Over four million girls still at risk of female genital mutilation: UN leaders call for sustained commitment and investment to end FGM
In 2026 alone, an estimated 4.5 million girls – many under the age of five – are at risk of undergoing female genital mutilation (FGM). Currently, more than 230 million girls and women are living with its lifelong consequences.
Today, on the International Day of Zero Tolerance for Female Genital Mutilation, we reaffirm our commitment to end female genital mutilation for every girl and every woman at risk, and to continue working to ensure those subjected to this harmful practice have access to quality and appropriate services.
Female genital mutilation is a violation of human rights and cannot be justified on any grounds. It compromises girls’ and women’s physical and mental health and can lead to serious, lifelong complications, with treatment costs estimated at about US$ 1.4 billion every year.
Interventions aimed at ending female genital mutilation over the last three decades are having an impact, with nearly two-thirds of the population in countries where it is prevalent expressing support for its elimination. After decades of slow change, progress against female genital mutilation is accelerating: half of all gains since 1990 were achieved in the past decade reducing the number of girls subjected to FGM from one in two to one in three. We need to build on this momentum and speed up progress to meet the Sustainable Development Goal target of ending female genital mutilation by 2030.
We know what works. Health education, engaging religious and community leaders, parents and health workers and the use of traditional and social media are effective strategies to end the practice. We must invest in community-led movements – including grassroots and youth networks – and strengthen education through both formal and community-based approaches. We need to amplify prevention messages by involving trusted opinion leaders, including health workers. And we must support survivors by ensuring they have access to comprehensive, context-tailored health care, psychosocial support, and legal assistance.
Every dollar invested in ending female genital mutilation yields a tenfold return. An investment of US$ 2.8 billion can prevent 20 million cases and generate US$ 28 billion in investment returns.
As we approach 2030, gains achieved over decades are at risk as global investment and support wane. Funding cuts and declining international investment in health, education, and child protection programmes are already constraining efforts to prevent female genital mutilation and support survivors. Further, the growing systematic pushback on efforts to end female genital mutilation, compounded by dangerous arguments that it is acceptable when carried out by doctors or health workers, adds more hurdles to elimination efforts. Without adequate and predictable financing, community outreach programmes risk being scaled back, frontline services weakened, and progress reversed – placing millions more girls at risk at a critical moment in the push to meet the 2030 target.
Today we reaffirm our commitment and efforts with local and global public and private partners, including survivors, to end female genital mutilation once and for all.
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The World Health Organization (WHO) Member States this week advanced their negotiations on the Pathogen Access and Benefit‑Sharing (PABS) system in a resumed session of the Intergovernmental Working Group (IGWG) on the WHO Pandemic Agreement. The PABS system is a core element of the agreement adopted by the World Health Assembly (WHA) in May 2025.
During the session held on 20–22 January 2026, Member States continued text‑based negotiations on outstanding issues in the draft annex and exchanged views aimed at narrowing differences and identifying areas of convergence.
“I am encouraged by the progress we have made in several areas, with signs of emerging consensus for some parts of the Pathogen Access and Benefit‑Sharing system,” said IGWG Bureau co‑chair Ambassador Tovar da Silva Nunes, of Brazil. “As we look ahead to the fifth session, the focus will be on the outstanding, complex issues. The resumed session has helped us gain a clearer picture of where we stand.”
Established by the WHA, the IGWG is tasked, as a priority, with drafting and negotiating the PABS system, which is intended to enable safe, transparent and accountable sharing of pathogens with pandemic potential and their genetic sequence information, alongside the fair and equitable sharing of benefits arising from their use, including vaccines, therapeutics and diagnostics.
The resumed session was held following a request by Member States to extend the fourth meeting of the IGWG, which convened in December 2025.
“Member States have engaged in constructive discussions this week," said IGWG Bureau co-chair Mr Matthew Harpur, of the United Kingdom. "As we make progress towards the May deadline, I am encouraged by their willingness to work together and bridge differences to deliver an effective Pathogen Access and Benefit‑Sharing system."
Further meetings of the IGWG are scheduled in the coming months as Member States continue their negotiations.
“A strong Pathogen Access and Benefit‑Sharing system will be a cornerstone of a safer and more equitable world,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “I thank countries for their commitment to multilateral solutions.”
The outcome of IGWG’s work will be submitted to the Seventy‑ninth World Health Assembly in May 2026 for its consideration.
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