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Inside North Korea: People still suffer legacy of pandemic-era controls

June 20, 2025

The path to freedom is harder than ever. But the North Korean people haven’t given up. Join us this World Refugee Day in offering a way forward.

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Photo: Reuters

During the pandemic, the regime took every opportunity to tighten its control under the guise of stopping the spread of COVID-19. Borders were sealed and reinforced, isolating the country and its people to an unprecedented extent. Trade was cut off, and the jandmadang—the markets that we’ve long highlighted as hotspots of change—were decimated. 

Although the pandemic feels like history, the situation remains difficult as North Koreans recover from their most challenging period for a generation.

Information from inside the country has become increasingly difficult to obtain these last few years. But a landmark 2024 report from Human Rights Watch has offered some visibility into North Korea’s intensifying repression and the increased challenges North Korean people have faced. 

Decimated Market Activity

“The prolonged border closures and restrictions on movement in-country have decimated the market activity that has become essential for the general population to access basic necessities.”

– Tomas Ojea-Quintana, then special rapporteur on the situation of human rights in the DPRK in March 2022 (via Human Rights Watch)

When North Korea’s socialist economy collapsed in the mid-1990s, triggering widespread famine, ordinary North Koreans negotiated their own survival through illicit trade and smuggling. Grassroots marketization was leading to opening and change in North Korea, centered around the markets—the jangmadang.

But when the regime closed its borders in 2020, almost all trade was cut off.

Human Rights Watch shares that according to official records, by 2021 North Korea was importing only 6% of what it had been importing in 2011—a staggering decrease. But these numbers still fail to fully capture the lives and needs of ordinary North Koreans, a sentiment echoed by the former North Korean traders that spoke with Human Rights Watch:

“There was a large but unmeasurable gap between what official trade numbers show and the quantities of products ordinary North Koreans need in their daily lives. This gap, previously narrowed by informal trade, became huge when informal trade and economic activity was almost completely choked off starting in 2020.”

Intensified Border Security

We found a 20-fold increase in the number of new guard buildings or facilities since 2019, with a total of 6,820 facilities placed near new or improved fences… [and] almost 500 kilometers (over 300 miles) of new fences…”

– Human Rights Watch

Through satellite imagery analysis, Human Rights Watch reviewed 321 kilometers, or roughly one-quarter of North Korea’s northern border, to compare security measures from before and after the pandemic. 

Map of 6 areas analyzed along 321km in North Korea's northern border

Prior to 2020, approximately 230 kilometers (71%) of the 321 kilometers analyzed were fenced. But in the years since, multiple layers of fencing have been newly constructed, along with new and upgraded guard posts. Based on 2023 satellite imagery, there is now a staggering 743 kilometers (over 460 miles) of fencing within the 321 kilometers analyzed.

Along with infrastructure, in August 2020, the North Korean government created 1-2 kilometer “buffer zones” along its border with China, and instructed guards to “unconditionally shoot” on sight any person or wild animal entering the zones without permission, as “the [COVID-19] pandemic is being spread through air and items.” There were reports of at least 14 people being shot and killed between September 2020 and July 2022.

Human Rights Watch spoke with Young Mi, a former herbal medicine trader in contact with a relative in North Korea, to hear how the extreme restrictions had affected life in border areas:

“It is more the emotional environment and fear more [than the actual physical barriers] … [My relative] is scared to leave because of… a general sense of terror much stronger than a bullet or a wire fence.”

Starvation and Food Insecurity

North Korea is one of the poorest countries in the world and the government has persistently struggled to ensure food security, adequate childhood nutrition, and access to medicine.”– Human Rights Watch

Chronic oppression in North Korea has created one of the most impoverished countries in the world. A 2023 UN report estimated that 46% of the population face food insecurity. Those 12 million North Koreans aren’t just numbers, but people like Eunju.

Eunju escaped from North Korea in 1999, fleeing starvation during the “Arduous March,” a propagandized name for a period of widespread famine.

“When the Arduous March began, rations from workplaces were nearly cut off. At first, we managed by selling household belongings or trading them for food, but eventually, there was nothing left to exchange. People would sigh, saying, ‘We can’t even trade our empty house for a single block of tofu.’

When spring arrived, we ate every kind of wild plant we could find, even peeling bark off pine trees, boiling and pounding it for days to make it edible. Although I managed to survive, death was everywhere. Some consumed nothing but wild plants and died from poisoning. Some were shot by soldiers while trying to steal corn from farms. Some were publicly executed for slaughtering and eating a cow. Some were orphaned street children, beaten to death for trying to steal food from others.

People lost their lives in different ways, but in the end, they all died trying to survive. The root cause was the same—severe food shortages.”

In 2021, Kim Jong Un urged the people to “wage another more difficult ‘Arduous March.’” Yet the regime continued to restrict cross-border trade and prioritize weapons development, all while neglecting domestic food production.

In the report from Human Rights Watch, Jiro Ishimaru, the director at Asiapress, shared that “In 2021, there were reports of people with disabilities and older people dying of starvation... after over three years of extreme difficulties, in April and May, there was a spike in reports of whole families and ordinary people dying of starvation in urban areas near [North Korea’s] northern border.”

Crackdowns on Foreign Media

“Simply watching [foreign] media content can result in a sentence of forced labor of over 10 years in a forced labor prison camp… Public executions of offenders are permitted, evidently to increase a sense of fear and alarm among the population”

– Human Rights Watch

The near-absolute control of information and media is one of the key ways that the regime disempowers and represses North Korean people. During the pandemic, it imposed several new laws that increase the severity of punishments for being caught with foreign media, and go as far as to restrict how individuals can express themselves.

Human Right Watch outlines the main additions:

  • Reactionary Ideology and Culture Rejection Law (December 2020) “bans people from smuggling, viewing, and distributing ‘reactionary’ and ‘anti-socialist ideology and culture’”
  • Youth Education Guarantee Law (September 2021) “bans young people from copying foreign culture and reorients them to a ‘socialist lifestyle’”
  • Pyongyang Cultural Language Protection Act (January 2023) “permits the authorities to punish people for using South Korean intonations or slang”

Offenders could be sentenced to 6+ years of hard labor, or “if the severity of the crime is deemed high,” the death penalty.

The timing of these new laws is no coincidence. As North Koreans face a reality that is increasingly distant from the propaganda they’ve been told to believe, foreign media has the potential to further erode the regime’s legitimacy and control.

Our North Korean friend, Yulseong, shared how foreign media impacted his perception of the the regime and his ultimate decision to leave in 2018:

“I was introduced to music and movies from other countries through my friends. For movies, I loved James Bond and other Hollywood films. While watching them, I realized that North Korea was truly a poor country, and it made me want to leave as soon as possible.

For songs, I listened to ‘Bingo’ by Turtles, ‘Pure Love’ by Koyote, and music by Jatanpung. Seeking out songs about life and love is a basic human desire. Even if people fear punishment, that desire cannot be suppressed. That’s why, even today, I believe many North Koreans continue to watch foreign content.

Lack of Access to Healthcare

“The DPRK Socialist Constitution and the country’s Public Health Law provide for free medical care to all citizens. In reality, medical supplies and medication are unavailable to most North Koreans and only those who can afford to purchase them on the private market.”

– Human Rights Watch

North Korea’s defunct healthcare system is another example of how the regime’s constraints create unnecessary hardship for North Korean people. The majority of the country’s public health system collapsed along with North Korea’s socialist economy in the 1990s. In the aftermath, the regime only prioritized hospitals in areas like Pyongyang, leaving ordinary North Koreans to fend for themselves.

According to a 2017 UN report, an estimated 33% of the population (8.4 million people) had limited access to health services, including 50% of people in rural areas.

Human Rights Watch spoke with a former North Korean doctor and nurses who escaped after 2014, who shared that, “most local clinics were only capable of diagnosing basic diseases and setting broken bones, and had barely any working tools, supplies, medicine, or electricity… medical workers relied on market activity and what their patients gave them to eat to survive.”

For our North Korean friend Lily, the most frustrating part was that all this suffering was preventable.

“When my older sister, Hye-Joo, developed acute appendicitis, there was no emergency line to call, or cars or taxis to transport her to the hospital. We loaded her onto a cart that was meant to carry produce, moving at a terribly slow pace.

Desperate to ease my sister’s pain, we exhausted every resource we had. Any surgical or medical equipment a patient needs has to be provided by the family. Gauze, painkillers, blankets–even food and bribes–may be necessary for an operation. Even then, severe shortages made it impossible to fully prepare. The surgery was performed with minimal anesthesia and makeshift sterilization. Later, my sister told me she had felt the knife cutting into her skin, and heard the doctor’s orders during the surgery.

What should have been a simple and safe procedure was a traumatic, life-threatening experience.”

Impact on this Issue

In the face of enormous challenges, we cannot be discouraged, because this work is more important than ever. 

There are still things we can and must do to strengthen forces of change. LiNK is one of the few groups still running rescue operations in the underground railroad. We’re cultivating and partnering with North Korean activists and storytellers who are leading efforts to raise global awareness for this issue. And we’re ambitiously expanding our Information Access Programs, devising new strategies and pathways to get information and technology inside North Korea to empower the people.

Join us in reaffirming our commitment to a free North Korea.

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Change has never been a linear process. But one thing we can always be certain of is the resilience and strength of the North Korean people.

Crisis for North Korean Human Rights NGOs: Urgent Support Needed

March 30, 2025

The North Korean human rights movement is at a critical crossroads. 

Unprecedented cuts to U.S. foreign aid under the Trump Administration have impacted projects around the world, including that of crucial South Korean NGOs working on the North Korea issue.

Until funding is fully resumed, these organizations face the prospect of downsizing or shutting down, threatening the entire ecosystem of groups working for the rights and freedom of North Korean people. Life-changing programs and decades of progress inside and outside North Korea are at risk of being undone.

Your immediate support is needed to help save the most critical projects of these organizations. LiNK has identified the core groups essential to preserving progress on this issue and has launched an emergency support fund—100% of donations will go directly to sustaining them through this crisis.

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Historical Funding for North Korea-Focused NGOs

In the mid-1990s, reports of a devastating famine in North Korea and the first waves of refugees fleeing starvation caught the attention of South Korean activists. They travelled to the border of China to investigate and, realizing the severity of the situation, began campaigning in South Korea and internationally. For the first time, there was visibility on the humanitarian crisis and vast human rights violations happening in one of the most closed countries in the world.

In the wake of the Cold War, many politicians and governments had little interest in North Korea beyond seeing it as an emerging security problem. The widespread assumption was that the country would soon collapse, just as many other socialist countries had in the late 20th century. 

To address the lack of action and attention, several groups focused on North Korean human rights emerged. Citizens Alliance for North Korean Human Rights was founded in 1996. NKnet was founded in 1998 and launched Daily NK in 2004. NKDB was established in 2003. Liberty in North Korea was founded in 2004.

From direct support for North Korean refugees, activism expanded to documenting human rights violations, raising public awareness, pressuring governments to take action, and getting outside information to people inside North Korea through broadcasts and USB smuggling. As the movement and North Korean defector population grew, new groups led by North Koreans themselves also emerged.

All organizations started with very few resources, and funding has often been an issue for groups in South Korea. Given the politicized nature of North Korea, support for activism has frequently fluctuated. When the political atmosphere aligned with this work, more funding would be available from the South Korean government. But when politics and administrations changed, grants dried up and public support would wane. In some cases, NGOs would even be subject to politically-motivated investigations, further hindering their vital work.

In late 2024, South Korean President Yoon’s martial law declaration and the subsequent impeachment proceedings once again left North Korean human rights organizations with a government unable to help, and a political environment not conducive to gaining support.

In these difficult circumstances, many groups in South Korea have come to rely on funding from international sources. As U.S. interest in the North Korea issue had grown in D.C., grants through the National Endowment for Democracy (NED) and the State Department (DRL) had become consistent and reliable sources of funding. Unlike those sometimes offered by the South Korean government, these grants covered not only the cost of activities, but also staff salaries, making it possible for these groups to operate sustainably.

U.S. government support had historically been immune to the kind of political winds that affected South Korean government funding. But recent US government disruption has left these NGOs on the brink.

U.S. Foreign Aid Freezes

The Trump administration started its second term with immediate cuts to U.S. foreign aid programs. State Department grants were frozen and the NED's funds were cut, suspending dozens of crucial grants to NGOs working on North Korea and leaving an uncertain picture of when or if funding might resume

With the world’s largest economy, the U.S. was the biggest provider of foreign assistance by a significant margin. This loss of funding is unlikely to be replenished by other sources. Many European countries have also recently slashed their foreign assistance contributions to spend more on defense.

For South Korea-based NGOs, this funding disruption leaves a huge gap with very few options to fill it in South Korea or elsewhere. As a result, nearly all of these organizations are being forced to lay off staff, stop critical projects, and even consider the unthinkable: shutting down for good.

What This Means for LiNK & the Issue

LiNK is built on a funding model that is independent from government budgets, and is not directly affected by the recent aid freezes. But if the larger ecosystem of North Korean NGOs that we operate within diminishes or collapses, it will inevitably have an impact on the scope and efficacy of our work.

Even with an issue as big as North Korea, the community of organizations and individuals doing this work is relatively small. All our efforts are interconnected and mutually reinforcing. With many frontline NGOs now in danger, it jeopardizes progress on this issue as a whole.

LiNK relies on the research of these other groups to inform our programs. We join forces with them for international advocacy, share ideas, and consult each other on critical projects. With confidence in the vast array of work that these groups are doing, LiNK is able to be laser focused on a few select projects and maximize our impact.

Organizations like Human Rights Watch, UN agencies, global media outlets, and researchers also depend on these groups for their contacts, networks, research, and advocacy. Without their work and insights, globally we would be left in the dark about the current state of North Korea.

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In South Korea, the individuals working on this issue are doing so with significant personal sacrifice. Given the unstable and politicized nature of the work, many activists have struggled to make a living wage, and face concern and criticism from their peers.

Funding through NED and DRL had just recently made it possible for some groups to pay staff a more sustainable salary. But even that relative stability is now gone. They have been left with no choice but to downsize and move out of offices. Staff have been laid off or put on unpaid leave. NGO leaders who have dedicated ten to twenty of their best years to this issue are now facing the prospect of leaving this field. Some feel that decades of work and effort may now abruptly end in failure.

At a time when North Korean people deserve more solidarity and support than ever, the community of activists working to mobilize and deliver that support is facing the worst crisis since the start of this movement in the 1990s.


Key NGOs in Crisis

NKDB (Database Center for North Korean Human Rights)

Est. 2003
www.en.nkdb.org

NKDB plays an important role in the ecosystem of NGOs by interviewing North Korean refugees and documenting human rights abuses. Their analyses are used to inform the international community on crucial areas of rights violations including North Korea’s political prison camps, religious persecution, and the rights of women. NKDB’s advocacy at the UN also holds the North Korean government to account and puts direct pressure on them to improve the human rights situation for North Korean people.

NKHR (Citizens’ Alliance for North Korean Human Rights)

Est. 1996
www.nkhr.or.kr/en

The world’s first NGO devoted fully to North Korean people’s human rights, Citizens’ Alliance has played a key role in bringing North Korean human rights to the attention of the UN and international community, providing protection and support to North Korean refugees, and raising awareness about the issue in South Korea.

UMG (Unification Media Group)

Est. 2014
www.uni-media.net

UMG and its sister organization, Daily NK, play a unique role in regularly getting important information and news from inside North Korea. They also work with North Korean defectors to create tailor-made content that is broadcast back into North Korea through dedicated radio broadcasts, and smuggled into North Korea on micro-SD cards.

Woorion

Est. 2015
www.woorion.org

Woorion was founded by North Korean defectors and plays a crucial role in supporting the resettlement of North Koreans in South Korea. With great reach within the community, Woorion addresses information gaps for resettled North Koreans, and empowers the next generation of leaders among North Korean-born youth.


Urgent Support is Needed

Our shared vision is bold. It not only deserves but will require a strong ecosystem of NGOs working together for the rights and freedoms of 26 million North Korean people. 

You’ve stood with the North Korean people, and with us, and for that we’re deeply grateful. So we’re asking for your help. We have an opportunity to protect the progress we have made together on this issue, and to help save the most critical programs of these organizations.

Will you join us by making a donation today to ensure that this small community of dedicated organizations can continue their life-changing work?

Give Now


Your donation could mean that a highly dedicated and skilled activist is not forced to look for other work. It could mean that a project inside North Korea, where the groundwork has already been laid, can be executed and finished. At this time of crisis, your donation will have an outsized impact. It is far more cost effective and efficient to preserve this work than to have to rebuild from scratch. 

Thank you for giving what you can. The future of this movement depends on it.

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