Africa

Distribution of emergency shelter supplies in Abyan, Yemen funded by the Yemen Humanitarian Fund (YHF). Credit: UN OCHA/Altawasul

By Maximilian Malawista
UNITED NATIONS, Jun 10 2026 (IPS)

In Yemen, increasing funding constraints on humanitarian operations have put millions of civilians in dire need of life-saving assistance amid overlapping crises. Acute food insecurity is a persistent issue, as recent reports from the Integrated Food Security Phase Classification (IPC) give a stark warning of conditions without urgent intervention.

According to the IPC Acute Food Insecurity Snapshot, one in two people within Government of Yemen (GoY) controlled areas are experiencing high levels of food insecurity, with percentages only expecting to rise or maintain as the conflict goes on. 3.6 million people are experiencing IPC phase 3 (crisis level), and 1.4 million people are experiencing even worse conditions at IPC Phase 4 (emergency). Such measures indicate “extreme coping strategies” where families are forced to sell their house, land, their last female animal, and beg due to the limited supply of food.

Food Insecurity Projection in Yemen | June – September 2026. Credit: IPC

As the crisis looms, the Food and Agriculture Organization (FAO), the World Food Programme (WFP), and the United Nations Children’s Fund (UNICEF) have “jointly called on the international community to urgently scale up funding for humanitarian food assistance, nutrition services, health, agriculture and resilience programming.” according to the spokesperson for the Secretary General, Stéphane Dujarric.

The IPC projects that food supply conditions will only worsen through October and December 2026, with 1.8 million people being in phase 4, 3.6 million being in phase 3, and 3.2 million being in phase 2.

The ongoing conflict is driving heightened amounts of food insecurity due to intensifying macroeconomic pressures, making the local currency, the Yemeni Riyal, highly volatile due to “depleted reserves of halted oil exports”. Insecurity is also impacted by irregular salaries, limited labor opportunities, and a smaller and smaller household purchasing power each day.

Food Insecurity Projection in Yemen | October – December 2026. Credit: IPC

In April, the Houthis, which controls the northwest of Yemen and the capital of Sana’a, threatened to close the Bab al-Mandeb Strait, which connects the Red Sea to the Gulf of Aden. In the event of this strait being closed, the entire red sea and the Suez Canal would virtually be unpassable other than a few exports / imports between Saudi Arabia’s western province, Egypt, Sudan, and Eritrea, which would likely still receive pressure at its ports. This would further increase food insecurity in Yemen, as humanitarian assistance is the only lifeline keeping Yemenis under famine levels. Without humanitarian assistance the situation would become increasingly lethal, making this call for action vital for the safety and vitality of Yemeni lives.

According to OCHA, at least USD 2.2 billion will be needed for assistance of twelve million people of the 22.3 million in need. Approximately 14.71 percent of such funding has been covered, leaving a funding gap of USD 1.8 billion. This is likely to become larger as the conflict becomes more costly, increasing food insecurity as the projections suggest.

IPS UN Bureau Report

 

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Chaff being loaded for cutting in a machine for fodder. Credit: Supplied

By Rina Mukherji
PUNE, India, Jun 10 2026 (IPS)

Dharashiv is one of the poorest districts in the western Indian state of Maharashtra. Located in the semi-arid region of Marathwada, it has no major river and is not blessed with good reservoirs.

The soil quality is poor and unable to retain water, even during heavy rainfall. Farmers depend on borewells and wells. Farm ponds go dry beyond February, leaving farmers bereft. The groundwater level is always low for most of the year. Generally rural, with agriculture as its mainstay, Dharashiv is mostly made up of landholdings averaging 4-5 acres. Rural unemployment is high, and large numbers of able-bodied men and women migrate to towns during the lean seasons.

But the last two years have seen a ‘Tool Bank’ initiated by a social and educational organisation – Jnana Prabodhini – in Harali village gradually reversing the tide.

The Indian government first mooted the idea of an implement or tool bank some years ago. A couple of state governments also initiated it.

However, it did not catch on, owing to many reasons.  To understand the need and importance of a tool bank, it is imperative to understand the general scenario in the Dharashiv district, particularly in the Lohara block, which houses Harali village.

Scenario in Lohara block

Harali village in the Lohara block of Dharashiv district is located around 70km from both Sholapur and Latur towns and is close to the Karnataka-Maharashtra border.

There are no big rivers in the vicinity; the only sources of water are rivulets like Benitura, which is a tributary of the mighty Godavari River, which flows several kilometres away.

The literacy level is quite low, and the population comprises some nomadic tribes as well.

The local population, most of whom depend on agriculture, faces difficult living conditions due to a lack of good schools and colleges, inadequate water, poor soil quality, and a fluctuating electricity supply.

Even otherwise, the entire Lohara block, comprising 25 villages, is semi-arid and drought-prone. The average rainfall is around 735 mm. However, with climate change, the last few years have seen it receive (as high as 147 percent) above-normal monsoon rains and high pre-monsoon rains, causing floods and crop losses for farmers.

It was following the Latur earthquake in the ‘90s that Jnana Prabodhini, a Pune-based organisation, moved to Harali for relief and rehabilitation work.

Keen to make a difference, Jnana Prabodhini set up a school here. In 1996, the school moved into permanent premises. Soon after, a nursery section was added, and by the 2000s, an agricultural college – the Krishi Tantra Vidyalaya and its demonstration farm – was established on the premises.  To facilitate hands-on learning for students, several farming implements had to be purchased.  And thus, the idea of starting a Tool Bank for local farmers came up.

Chaff cutter at work on a farm. Credit: Supplied

“Rural unemployment is a huge concern here. We, hence, thought of training our students, who are local youth, in the handling of implements.  We also popularised the course among farmers. We now have a tool operators group. Youngsters now hire the tools and work for the farmers during the sowing and harvesting season, earning a steady income in the process,” says Jnana Prabodhini Harali (youth cell) Coordinator and Tool Bank head Suresh Margale.

Take the case of Maruti Badgir, who is currently studying for his higher secondary-level exams at a local college.

Badgir completed a diploma in operations and basic maintenance of farm implements at the Krishi Tantra Vidyalaya. He now rents tools from the implement bank and works for farmers in the area during the planting and harvesting seasons.

Farm labour shortages are common in the region, and an operator from the nearby town charges Rs 5500 (about USD 59) to operate a harvester.

A local youth trained to operate the machine, on the other hand, charges only Rs 3000 (USD 32). Similarly, charges for a Chaff Cutter or any machine from town are as high as Rs 1200 (USD 13) per hour, while local charges are only Rs 150 (USD 1.61) per hour. The Tool Bank charges Rs 20 (USD 0.22) per hour as rental and, hence, Rs 60 (USD 0.65) for three hours. Some farmers who own tractors and have undergone training, such as Iqbal Sheikh, hire implements from the Tool Bank and render their services, supplementing their income.

After paying the rental and fuel costs, an operator can earn Rs 800-2000 (USD 8 to 22) per day during the peak farming season, since a minimum of Rs 800 (USD 8.61) is earned for 8 hours of work. “During the kharif and rabi sowing and harvesting seasons, these operators can make a neat Rs 30,000 to 40,000 (about USD 322 to 430) a month, given the labour shortage and the demand for their services,” Jnana Prabodhini Harali Centre in-charge Abhijit Kapre says.

Farmers like Kondiba Pandhre and Shankar Deokar directly borrow and use the implements on their farms, since they have undergone training.

“It saves us a lot of money,” Pandhre and Deokar tell me. It has also helped them expand their farming operations. Deokar, who owns nine acres of land and a tractor, seeder, rotavator, and other equipment, now hires Broad Bed Furrow (BBF) machines, power tillers, cutters, trolleys, and furrowing attachments.

“Farm labour is hard to find nowadays. With these machines, I save a lot on labour charges as well as time. I only need to hire one labourer to operate a manual seeder now,” he says. Deokar’s lush farm grows a wide variety of vegetables besides millets, soybeans, onions and black gram. He has also put up a biogas plant which runs on farm waste.  Pandhre, who owns six acres of land and was earlier cultivating urad (black gram), mung (green gram), soyabean, onion, and carrots, has planted 1600 moringa (drumstick) trees on two acres of his land this year. Since Moringa has commercial value, Pandhre hopes to earn handsomely from his initiative.

Farmers are particularly fond of the BBF machine, which makes raised beds that are 90-150 cm long, with furrows that are 45 cm wide and 30 cm deep. Operating as a seed-cum-fertiliser planter, it brings enhanced aeration and better root development and can help in soil and water conservation in rainfed zones that suffer from irregular rainfall, moisture stress, and waterlogging. Farmers who cultivate sugarcane can avail themselves of Harvesters and Power Tillers too, which are particularly useful for the crop.

The other advantage is the saving of seeds. Deokar especially cites the case of soyabean. “Earlier, I needed 30 kg of soyabean seeds for planting and got eight quintals per acre. Now, I need only 25 kg of soybean seeds, and I can ensure yields of 10 quintals per acre. Furthermore, deep furrowing removes pests and helps us save on pesticides, too.”

Besides rentals being lower than in adjoining cities and towns, availability is guaranteed. “During the harvest and sowing seasons, even if we travelled to adjoining Sholapur, Umargaon, or Latur, availability was never guaranteed,” Vaijnath Kashinath Gavare of Sayyad Hipparga village tells me.

And buying was hardly an option for most farmers, with most implements ranging around Rs 2 lakhs and Rs 4 lakhs (USD 2400 to USD 4800)

A BBF machine also helps ensure that a natural disaster does not ruin a farmer.

Farmer Somnath Vinayak Bairajdar, who owns a 12-acre farm in Sayyad Hipparga village in Lohara block of the district, tells me, “Beds made by a BBF machine ensure that water is held by the soil in dry weather, while during untimely and very heavy rain, water easily flows out. The last two years saw this region experience heavy rainfall and flooding.

Many farmers lost all their crops. But my crops survived.”

A power tiller can help lighten the soil and aerate the roots, while a weeder removes pests, ensuring a better yield, Bairajdar says. “Earlier, I could have 5 to 6 tonnes of tomatoes per acre. But now, it is as high as 8 to 9 tonnes per acre.”

His pigeon pea yield has also climbed up from 6 to 7 quintals per acre to 9 quintals per acre,  while green beans have risen from 2 quintals per acre to 4.2 quintals per acre, “thanks to my use of the power tiller”.

Certain tools can also help farmers supplement their income.

Sharad Patil, for instance, who owns a 25-acre farm, has been able to expand his dairy business. “Earlier, I could only keep four cows, since I only owned a manual cutter to prepare the fodder for my animals. Now, I hire a chaff cutter, which is attached to my tractor, to do the job.”

Patil now has 34 cows in his shed; hiring a Chaff Cutter for three to four days provides him enough fodder to feed his cattle for six months.

Another popular item at the Tool Bank is the electrical armature machine, given the erratic electricity supply in Dharashiv. “Farmers need uninterrupted electricity for their pumps, especially in summer,” Margale tells me. “The government had started a scheme for solar-powered pumps. But it is currently not in operation.”

In the two years of its existence, the Tool Bank has seen rising popularity, especially among farmers in villages in and around the taluka and beyond.

“We are planning to set up a couple of more depots in adjoining villages,” Margale tells me.

Meanwhile, inspired by the progress and well-being of their peers, farmers like Pandurang Haren and Ballu Hakke are keen to start hiring tools from the Tool Bank and enrolling in a skill training programme.

The Tool Bank is breeding hope and positivity in Dharashiv while helping farmers fight the worst effects of climate change.

IPS UN Bureau Report

 

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Un billion de dollars équivaut à mille milliards de dollars. Si quelqu'un dépensait un million de dollars par jour, il lui faudrait plus de 2 700 ans pour dépenser un billion de dollars.

Niger, Mayahi, Village of Koren Habdjia. At the village health centre supported by UNICEF, mothers come for consultations with their children. This health centre provides care for childhood illnesses, maternal health, and pregnant women. It treats children for malnutrition and also provides delivery services. Credit: UNICEF/Islamane Abdou

By Oritro Karim
UNITED NATIONS, Jun 10 2026 (IPS)

Over the past few years, the humanitarian crisis in Africa’s Sahel region has expanded considerably, largely driven by a surge of violence—particularly in the Central Sahel. Although the crisis has been described by the United Nations (UN) as having “largely faded from the headlines” since its wake in 2012, millions of people across the region are in dire need of humanitarian assistance as civilian displacement, climate shocks, and widespread hunger rapidly spill across borders.

“The people of the Sahel are not on the sidelines of a global crisis; they are at the very heart of one of the world’s most severe and neglected emergencies,” said Charles Bernimolin, the regional head of the Office for the Coordination of Humanitarian Affairs (OCHA) for West and Central Africa. “Every funding gap has a human cost. When we cut a program, a child loses a meal, women and girls’ protection, and a family loses hope. We cannot allow a financing collapse to become a death sentence for millions of people.”

On June 3, OCHA published the 2026 Humanitarian Needs and Response Overview (HNRO) for the Sahel, detailing a pronounced and escalating humanitarian crisis across Chad, Mali, Niger, Burkina Faso, Northeast Nigeria, and the Far North of Cameroon. OCHA estimates that approximately 24.3 million people across the region are in dire need of humanitarian assistance. According to the United Nations Children’s Fund (UNICEF), this includes 7.5 million children in central Sahel alone.

According to figures from the United Nations Regional Information Centre for Western Europe (UNRIC), the majority of terrorism-related murders in the world take place in the Sahel. Additionally, over the course of 2025, OCHA has recorded a sharp rise in civilian exploitation, significant disruptions to local economies, and the uprooting of entire communities across some areas.

The scale of needs is most pronounced in the central Sahel region, which hosts nearly three million internally displaced persons, roughly two million in Burkina Faso, 548,000 in Niger, and 415,000 in Mali. An additional one million refugees have been recorded across numerous neighbouring countries. According to figures from UNICEF, over 3.6 million people have been forcibly displaced as a direct result of violence this year.

In late April, the Office of the United Nations High Commissioner for Human Rights (OHCHR) recorded a series of large-scale attacks that targeted multiple municipalities across Mali—including the capital, Bamako—resulting in significant civilian casualties and exacerbated displacement. Subsequent attacks between the Mali police and armed groups were reported in the following days

OHCHR also reported numerous allegations of serious human rights violations following the attacks, such as extrajudicial killings and abductions. In May, Mountaga Tall, a Malian politician and lawyer, was abducted from his home, while his wife was assaulted. The whereabouts of Tall, his wife, and several other abduction victims remain unknown.

Additionally, the UN Committee on the Elimination of Racial Discrimination (CERD) issued findings on May 6 that showed a significant rise in human rights violations against the Fulani ethnic group in Burkina Faso. The Fulani were found to be subjected to extrajudicial killings, abduction, torture, enforced disappearances, arbitrary detention, and property destruction by state and non-state actors.

OCHA reports that armed groups have begun expanding their influence across the central Sahel and Lake Chad Basin regions, stripping entire communities of protection services and any form of governance. Approximately 12,900 schools are estimated to have been closed as a result of escalating instability, leaving over 2.3 million children without education and leaving them increasingly vulnerable to recruitment and exploitation.

Children have been particularly hard-hit by this crisis, with UNICEF recording over 1,500 serious human rights violations against children. Schools continue to be targets for attacks, as a school in Mopti, Mali, was impacted by the presence of explosive devices and armed activity in May, affecting approximately 300 million. In the same period, UNICEF also recorded an attack on a community health facility in Gao, which disrupted access to medical care for roughly 2,700 children.

Recurring climate shocks across the region continue to exacerbate the crisis, with the Sahel warming considerably faster than the global average. Figures from OCHA show that roughly 590,000 people in the Sahel were impacted by violent floods in 2025 alone, with prolonged droughts and widespread desertification devastating local agriculture
and millions of livelihoods.

Prolonged climate shocks and protracted armed conflict have led to the Sahel region forming one of the world’s most severe hunger crises. OCHA projects that from June to August, approximately 15.4 million people could face crisis-level food insecurity or worse, including 1.5 million who could fall into emergency levels.

UNRIC reports that reduced food rations in Mali have resulted in a 64 percent increase in famine across numerous areas, leaving 1.5 million Malians severely food insecure. Additionally, rising fertiliser costs in the Sahel further exacerbate low agricultural yields, while rising fuel prices drive increasing food and aid costs.

Despite the vast and growing scale of needs, humanitarian funding for the Sahel has plummeted in recent years. Support from the international community for the region has reached its lowest level in a decade, with only 29 per cent of funding goals met in 2025, prompting aid organisations to scale back responses and prioritise the most vulnerable populations.

“Across the Sahel, humanitarian actors are implementing a Humanitarian Reset: refocusing on the most urgent needs, simplifying the response, and making sure limited resources have the greatest possible impact,” said Bernimolin.

“This means making difficult choices, improving efficiency, and bringing decision-making closer to affected communities. It also includes acting earlier through anticipatory action, expanding cash assistance, and strengthening support to national and local organizations, who play a key role in reaching people, especially in hard-to-reach areas,” he added.

IPS UN Bureau Report

 

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UN Special Rapporteur on the Occupied Palestinian Territories Francesca Albanese presents her latest report before delegates at the Human Rights Council in Geneva, Switzerland on 23 March 2026. Credit: Fabrice Coffrini/AFP

By Andrew Firmin
LONDON, Jun 10 2026 (IPS)

For a few days in May, Francesca Albanese could live more easily. On 13 May, a US federal judge ruled that sanctions the Trump administration imposed on her violated her right to free expression. The government was forced to remove the UN Special Rapporteur on the Occupied Palestinian Territories from its sanctions list. But the reprieve lasted barely a week. On 27 May, after an appeals court suspended the ruling, the US Treasury restored sanctions.

The sanctions have been punishing. Due to the dominant role US institutions play in international financial transactions, Albanese can no longer use credit and debit cards. Her apartment in Washington DC has been seized, while Georgetown University ended her affiliation as a scholar. Her offence is to call out Israel’s genocide in Gaza and the occupation policies that preceded it.

An Italian citizen with a legal background, Albanese was appointed in 2022 and began her final term in 2025. She’s consistently been critical of Israel’s occupation of Palestinian territories. In 2024, she presented her Anatomy of a Genocide report to the Human Rights Council. The report found reasonable grounds to conclude that Israel was committing genocidal acts in Gaza, and called for an arms embargo. Her 2025 report, From Economy of Occupation to Economy of Genocide, set out the complicity of major companies in Israel’s human rights atrocities.

Albanese’s demands for justice have brought a fierce backlash from Israel and its allies. Israel called for her to be removed from her post and banned her from visiting Israel and Palestine. The Trump administration followed suit in calling for her sacking. When it imposed sanctions on Albanese last July, it was the first time these had been applied against a UN independent human rights expert.

Sanctions politicised

Albanese isn’t the only target. Democratic states have long applied sanctions against dictators, terrorists and human rights abusers, but the Trump administration is increasingly using them as a weapon against people who defend human rights.

This month, Israel received widespread international condemnation for its actions against the Global Sumud Flotilla, a civil society-led initiative to defy Israel’s chokehold on aid for Gaza and bring vital humanitarian supplies by sea. Israel intercepted the boats in international waters, abducted those on board and subjected them to sickening abuse. When Israel’s far-right national security minister Itamar Ben-Gvir posted a video of himself taunting the abducted activists, democratic states including Canada, Italy and the UK deplored his behaviour, and France and Poland banned him from their countries.

But the US government has done the opposite, imposing sanctions on four activists involved in organising the flotilla. The politicisation of sanctions is evident, given that one of Donald Trump’s first acts on returning to the presidency was to lift sanctions on violent Israeli West Bank settlers.

The International Criminal Court (ICC) is also a target. Last year the Trump administration sanctioned nine ICC officials. The measures came after the ICC issued arrest warrants on crimes against humanity and war crimes charges against Israeli Prime Minister Benjamin Netanyahu and ex-Defence Minister Yoav Gallant, and in retaliation for the court’s investigation into potential US war crimes in Afghanistan.

Trump sanctioned two ICC officials in his first term and has repeatedly attacked the ICC, with reports last year that his administration was threatening further sanctions to try to force revisions of the court’s founding treaty, the Rome Statute, to explicitly prevent it having jurisdiction over non-member states such as the USA. Early in his second presidency, he issued an executive order threatening sanctions against anyone who participates in the ICC’s investigations. This sweeping order enabled the sanctions against Albanese.

Trump has also weaponised sanctions to block climate action. Last year the International Maritime Organization was about to finalise a deal to limit the shipping industry’s greenhouse gas emissions. At the last minute, adoption of the new rules was postponed when Trump threatened sanctions against states that supported the emissions curbs.

Chilling effect

Beyond their immediate effects, sanctions help repressive states smear human rights advocates as criminals and terrorists. For Albanese, sanctions form part of a broader campaign to restrict her right to speak out. She has received death threats, which have also been levelled against her daughter.

A broader chilling effect on civil society is visible. Concern about being penalised for sanctions violations caused two US-based human rights groups to pull out of the ICC’s annual meeting last year. For the Trump administration, sanctions are part of a wider onslaught on the rights of people and institutions to demand justice for Israel’s many human rights violations. They’ve come alongside violence against US protests in solidarity with Palestine, deportations of activists and threats to throw young people out of university and defund education institutions.

The misuse of sanctions also forms part of a broader assault on the institutions and rules of global governance. At the same time that the Trump administration is twisting international norms about how sanctions are used and who they’re applied to, it’s also choosing which organisations to participate in and which rules to follow depending on what it sees as the US national interest, and lashing out at international bodies and processes that bring human rights scrutiny.

A single ruling, now suspended, was never going to be enough against the Trump administration’s increasing use of sanctions as a tool to try to silence people. The democratic states that condemned Israel’s abuses against the flotilla activists must show the same resolve when the world’s most powerful state turns sanctions against people whose only offence is to insist that human rights apply everywhere, including in Gaza.

Andrew Firmin is CIVICUS Editor-in-Chief, co-director and writer for CIVICUS Lens and co-author of the State of Civil Society Report.

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

 

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GA During NPT Review Conference. Credit: Jonathan Granoff

By Jonathan Granoff
NEW YORK, Jun 10 2026 (IPS)

Martin Luther King Jr. , when he received the Nobel Peace Prize, reminded us of “The fact that most of the time human beings put the truth about the nature and risks of the nuclear war out of their minds because it is too painful and therefore not ‘acceptable’, does not alter the nature and risks of such war. The device of ‘rejection’ may temporarily cover up anxiety, but it does not bestow peace of mind and emotional security.” I have devoted many decades of my life to not ignoring the risk of nuclear annihilation and since 1995 have attended every Review Conference of the Nuclear Nonproliferation Treaty to learn and hopefully contributed to a saner safer world.

The 191 nations which are parties to the third most important legal instrument of the 20th Century, the Nuclear Nonproliferation Treaty (NPT), recently finished a Review Conference at the United Nations in which the future of humanity was soberly discussed. It took place from April 27-May 22, 2026. Social media, major news outlets, and other media virtually ignored the gravity and importance of the deliberations. Only the UN Charter and the Universal Declaration of Human Rights are arguably of greater significance than the NPT.

Without it there would likely be dozens of states with nuclear arsenals. Because of it there are only nine. Five – US, UK, France, China, and Russia — are members of the Treaty and India, Israel, Pakistan, and North Korea are the only nations in the world not parties to the Treaty.

The NPT arose because intelligence estimates during the 1960s reported that, by the end of the 1970s, there would be twenty-five to thirty states with nuclear weapons integrated into their national arsenals and ready for use. The Treaty entered into force in 1970. It is based on a bargain. In exchange for a commitment from the non-nuclear weapon states (today, some 186 nations) not to develop or otherwise acquire nuclear weapons and to submit to international safeguards intended to verify compliance with the commitment, the five NPT nuclear weapon states promised unfettered access to peaceful nuclear technologies (e.g. nuclear power reactors and nuclear medicine), and pledged to engage in good faith disarmament negotiations to achieve the elimination of their nuclear arsenals.

This promise of disarmament is the only expression by the five that they are legally bound to negotiate nuclear disarmament. It is reinforced by the historic 1996 Advisory Opinion on the Legality of the Threat or Use of Nuclear Weapons of the International Court of Justice (ICJ) which unanimously ruled that an obligation exists to pursue in good faith and conclude negotiations leading to nuclear disarmament in all its aspects under strict, effective international control. This finding interpreted Article VI of the NPT as a binding requirement not to just negotiate in good faith but asserted an affirmative obligation to pursue and conclude negotiations leading to nuclear disarmament.

The Treaty had a provision that after 25 years it would be reviewed to be determined whether it would terminate, be extended for another specific period of time, or be extended indefinitely. It was agreed in 1995 that it would be extended indefinitely. However, there is an ongoing legal obligation that every five years there is a review conference to analyze compliance and establish commitments to action to fulfill the core bargain. This process should not be ignored.

A context of previous commitments that have been made and remain outstanding are worth noting. Yes, diplomatic and especially legal language is boring but remember these words are the best tools we have for preventing suffering at scales and horror beyond our capacity to imagine.

The choice is either the tools of law and diplomacy or facing the consequence of explosions giving off heat three times the face of the sun, fireballs tens of miles wide throwing tons of soot into the stratosphere rending the agricultural base of civilization destroyed, radiation spreading across the globe, and the callous use of devices which dwarf the destruction of Hiroshima or Nagasaki by magnitudes the mind cannot easily grasp.

The atomic bombs of World War II were each less than the equivalent of 20 tons of TNT. There are now bombs in the million tons ranges. If used they will not discriminate between children, elderly, or even other species. As the first generation that must decide not to be the last, we will have failed our duty to future generations and our duty to live as human beings during our brief journey together.

So, please look at the progress that has taken place and could take place again if we can generate the knowledge in the public and political will of leaders to simply save humanity from a fire of our own creation.

A bargain to gain the indefinite extension of the NPT was obtained in 1995. It was based on a Statement of Principles and Objectives for Nuclear Nonproliferation and Disarmament which “politically, if not legally, condition[ed] the indefinite extension of the treaty.” The Statement pledged to accomplish the following:

1. Complete a “Comprehensive Test Ban Treaty (CTBT) by the end of 1996”
2. Reaffirm the commitment “to pursue . . . nuclear disarmament”
3. Commence “negotiations for a treaty to stop” production “of nuclear bomb material[s]”
4. “[S]harply reduce global nuclear arsenals”
5. Encourage “the creation of nuclear-weapon-free zones”
6. Vigorously work to make the treaty universal by bringing in Israel, Pakistan and India, who have nuclear weapons and remain outside the treaty
7. Enhance IAEA [ Atomic Energy Agency] safeguards and verification capacity 8. Reinforce negative security assurances already given to NNWS (Non-Nuclear Weapons States) “against the use or threat of use of nuclear weapons against them . . . .” (This means to not threaten to use nuclear weapons against states which have renounced nuclear weapons for themselves .)

At the first Review Conference of the Treaty in 2000 the here are some of the terms upon which unanimous agreement was obtained:

1. Comprehensive Nuclear Test Ban Treaty

The importance and urgency of signature and ratification, without delay and without conditions and in accordance with constitutional processes, to achieve the early entry into force of the Comprehensive Nuclear Test Ban Treaty.

2. Nuclear Test Moratorium

A moratorium on nuclear weapon test explosions or any other nuclear explosions pending entry into force of that Treaty.

3. Fissile Material Cutoff Treaty

The necessity of negotiations in the Conference on Disarmament on a non-discriminatory, multilateral and internationally and effectively verifiable treaty banning the production of fissile material for nuclear weapons or other nuclear explosive devices.

6. Elimination of Nuclear Arsenals

An unequivocal undertaking by the nuclear-weapon States to accomplish the total elimination of their nuclear arsenals leading to nuclear disarmament to which all States parties are committed under Article VI.

7. The START II, START III, and ABM Treaties

The early entry into force and full implementation of START II and the conclusion of START III as soon as possible while preserving and strengthening the ABM Treaty as a cornerstone of strategic stability and as a basis for further reductions of strategic offensive weapons, in accordance with its provisions. (These treaties have been ended.)

9. Other Nuclear-Weapon States’ Actions

Steps by all the nuclear-weapon States leading to nuclear disarmament in a way that promotes international stability, and based on the principle of undiminished security for all:

– Further efforts by the nuclear-weapon States to reduce their nuclear arsenals unilaterally

– Increased transparency by the nuclear-weapon States with regard to the nuclear weapons capabilities and the implementation of agreements pursuant to Article VI and as a voluntary confidence-building measure to support further progress on nuclear disarmament

– The further reduction of non-strategic nuclear weapons, based on unilateral initiatives and as an integral part of the nuclear arms reduction and disarmament process

– Concrete agreed measures to further reduce the operational status of nuclear weapons systems

– A diminishing role for nuclear weapons in security policies to minimize the risk that these weapons ever be used and to facilitate the process of their total elimination

– The engagement as soon as appropriate of all the nuclear-weapon States in the process leading to the total elimination of their nuclear weapons

10. Excess Fissile Material

Arrangements by all nuclear-weapon States to place, as soon as practicable, fissile material designated by each of them as no longer required for military purposes under IAEA or other relevant international verification and arrangements for the disposition of such material for peaceful purposes, to ensure that such material remains permanently outside of military programmes.

13. Verification

The further development of the verification capabilities that will be required to provide assurance of compliance with nuclear disarmament agreements for the achievement and maintenance of a nuclear-weapon-free world.

In 2010 over 60 further commitments to making the world safer were made.

I recount the accomplishment of these commitments to highlight the diplomatic failure of the 2026 Conference where no final statement of agreement could be reached. We must be sober and recognize that the five states with nuclear weapons are either modernizing and thus making more usable their nuclear arsenals and/or expanding them, and the web of agreements that have constrained and contained proliferation and reduced risk have been eliminated by the actions of Russia and the US which possess over 85% of the world’s over 12,000 nuclear weapons. Threats of use are daily reported in the papers.

Treaty words and promises must mean something or else bullets become the verbs of communication. In the nuclear age this is too dangerous.

If the people of the world knew what diplomats could achieve if they were given the authority to use the skills of law and diplomacy, if they knew the daily risk of use of these devices by accident, design, or madness and the dozens of near uses by mistake, if they knew there is a better way, we could follow the path President Reagan and President Gorbachev opened which led to the reduction of the world’s nuclear arsenals by over 80%.

Today fear is an abused currency. In recent times we have seen how much can be created when hope and trust are invoked. The current downward spiral arising from the abusive arrogance of power exemplified by nuclear threats cannot lead to a better place. Our common humanity alone can bring us common security. It has been done before and it can be done again.

The 2026 NPT Review Conference demonstrated a failure by the five nuclear weapons states to work together to make the world a safer place.

Let us take the advice of Martin Luther King Jr. whose words when he won the Noble Peace Prize remain resonant today. “I refuse to accept the cynical notion that nation after nation must spiral down a militaristic stairway into the hell of thermonuclear destruction. I believe that unarmed truth and unconditional love will have the final word in reality. This is why right temporarily defeated is stronger than evil triumphant.‬”

That is why in the face of apathy, ignorance, fear, war, dishonesty, and violence, those of us who know the life lived without caring, compassion, sincerity and the pursuit of truth is hollow cannot turn away from the imperative that is both moral and practical. The work to fulfill the legal duty to stop the proliferation of nuclear weapons and obtain their legal, verifiable elimination must continue. Working for peace is not an inconvenient truth but a blessing available to all of us.

Jonathan Granoff is President of the Global Security Institute.

IPS UN Bureau

 

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The financing required to build resilient water and sanitation systems continues to leave governments overburdened with debt repayments, excessive borrowing costs, and illicit financial flows. Credit: Jeffrey Moyo/IPS

By Mavis Owusu-Gyamfi and Francisca Tatchouop Belobe
Jun 9 2026 (IPS)

Somewhere in Africa today, a woman will spend more than 30 minutes collecting water that may make her and her children sick. At the same time, her government will face severe fiscal constraints that will limit its ability to provide clean water, among other basic services.

This injustice sits at the heart of Africa’s development challenge. And, with a strong “El Niño” climate cycle currently developing and threatening to disrupt fragile water supplies, the situation can only get worse.

In several countries, debt servicing now consumes between 50 and 70 percent of government revenue, leaving little room for investment in critical sectors like water and sanitation

Africa loses billions of dollars every year through unfair sovereign credit ratings, illicit financial flows, and mounting debt repayments – all symptoms of a global financial system that wasn’t designed with African development in mind. Reforming that system could unlock critical resources for investment in water, sanitation, and the foundations of economic transformation.

Some 418 million Africans still lack basic drinking water services, while 779 million lack basic sanitation. Sub-Saharan Africa remains the only region in the world where the number without access to basic drinking water continues to rise, even as climate change intensifies droughts, floods, and water stress.

No country can industrialize without reliable water systems. No health system can function without sanitation. Agricultural transformation cannot succeed amid worsening climate shocks. And the demographic dividend cannot be realized if women and girls continue to spend hours searching for water instead of pursuing education and economic opportunity.

Yet the financing required to build resilient water and sanitation systems continues to leave governments overburdened with debt repayments, excessive borrowing costs, and illicit financial flows.

Three Essential Challenges

African governments routinely pay borrowing costs that far exceed their actual risk profile. Despite evidence showing Africa’s infrastructure default rates are lower than those in other developing regions, perceptions of risk remain disproportionately high – and those skewed risk perceptions are embedded in sovereign credit ratings. The result is an “Africa premium” that shrinks the fiscal space available for public investment.

Estimates suggest African countries could save up to $74.5 billion if ratings were based on less subjective assessments. Simulations using the Universities of St Andrews and Leicester GRADE model show the human impact of these distortions. In Ghana alone, correcting for bias embedded in sovereign ratings could create enough fiscal space to extend basic water access to more than 417,000 people and sanitation facilities for 381,537 people.

Africa loses vast resources through illicit financial flows, which take three main forms: trade mis-invoicing (falsifying invoices to misrepresent price, quantity, or quality of goods to evade taxes and duties); profit shifting (multinationals exploiting tax loopholes to move reported profits from high-tax countries to low-tax havens); and opaque cross-border transactions (international financial movements hidden by complex customs requirements, poor data transparency, or illicit practices).

UNCTAD estimates that the continent loses $88.6 billion annually to illicit financial flows — resources that could transform access to water and sanitation. In Nigeria alone, curbing trade mis-invoicing could extend water access to 2.56 million people and sanitation services to more than 4 million.

Addressing this challenge requires action globally and domestically. Beneficial ownership transparency, automatic exchange of financial information, and fairer international tax rules must be matched by stronger domestic revenue systems and governance reforms across Africa.

The third challenge is debt.

In 2024, Africa’s external debt service reached $84.4 billion – nearly five times the level recorded in 2010. In several countries, debt servicing now consumes between 50 and 70 percent of government revenue, leaving little room for investment in critical sectors like water and sanitation.

Meanwhile, debt restructuring processes remain too slow and too heavily weighted against debtor countries. The developmental consequences of the current debt burden are already measurable: simulations show that under a scenario in which debt service is capped at just 5 percent of government revenue, Egypt could achieve near-universal access to clean water and sanitation. In Ghana, a more flexible Eurobond restructuring could have resulted in more than a million people gaining access to water and sanitation.

African governments recognize the urgent need for fiscal space to invest in long-term priorities, especially water and sanitation systems that are essential for public health, climate resilience, food security, and economic productivity, hence their adoption,  of the Common African Position (CAP) on Debt — a continental strategy for sovereign debt management and reform so that debt becomes a tool for structural transformation rather than placing economies in a chokehold.

So, when our governments advocate for more concessional financing or lower borrowing costs, they’re talking about the lives of real people, often the most vulnerable: women and children.

The international community must take three steps to accompany Africa on its journey to an economic transformation that truly benefits its people.

First, sovereign credit rating methodologies for African economies must be independently reviewed to correct structural distortions that continue to overprice African risk.

Second, the international community must curb illicit financial flows through stronger transparency standards, fairer global tax rules, and meaningful enforcement mechanisms.

Third, the international debt architecture must be redesigned to support development rather than undermine it.

Sixty-three years ago, African leaders gathered in Addis Ababa to declare that Africa would shape its own destiny.

The continent possesses the resources, institutions, and ambition to drive its transformation. What remains is the political will — globally and domestically — to build a financial system that enables, rather than constrains, Africa’s development.

Mavis Owusu-Gyamfi is President and CEO of the African Center for Economic Transformation (ACET). Francisca Tatchouop Belobe is the Commissioner for Economic Development, Trade, Tourism, Industry and Minerals (ETTIM) Department at the African Union Commission

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By Thalif Deen
UNITED NATIONS, Jun 9 2026 (IPS)

As ongoing military conflicts in Europe and the Middle East continue with no signsof winding down, there is increasing focus on nuclear weaponsamid heightened risks of escalation.

The Stockholm International Peace Research Institute (SIPRI),in its annual assessment of the state of armaments, disarmament and international security, singles out key findings in its SIPRI Yearbook 2026 that “states are increasingly relying on nuclear weapons as instruments of national power—reversing decades of efforts to reduce the numbers and role of nuclear weapons—even as the risks of miscalculation and escalation are rising”.

World’s nuclear arsenals expanded and upgraded

The world’s nine nuclear-armed states—the United States, Russia, the United Kingdom, France, China, India, Pakistan, the Democratic People’s Republic of Korea (North Korea) and Israel—continued programmes to modernize and enhance their nuclear arsenals in 2025, and most deployed new nuclear-armed or nuclear-capable weapon systems during the year, said SIPRI.

The current military conflicts include a nuclear Russia vs non-nuclear Ukraine, a nuclear US vs non-nuclear Iran and a nuclear Israel vs non-nuclear Palestine and Lebanon.

Of the total global inventory of an estimated 12, 187 warheads in January 2026, about 9,745 were in military stockpiles for potential use.

An estimated 4,012 of those warheads were deployed with missiles and aircraft and the rest were in central storage. Between 2100 and 2200 of the deployed warheads were kept in a state of high operational alert on ballistic missiles, according to the report.

Nearly all of these warheads belonged to Russia or the USA, and to a lesser extent France and the UK, but China and India may now occasionally deploy a small number of warheads mounted on missiles during peacetime.

‘Influential voices, including some world leaders, are advocating nuclear weapons as a guarantee against attack by a hostile state. But making national defence and security strategies dependent—or more dependent—on nuclear weapons could significantly increase nuclear risks,’ said SIPRI Director Karim Haggag.

‘The dangers associated with nuclear weapons are growing due to advances in weapon technology, the breakdown of nuclear arms control and heightened geopolitical tensions, among a range of other factors. At the same time, world events—not least the outbreak of conflict between nuclear-armed India and Pakistan—are challenging nuclear deterrence logic.’

Dr M. V. Ramana, Professor and Simons Chair in Disarmament, Global and Human Security, Director pro tem, School of Public Policy and Global Affairs at the University of British Columbia, Vancouver, told Inter Press Service the continued modernization of nuclear weapons and the increased emphasis on nuclear weapons in military doctrines is a dangerous trend, especially when this is happening when many of the most military powerful countries in the world are resorting to attacking other countries with bombs, missiles, and drones rather than diplomatically settling differences.

“Any of these ongoing wars can easily escalate into ones where some country resorts to using nuclear weapons, which would result in destruction an order of magnitude greater than what is already being wrought by the weapons being used currently,” he pointed out.

Such a contingency becomes even more imaginable with the integration of Artificial Intelligence and other software tools to accelerate the kill chain, and possibly removing people from the process of deciding who to attack and what weapons to use, h argued.

Countries without nuclear weapons currently are also witnessing recommendations from influential spokespeople to consider developing a nuclear arsenal. Such a race can quickly spiral out of control, making it urgent that the world collectively step away from expanding nuclear arsenals and considering their use, and more generally, cease the use of militaristic violence to settle differences, said Dr Ramana.

Since the end of the cold war, says SIPRI, the gradual dismantlement of retired warheads by Russia and the USA has normally outstripped the deployment of new warheads, resulting in an overall year-on-year decrease in the global inventory of nuclear weapons. This trend is likely to be reversed in the coming years, as the pace of dismantlement is slowing, while the deployment of new nuclear weapons is accelerating.

‘The evidence is growing that the nuclear weapon states are sidelining, and even walking away from, their disarmament commitments and are instead flexing their nuclear muscles,’ said Hans M. Kristensen, Associate Senior Fellow with SIPRI’s Weapons of Mass Destruction Programme and Director of the Nuclear Information Project at the Federation of American Scientists (FAS).

‘By reaching for nuclear solutions, states are creating new risks and fuelling arms-race dynamics,’ he said.

Dr. Natalie Goldring, the Acronym Institute’s representative at the United Nations, told IPS the nine countries with nuclear weapons are engaged in extremely destabilizing behaviors — developing new weapons, increasing the size of their nuclear arsenals, abandoning arms control frameworks and verification systems, and threatening to use nuclear weapons in response to conventional weapons attacks, among other dangerous moves. Each of these choices increases risk; taken together, the potential consequences are terrifying.

Even the existence of nuclear weapons poses enormous military, economic, and environmental threats, among others. Fortunately, there’s a promising way forward — the Treaty on the Prohibition of Nuclear Weapons (TPNW), which rejects the contention that nuclear deterrence and continued development of new nuclear weapons somehow make us safer.

Under the TPNW, States commit themselves to not develop, test, produce, acquire, possess, stockpile, use, or threaten to use nuclear weapons. The TPNW has 74 States Parties, with an additional 25 signatories that have not yet become States Parties. It’s arguably our best hope of breaking the cycle of continual upgrades and “modernization” of weapons, while decreasing nuclear threats.

“We don’t know whether the fact that nuclear weapons haven’t been used in wartime since the United States military dropped nuclear bombs on Hiroshima and Nagasaki is because of luck, skill (including deterrence), or a combination of those factors. Proponents of deterrence don’t tend to talk about the role of luck. They also don’t tend to talk about the risk of nuclear use through accident or miscalculation. That’s a short-sighted, high-risk approach. Militaries frequently have accidents; they also frequently fail to correctly calculate their adversaries’ capabilities and motivations.”

“The inherent risks of these weapons are compounded by the individuals involved. For example, US President Donald Trump is a threat to international security. He is unpredictable, prone to fits of rage, disinclined to listen to or learn from experts, and poorly informed about specific and general US military policies. And because of US nuclear weapons policy, he has the authority to order the launch of nuclear weapons without anyone else needing to confirm that order. That’s an extraordinarily dangerous situation, especially given his volatility.”

Recent events also increase risk. For example, the New START Treaty limited the number of deployed nuclear weapons for both the United States and Russia and contained useful verification provisions. Unfortunately, the treaty expired in February 2026, removing both the numerical limits on US and Russian nuclear stockpiles and the verification procedures.

Another example is the recent conclusion of the 2026 Review Conference on the Nuclear Non-Proliferation Treaty. This conference continued the pattern from the previous two review conferences, as States were not even able to agree on an outcome document. More importantly, the five nuclear weapons states defined by the treaty (the US, Russia, the United Kingdom, China, and France) continue to fail to meet their commitment to disarmament under Article VI of the Nuclear Non-Proliferation Treaty.

“The US’s stated reliance on the idea of nuclear deterrence may have encouraged other countries to do the same. I remember being at a meeting many years ago, where a South Asian diplomat asked me why the US government was so arrogant that it thought it had a monopoly on nuclear deterrence. He said there was no reason that India and Pakistan couldn’t or shouldn’t have a similar set of strategies. TPNW provides a more sensible answer – all of these States should renounce nuclear weapons.”

IPS UN Bureau Report

 

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South African President Cyril Ramaphosa and Health Minister Aaron Motsoaledi at the official launch of the new injectable drug for HIV prevention, Lenacapavir. Credit: GCIS

By Ed Holt
BRATISLAVA, Jun 9 2026 (IPS)

As South Africa officially launches the rollout of a groundbreaking HIV prevention drug,  civic groups in the country have slammed the plan, saying it will not reach anywhere near enough people.

President Cyril Ramaphosa on June 5 launched the roll-out in South Africa of lenacapavir, a twice-yearly injectable HIV pre-exposure prophylaxis (PrEP) drug that has been shown to offer almost complete protection against the disease, billing it as a ‘historic event’.

But activists say there is nothing to celebrate, warning the targets set in the rollout are too low, and the volumes of the drug provided by the pharma firm behind its development, Gilead, are tiny.

“In an ideal world, South Africa would not be rolling out lenacapavir as a small pilot. We would be treating it as an epidemic-ending intervention. The objective should be to get millions of people onto lenacapavir as quickly as possible, not a few hundred thousand over several years,” Tian Johnson, founder and strategist of the Pan-African health justice advocacy group, African Alliance, told IPS.

“South Africa has the world’s largest HIV epidemic. We also helped generate the scientific evidence that made lenacapavir possible. An appropriate response would therefore be a national scale-up plan linked to epidemiological need, not constrained by artificial scarcity created by patent monopolies, donor allocations, and supply decisions made outside the country,” he added.

South Africa has the world’s highest burden of HIV, with around 8 million people living with HIV. In 2024 it recorded 170,000 new infections, accounting for roughly 13% of the 1.3 million new cases globally that year.

Lenacapavir has been shown in trials to provide almost complete protection against HIV acquisition. It has been praised not just for its effectiveness but also for its potential for very high adherence, as it is an injection given only every six months.

Civic groups say that if rolled out in a timely manner and with greater volumes, it could avert up to 52,200 new infections per year in South Africa alone.

They also point to modelling which has shown that around 2 million people in South Africa need to be taking lenacapavir annually for it to have a real impact on the number of new HIV infections.

But the government’s rollout is expected to reach only around 450,000 people over the next two years. Moreover, only just under 38,000 doses have so far arrived in the country.

Activists blame adversarial US policy and effective monopolies on the drug’s supply for this and say it has highlighted concerns over who has real control over efforts to end the epidemic in the country.

The Global Fund to Fight Aids, TB and Malaria (GF) and the United States President’s Emergency Plan for Aids Relief (PEPFAR) have historically been central to funding South Africa’s HIV response.

But days after Donald Trump entered the White House early last year, PEPFAR slashed around half of its funding for HIV in South Africa – what is left of it is due to run out this month.

So far, the Trump administration is refusing to fund lenacapavir for South Africa as the two countries lock horns politically and ideologically.

This means that the doses to be used in South Africa over the next 18 months to two years will be funded by the Global Fund and are expected to be only sufficient for 456,000 people.

Meanwhile, since Gilead is currently the only manufacturer of lenacapavir and generics are not available on the market yet, there is no alternative path available to secure more doses for the rollout.

Currently the cost of Lenacapavir is about USD 28,000 per person a year in the U.S., but Gilead has issued six licences to companies to manufacture generics, which will be available to 120 low- and middle-income countries. These are expected to become available in 2027, potentially for as little as USD 40 per person per year.

Earlier this year, it was announced the South African government was working to identify a local company to manufacture lenacapavir. Once identified, that company would then be recommended to Gilead for a voluntary licence to produce the drug.

In 2024, Gilead granted such licences to six generic manufacturers across India, Egypt and Pakistan to produce and supply the drug ⁠to 120 low- and middle-income countries. At the time, critics pointed out that no South African ​drugmakers were included.

Gilead has said it is open to adding another licence for local manufacturing in Sub-Saharan Africa. But activists warn that any final decision on a licence will rest with the company.

The groups also highlighted previous delays in the rollout of the programme, which had initially been scheduled to begin in April. When the first doses arrived in South Africa in March and April, they were subject to obligatory regulatory tests. Gilead could have asked for an exemption to the tests but did not, activists claim.

They say all this means properly protecting people against HIV in South Africa is effectively dependent on a pharmaceutical firm and US political policy.

“Gilead currently exercises extraordinary influence over who receives lenacapavir, in what quantities, and on what timeline. When a country with the world’s largest HIV epidemic cannot independently determine access to a medicine that was partly researched within its own borders, something is fundamentally wrong with the balance of power. The uncomfortable reality is that key decisions affecting South Africa’s HIV response are still being made in corporate boardrooms and donor negotiations rather than in South Africa. That should concern everyone, regardless of where they stand on this rollout,” said Johnson.

“Many countries are receiving doses funded by the US, and then also being funded as a result of re-allocation of already committed Global Fund funding repurposed for lenacapavir. The US is refusing to fund South Africa ‘s lenacapavir program, even though there is no better example of a country that needs lenacapavir, and [the programme] would immediately show impact,” Asia Russell, Executive Director of HIV advocacy group Health Gap, told IPS.

“The US government has stated its goal is to bend the curve of new HIV infections, but it is blocking access to the doses urgently needed in South Africa, which means it will fail to reach its goal. It should immediately reverse this decision, stop bullying  South Africa, and provide doses – South Africa’s minuscule allocation of lenacapavir only from the Global Fund means the pandemic will continue raging in South Africa,” she added.

It will also have a detrimental effect on wider efforts to tackle HIV outside South Africa, others say.

“South Africa accounts for more than 13 percent of new HIV infections globally each year, and is a home for millions of other public health care recipients from other countries who benefit from the South African health care system. The US government’s refusal to support South Africa with lenacapavir and cut off other funding is not only cruel but also contributes to delays in ending the HIV pandemic,” Bellinda Thibela, Coordinator for Health Justice and Human Rights at Health GAP, told IPS

Meanwhile, activists point out what they see as another huge injustice in the situation.

South Africa was key to the development of the drug – it hosted testing sites, its clinics were used in research, and subjects came from its communities – yet it is now struggling to secure sufficient supplies of that same drug.

“South Africa played a pivotal role in the clinical development of lenacapavir, hosting 25 of the 28 trial sites that participated in the PURPOSE 1 Phase III study of this groundbreaking long-acting HIV prevention tool. Yet, despite this substantial contribution, my country has found itself in the difficult position that, following approval by the US FDA and rollout in several high-income countries, access to lenacapavir at scale for PrEP remains abysmally low and challenging. And not just for South Africa,” Fatima Hassan of the Health Justice Initiative (HJI), told IPS.

“This underscores persistent inequities within the global innovation ecosystem, where countries that bear a disproportionate burden of disease and contribute significantly to research and development often face delays in accessing the very health technologies they helped bring to fruition. It also raises important questions about local manufacturing, technology transfer, regulatory capacity, affordability, and equitable access in markets that are frequently perceived as less commercially attractive, despite their central role in generating the evidence that drives global health innovation and the development of new health technologies,” she added.

In a statement, Gilead said the launch of the rollout was an important step toward expanding access to lenacapavir for communities most affected by HIV.

“South Africa is at the heart of global efforts to end HIV. With the country’s launch of lenacapavir, there is now an opportunity to rapidly accelerate progress,” said Daniel O’Day, Chairman and Chief Executive Officer of Gilead Sciences. “Through partnerships with country leadership, the Global Fund, and the U.S. State Department via PEPFAR, Gilead is working to bring lenacapavir to the communities most in need, ahead of the broad rollout of generic versions of the medicine.”

The company also highlighted what it said was its commitment to supporting broad, equitable and sustainable access to lenacapavir for HIV prevention globally,  pointing to its royalty-free voluntary licence agreements with six manufacturers enabling generic supply across 120 low- and lower-middle-income countries to support long-term, lower-cost medication supply.

“As highlighted by today’s announcement and the strong, coordinated leadership demonstrated in South Africa, the continued collaboration between countries, global health partners and industry will be critical to reaching people with new innovations at scale, reducing new HIV infections and advancing our shared goal of ending HIV as a public health threat,” the company said in the statement.

Civic groups have called on South Africa’s government to scale up the volumes for the rollout and expand it to make sure it can be accessed by more people – they have criticised the fact that out of more than 3,000 public clinics, just 300 in 23 districts have been chosen for the rollout, and mobile clinics, which would be more likely accessed by some communities, are not being used.

They also want to see more pressure put on Gilead to drastically expand its current licence territories to help manufacture lenacapavir.

“At the moment, we have a Gilead-driven launch event, but we do not have a credible epidemic-ending plan. The bigger issue is that South Africa appears to have accepted the limits imposed by Gilead rather than challenging them,” said Johnson.

He added that under the current roll-out plan a crucial opportunity to end the HIV epidemic sooner in South Africa was being missed.

“The tragedy is that South Africa is not dealing with a scientific failure –  the science worked. Lenacapavir is one of the most promising HIV prevention tools ever developed. What we are facing is a political and access failure. If we know that roughly two million people need access annually to achieve maximum public health impact, then a faux roll out reaching a fraction of that number inevitably means preventable infections will continue occurring.

“Every year we delay large-scale access is another year in which tens of thousands of South Africans will acquire HIV despite the existence of a prevention tool capable of dramatically reducing transmission. This is why the debate is not really about a rollout. It is about whether South Africa intends to end the epidemic or manage it. The current approach manages the epidemic dismally. An epidemic-ending strategy would look very different,” Johnson said.

IPS UN Bureau Report

 

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