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Hospital bombing deepens bleak situation for war-weary South Sudanese

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“Every time this happens, people lose access to health services – and sometimes, to hope,” said Dr Humphrey Karamagi, the UN World Health Organization (WHO)’s Representative in South Sudan. “Health is the last safety net. If it fails, everything else will also fall.”

The apparent airstrike on the hospital run by Médecins Sans Frontières (MSF) in Old Fangak in eastern Jonglei state, killed seven civilians and injured another 20, according to the UN humanitarian affairs coordination office (OCHA).

Healthcare not a target

The attack is the eighth time healthcare has been targeted since January “with health workers killed, facilities and essential supplies looted or destroyed”, the WHO official told journalists in Geneva.

“More attacks may lead to closing half the health facilities along the Nile,” he added.

Dr. Karamagi explained that humanitarian convoys and essential cold chain infrastructure had come under fire, at a time of escalating violence that has impacted civilians since South Sudan gained independence in 2011, descending shortly afterwards into civil war.  

Since March, tensions have escalated in Upper Nile state, with deadly clashes between Government forces and armed groups. This has uprooted an estimated 80,000 people in three of the most affected counties, the WHO official said.

He added that clashes have also been reported in parts of Western Equatoria, Central Equatoria and Unity states, forcing communities – “mostly women and children” – to flee into neighbouring countries, including 23,000 arrivals in Ethiopia.

Diseases spreading

Back in South Sudan, outbreaks of cholera, malaria, measles and mpox are spreading rapidly, prompting the UN health agency to deploy rapid response teams and coordinate with local partners where possible, amid access restrictions linked to the escalating violence.

“The alternative, if we do nothing, would be bleak,” the WHO official warned, pointing to cholera cases that may double in just six weeks and measles deaths that could increase by up by 40 per cent.

Cholera alone has infected more than 55,000 people since September, killing over 1,000, the UN health agency said.

‘War crime’ condemnation

In a related development, the UN Commission on Human Rights (OHCHR) in South Sudan condemned the bombing as a potential war crime.

“This was not a tragic accident,” said Yasmin Sooka, Chair of the Commission. “It was a calculated, unlawful attack on a protected medical facility.”

MSF confirmed the hospital’s complete destruction, including its pharmacy and emergency care units. Further aerial bombardments were also reported in New Fangak, raising fears that such attacks are part of a broader military campaign.

The airstrike followed public threats by South Sudanese military forces who demanded the return of seized boats and labelled multiple Nuer-majority counties, including Fangak, as “hostile”.

“Designating entire communities as hostile is deeply irresponsible and may amount to collective punishment,” said Commissioner Barney Afako.

Plea for action

The UN Commission has urged immediate investigations into the bombing and warned that repeated violations threaten to derail South Sudan’s fragile peace.

With high-level delegations from the African Union and IGAD now in the capital Juba, calls for renewed dialogue are growing louder. “The path South Sudan is currently on is perilous,” Ms. Sooka warned. “If attacks like these continue with impunity, the Peace Agreement risks becoming meaningless.”

In his final appeal, Dr Karamagi emphasised the cost of inaction: “Help us make sure this doesn’t become the moment health – and hope – finally give way.”

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Myanmar crisis deepens as military attacks persist and needs grow

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The 28 March quakes killed over 3,800 people and damaged or destroyed more than 55,000 homes across multiple regions, including Bago, Kayin, Magway, Mandalay, Southern Shan, Naypyitaw and Sagaing.

Families already displaced by years of conflict now face early torrential rains, extreme heat and rising risk of disease. Nearly 20 million people – more than a third of the population – needed assistance even before the earthquakes.

Unremitting violence

Despite the scale of the disaster, High Commissioner for Human Rights Volker Türk warned on Friday that the Myanmar military has launched at least 243 attacks – including 171 airstrikes – since the massive tremors.

Most of the attacks occurred after 2 April, despite both the military and the opposition National Unity Government (NUG) announcing unilateral ceasefires which were largely unobserved.

“It is imperative that the military immediately stop all attacks on civilians and civilian objects,” he said in his statement, calling for a genuine and permanent nationwide halt to hostilities and a return to civilian rule.

He underscored the need to put the people of Myanmar first, prioritise their rights, and achieve a peaceful resolution.

“Instead of further futile investment in military force, the focus must be on the restoration of democracy and the rule of law in Myanmar,” Mr. Türk said.

Delays putting lives at risk

UN humanitarians in the country also warn that the situation remains dire.

Speaking to journalists in New York via video link from Yangon, Humanitarian Coordinator ad interim Marcoluigi Corsi said that one month on, people are still living in the open and facing increasingly difficult conditions.

“The suffering is immense and the stakes are very high,” he said on Thursday, urging the international community to translate funding pledges into rapid, large-scale support.

“Every delay means more lives at risk and more communities in Myanmar struggling to rebuild.”

Lack of funding imperils response

Agencies have reached 600,000 people with water, sanitation and hygiene services. They have also provided nearly 500,000 people with food assistance and over 100,000 with emergency shelter.

But the response remains constrained by severe underfunding.

Mr. Corsi called on donors to urgently disburse their pledged amounts. Without timely action, the crisis would get worse, he warned.

“Lives depend on our collective commitment to delivering the support that is desperately needed…the time to act is now,” he said.

The $275 million addendum to the 2025 humanitarian response plan has received just $34 million – or about 12 per cent – leaving affected communities without assistance.

Disease outbreak risk

According to the UN World Health Organization (WHO) over 450,000 people require critical health services, but only about 33,600 have been reached so far.  

Disease outbreaks are also a growing concern as nine of the 20 townships most at risk for cholera fall within earthquake-affected areas. Stagnant water from delayed rubble removal is creating mosquito breeding grounds, driving up the risk of malaria and dengue.  

Limited access to medicines and medical supplies are further straining already overstretched health facilities.

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Afghanistan’s socioeconomic crisis deepens amid crackdown on women’s rights

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As the Afghan economy faces stalled local production and weak job creation, Afghanistan continues to heavily rely on imports and international assistance.

“UNDP’s current analysis and new data indicate the continuation of a deeply troubling trajectory for the Afghan people, who have been grappling with extreme vulnerability over the past decade,” said Kanni Wignaraja, UN Assistant Secretary-General and head of UNDP for the Asia-Pacific region.

Systemic challenges

In the past year, political uncertainty, an ongoing economic crisis, shrinking international aid and climate disruptions have compounded existing vulnerabilities, limiting the economy’s ability to regain momentum.

As Afghanistan heavily relies on foreign assistance, the current reduction in international aid is likely to have a significant impact on humanitarian operations and the delivery of basic services.

“UNDP stresses the need for targeted interventions to address these challenges, recognising that humanitarian assistance alone is not enough, and sustainable longer-term economic and social solutions are needed,” said Stephane Rodriques, UNDP Resident Representative in Afghanistan.

Restriction on women’s rights

As repressive laws continue to erode women’s rights, safety and access to basic services such as education and employment, Afghanistan’s socioeconomic crisis has seen the gender gap widen further, pushing women deeper into social exclusion and poverty.

With only seven per cent of Afghan women working outside of the household in 2024, restrictions on women and girls are projected to cost the Afghan economy nearly $920 million between 2024 and 2026, according to UNDP.

UNDP called for Afghanistan to lift restrictions on women and girls and for comprehensive support to women-led businesses to be provided.

Returnees

In 2024, Afghanistan also faced a major influx of returnees from Pakistan and Iran, as these neighbouring countries hardened their stance on Afghan refugees and migrants.

The UN expects the rate of returnees to increase in 2025, with an estimated 600,000 to 1.5 million people expected to return to Afghanistan.

“With the anticipated arrival of hundreds of thousands of returnees this year and a marked reduction in international support, Afghan communities will have to navigate substantial challenges that will increase pressure on an already highly tenuous daily subsistence,” said Ms. Wignaraja.

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