Afghanistan topped the list of countries where aid workers faced greater risk, with 81 killed in 2013, according to research from the consultancy group Humanitarian Outcomes.
Worldwide, a total of 155 aid workers were killed, 171 were seriously wounded and 134 were kidnapped in 2013 -- with three-quarters of the violence taking place in five countries: Afghanistan, Syria, South Sudan, Pakistan and Sudan.
Overall, this represents a 66 percent increase in the number of victims from 2012.
Non-governmental organizations are facing mounting pressure to deploy staff in war zones to come to the aid of civilians swept up in fighting and often trapped in battlefields.
At a special session called to discuss ways to better protect aid workers, the UN Security Council heard that international aid organizations put the lives of locally-hired staff at risk, at times recklessly.
"Local staff takes on more responsibility for accessing dangerous areas, while international staff remain in secure compounds," said Masood Karokhail, from the Liaison Office, a group set up in 2003.
"We can no longer maintain the status quo, where local aid workers put their lives on the line in order to get the job done," he said.
UN Deputy Secretary General Jan Eliasson urged the council to punish those responsible for attacks on aid workers, by referring cases to the International Criminal Court or setting up special tribunals and commissions of inquiry.
"The council can use all the tools at its disposal to seek accountability for those who perpetrate attacks," he said.
In its report, Humanitarian Outcomes tracked a total of 251 violent incidents involving aid workers in 2013, with over half of those either ambushes or roadside attacks.
The escalating conflicts in Syria and in South Sudan were cited as deadly settings for aid workers, driving up the killings.
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