Assaults in opposition to well being amenities doubled between 2023 and 2024, and greater than 900 well being employees had been killed final yr, the company reported.
Humanitarian help employees had been additionally killed in file numbers in 2024. But, 2025 is outpacing even these darkish statistics at a time when funding for humanitarian work is shrinking and help companies established over a long time are struggling to function.
UN Information
The Particular Surgical procedure Constructing at Al-Shifa Medical Advanced in central Gaza Metropolis has been lowered to rubble.
Assault on Gaza’s well being system
The almost two-year-long battle has devastated Gaza’s well being system, leaving hundreds with out entry to important companies. Now, as famine takes maintain, miscarriages, untimely births and low delivery weight instances have surged, whereas new child deaths are growing, the UN company warned.
PULL QUOTE: Life should proceed even when bombs are going off.
“As a result of the supply room was underneath direct fireplace, I delivered infants in hospital hallways,” mentioned Ayda, a senior midwife in northern Gaza. “For lights, we used cell phones. Regardless of the dearth of provides and water, our fingers continued to work. Life should proceed even when bombs are going off.”
Since October 2023, the World Well being Group (WHO) has documented over 720 assaults on healthcare in Gaza, with at the least 1,580 well being employees killed and as but unknown numbers arrested and detained by Israel. Amongst them was Ayda, who simply days after sharing her story, was killed in an airstrike together with 37 members of her household.
© UNFPA
Dr. Khalid Badreldin accomplished his research on the Ibrahim Malik Hospital in Khartoum, which now lays in ruins.
Delivering amid devastation in Sudan
In a area of rubble that was a part of the Ibrahim Malik Hospital in Khartoum, Dr. Khalid Badreldin, a reproductive well being analyst with UNFPA in Sudan, recalled performing his first surgical procedure and delivering his first child there.
“Now, I discover it like this,” he mentioned, lamenting the now shuttered hospital that was as soon as a significant supplier of emergency remedy and maternal and neonatal companies. The hospital has joined greater than 80 per cent of well being amenities in Sudan’s battle zones which can be now not operational.
In the meantime, midwives in Khartoum, the capital, are taking “big dangers to succeed in ladies of their properties”, defined Hawaa Ismael, who works on the UNFPA-supported Kararai Well being Centre.
“It was exhausting, working day and evening, nevertheless it’s our responsibility, and I’m happy with what we’ve executed.”
On the opposite aspect of the nation, workers on the El Fasher Maternity Hospital have come underneath assault, with one midwife killed when her house was shelled on Thursday and one other kidnapped.
Haiti’s spiralling disaster
Clinics and hospitals have been intentionally focused within the disaster that has gripped Haiti over the previous 18 months, additional weakening a well being system already hobbled after years of battle, looting and monetary collapse.
© UNFPA
In Haiti, folks carrying their belongings flee in close to darkness.
The State College Hospital, the nation’s largest, was attacked at its reopening ceremony in December 2024, following a 10-month closure, with a number of folks killed, in response to experiences. In the identical month, armed gangs set fireplace to the Bernard Mevs Hospital in Port-au-Prince, the capital, and in April, assaults pressured Mirebalais College Hospital to shut.
Organized gangs are waging a brutal marketing campaign to grab management of the capital, with sexual violence rampant. An estimated 1.2 million ladies and ladies are in pressing want of safety in opposition to gender-based violence, however on account of ongoing insecurity, three out of UNFPA’s 4 secure areas in Port-au-Prince had been just lately pressured to shut and relocate. As entry to emergency companies stays extraordinarily restricted, only one quarter of rape survivors obtain care throughout the crucial 72-hour interval.
© UNOCHA/Viktoriia Andriievska
Ukraine’s largest pediatric well being centre, Okhmatdyt Youngsters’s Hospital in Kyiv, was hit on 8 July 2024 in one of many worst missile assaults on the nation.
Heavy toll in Ukraine
Since January 2025, the World Well being Group (WHO) has recorded over 300 assaults by Russia on healthcare amenities, companies and personnel in Ukraine, the place ladies and ladies are sometimes compelled to search out safer locations to shelter and provides delivery.
“On daily basis brings stress,” mentioned Anastasiia from Sloviansk, on the frontline Donetsk area. “Even when there’s no fast strike, the preventing close by is loud and fixed. I used to be afraid to present delivery, however life goes on. We need to stay too.”
Her area lacks a neonatal intensive care unit and whereas medical doctors can carry out a Caesarian part, they may not present full care if issues arose. As her due date approached, Anastasiia travelled some 20km to succeed in the Kharkiv Regional Perinatal Centre regardless of the town being usually subjected to bombings, drone strikes and artillery shelling.
The response employees who assist ladies like Anastasiia usually face dangers.
“Once we arrive on the websites of assaults or in instances of violence, we don’t have time to decelerate,” defined Roman, who works with a UNFPA cellular psychosocial help group in Dnipro. “It’s like our personal reactions are on maintain. Solely later, once we look again and talk about it, can we realise how troublesome it truly was.”
Underneath fireplace in DR Congo
Within the restive japanese Democratic Republic of the Congo (DRC), most amenities offering maternal healthcare have been bombed or looted.
© UNFPA/Jonas Yunus
Midwife Loti Kubuya Mielor assists a newly arrived displaced lady who gave delivery in a shelter in Goma, DR Congo.
Certainly, only one third of hospitals within the area and one in 5 well being centres are in a position to operate. UNFPA’s cellular well being groups are sometimes the one choice ladies have.
Displaced since February 2023, Francine Toyata recalled her latest journey via “darkness and chaos” along with her mom to succeed in a UNFPA-supported cellular well being clinic to present delivery within the Rutshuru territory of North Kivu province.
“It’s for ladies like Francine that we do that work,” mentioned Nelly, her midwife.
Because the battle escalates, bombs have began hitting camps for internally displaced folks, and cellular well being clinics and listening centres have additionally been looted and destroyed.
“We weren’t secure,” Nelly added. “We want extra help to satisfy these pressing wants.”
