CAIRO, May 14 2026 (IPS) - The word heard most often at a two-day parliamentary forum in Cairo last week was not “commitment”; it was “follow-up.” And the difference mattered.
Parliamentarians from Africa, Asia, and the Arab world gathered 28–29 April not to renew pledges made at last year’s TICAD9 summit in Yokohama, but to ask what had actually been done. The answer was uneven, and delegates said so plainly.
The meeting, organised by the Asian Population and Development Association (APDA) and the Forum of Arab Parliamentarians on Population and Development (FAPPD) with support from UNFPA, the Japan Trust Fund, and IPPF, focused on sexual and reproductive health, universal health coverage, youth investment, and gender equality. It convened against a difficult backdrop: shrinking donor budgets, deepening demographic pressure across Africa, and a persistent gap between legislation and delivery.
Japan’s Makishima Karen, a member of the House of Representatives, Vice Chair of the Japan Parliamentarians Federation for Population, and former Minister for Digital Affairs, set the tone early. “Once a conference is finished, it’s no longer the finish – we should follow up the outcomes and the concrete actions,” she told IPS on the sidelines.
Makishima was direct about where progress begins. “Wherever you live or wherever you are born, the right to live healthily is a human right,” she said. “That is why I focus on the necessity of universal health coverage (UHC) for all.” She argued that UHC cannot be achieved without bringing finance ministries into the conversation: “The understanding of the Minister of Finance is necessary. We are encouraging ministries of finance to join the process.”
On what actually drives change at the community level, she was equally clear: “When mothers cannot read, it must be difficult for their communities to live healthily and safely. Education of women and girls is essential to protect the next generation.”
She also raised a dimension of the agenda that often goes unstated: the role of digital tools. Drawing on her background in digital governance, she argued that technology is not a separate track but integral to delivery: “With one smartphone, every person can access information, check their own data, and have the ability to control it. That is part of democracy.”
Meeting chairs set the tone, demanding asking for action, not new pledges, at a recent two-day forum in Cairo. Credit: APDA
On the wave of aid cuts hitting development programmes globally, she did not deflect. “I believe in the necessity of multilateral organisational frameworks; otherwise, it is very difficult to continue the necessary programmes in each region.” The longer-term answer, she said, is not to wait for donors to return. “Within five or ten years, each government should take on the responsibility to continue these programmes. We must have a very long-term perspective.”
Tanzania’s Jackson Kiswaga, MP, offered the clearest example of what domestic ownership can look like. His country, with 71.5 million people, 60 percent under 24, growing at nearly three percent a year, has been moving fast. In 2023, Tanzania passed the Universal Health Insurance Act, integrating reproductive health services into mandatory coverage spanning formal and informal sectors. A dedicated Youth Ministry was established under the President’s Office. A national scholarship programme has since supported over 400 girls in science education, with measurable reductions in early marriage and pregnancy.
“Institutional innovations are models for other countries,” Kiswaga said. “Strong partnerships in the health sector are key to ensuring sustainability.”
Morocco’s Soukaina Lahmouch, MP, offered a sharper warning. Her country enacted landmark legislation against gender-based violence in 2018, but seven years on, implementation has stalled. Procedural complexity, weak enforcement, and cultural resistance, particularly in domestic violence cases, have blunted the law’s impact.
“Women in Morocco still suffer discrimination and exclusion,” she said, “despite the progress made.” She called on TICAD to support not just the drafting of laws but their enforcement through court reform, rural health infrastructure, and access to financing for women.
Parliamentarians were reminded that the outcomes from Cairo would be reported to the Global Conference of Parliamentarians on Population and Development in Tokyo 2027. Credit: APDA
Two other delegates raised pressures that seldom receive equal billing. Tunisia’s Ezzeddine Tayeb, MP warned that his country’s rapidly ageing population is straining its pension system and called for a comprehensive law guaranteeing the rights of elderly citizens, including enforceable standards for long-term care. Algeria’s MP Khaled Bourenane placed the forum’s agenda inside Africa’s continental trajectory: a population heading toward 2.5 billion by 2050, with over 20 million people displaced by climate events annually. Demographic challenges at this scale, he argued, cannot be addressed in silos.
JICA representative Yo Ebisawa pointed to Egypt as a live test case. In 2017, Egypt ranked the third globally in out-of-pocket health spending as a share of household budgets.
Since passing its Universal Health Insurance Law, the country has been rolling out coverage across all 27 governorates, targeting completion by 2030. So far, six million people across six governorates have been enrolled. In Port Said, the share of households facing catastrophic health expenditure has fallen by 40 percent. Japan has backed the rollout with a $400 million development policy loan and an $8 million joint JICA-WHO project providing equipment and training, including for facilities serving Sudanese refugees and medical evacuees from Gaza.
APDA Vice Chair Prof. Kiyoko Ikegami closed the first day with a pointed reminder: the outcomes from Cairo will be reported to the Global Conference of Parliamentarians on Population and Development in Tokyo 2027. The chain of accountability, she said, must hold.
Whether the commitments made in Cairo translate into budget lines, legislation, and services – that is the only measure that counts.
Note: The meeting was organised by the Asian Population and Development Association (APDA) and the Forum of Arab Parliamentarians on Population and Development (FAPPD). It was supported by the Japan Trust Fund (JTF), the United Nations Population Fund (UNFPA) Arab States Regional Office (ASRO), and the International Planned Parenthood Federation (IPPF), in collaboration with the African Parliamentary Forum on Population and Development (FPA).
IPS UN Bureau Report
