the city.” She explained that their current focus is on surveying schools and prioritizing which ones need renovation the most.

Engineer Mohammad Hannoun, director of school buildings at the Syrian Ministry of Education, states that approximately 7,400 schools across Syria were either partially or completely destroyed. They have restored 156 schools so far.

Hannoun adds, “We are working to rehabilitate schools in all Syrian regions, aiming to equip at least one school in every village or city to welcome returning students. The Ministry of Education, along with local and international organizations and civil society, are all contributing to these restoration efforts.”

Hannoun points out that the extensive damage to school buildings harms both teachers and students. It leads to a lack of basic educational resources, puts pressure on the few schools that are still functional, and causes a large number of students to drop out, which ultimately impacts the quality of the educational process.

As part of their contingency plans, Hannoun explains that the ministry, in collaboration with partner organizations, intends to activate schools with the available resources to accommodate children returning from camps and from asylum countries. This effort is particularly focused on affected areas that have experienced massive waves of displacement.

The United Nations Children’s Fund (UNICEF) said in 2025, 16.7 million people, including 7.5 million children, are in need of humanitarian support in the country, with 2.45 million children out of school, and 2 million children are at risk of malnutrition.

The phenomenon of school dropouts has become a crisis threatening Syria’s children, who have been forced by circumstances to work to earn a living for their families. Instead of being in a classroom to build their futures, children are struggling to survive in an environment left behind by conflict and displacement.

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Mamdani’s Stand on Genocide is More Important than the Dynamics of Arresting Netanyahu

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Opinion

NEW YORK, Sep 23 2025 (IPS) – No leader responsible for mass atrocities enjoys greater impunity on the international stage than Benjamin Netanyahu. This is due to the strange stranglehold of the pro-Israel lobby on the two major political parties in the United States.

Unsurprisingly, the assertion by New York City mayoral candidate and front runner Zohran Mamdani on September 13 that he would order the arrest of Netanyahu if he ever came there, has attracted blowback from within the mainstream political establishments of both the Democratic and Republic parties, as well from extremist right-wing circles.

Legal experts have gone into a tizzy whether a future mayor of New York can arrest the leader of a foreign government. The unjustified blowback apparently in support of Israel’s televised genocide of the Palestinian people flies in the face of facts, basic principles of humanity and the shifting sands of public opinion in the United States.

A high- powered UN Commission of Inquiry led by a judge who investigated the Rwandan genocide of 1994 has recently concluded that Israel has committed genocide – the worst crime under international law – in Gaza.

The International Criminal Court (ICC) has a standing arrest warrant against Netanyahu and his former defence minister for using starvation as a weapon of war and for deliberately killing thousands of Palestinian civilians in Gaza. But bizarrely, it’s not Israel’s leaders but ICC judges and prosecutors who are being targeted through sanctions by the Trump administration.

Nevertheless, Netanyahu’s cruel war on Gaza is rapidly eroding American public support for Israel. According to the Pew Research Center’s latest findings more than half of American adults now possess an unfavourable opinion of Israel. Just 32 percent have confidence in Netanyahu himself.

However, the negative impacts of the damage done to American democracy by Netanyahu and his hardline supporters will linger on. Under the pretext of containing anti-Israeli sentiment, the Trump administration has attacked universities that were the site of sustained pro-Palestinian protests including Columbia and Harvard.

Academic freedom is a cherished American ideal but that hasn’t prevented the administration from threatening colleges and universities with federal funding cuts and placing restrictions on foreign students if they don’t toe the government’s line. Sadly, several pro-Palestinian student protest leaders have been arbitrarily detained in direct repudiation of constitutional protections on the freedom of speech and the right to peaceful protest drawing criticism from UN experts.

Many of us in civil society have been pointing out for some time that the leaders of the two major political parties in the United States are so beholden to the moneyed interests of their donors that they have become out of touch with the needs and aspirations of the American people.

Indeed, Israel’s belligerence in continuing atrocities on the civilian population in the Occupied Palestinian Territories of Gaza and the West Bank has been sharply rebuked by progressive groups like Jewish Voices for Peace and Jews for Racial and Economic Justice who support a new wave of politicians such as Mahmud Mamdani who are willing to stand up for human rights.

A generation of politicians who represent a more forward looking and inclusive vision for the United States and who enjoy widespread support in New York and beyond such as Alexandria Ocasio Cortez have rallied to Mamdani’s side.

Mamdani’s win in the Democratic primaries for the New York mayoral election was powered by a diverse coalition of supporters in America’s most diverse and vibrant city. He continues to be the front runner for the mayoral election slated on November 4.

So far, his focus has been on the issues that matter to most of the people of New York, such as the high cost of living and the ever- widening gap between millionaires and the rest of the country fueled by pro-big business policies and tax cuts.

Funnily, in blatant negation of diplomatic protocol, Netanyahu has jumped into the political fray by dubbing Mamdani’s proposals for New York City’s mayoral elections as ‘nonsense’.

Notably, Netanyahu is planning to come to New York to address the UN General Assembly on 26 September. When he speaks at the UN, it’s usually to disparage the institution, which will be marking 80 years of its founding from the ashes of war and the horrors of the holocaust.

Last year, a large number of delegates walked out of the UN hall when he came on stage. This year, Netanyahu emboldened by Trump’s support will try his best to repudiate the findings of the UN Commission of Inquiry on genocide in Gaza. Whether the delegates will pay attention is arguable.

However, one thing is certain. If Netanyahu attempts to go on to the streets of New York to campaign against Mamdani he will likely be met by mass protests.

Mandeep S. Tiwana is a human rights lawyer and Secretary General of global civil society alliance, CIVICUS. He is presently based in New York.

IPS UN Bureau

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UN Independent Commission Finds That Israeli Forces Have Committed Genocide in Gaza

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Armed Conflicts, Civil Society, Crime & Justice, Headlines, Health, Human Rights, Humanitarian Emergencies, Middle East & North Africa, Migration & Refugees, TerraViva United Nations

Gazan children standing in the rubble of their demolished home in Rafah. Credit: UNICEF/Eyad El Baba

UNITED NATIONS, Sep 17 2025 (IPS) – On September 16, the Israeli military began its ground offensive in Gaza City, accompanied by intensified bombardment of residential areas and a surge in civilian displacement. Concurrently, the United Nations Independent International Commission of Inquiry on the Occupied Palestinian Territory, including East Jerusalem and Israel, issued a report in which it found that Israel is responsible for committing genocide in Gaza, citing deliberate efforts to destroy Palestinian life, carried out with near-total impunity.

“The responsibility for these atrocity crimes lies with Israeli authorities at the highest echelons who have orchestrated a genocidal campaign for almost two years now with the specific intent to destroy the Palestinian group in Gaza,” said Navi Pillay, Chair of the Commission. “The Commission also finds that Israel has failed to prevent and punish the commission of genocide through failure to investigate genocidal acts and to prosecute alleged perpetrators.”

The Commission found that Israeli forces have repeatedly disregarded orders from the International Court of Justice (ICJ) as well as warnings from UN Member States, human rights groups and civil society organizations. Israeli officials have dismissed the Commission’s findings, accusing it of bias and refusing to cooperate with its investigations.

In response to the Commission, Israeli President Isaac Herzog told journalists, “While Israel defends its people and seeks the return of hostages, this morally bankrupt Commission obsesses over blaming the Jewish state, whitewashing Hamas’s atrocities, and turning victims of one of the worst massacres of modern times into the accused.”

The Commission described its report as the “strongest and most authoritative UN finding to date”, while noting that it operates independently from the UN and does not speak on its behalf. Currently, the UN does not categorize Israel’s actions in Gaza as a genocide, but has been under increasing pressure from its agencies to do so. Back in August, over 500 staff from the Office of the High Commissioner for Human Rights (OHCHR) urged UN Human Rights Chief Volker Türk to explicitly recognize the situation as a genocide. “OHCHR has a strong legal and moral responsibility to denounce acts of genocide,” said the letter signed by the UNHCR Staff Committee in Geneva. “Failing to denounce an unfolding genocide undermines the credibility of the U.N. and the human rights system itself.”

Humanitarian experts project that ongoing bombardments will result in an immense loss of human life and eliminate the remaining prospects of survival for those still in the enclave. The UN Human Rights Council (HCR) noted that controlled detonations in Gaza City have leveled entire neighborhoods and are in the process of wiping out “the last viable element of civilian infrastructure’ essential for survival.

The Commission reports that since October 7, 2023, Israel has repeatedly bombarded densely populated residential areas, often relying on explosive weapons with wide-area impacts. One spokesperson for the Israeli security forces told the Commission that they were “focused on what causes maximum damage”. The Commission has documented numerous instances of Israeli forces targeting high-rise buildings and residential apartment blocks, leading to the destruction of entire neighborhoods and the deaths of almost all civilians involved.

Additionally, the Commission observed that the number of bombs used by Israel in the past two years is unprecedented in comparison to other world conflicts, noting that Israel drops in less than a week the number of bombs the United States used in Afghanistan over an entire year —concentrated in a much smaller and more densely populated area.

Airstrikes and shellings on critical civilian infrastructures have disrupted nearly all aspects of life for Palestinians in Gaza. According to the report, damage to agricultural lands across the entire enclave poses significant long-term risks to food production and accelerated food insecurity, leading to famine.

As of February 2025, 403 school buildings in Gaza have been damaged by Israeli bombardment, including eighty-five that have been completely destroyed and seventy-three left only partly functional. The Commission warns that the strikes have effectively collapsed Gaza’s education system, disrupting schooling for over 658,000 children. Without urgent intervention, thousands are expected to suffer long-term psychological harm and stunted cognitive development due to the loss of education and psychosocial support services.

Furthermore, the widespread destruction of hospitals and the immense number of traumatic injuries from Israeli attacks have overwhelmed hospitals and healthcare centers across Gaza, leading to the collapse of the healthcare system. The siege has led to severe shortages in fuel and electricity, while also causing the looting and damaging of life-saving medical supplies and medications. As a result, patients with chronic illnesses and infections from diseases have been deprioritized, leading to a sharp increase in the number of preventable deaths and complications. Medical experts told the Commission that the targeting of healthcare facilities has severely restricted access to care for thousands of Palestinians, with children being among the most affected.

According to the report, between October 2023 and July 2025, approximately 53,000 Palestinians in Gaza were killed as a direct result of Israeli military operations. The Commission reports that Palestinians in Gaza were also attacked in their homes, in hospitals, as well as shelters, such as schools and religious sites. Israeli forces also repeatedly targeted journalists, healthcare personnel, humanitarian workers, and other protected individuals, sometimes even during ceasefire periods and without warning.

The report also documents Israeli forces targeting Palestinians in evacuation routes and designated safe zones, finding that women and children were most often directly targeted and killed, often while alone and in areas not experiencing active hostilities. In every case reviewed, the Commission found that Israeli forces were aware of civilians’ presence but opened fire regardless. Many of the victims were children carrying makeshift white flags , including toddlers who were reportedly shot in the head by snipers.

Furthermore, the report underscores that the Gaza Humanitarian Foundation (GHF) was largely ineffective in providing direct relief to struggling Palestinians and has been linked to a surge in civilian deaths. As of July 31, at least 1,373 Palestinians had been killed while trying to access food, with 859 killed near GHF sites and 514 along convoy routes—with most fatalities attributed to the Israeli military.

Furthermore, Israeli forces have effectively hindered humanitarian operations through routine bombardments and shellings. From October 2023 to July 2025, the Commission recorded at least 48 staff and volunteers from the Palestine Red Crescent Society (PRCS) that were killed. Additionally, medical personnel also informed the Commission that Israeli forces deliberately shelled ambulances, with many workers stating that they believed that they had been intentionally targeted.

The Commission also found that Israel weaponised the withholding of life-sustaining necessities, such as food, water, fuel, and humanitarian aid, leading to a sharp increase in preventable civilian deaths. According to the report, families in Gaza have less than one liter of water per person per day for drinking, cooking, and hygiene, which is far below international minimum standards for daily water consumption.

Moreover, water shortages have led to a deterioration of the sanitation system, which is particularly pronounced in displacement camps, where nearly 400,000 kilograms of waste piles up each day. This has led to the rampant spread of infectious diseases such as Hepatitis A.

Additionally, more than ninety percent of the population in Gaza has faced acute food insecurity since October 2023, with the most severe cases being concentrated in northern Gaza. According to figures from the Integrated Food Security Phase Classification (IPC), as of July 2025, food consumption has fallen far below the famine threshold in most areas of the enclave and malnutrition has reached the famine threshold in Gaza City.

The report found that Israeli forces were responsible for deliberately starving and depriving civilians in Gaza of resources that are paramount for human survival, with PRCS stating that Gaza is “unable to sustain life in its current state as civilians find their basic needs unmet”.

The Commission warns that the near-total impunity that Israeli forces and officials have emboldened the continuation of atrocities in Gaza, with global pressure mounting from the international community which urgently calls for an immediate de-escalation of hostilities, unimpeded humanitarian access, and credible mechanisms to hold perpetrators accountable.

“The international community cannot stay silent on the genocidal campaign launched by Israel against the Palestinian people in Gaza. When clear signs and evidence of genocide emerge, the absence of action to stop it amounts to complicity,” said Pillay. “Every day of inaction costs lives and erodes the credibility of the international community. All States are under a legal obligation to use all means that are reasonably available to them to stop the genocide in Gaza,” she added.

Following the report’s release, the leaders of twenty aid agencies working in Gaza, including Oxfam International, CARE and Médecins Sans Frontières (MSF), issued a joint statement also urging member states to take action to “prevent the evisceration of life in the Gaza Strip”.

“All parties must disavow violence against civilians, adhere to international humanitarian law and pursue peace. States must use every available political, economic, and legal tool at their disposal to intervene. Rhetoric and half measures are not enough. This moment demands decisive action,” the statement reads.

“The UN enshrined international law as the cornerstone of global peace and security. If Member States continue to treat these legal obligations as optional, they are not only complicit but are setting a dangerous precedent for the future. History will undoubtedly judge this moment as a test of humanity. And we are failing. Failing the people of Gaza, failing the hostages, and failing our own collective moral imperative.”

IPS UN Bureau Report

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