Taiz, YEMEN – “One day, when I was returning from fetching water, I collapsed on the road. I was bleeding so badly that I knew I was going to lose my baby.” 

Umm Mahra was 31 years old and five months pregnant when she was forced to seek refuge with her family in a remote displacement camp in Taiz, in Yemen’s southwestern highlands.

Conflict had erupted across the country and a crippling drought took hold, exacerbating the situation for millions of people already fleeing for their lives.

“We hoped to find some peace and safety,” Ms. Mahra, now 38, explained to UNFPA, the United Nations sexual and reproductive health agency. “But there was nothing. We had to fight for every drop of water, every morsel of food, and every breath of air. We had to walk miles to fetch water – it was very hard.”

In a humanitarian crisis, women and girls face a litany of dangers, from higher risks of gender-based violence and exploitation to forced and child marriage, diseases and malnutrition. A lack of food, water and health access together with overexertion and high levels of stress mean that pregnancies and births are also fraught with added danger.

“I had four children to take care of,” said Ms. Mahra. “My husband was trying to earn some money to support us… I was weak and malnourished, and suffered [pregnancy] complications due to lack of proper care and nutrition.”

After she collapsed, Ms. Mahra was driven to Aden and treated at the Al-Sadaqa Hospital, which is three hours away and supported by UNFPA with funding from the United States. “They cleaned my uterus and treated me for free,” she said.

Her life – and physical health – were saved, but the pregnancy loss haunted her: “I lost my child, and my mental health deteriorated.”

Of around 1,100 people in the displacement camp, at least 20 are pregnant women with scarce access to health care, clean water or sufficient food. © UNFPA Yemen

Gender inequality deepens vulnerability

In Yemen, vast and entrenched gender inequalities also mean that the majority of women must stay home to take care of the children and carry out arduous chores.

“I returned to camp [from the hospital], and just days later I had to resume my duties,” Ms. Mahra said. “I had no choice. I had to fetch water, cook, clean, and take care of my children and my few remaining sheep. I endured pain, sadness, fear and despair... but I had to survive.”

New UNFPA research shows that climate extremes and the disasters that follow have a disproportionate impact on the mental and physical health of women, girls and newborns, including anxiety, hypertensive disorders, preterm and low weight births, and stillbirths.

Yemen is among the 14 countries most vulnerable to climate change: Extreme weather events ranging from cyclones to droughts to flash flooding have been rising in frequency and ferocity over the past decade. Since the start of the year, climate disasters in Yemen have displaced over 200,000 people, many of whom had already been forced to move multiple times, losing their way of earning an income along with any access to basic health care. 

For women and girls, the fallout has been wide-ranging and life threatening: To fetch water and firewood, for example, they may have to walk for hours, often unaccompanied, under the burning sun, over treacherous land and in the midst of an active conflict.

The ripple effects of climate change

For many like Ms. Mahra, it wasn’t always this way. 

“I come from a large family of farmers and herders who have lived off the land for generations. We had many sheep and cows, crops and fodder, and a well that provided us with clean water,” she said.

“But then everything changed. The rain became scarce, and we didn’t know when to plant and when to harvest. The crops failed, the well dried up, and the animals starved to death.” 

This catastrophe has been compounded by Yemen’s brutal war, which for eight years has created rampant insecurity and economic turmoil. Yet double disasters of this kind are, unfortunately, not uncommon: “The evidence is clear that climate change does contribute to increased conflict,” notes the United Nations Framework Convention on Climate Change, which this week is convening a summit to address climate perils.

“We watched our livelihood disappear. We have never experienced such hardship in our region before. The land became barren, people despaired,” Ms. Mahra said.

Yemen’s conflict has displaced more than 4.5 million people within the country and left over 21 million in need of urgent humanitarian assistance. Meanwhile, the climate crisis is only tightening its grip, and millions more lives and livelihoods hang in an increasingly fragile balance.

“I am not the only one here who suffered, there are many like me. We are victims of climate change, war and injustice. We lost everything. We need your help.”