
Ten years on from the unanimous adoption of UN Security Council Resolution 2286, the heads of the World Health Organization (WHO), the International Committee of the Red Cross (ICRC) and Médecins Sans Frontières (MSF) have issued a stark joint statement: the resolution has failed in its core objectives, and the protection of healthcare in conflict zones has deteriorated rather than improved.
A decade of broken commitments
Resolution 2286, adopted in May 2016, obliged all parties to armed conflict to respect and protect medical personnel, facilities, and transport under international humanitarian law (IHL). The tenth anniversary of its adoption has prompted not a commemoration but an urgent call to account. “Today, we mark not an achievement – we mark a failure,” the three organisations stated in their joint declaration, published 4 May 2026 in Geneva.
The statement describes an unrelenting pattern of harm: hospitals reduced to rubble, ambulances obstructed or delayed, and medical staff and patients killed or injured in direct and indirect attacks. The clinical consequences are severe – patients dying of otherwise treatable conditions, women delivering without adequate obstetric care, and entire populations losing access to essential services.
IHL obligations and the failure of political will
The three organisations are explicit that the legal framework itself is not the problem. IHL already requires states not only to abide by the rules protecting healthcare, but also to use all available influence to ensure other states and parties to conflict do the same. The failure, they argue, is one of implementation and political will.
The statement also references World Health Assembly Resolution 65.20, adopted in 2012, which established systematic WHO documentation of attacks on healthcare. The organisations call for stronger and more transparent reporting mechanisms to build an evidence base capable of informing prevention, guiding responses, and supporting accountability processes.
Seven concrete measures demanded of states
The joint call sets out seven specific actions demanded of states. These include translating existing commitments into concrete implementation of Resolution 2286; integrating healthcare protection into military doctrine, rules of engagement, and operational guidance; reviewing and strengthening domestic legislation; and allocating adequate financial and technical resources to protective measures.
States are also urged to use their influence over parties to conflict – including those they support in any form – to ensure compliance with IHL. Additionally, the statement calls for swift, transparent, and impartial investigations into attacks on healthcare facilities and personnel, and for regular public reporting on the implementation of Resolution 2286, including documentation of progress, challenges, and lessons learned.
An appeal to world leaders
The three organisations, drawing on their combined presence across the world’s most active conflict settings, describe the targeting or incidental destruction of healthcare infrastructure as not merely a humanitarian crisis but, in their words, “a crisis of humanity.”
The joint statement concludes with a direct appeal to heads of state: “We urge world leaders to act and show the needed political leadership to end this violence. Health care must never be a casualty of war.”




