Iran

11 March 2026

US and Israeli air strikes in Iran have disrupted healthcare access, damaging more than 25 hospitals, with nine rendered out of service. By 9 March 2026, the strikes had killed over 1,255 civilians and injured more than 12,000, including women and children, with the figures expected to continue increasing. In the first two days of fighting, more than 100,000 people fled Tehran city, and displacement is expected to rise significantly. (UNHCR 10/03/2026, AJ 09/03/2026, Open Magazine 09/03/2026)

04 March 2026

Since 28 February 2026, widespread US and Israeli strikes across 24 of Iran's 31 provinces had killed 1,000 people by 4 March and disrupted basic services and livelihoods. Casualties include approximately 180 children killed in a 28 February missile strike on a primary school in Minab in southern Iran. Critical healthcare infrastructure has sustained heavy structural damage; Gandhi Hospital in Tehran has suffered severe damage, with patients at risk. Schools have closed, limiting education access. A near-total internet shutdown has reduced national connectivity to approximately 4%, severely hampering emergency coordination and humanitarian response. Electricity, water, fuel supply, and food distribution networks face significant disruption. Internal displacement remains undocumented, though media cite movements towards the countryside. The most affected population groups include children, older people, people with disabilities, those with chronic illnesses, women caregivers, economically marginalised groups, and Afghan refugees. Limited INGO presence and operational space compound the humanitarian challenge. (AJ 01/03/2026, Reuters 01/03/2026, OCHA 03/03/2026)

20 January 2026

Mass protests that erupted on 28 December 2025 have compounded the humanitarian situation in Iran, marked by acute protection risks, collapsing health access, and deepening livelihood strains. Since 8 January 2026, a nationwide internet blackout has prevented the independent verification of casualties and restricted access to emergency services. Violent state crackdown has killed over 3,300 people, with thousands arrested, although exact figures remain unconfirmed. Hospitals across Tehran and Ilam cities are overwhelmed with patients suffering from gunshot and pellet wounds. Medical staff report treatment capacity shortages and security force raids on hospital wards disrupting emergency care. The scale of needs remains unknown given significant information gaps. The internet blackout has also amplified economic hardship for small businesses relying on social media and internet-dependent applications, leaving many unable to work. Prolonged uncertainty over internet restoration is fuelling fears of nationwide job losses, wage delays, and deepened poverty amid hyperinflation. (Reuters 20/01/2026, Iran International 19/01/2026, The Guardian 13/01/2026)

11 November 2025

Iran is facing a severe drought crisis, with water reservoirs supplying Tehran (with a population of ten million) dropping to 8–11% of capacity, raising fears that the city could run out of safe drinking water within weeks. By 8 November 2025, authorities were planning intermittent water cuts, likely forcing low-income households to rely on unsafe water sources. Continued drought and water scarcity are causing significant health risks. Power outages resulting from water shortages can affect medical facilities, causing medicine and vaccine refrigeration issues and aggravating healthcare disruptions. The water shortages disproportionally affect women, who are traditionally tasked to handle childcare, elder care, cooking, and hygiene. They must manage daily water needs during long outages, queue at water tankers, and handle rising costs, which can lead to mental health issues. The intersection of water shortages, economic inflation, and drought-triggered disruptions is deepening needs, increasing social unrest risks and potentially driving displacement. (BBC 10/11/2025,
France 24 08/11/2025, WNCRI 12/10/2025)

20 May 2025

Since 20 March 2025, more than 242,800 Afghans have returned to Afghanistan from Iran following the Iranian Government’s deadline for extending headcount slips. These mass returns are occurring amid an already deteriorating humanitarian situation in Afghanistan, where returnees face critical challenges upon arrival. In April alone, more than 251,000 Afghans returned from Pakistan and Iran, including more than 96,000 deported. Most lack adequate shelter, income, access to food, clean water, and healthcare. By May 2024, almost 87% of returnee households required housing assistance, 80% needed financial support, and 71% lacked sufficient food. New arrivals are likely to encounter similar hardships. Many families live in informal camps or overcrowded shelters with limited services. The healthcare system faces challenges, and access to education, especially for returnee children and women, is limited. Employment opportunities are scarce, especially for those without documentation, aggravated by the economic crisis. (UNHCR 13/05/2025, UNHCR 29/04/2025, UNHCR 28/05/2024)

03 April 2023

The situation for Afghan refugees in Iran is becoming increasingly difficult. Since January 2023, over 250,000 refugees returned to Afghanistan from Iran, at least half of them facing some form of coercion. Displaced Afghan people face protection risks, including family separation, violence, and persecution. The situation is particularly unpredictable for undocumented people, who have limited access to services. The process of renewing documentation for refugees has also become more complicated, putting documented refugees at risk of becoming undocumented. Access to education has been impeded by the lack of documentation, affordability, and child labour. The situation is compounded by the political and economic situation in Iran, where social unrest and inflation (64% in March 2023) are making it difficult for refugees to meet their basic needs. Limited livelihood opportunities and restricted access to employment have lowered purchasing power and increased protection risks from negative coping strategies. Afghan refugees in Iran face discrimination and growing resentment caused by economic pressure and perceived competition for jobs. Despite Iran's history of being inclusive to refugees, recent reports show the mistreatment towards Afghan refugees by both government officials and civilians, including physical abuse and wrongful detention. (IOM 19/04/2023, UNHCR 09/03/2023, EU 11/01/2023, The Khaama Press 27/03/2023, Iran International 02/04/2023)