( CNN ) -- Unless governments in the Middle East stop offering `` cosmetic changes '' to calls for reform , they should brace themselves for another year of protests , Amnesty International warned Monday . The protests and bloodshed will continue unless governments and the international community ensure the demonstrators ' demands are addressed , the rights group said in a new report . Protesters are not interested in `` piecemeal '' reforms , it said . `` With few exceptions , governments have failed to recognize that everything has changed , '' said Philip Luther , director of Amnesty International 's Middle East and North Africa . `` The protest movements across the region , led in many cases by young people and with women playing central roles , have proved astonishingly resilient in the face of sometimes staggering repression . '' Protesters want accountability and change in governance , according to Luther . The 80-page report is called `` Year of Rebellion : State of Human Rights in the Middle East and North Africa . '' It highlights the success of Tunisia , Egypt and Libya in removing their longtime regimes , but underscores the need to institute democracy to ensure past actions are not repeated . `` The uprising in Tunisia brought significant improvements in human rights , but one year on , many consider that the pace of change has been too slow , with families of the victims of the uprising still awaiting justice , '' Amnesty said . In Egypt , for example , military rulers are yet to deliver on demands of the revolution and are in some cases behind attacks that are `` worse than under Hosni Mubarak '' regime , the report said . Amnesty warned that some governments `` remained grimly determined to cling onto power '' at all costs , citing an example of Syria . `` Syrian armed forces and intelligence services have been responsible for a pattern of killings and torture amounting to crimes against humanity , in a vain attempt to terrify protesters and opponents into silence and submission , '' the report said. `` By the end of the year there were over 200 cases of reported deaths in custody , over 40 times the recent average annual figure for Syria . '' International powers and regional bodies such as the United Nations and the African Union have taken a stronger stance in some nations than others , the report said . Despite the unequal treatment , the lack of foreign intervention has had it positives , according to Amnesty . `` What has been striking about the last year has been that -- with some exceptions -- change has largely been achieved through the efforts of local people coming onto the streets , '' Luther said . A Tunisian vegetable vendor torched himself out of economic despair last year , sparking the so-called Arab uprisings that led to the toppling of Tunisia , Libya and Egypt leaders . The uprisings continue in a series of other nations , including Syria , where President Bashar al-Assad is trying to cling to power amid monthslong protests . In Yemen , protests led to President Ali Abdullah Saleh agreeing to step down . The Yemeni government has approved the final draft of an immunity law that will give Saleh and his aides immunity from prosecution .
Tunisia : Protests will rage on unless demands are met . It highlights the cases of Tunisia , Morocco and Libya . The report shows support for democracy in those nations . Protesters want justice and democracy , Amnesty says .