A client waits to be seen by a doctor during an HIV clinic day at TASO Mulago service center in Kampala, Uganda, February 17, 2025.
News Release

US: Global Health Aid Tied to Harmful Conditions

The United States government is conditioning lifesaving health assistance on broad access to surveillance data and extractive rights to pathogen samples and data for pharmaceutical development.

How We Work

Investigate: We investigate human rights abuses globally.

Expose: We publish our findings, share the stories of those affected by abuses, and speak out against injustice.

Change: We mobilize the public and press governments to enforce rights-respecting laws, change policy, and deliver justice.

80
nationalities represented
100+
countries worked on
14+ million
global audience members
Zero
government funding

Spotlight

Reports

See more 

Our deepest research, for people who want all the facts.

    Videos

    Watch more 
    A man sits in front of a grassy area and gestures with his hand.
    Read a text description of this video
    Read a text description of this video

    Narrator: There’s a brutal conflict going on in West Africa that many people have never heard of. In Burkina Faso, government forces have been fighting Islamist armed groups for more than a decade. All sides have made attacks on civilians a key part of their strategies, killing thousands. More than 2 million people have been displaced by the fighting. 

     

    Soundbite: “That day, 25 people died on the spot. Some were cut up by the impact of the airstrike; others had their heads cut off. Some died from choking on the dust they inhaled after the strike. After the strike, everyone started to flee.” 

     

    Narrator: So why haven’t many people heard about this crisis? Burkina Faso’s military government has banned or silenced local and international media and created a climate of fear to deter people from speaking out.  

     

    Soundbite: “The VDPs [government-backed militia] surrounded us, they told us to watch what they were going to do. There were people who had been stabbed with iron bars. When they finished stabbing, they slit their throats.” 

    Narrator: Human Rights Watch spent a year and a half documenting 57 attacks across Burkina Faso. We spoke with nearly 400 witnesses over the phone or in neighboring countries where they had fled and documented the killing of at least 1,800 civilians between 2023 and 2025. But this may be the tip of the iceberg.  

    Narrator: Since President Ibrahim Traoré took power in a military coup in 2022, he has made the fight against Islamist armed groups his main objective.  

    Narrator: The military has armed tens of thousands of people in a militia called the Volunteers for the Defense of the Homeland, commonly known as VDPs. If a community has VDPs, JNIM, one of the main Islamist armed groups, often targets the entire population.  

    And government forces have massacred civilians simply for living in areas that JNIM controls.  

     

    Narrator: The military and VDPs have especially targeted ethnic Fulani people whom they accuse of supporting JNIM.  

    Entire Fulani communities have been attacked and forcibly displaced, and their property looted, acts that amount to ethnic cleansing.  

     

    Soundbite: They [VDPs] told us: “It’s [President] Ibrahim Traoré who sent us to kill you.” And they began slitting the throats of people in front of us. They called us “terrorists,” which we are not. 

    Narrator: Military abuses have fueled recruitment by JNIM and the cycle of retaliatory attacks has led to widespread violence against civilians. All sides have committed abuses that amount to war crimes and crimes against humanity. To seek justice for these crimes, we needed to identify who was responsible.  

    Narrator: So, we used AI to go through thousands of hours of footage from Burkina Faso’s state-owned news channel and a social media platform used by JNIM. The software we developed identified key information about JNIM, military units, and the names of people involved in specific attacks. This information, along with witness accounts, allowed us to identify members of the Burkinabé armed forces and JNIM who were in a position of command during each attack.  

    Narrator: These include: Capt. Ibrahim Traoré, the president of Burkina Faso, and top military commanders. It also includes the leaders of JNIM, such as Iyad Ag Ghaly, Amadou Kouffa, and Jafar Dicko.  

    Narrator: None have been held accountable. States should investigate these serious international crimes, and the International Criminal Court should bring perpetrators to justice. Accountability and civilian protection cannot wait.  
    Read a text description of this video
    Read a text description of this video

    Thank you, Mr. President, 

    We welcome the Independent Expert’s report and its attention to the structural discrimination that persons with albinism continue to face.

    My name is Hilda Macheso, and I am a Malawian disability rights advocate and this year’s recipient of the Human Rights Watch Marca Bristo Fellowship for Courageous Leadership in Disability Rights. 

    People with albinism continue to face stigma, harmful stereotypes, and myths, restricting their lives – not only through threats of violence, but through exclusion from education and employment. Human Rights Watch research in Malawi, Mozambique and Tanzania shows that without reasonable accommodations, including assistive devices, large-print materials, sunscreen, hats, or seating close to the blackboard, many children with albinism are unable to fully access education. Without these supports, students can fall behind or drop out.

    This exclusion continues into adulthood. Adults with albinism face discrimination in hiring rooted in misconceptions about our ability to work outdoors, our productivity, and perceived additional costs. We are also denied work because of stigma.

    States have clear obligations under international human rights law to ensure non-discrimination and to provide reasonable accommodation throughout the employment process including in recruitment and hiring. Flexible scheduling to avoid peak sun exposure, extra time in recruitment tests, protective clothing, sunscreen provision, and modified work environments are not optional: they are essential to equal participation.

    Human Rights Watch urges governments to adopt and enforce anti-discrimination laws, ensure reasonable accommodation in employment, and invest in public education to combat stigma.

    Persons with albinism do not need charity. We need equal opportunity and meaningful inclusion.

    Thank you.
    world report collage

    More videos

    Quick Takes

      collage of 4 photos
      Featured Investigation

      Burkina Faso: Crimes Against Humanity by All Sides

      Junta Forces Carry Out Ethnic Cleansing of Fulani Communities

      Regions

        Topics

          Children and women run among a cloud of dust at the village of El Gel, in Ethiopia’s Somali region, on January 12, 2023. The last five rainy seasons since the end of 2020 have failed, triggering the worst drought in four decades in Ethiopia, Somalia and Kenya.

          Defend Rights. Secure Justice.

          Your gift helps support and sustain our global mission.

          Give monthly Make a one-time gift