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    Bangladesh: Tk 1.3 Trillion in Defaulted Loans Pushes Shariah-Based Banks Toward Crisis

    Among the troubled financial institutions are major banks and non-bank financial entities linked to the S. Alam Group. These banks have seen explosive growth in the last 15 years, often under opaque circumstances and with questionable lending practices.

    A cluster of weak banks are dragging Bangladesh’s banking sector into a deepening crisis, as non-performing loans (NPLs) within Shariah-based financial institutions reach an alarming Tk 1.3 trillion. Many of these banks are linked to industrial conglomerate S. Alam Group.

    Despite regulatory interventions and leadership reshuffles, the situation remains grim, raising serious concerns about the stability and future of Islamic banking in the country.

    According to the latest data from Bangladesh Bank, the 10 Shariah-compliant banks now account for over 23 per cent of the total defaulted loans within the country’s financial system. This default burden, equal to Tk 1.3 lakh crore, has been compounded by years of unchecked irregularities, misappropriation of funds, and poor oversight, the Anti Corruption Commission (ACC) of Bangladesh says.

    “This crisis did not emerge overnight. It is the result of over a decade of systemic abuse, weak governance, and the exploitation of Islamic banking structures,” said a senior central bank official who requested anonymity due to the sensitivity of the issue.

    Among the troubled financial institutions are major banks and non-bank financial entities linked to the S. Alam Group, including Islami Bank Bangladesh Limited, First Security Islami Bank, Union Bank, and Global Islami Bank. These banks have seen explosive growth in the last 15 years, often under opaque circumstances and with questionable lending practices.

    A recent court order to freeze deposits worth over Tk 8,133 crore belonging to S. Alam Group chairman Mohammed Saiful Alam and his family has further intensified scrutiny. Investigations by the Anti-Corruption Commission (ACC) suggest that S. Alam acquired control over several banks and financial institutions through front companies, allegedly siphoning off thousands of crores in loans.

    Formation of Task Force

    Despite these revelations, efforts by Bangladesh Bank to reverse the damage – including the dissolution of bank boards and capital injections – have met with limited success. Depositor confidence has remained low, and structural reforms have yet to take hold.

    In a bid to break the impasse, central bank governor Dr Ahsan H Mansur has proposed a bold step: merging several of the weaker Islamic banks into two large, consolidated entities. The idea, although still in its formative stage, is aimed at stabilizing operations and regaining public trust.

    The proposal has been met with a mix of cautious optimism and outright scepticism.

    “I am in favour of mergers, but not of forcing them,” said Dr Shah Md. Ahsan Habib, a professor at the Bangladesh Institute of Bank Management (BIBM), writing for the Daily Star Newspaper. “Forcing these mergers is not advisable. The balance sheet of one bank would be merged with another, and their operations integrated. I hope they succeed, but I have my doubts.”

    Mohammad Nurul Amin, chairman of Global Islami Bank, echoed similar concerns. “No forensic audits, damage assessments, or valuations have been conducted yet. There is no issue with forming two large banks. But combining two major negative narratives could result in a significantly adverse impact.”

    Bangladesh Bank has confirmed the formation of a task force to evaluate the situation. It is also drafting a new “Bank Resolution Act” that will provide a legal and procedural framework for the proposed mergers and acquisitions.

    “Some banks may be merged, while others could be acquired,” said Arif Hossain Khan, executive director and spokesperson of Bangladesh Bank. “The actual outcomes and the procedures involved will be detailed in the Bank Resolution Act. Once the policy framework is finalized, subsequent steps should be more straightforward.”

    Not All Are Convinced

    However, concerns persist about whether these measures are too little, too late. Many of the affected banks have already lost their competitive edge and face difficulties in regaining customer trust.

    As a potential solution, some experts have suggested turning the merged banks into sector-specific institutions. “A bank for the textile sector or SMEs could be considered,” said Amin. “Assigning specific responsibilities, like Krishi Bank, could be effective.”

    But not all are convinced.

    “Our experience with specialised banking isn’t encouraging,” said Prof. Ahsan. “A narrow focus doesn’t guarantee success. BRAC Bank started as an SME-focused institution, but it took more than just a mandate to make it work.”

    Sceptics also point to the entrenched political and corporate influence over some of the failing banks, particularly those linked to S. Alam. With allegations of cronyism and political protection swirling, restoring transparency and accountability remains an uphill battle.

    Founded in 1985, S. Alam Group has expanded rapidly across sectors such as steel, cement, food, and finance, employing over 20,000 people. However, the group’s financial empire now stands at the center of what could be one of Bangladesh’s most significant banking crises in recent history.

    As the country waits for the central bank’s task force to deliver its recommendations, the future of Islamic banking, and public trust in the financial system, hangs in the balance.

    Image: Chatgpt

    War, huh, Yeah, What is it Good For?

    War is most often not the answer. When it is, it is always the very last resort after all other means to resolve adverse situations have been well and truly exhausted.

    Premangshu Ray

    A school classmate said that he was all for blowing the terrorists and their supporters “to kingdom come” and advocated that we should “make them remember their grandmothers”. This was part of an ongoing chat in a WhatsApp group and this comment came just two minutes before 6 pm on May 6, before the Indian armed forces carried out strikes on terror establishments in Pakistan-occupied Kashmir (PoK) and Pakistan in response to the attack at the Baisaran Valley in Pahalgam. The point to be noted is that this was tempered with the statement that it is pertinent to remember Pakistan is a nuclear state and thus the situation should be handled strategically. This, my friend said, is more so as nuclear warheads falling into the hands of non-state actors would be “the ultimate disaster”.

    The strike by the Indian armed forces on the nine terror establishments – five in PoK and four in Pakistan – is something we all should support and be proud of. There is no gainsaying that. There can be no case to condone any action by any foreign entity, whether governmental or non-state, that harms India’s interests. Such actions should never be tolerated. The nation must stand as one and support any action taken by the government in response to such attacks and to bring the perpetrators to book. Politics and other differences must be put aside with regard to such action by the government. That is a given.

    Very Last Resort

    One should, nevertheless, keep in mind that war is horrific. It is most often not the answer. When it is, it is always the very last resort after all other means to resolve adverse situations have been well and truly exhausted. “One of the most horrible features of war is that all the war propaganda, all the screaming and lies and hatred, comes invariably from people who are not fighting,” George Orwell wrote. If that does not hit home, a World War II survivor wrote: “If leaders and civilians could see arms and feet blown apart, headless bodies and smell the stench of rotting human flesh – there will be no wars.” Those who call for war or those who give the order for military action leading to war will not suffer the effects of such action. It is the soldiers and the civilians who face the bullets who will bear the cost of war by paying for it with their lives.

    Take the case of the Pahalgam attack and the counter strike by India. India did absolutely nothing wrong in carrying out the precision strikes on the five terror hubs in PoK and four in Pakistan. India should not, will not and cannot be expected to sit quietly while it is being attacked. It is also not contested, except by Pakistan, that terrorist activities that take place in Kashmir are linked to our western neighbour.

    Several Indirect Costs

    However, it should be remembered that Pakistan will use all the means at its disposal to retaliate to any action taken against it by India. Our neighbour has indulged in heavy shelling from across the Line of Control in Poonch, following the precision strikes carried out by India. This has led to about 15 Indians being killed and at least 50 being injured. If war had been declared, the response would likely have been far more intense. The capability of the Indian military to tackle any misadventure by Pakistan is not in doubt, but a significant number of casualties can be expected in the event war does break out.

    There are also several indirect costs. People flee their homes when a war breaks out and this results in a humanitarian crisis with long-term social and economic consequences. A war causes intense trauma for people, resulting in mental health issues and long-term psychological distress. There is also widespread destruction. A substantial amount of financial resources is required to rebuild the infrastructure that is destroyed during a war. Such conflicts also lead to disruption in essential services, which in turn result in further loss of life. Enormous financial resources are required for military personnel, equipment, and operations. The disruption in economic activity caused by war also leads to a decline in production and trade. Besides, during war most production is geared to helping the war effort and thus production of goods that may be necessary for others takes a backseat.

    The words of the 1970 song by Edwin Starr come to mind:

    War, huh, yeah

    What is it good for?

    Absolutely nothing…

    War, I despise

    ‘Cause it means destruction of innocent lives

    War means tears to thousands of mother’s eyes

    When their sons go off to fight

    And lose their lives

    Peace out.

    The writer is a senior journalist who writes on issues affecting the common man.

    World Bank Unveils $1 Billion Package to Spur Jobs and Private Sector Growth in Sri Lanka

    The agriculture sector will receive $100 million to modernise farming practices, enhance market access, and attract investment. The program will benefit over 380,000 people, including 8,000 agri-food producers, and is projected to draw an additional $17 million in private capital.

    In a significant boost to Sri Lanka’s ongoing economic recovery, the World Bank Group has announced a $1 billion support package aimed at creating jobs and stimulating private sector growth over the next three years. The initiative, revealed during the first visit by a World Bank President to the island in two decades, underscores a renewed international commitment to the country’s development path following its recent economic crisis.

    The package targets four key sectors – energy, agriculture, tourism, and regional development – that are expected to generate substantial employment opportunities and attract private investment. World Bank Group President Ajay Banga, who met with Sri Lankan President Anura Kumara Dissanayake in Colombo, emphasized that this is a “moment of opportunity” for the country as it emerges from crisis and begins rebuilding.

    “With progress underway to stabilize the economy and restart growth, core elements for job creation are in place,” said Banga. “Now is the time to accelerate reforms and create the conditions for private enterprise to thrive, particularly in sectors that can create jobs at scale.”

    President Dissanayake welcomed the initiative as a crucial investment in the people of Sri Lanka. “It will help create jobs, support small businesses, and open up new opportunities across the country. We are committed to ensuring this partnership delivers real change for our communities,” he said.

    “This is a moment of opportunity for Sri Lanka,” World Bank Group chief Ajay Banga said in a statement after meeting Sri Lanka President Anura Kumara Disssanayake in Colombo.

    “With progress underway to stabilize the economy and restart growth, core elements for job creation are in place.

    “Now is the time to accelerate reforms and create the conditions for private enterprise to thrive – particularly in sectors that can create jobs at scale.”

    Focus on Job Creation

    According to World Bank estimates, nearly one million young people will enter the Sri Lankan workforce over the next decade. However, projections suggest only about 300,000 jobs will be created during that period, leaving a significant employment gap. The new financing package is designed to close this gap by mobilizing both public and private investment to create more – and better – jobs.

    The integrated approach combines the World Bank’s financing, technical expertise, and private sector tools, aiming to strengthen local industry and expand economic opportunity.

    “This support from the World Bank Group is an investment in the people of Sri Lanka,” the statement quoted President Dissanayake as saying.

    “It will help create jobs, support small businesses, and open up new opportunities across the country. We are committed to ensuring this partnership delivers real change for our communities.”

    Sector-Specific Investments

    A significant portion of the funding will be channelled into energy infrastructure, with $185 million allocated to support the development of solar and wind power projects totalling 1 gigawatt of capacity. This move is expected to reduce electricity costs for households and businesses, while also unlocking over $800 million in private sector financing, supported by $40 million in guarantees.

    The agriculture sector will receive $100 million to modernise farming practices, enhance market access, and attract investment. The program will benefit over 380,000 people, including 8,000 agri-food producers, and is projected to draw an additional $17 million in private capital.

    A 100 million dollars will go to help farmers and agribusinesses adopt new technologies, access markets, and attract private capital.

    Tourism, one of Sri Lanka’s key economic drivers, is set to receive $200 million. These funds will be used to protect and enhance natural and cultural heritage sites, create employment opportunities, and ensure local communities benefit directly from tourism revenues.

    Another $200 million will be invested in regional development, targeting historically underserved areas such as the Northern and Eastern Provinces. These funds will go toward infrastructure projects and local industry support aimed at fostering inclusive growth and job creation.

    Long-Standing Partnership

    The World Bank Group has been a development partner to Sri Lanka for over 70 years, with current investments in the country exceeding $2.2 billion. The newly announced package builds on that relationship and marks a shift towards more targeted support that leverages private capital and knowledge-sharing to achieve sustainable outcomes.

    This initiative comes as Sri Lanka continues its recovery from a devastating currency crisis that led to a sovereign default. The crisis exposed deep structural vulnerabilities in the country’s economy, and the government has since been working to implement reforms and stabilise macroeconomic conditions.

    The visit by World Bank President Banga and the announcement of such a substantial package signal international confidence in Sri Lanka’s recovery trajectory. Analysts see the move as a positive step not only for job creation but also for restoring investor confidence and fostering broader economic resilience.

    “This package is not just about money – it’s about momentum,” said a senior World Bank official familiar with the program. “It’s about building a pathway to prosperity through investment, innovation, and inclusion.”

    UN Secretary-General Urges Military restraint from India, Pakistan

    “Targeting civilians is unacceptable – and those responsible must be brought to justice through credible and lawful means,” Guterres said.

    The UN chief has expressed deep concern over Indian military operations across the Line of Control and the international border with Pakistan.

    In a note to correspondents issued by his spokesperson on Tuesday, Secretary-General António Guterres called for military restraint from both countries.

    “The world cannot afford a military confrontation between India and Pakistan,” the note said.

    On Monday, the Secretary-General had warned that the tensions between the two South Asian neighbours had reached “their highest in years.”

    He offered his good offices to both governments to help defuse tensions and promote diplomacy, stressing that “a military solution is no solution.”

    Speaking to the media on Monday, Mr. Guterres condemned the 22 April terror attack in the Pahalgam area of Jammu and Kashmir, which left at least 26 civilians dead and many more injured.

    “Targeting civilians is unacceptable – and those responsible must be brought to justice through credible and lawful means,” he said.

    India Showcases SVAMITVA at World Bank Land Conference

    The sessions on “Good Practices and Challenges in Land Tenure” and “Securing Land Rights for a Billion People” aimed at fostering a dialogue on inclusive land governance.

    By Aditi Agrawal

    India, took centre stage at the World Bank Land Conference 2025, held in Washington D.C., reaffirming its global leadership in inclusive land governance and grassroots empowerment. Participating as a Country Champion in the Plenary Session on 6th May 2025, Vivek Bharadwaj, Secretary, Ministry of Panchayati Raj, delivered an address during the High-Level Plenary on “Good Practices and Challenges in Land Tenure and Governance Reform”, articulating India’s leadership in land rights, tenure reforms, and technology-driven spatial planning.

    Bharadawaj said that under the leadership of Prime Minister Narendra Modi, India’s pioneering SVAMITVA Scheme (Survey of Villages and Mapping with Improvised Technology in Village Areas) has emerged as a transformational initiative in rural land governance. Bharadwaj shared deep insights into the scheme’s journey – beginning with onboarding states, amending state-specific laws and survey rules, and establishing critical technological infrastructure like Continuously Operating Reference Stations (CORS) to enable accurate drone-based mapping. He explained how India’s federal structure requires strategic cooperation, coordination, and community involvement to drive reforms on a national scale.

    In his address, Bharadwaj mentioned the Peruvian economist Hernando de Soto’s observation about the untapped economic potential locked in informal land holdings. He emphasised that India has surveyed 68,000 square kilometers of rural land under SVAMITVA, unlocking $1.16 trillion worth of assets, thereby offering millions of rural families legal title, dignity, and access to credit and opportunity. Through anecdotes of individuals like a dairy farmer in Madhya Pradesh who expanded his business, or a mother in Rajasthan who funded her daughter’s overseas education, he highlighted how land ownership is being converted into real empowerment.

    Land Rights for a Billion

    The special event, titled “Securing Land Rights for a Billion People,” is set to further amplify India’s model of inclusive and technology-driven land governance. Led by the Ministry of Panchayati Raj, the session will open with welcome and opening remarks by Dr. Klaus W. Deininger, Lead Economist, World Bank, followed by an introduction by Mr. Somik V. Lall, Senior Advisor, DECVP, World Bank. The event will spotlight the design, impact, and scalability of the SVAMITVA Scheme, with presentation by Vivek Bharadwaj.

    The side event will be attended by all delegates of the World Bank Land Conference 2025, including advisors and senior advisors to seven Executive Directors representing regions across Africa, Latin America and the Caribbean (LAC), Central Asia, South Asia, and South East Asia, offering a valuable opportunity for cross-regional dialogue and exchange. The side event will provide a focused platform to discuss the implementation methodology and transformative benefits of the SVAMITVA Scheme with countries that share similar land administration systems. Bharadwaj said that the objective is to explore avenues for collaboration, enabling the ministry of panchayati raj to support and partner with these nations in adopting and adapting similar models in their respective contexts.

    SDG Target 1.4.2

    Another area of focus is the Gram Manchitra, India’s advanced GIS-based spatial planning platform. Alok Prem Nagar, Joint Secretary, Ministry of Panchayati Raj, will present how the platform is facilitating spatially informed decision-making at the Panchayat level, showcasing the integration of cutting-edge technology with grassroots governance to foster sustainable, resilient, and self-reliant villages.

    India’s interventions across these sessions aim to serve not only as a model for participatory and technology-enabled land governance, but also as a call to action for other nations striving to achieve SDG Target 1.4.2 which aims to ensure legal ownership and control over land for all, especially vulnerable communities.

    Through its presence at the World Bank Land Conference 2025, India has been positioned as a global thought leader in land tenure reforms, rural development, and inclusive governance demonstrating that a data-driven, people-centric approach can effectively bridge centuries-old land insecurity and usher in a new era of legal recognition, dignity, and prosperity for rural citizens.

    Image: Wikimedia

    WHO Warns of Deepening Health Crisis in Afghanistan as Aid Dwindles

    Signs of strain are visible. In March, the WHO warned that 80 per cent of the health centres it currently supports would be forced to close by June due to a lack of funding.

    The World Health Organization (WHO) has raised alarms over Afghanistan’s deteriorating healthcare system, warning that a critical lack of funding and international support could bring the country’s fragile medical infrastructure to the brink of collapse.

    In a recent appeal, Edwin Ceniza Salvador, WHO Representative in Afghanistan, stressed that the country is facing a deepening health crisis as aid dries up and the burden of healthcare expenses increasingly falls on the Afghan people themselves.

    “About 80 per cent of healthcare costs are now paid out-of-pocket by individuals. Only 19 per cent is supported by the international community, and a mere one per cent comes from the de facto government,” Salvador said, describing the funding structure as unsustainable and unjust for a country grappling with economic and political instability.

    The decline in support follows the suspension of US assistance, which previously accounted for nearly half of the international funding directed toward Afghanistan’s healthcare. Salvador highlighted ongoing efforts to court alternative donors, including the European Union and Gulf states, in a bid to bridge the funding gap.

    “We are working to increase partnerships with goodwill donors like the European Union, and we’re encouraging Gulf states and other governments that haven’t traditionally supported Afghanistan to step up,” he said. “This isn’t just about money – it is a matter of life and death.”

    The consequences of dwindling aid are already being felt across the country. Doctors and medical professionals are reporting severe shortages of resources, staff, and support, especially in remote and rural areas.

    “In far-flung provinces, people are facing extreme poverty and worsening health conditions,” said Dr. Abdulwahid Safa. “There is an urgent need for aid in child and maternal nutrition and basic healthcare services.”

    Strain Visible

    Healthcare workers say the international community’s support is not only vital for maintaining services but also for ensuring salaries, clinic maintenance, and medicine supply chains. Dr. Mujtaba Sufi warned that politicising or interrupting this aid could devastate community health efforts. “People rely heavily on this assistance,” he said. “We must not halt these services, but we should also consider building toward self-sufficiency.”

    Yet, signs of strain are visible. In March, the WHO warned that 80 per cent of the health centres it currently supports would be forced to close by June due to a lack of funding. This sparked concern from both national and international health officials.

    Abdul Latif Nazari, Afghanistan’s Deputy Minister of Economy, echoed those concerns, saying: “Our appeal to the global community and humanitarian organizations is to support WHO, so it can continue its essential work for the Afghan people.”

    Despite such appeals, the Ministry of Public Health announced on April 29 that efforts toward self-reliance are underway. A spokesperson claimed that while several health centres backed by international organizations have closed, the national healthcare system remains stable. However, medical professionals remain sceptical.

    Dr. Madad Khan Danishwar warned that the shutdown of WHO-supported health centres would significantly disrupt access to care. “If this continues, patients in remote provinces will be forced to travel to urban centres, facing delays and added financial hardship,” he said.

    The effects will not be limited to patients. With funding cuts, many doctors and healthcare workers could soon find themselves out of jobs, according to Dr. Sufi. “Unemployment among health workers will rise, and without sufficient disease monitoring, outbreaks of preventable illnesses will increase,” he added.

    Humanitarian Emergency

    WHO officials and Afghan doctors alike say the consequences of inaction could undo decades of progress in rebuilding the country’s health sector since the early 2000s.

    “This is not just a funding shortfall,” Salvador warned in a March statement. “It is a humanitarian emergency. Every day without support means more suffering, more preventable deaths, and irreparable damage to Afghanistan’s already fragile health infrastructure.”

    The dire situation comes amid broader concerns over the humanitarian situation in Afghanistan, where over two-thirds of the population currently require some form of assistance. With ongoing economic challenges and limited domestic health investment, international aid remains a critical lifeline.

    Observers say the solution lies not just in emergency relief but also in fostering longer-term commitments from a broader base of international donors. “We need to shift the narrative from short-term crisis response to long-term sustainability,” Salvador urged.

    As the mid-year deadline for the potential closure of WHO-supported health centres approaches, the urgency to act grows louder. Health officials, humanitarian agencies, and civil society continue to call for immediate, coordinated action to prevent what could become one of the most severe collapses of a national health system in recent history.

    For now, Afghanistan waits – its health system hanging in the balance, and its people paying the price.

    Clean Ganga Mission Approves Key Projects for Ganga Rejuvenation via Ecosystem Testoration

    The meeting focussed on sustainability in river rejuvenation. The Namami Gange program has been recognised as one of the top ten among the World Restoration Flagship initiatives by the UNEP and FAO.

    By Dhanya Sanal K

    In a significant push towards holistic river and environmental rejuvenation, the sixty-second Executive Committee (EC) Meeting of the National Mission for Clean Ganga (NMCG), chaired by Rajeev Kumar Mital, Director-General, NMCG, focused on sustainability in river rejuvenation.

    Conservation of critical wetlands and promoting the reuse of treated wastewater through city specific reuse plans and were deliberated in the meeting. The executive committee approved projects that align with the mission’s objectives of ecosystem restoration across the Ganga basin.

    The Namami Gange programme has been recognised as one of the top ten World Restoration Flagship initiatives by UN Decade (UNEP and FAO).

    In another important development, the executive committee gave the green light to the project on “Conserving and Sustainably Managing Nathmalpur Bhagad (Wetland) in Bihar’s Bhojpur District. The project’s is estimated to cost ₹3.51 crore.

    This is the fifth wetland project being undertaken under the Namami Gange programme. It aims to establish an effective management arrangement for Nathmalpur Bhagad. So far, the conservation of four wetlands have been already sanctioned under the Namami Gange programme. These are:

    1. KalewadaJheel, Muzaffarnagar, UP
    2. Namiya Dah Jheel, Prayagraj, UP
    3. Reoti Dah Wetland, Ballia, UP
    4. Udhwa Lake (Ramsar Site) Sahibganj, Jharkhand

    The conservation of these wetlands focus on integrating biodiversity and ecosystem service values into river basin conservation and developmental planning. The project proposes a dual approach with interventions at the sub-basin (Ghaghara, Gomti and Sone confluence) and site levels (Nathmalpur Bhagad), including activities such as wetland delineation, hydrological regime enhancement, species and habitat conservation, ecological assessment, risk evaluation, capacity building, communication and outreach, and monitoring mechanisms to ensure the long-term health and sustainability of the wetland ecosystem.

    Capacity Building Initiatives

    The Executive Committee also approved funding of ₹34.50 lakh for the “Capacity Building Initiatives for making water-sensitive cities in the Ganga Basin” project for the preparation of city plans and training on the reuse of treated wastewater for Agra and Prayagraj Districts in Uttar Pradesh. The project aims at preparation of city level reuse plan aligned to the National Framework for Safe Reuse of Treated Water (SRTW) developed by NMCG.

    “These project approvals reaffirm NMCG’s commitment to integrated water management and environmental restoration,” said a senior official associated with NMCG. “As the Mission continues to evolve, such strategic decisions will play a pivotal role in achieving the vision of a cleaner, healthier and more sustainable river ecosystem for future generations,” he said.

    The meeting was attended by Mahabir Prasad, Joint Secretary and Financial Advisor of Ministry of Power, (additional charge) River Development and Ganga Rejuvenation, Ministry of Jal Shakti; Nalin Srivastava, Deputy Director General of NMCG; Anoop Kumar Srivastava, Executive Director (Technical); Brijendra Swaroop, Executive Director (Projects) S.P. Vashistha, Executive Director (Administration); Bhaskar Dasgupta, Executive Director (Finance); Prabhash Kumar, Additional Project Director of Uttar Pradesh SMCG and S. Chandrasekhar, IFS, Chief Conservator of Forest -cum- State Nodal Officer, Environment and Climate Change, Bihar.

    Health Inequities are Shortening Lives by Decades

    Beyond unequal access to pharmaceuticals, social and economic inequities hindered the effectiveness of public health and social measures at reducing the spread and impact of the COVID-19 pandemic. The pandemic’s impact in accelerating inequity has persisted beyond the initial crisis.

    A global report published by the World Health Organization (WHO) highlights that the underlying causes of ill health often stem from factors beyond the health sector, such as lack of quality housing, education and job opportunities.

    The new World report on social determinants of health equity shows that such determinants can be responsible for a dramatic reduction of healthy life expectancy – sometimes by decades – in high- and low-income countries alike. For example, people in the country with the lowest life expectancy will, on average, live 33 years shorter than those born in the country with the highest life expectancy. The social determinants of health equity can influence people’s health outcomes more than genetic influences or access to health care.

    “Our world is an unequal one. Where we are born, grow, live, work and age significantly influences our health and well-being,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus. “But change for the better is possible. This world report illustrates the importance of addressing the interlinked social determinants and provides evidence-based strategies and policy recommendations to help countries improve health outcomes for all.”

    The report underscores that inequities in health are closely linked to degrees of social disadvantage and levels of discrimination. Health follows a social gradient whereby the more deprived the area in which people live, the lower their incomes are and they have fewer years of education, poorer health, with less number of healthy years to live. These inequities are exacerbated in populations that face discrimination and marginalization. One of the vivid examples is the fact that Indigenous Peoples have lower life expectancy than non-Indigenous Peoples in high- or low-income countries alike.

    Social Injustice Driving Inequities

    The World report on social determinants of health equity is the first of its kind published since 2008 when the WHO Commission on Social Determinants of Health released its final report laying out targets for 2040 for reducing gaps between and within countries in life expectancy, childhood and maternal mortality. The 2025 world report, shows that these targets are likely to be missed.

    Although data is scarce, there is sufficient evidence to show that health inequities within countries are often widening. WHO data cites that children born in poorer countries are 13 times more likely to die before the age of 5 than in wealthier countries. Modelling shows that the lives of 1.8 million children annually could be saved by closing the gap and enhancing equity between the poorest and wealthiest sectors of the population within low- and-middle-income countries.

    The report shows that while there was a 40 per cent decline in maternal mortality globally between 2000 and 2023, low- and lower-middle-income countries still account for 94% of maternal deaths.

    Women from disadvantaged groups are more likely to die from pregnancy-related causes. In many high-income countries, racial and ethnic inequities in maternal death rates persist, for example, in some areas Indigenous women were up to three times more likely to die during childbirth. There are also strong associations between higher levels of gender inequality, including child marriage, and higher maternal mortality rates.

    Breaking the Cycle

    WHO emphasizes that measures to address income inequality, structural discrimination, conflict and climate disruptions are key to overcoming deep-seated health inequities. Climate change, for example, is estimated to push an additional 68–135 million people into extreme poverty over the next 5 years.

    Currently, 3.8 billion people worldwide are deprived of adequate social protection coverage, such as child/paid sick leave benefits, with direct and lasting impact on their health outcomes. High debt burdens have been crippling the capacity of governments to invest in these services, with the total value of interest payments made by the world’s 75 poorest countries increasing fourfold over the past decade.

    WHO calls for collective action from national and local governments and leaders within health, academia, research, civil society, alongside the private sector to:

    1. address economic inequality and invest in social infrastructure and universal public services;
    2. overcome structural discrimination and the determinants and impacts of conflicts, emergencies and forced migration;
    3. manage the challenges and opportunities of climate action and the digital transformation to promote health equity co-benefits; and
    4. promote governance arrangements that prioritize action on the social determinants of health equity, including maintaining cross-government policy platforms and strategies, allocating money, power and resources to the most local level where it can have greatest impact, and empowering community engagement and civil society.

    In resolution WHA74.16 (2021), the Seventy-fourth World Health Assembly requested the WHO Director-General to prepare an updated report on the social determinants of health, their impact on health and health equity, progress made so far in addressing them, and recommendations for further action. The World report on social determinants of health equity provides an update to the conclusion of the WHO Commission on the Social Determinants of Health in 2008 which stated that “social injustice kills on a grand scale”.

    Inequitable Impacts of COVID-19

    The report says that the COVID-19 pandemic is a profound global example of the inequitable health outcomes driven by upstream social determinants. From its outset, socio-economic inequality was a predictor of higher mortality. Between countries, inequity in COVID-19 outcomes was exacerbated by inequitable access to diagnostics, vaccines and other countermeasures.

    At subnational level, higher COVID-19 incidence and mortality were associated with higher social and economic inequality, including alarming inequities due to race and ethnicity status in many countries. Beyond unequal access to pharmaceuticals, social and economic inequities hindered the effectiveness of public health and social measures at reducing the spread and impact of the pandemic. The pandemic’s impact in accelerating inequity has persisted beyond the initial crisis.

    As the authors of the report say, “many low- and middle-income countries emerged with large amounts of sovereign debt, reducing the fiscal space for investment in necessary social and physical infrastructure to improve health, and resulting in large backlogs in health services.”

    They say, “Global progress towards the Sustainable Development Goals (SDGs) was already faltering before the additional shock of the pandemic; now it is severely off-track. COVID-19 will not be the last pandemic with severe health and health equity impacts unless enhanced efforts are taken to address social and economic inequities as part of pandemic prevention, preparedness and response.”

    India Pioneers Emissions Market for Particulate Matter

    India’s first emissions trading system reduces pollution and costs. The emissions market in Surat, Gujarat state puts a cap on fine particulate emissions. Researchers say the market can be replicated in other low- and middle-income countries.

    By Ranjit Devraj

    A world-first market for trading in hazardous particulate matter emissions, piloted in India, lowered industrial pollution and reduced costs, say researchers who now want to replicate it in other low- and middle-income countries.

    The researchers published the findings of their so-called “cap-and-trade” programme in the May edition of The Quarterly Journal of Economics, describing how emissions of PM2.5 – particular matter measuring less than 2.5 microns that can be inhaled into the lungs – were tracked in real-time at more than 300 large coal-burning plants.

    According to Rohini Pande, professor at the Economic Growth Center at Yale University and an author of the study, the trial in India’s industrial hub of Surat reduced particulate emissions by 20 to 30 per cent, with participating plants complying fully with environmental regulations.

    Of the 318 coal-fired plants studied, 62 were randomly assigned to participate in the trading market and were given a cap on the total particulate pollution they could release.

    Those that did not exceed the cap could trade their surplus with other plants that failed to meet their caps, creating a financial incentive to reduce emissions.

    Meanwhile the rest of the plants served as a control group and were left to follow existing command-and-control regulations, which rely on sanctions such as fines to act as a deterrent.

    Cap-and-trade systems

    Cap-and-trade systems set a limit on total emissions and allow companies to buy and sell emission permits in a market. They differ from carbon offset systems, which require companies or individuals to invest in projects that reduce or remove emissions as compensation.

    Cap-and-trade systems are regulated by governments, which set the emissions limits, while carbon offset schemes are usually voluntary.

    It cost plants in the Surat trading scheme 11 per cent less to lower emissions compared to those under command-and-control regulations, according to the study. But the real cost savings were based on improved mortality rates from reduced pollution.

    A cost-benefit analysis that combined pollution, investments in equipment and a range of assumptions on avoided mortality showed that the market system improved on costs by at least 25 times, the study said.

    Particulate pollution is a serious problem in India. IQ Air, the Swiss air quality company, reported in March that 11 of the world’s 20 cities most polluted with PM 2.5 were located in the country.

    World’s first

    The Gujarat programme is the world’s first particulate emissions market and India’s first market for any kind of pollutant. It was developed as a pilot by the Gujarat Pollution Control Board, in collaboration with the Energy Policy Institute at the University of Chicago. The board set an overall cap on total particulates that could be emitted collectively over a set compliance period.

    “[The study] provided proof-of-concept that even in a setting with lower state capacity, a compliance market can work and often will outperform the command-and-control approach,” said Pande.

    Karthik Ganesan, fellow at the Council on Energy, Environment and Water, New Delhi, said the theory behind the study holds good, but there is a need for “extensive training of staff and investments”.

    “It may be years before the cap-and-trade system begins to make an appreciable difference in India,” Ganesan said.

    The Gujarat state government is now implementing a second emission trading system for particulate pollution in the industrial hub of Ahmedabad while neighbouring Maharashtra state is developing a market for sulphur dioxide emissions.

    Michael Greenstone, economics professor at the University of Chicago and a co-author of the study, says that the success in Surat is generating interest from other governments trying to balance economic growth and environmental quality.

    “We are now working with other states in India and governments in other countries to scale up the use of pollution markets,” he said.

    For its part, the national government is moving ahead with an offset mechanism for the Indian Carbon Market and has identified renewable energy, green hydrogen production, industrial energy efficiency, landfill methane recovery and mangrove afforestation as areas for climate-friendly projects that can generate carbon credits.

    India’s environment ministry has also launched a carbon credit trading scheme for highly-polluting industries such as aluminium smelting and cement manufacturing, to make them comply with the country’s greenhouse gas emission intensity targets.

    This piece has been sourced from SciDev.Net

    Image Copyright: Hemant Meena(CC BY-SA 3.0) This image has been cropped.

    ‘Step back from the brink’, Guterres urges India and Pakistan Post Security Council Meet

    United Nations Spokesperson Stéphane Dujarric, responding to inquiries, emphasised the Secretary-General’s condemnation of the attack. In a press statement issued on 25 April, Security Council members expressed their deepest sympathy and condolences to the families of the victims.

    United Nations Secretary-General António Guterres on Monday called for “maximum restraint” from India and Pakistan, warning that escalating tensions over a recent deadly terror attack in Kashmir risk spiralling into outright military confrontation.

    Addressing journalists outside the Security Council at UN Headquarters in New York, Guterres expressed deep concern over deteriorating relations between the two South Asian neighbours, saying they had reached “their highest in years.”

    He reiterated his condemnation of the 22 April terror attack in the Pahalgam area of Jammu and Kashmir, which killed at least 26 civilians and injured many more.

    “Targeting civilians is unacceptable – and those responsible must be brought to justice through credible and lawful means,” Guterres said.

    “It is also essential – especially at this critical hour – to avoid a military confrontation that could easily spin out of control.”

    India and Pakistan both administer parts of Kashmir but claim the territory in full.

    The Security Council met behind closed doors later on Monday to discuss the rising tensions between the two nations.

    Security Council Meets

    The United Nations Security Council has called for restraint and diplomacy between India and Pakistan following a surge in tensions over a deadly attack in disputed Kashmir. Pakistan’s foreign ministry said on Tuesday that Council members were briefed on intelligence pointing to an “imminent threat” of Indian military action. The Council urged both sides to engage in dialogue and avoid escalation.

    The April 22 attack, which killed 26 Hindu tourists, has reignited hostilities between the nuclear-armed neighbours. India blamed Pakistan, identifying two of the suspected attackers as Pakistani nationals. Pakistan denied involvement but warned it would defend itself if attacked. In the wake of the attack, both countries have heightened their defences: Pakistan conducted two missile tests in three days, while India launched civil defence drills across several states.

    Pakistan, currently a non-permanent member of the Security Council, requested the briefing. India, though not a Council member, held discussions with members beforehand. An Indian source claimed many expressed concern over Pakistan’s missile tests and attempts to internationalise the issue. UN Secretary-General António Guterres warned of the danger of military escalation, calling for “maximum restraint.” The two nations have already suspended trade, reduced diplomatic ties, and closed airspace amid the ongoing crisis.

    UN ready to help de-escalate

    Guterres offered his good offices to both governments to help defuse tensions and promote diplomacy, stressing that “a military solution is no solution.”

    “Now is the time for maximum restraint and stepping back from the brink,” he said.

    Guterres also praised both countries for their long-standing contributions to UN peacekeeping operations and expressed hope that their shared history of cooperation could form the basis for renewed dialogue.

    “The United Nations stands ready to support any initiative that promotes de-escalation, diplomacy, and a renewed commitment to peace,” he said.

    Earlier on 22 April, UN Spokesperson Stéphane Dujarric, responding to inquiries, emphasised the Secretary-General’s condemnation of the attack. In a press statement issued on 25 April, Security Council members expressed their deepest sympathy and condolences to the families of the victims, as well as to the Governments of India and Nepal.