September 26, 2025 - At its 80th anniversary, the UN faces its deepest crisis yet. Deep power imbalances, rooted in colonial legacies, and states' failure to respect human rights have undermined accountability for grave violations like the ongoing genocide in Gaza and other crisis such as in DRC, Sudan and for people on the move. This is compounded by massive funding cuts to the multilateral system, with global wealth shifting towards militarization, which has had devastating consequences for marginalized communities.
Despite its flaws, the UN remains a key player where all countries can confront common challenges. For generations, it has been a lifeline for millions, providing food and essential medicines and serving as a shelter of universal standards when rights are violated, particularly providing important humanitarian responses. The UN has also been a catalyst for civil society engagement in global governance.
IPPF recognizes the urgent and long overdue need for UN reform to transform the institution and make it responsive to real-world challenges and to the people it exists to serve, such as women, girls, indigenous peoples, LGBTQI+ and people of African descent. Such changes must strengthen the UN’s ability to uphold its purpose and values, not to dismantle the organization or deviate from those principles. Although reforming the UN Security Council is a complex and politically challenging task, distinct from the current UN80 reform, IPPF notes that without meaningful reform of the UN Security Council, the UN will remain paralyzed in the face of current tensions and wars.
Regarding the UN80 reform, IPPF is commenting on the UN Secretary-General’s report on ‘Workstream 3: Changing Structures and Realigning Programmes’:
Human rights at the center
Human rights are one of the three pillars of the UN and our guiding star in a world full of crises, however, the U.N. has spent just 5 percent of its total budget on human rights. The revision of the budget for 2026 will disproportionately affect this underfunded pillar, with the Office of the High Commissioner for Human Rights facing a 15% cut in the funds for next year. In 2025, the UN has already suspended key activities including an investigation on the human rights situation in the DRC. Meanwhile, heavily funded anti-rights and anti-gender actors are undermining international standards.
IPPF strongly supports better integration and coordination of human rights mechanisms across the UN, but increased funding is most critically needed. It’s time for all member states to get serious about funding a UN capable of upholding human rights for all and for the reforms of the UN to be driven by need and a strategic use of resources where the UN can best serve.
Strengthen the work on sexual and reproductive health and rights
In the current context, where sexual and reproductive health and rights (SRHR) are facing targeted attacks at local, national, regional and global levels, the UN’s work – at both normative and programmatic levels – must remain a priority, rather than diminished. The area of protecting and promoting SRHR should not be lost in any restructuring or merging discussion and should maintain independent service provision and program delivery priorities, including for reproductive health supplies and commodities that are more critically needed than ever.
While a potential merger of UN Women, UNFPA, and parts of DESA is being considered to create a more unified platform for gender equality, IPPF believes it's essential to maintain a strong, coordinated effort specifically focused SRHR. It is also crucial to have a clear mandate to support countries in implementing the ICPD Programme of Action and its provisions on SRHR. We see a risk in the current proposal and emphasize that any restructuring must not dilute the critical work on SRHR. Instead, it should reinforce the UN's capacity to advance gender equality and uphold its key responsibilities in this area.
Engagement and leadership of affected communities
The UN Reform should be the opportunity to strengthen meaningful inclusion of civil society organizations and voices of affected communities in the UN bodies. Marginalized communities continue to be largely left out of any UN process and prevented from substantively shaping any decisions impacting them. One prominent exception has been UNAIDS, where otherwise marginalised and criminalised communities and in particular gay men and other men who have sex with men, sex workers, transgender people, people who inject drugs and prisoners and other incarcerated people as well as people living with HIV have systematic visibility and at least nominal power in decision-making.
The proposal to sunset UNAIDS by 2026 poses significant risks to the continued inclusion of these groups and to the global commitment to end AIDS by 2030. Eliminating the central body that ensures a coordinated response will lead to a breakdown in program development and accountability. Recent data has already shown an increase in HIV infections and AIDS-related deaths in the Global South, and HIV-related infections are already rising as a result of global funding cuts — trends that the shutdown of UNAIDS will only exacerbate. Regardless of where the prevention, treatment and response to HIV/AIDS sits, it must remain an integral part of the global health response, prioritize engagement and leadership of affected communities in its governance and leadership structure and programming and integrate crucial human rights and community-led components vital for reaching key populations.
The UNAIDS model of inclusion of affected communities should serve as an inspiration for even stronger engagement of marginalized communities across the UN system as part of the UN80 reform. Moreover, programs addressing the intersectionality and interdependency of human rights must remain central to addressing multiple and intersecting forms of discrimination.
Localization as core principle for humanitarian action
Every day, IPPF delivers life-saving services to the hardest to reach and the most underserved people, from Gaza to Afghanistan, Sudan and Haiti. In 2024 alone, we reached 67.5 million people, 20 percent of them in humanitarian settings. The UN’s action to deliver a humanitarian response, as suggested in the report, including its proposal to “speak with one voice in humanitarian diplomacy” must be realized with the engagement of local communities and civil society organizations, such as IPPF and many others.
It is untenable to scale back humanitarian operations to a bare minimum when the evidence shows that crises are intensifying in both scale and severity of violations. At this critical moment, the UN must not only expand its operational capacity but also prioritize meaningful partnerships with localized civil society organizations. These actors are not only essential for effective and contextually grounded responses, but they also embody the moral legitimacy of humanitarian action. The UN has a responsibility to ensure their protection and enable their leadership, in full adherence to International Humanitarian Law and the humanitarian principles.
Conclusion
The UN is in urgent need of transformative reforms that are rigorously anchored in the promotion and protection of human rights and conducted with transparency and accountability. The reform must ensure the full, meaningful and transparent engagement of civil society at every stage. Feminist, youth-led, and grassroots movements have been at the forefront of advancing the UN’s normative gains. Any vision for a revitalized United Nations must place their leadership, expertise, and living realities at the center of decision-making, as co-creators of multilateral solutions.
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About the International Planned Parenthood Federation
IPPF is a global healthcare provider and a leading advocate of sexual and reproductive health and rights (SRHR) for all. Led by a courageous and determined group of women, IPPF was founded in 1952 at the Third International Planned Parenthood Conference. Today, we are a movement of 158 Member Associations and Collaborative Partners with a presence in over 153 countries.
Our work is wide-ranging, and includes services for sexual health and well-being, contraception, abortion care, sexually transmitted infections and reproductive tract infections, HIV, obstetrics and gynecology, fertility support, sexual and gender-based violence, comprehensive sex education, and responding to humanitarian crises. We pride ourselves on being local through our members and global through our network. At the heart of our mission is the provision of – and advocacy in support of – integrated healthcare to anyone who needs it regardless of race, gender, sex, income, and, crucially, no matter how remote.
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Advocacy