In line with its mandate, the ICRC engages with all parties to an armed conflict, including non-state armed groups. The ICRC has a long history of confidential humanitarian engagement with armed groups to alleviate and prevent the suffering of persons living in areas controlled by these groups. However, this engagement has become increasingly complex. Accordingly, the ICRC undertakes an annual internal exercise to evaluate the status of its relationships with armed groups and to identify developments to strengthen its future engagement worldwide.
In this post, ICRC Adviser Matthew Bamber-Zryd discusses key findings from the 2025 exercise. The ICRC estimates that 204 million people live in areas controlled or contested by armed groups. In 2025, there were more than 380 armed groups of humanitarian concern. A key development in 2025 is the ICRC's deepened engagement with non-state armed groups that are parties to armed conflict and bound by international humanitarian law (IHL), achieving significantly higher contact rates with these groups than with other armed actors. Yet engagement remains constrained by three major obstacles: deteriorating security conditions, operational constraints including limited resources and competing priorities, and state-imposed barriers, notably counter-terrorism legislation.
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In line with its mandate, the ICRC engages with all parties to an armed conflict, including non-state armed groups. The ICRC has a long history of confidential humanitarian engagement with armed groups to alleviate and prevent the suffering of persons living in areas controlled by these groups. However, this engagement has become increasingly complex. Accordingly, the ICRC undertakes an annual internal exercise to evaluate the status of its relationships with armed groups and to identify developments to strengthen its future engagement worldwide.
In this post, ICRC Adviser Matthew Bamber-Zryd discusses key findings from the 2025 exercise. The ICRC estimates that 204 million people live in areas controlled or contested by armed groups. In 2025, there were more than 380 armed groups of humanitarian concern. A key development in 2025 is the ICRC's deepened engagement with non-state armed groups that are parties to armed conflict and bound by international humanitarian law (IHL), achieving significantly higher contact rates with these groups than with other armed actors. Yet engagement remains constrained by three major obstacles: deteriorating security conditions, operational constraints including limited resources and competing priorities, and state-imposed barriers, notably counter-terrorism legislation.
Reaffirming IHL’s specific protection of hospitals
ICRC Humanitarian Law and Policy Blog
19 minutes 2 seconds
5 months ago
Reaffirming IHL’s specific protection of hospitals
In today’s armed conflicts, hospitals are increasingly being attacked or misused for military purposes, undermining one of international humanitarian law’s most fundamental protections. These strikes have devastating consequences for the people who rely on hospitals for life-saving care, from patients and medical staff to entire communities. When hospitals are damaged or forced to shut down, critical services like paediatric care or intensive care treatment vanish, often with fatal results. Despite clear legal safeguards granting protection to hospitals, cases indicate that hospitals are at times misused for military purposes and attacks regularly ensue. In many cases, core IHL principles are either deliberately ignored or applied in a permissive manner, threatening the very idea that hospitals must be specifically protected as neutral sanctuaries by all sides to a conflict.
In this post, ICRC Legal Advisers Supriya Rao and Alex Breitegger explore how IHL’s specific protection of hospitals is both robust and comprehensive, grounded in a presumption of neutrality that can only be lost in narrowly defined cases. Even when misuse occurs, parties are required to issue a warning and give time for it to stop, striking as a last resort only if the hospital meets the definition of a military objective – and even then, the rules of proportionality and precautions apply to limit the harm. Upholding this framework is essential to ensuring that the wounded and sick can access care, and that humanitarian principles endure, even amid the horror of war.
ICRC Humanitarian Law and Policy Blog
In line with its mandate, the ICRC engages with all parties to an armed conflict, including non-state armed groups. The ICRC has a long history of confidential humanitarian engagement with armed groups to alleviate and prevent the suffering of persons living in areas controlled by these groups. However, this engagement has become increasingly complex. Accordingly, the ICRC undertakes an annual internal exercise to evaluate the status of its relationships with armed groups and to identify developments to strengthen its future engagement worldwide.
In this post, ICRC Adviser Matthew Bamber-Zryd discusses key findings from the 2025 exercise. The ICRC estimates that 204 million people live in areas controlled or contested by armed groups. In 2025, there were more than 380 armed groups of humanitarian concern. A key development in 2025 is the ICRC's deepened engagement with non-state armed groups that are parties to armed conflict and bound by international humanitarian law (IHL), achieving significantly higher contact rates with these groups than with other armed actors. Yet engagement remains constrained by three major obstacles: deteriorating security conditions, operational constraints including limited resources and competing priorities, and state-imposed barriers, notably counter-terrorism legislation.
