Imali Ngusale, founder of the African Center for Health, Climate & Gender Justice Alliance (ACHCGA), opened the discussion with a powerful statement, “Climate change is increasingly recognized as a significant factor impacting public health, particularly reproductive and maternal health.”

Ngusale emphasized that rising temperatures, water scarcity, and extreme weather events disproportionately affect women and girls, particularly in low-resource settings. She pointed out that disaster-prone regions experience heightened maternal mortality risks, with healthcare systems often unable to meet the increased demand for services. Pregnant women, newborns, and families are among the most vulnerable, facing threats from disrupted access to care, poor nutrition, and unsafe environments.

The discussion also underscored midwives’ indispensable role as frontline responders in this crisis, “Midwives are not only healthcare providers but also agents of change in their communities,” said Ngusale. “Their ability to adapt to climate challenges while safeguarding maternal and reproductive health is crucial.”

Dr. Mazen Mlkawi, Regional Director for Climate Change and Health at the World Health Organization (WHO), echoed Ngusale’s sentiments, noting the profound intersection of climate and health.

This sentiment was also echoed by Dr. Abderrahmane Sidi El Moctar of Mauritania, who moderated the session. Highlighting findings from a recent UNFPA study, he stated, ” UNFPA ‘s study shed light on the critical role midwives can play as catalysts for climate action, bridging the gap between policy and practice in vulnerable regions.”

Izzy Rigda, an Australian policy, economics, and public impact expert, stressed that climate change exacerbates gender disparities. In her view, “Climate shocks disproportionately impact women in the global south.”

Rigda said, “Women and girls are disproportionately affected by climate shocks. Some are forced to relocate, which increases their exposure to gender-based violence. Additionally, they often shoulder the burden of securing resources for their families in the aftermath of disasters.”

She called for stronger policy measures to protect women and girls and healthcare systems are not only climate-resilient but also gender-responsive.

The panel concluded with a resounding call to action, urging decision-makers to prioritize investments in midwifery training that address gender inequities. Additionally, the panelists called for the urgent need to integrate climate adaptation strategies into public health plans to safeguard reproductive and maternal health in the face of an uncertain climate future.

“The research findings are compelling,” said Chiagozie Udeh, a representative from UNFPA Geneva, during the training. “They demonstrate a clear link between SRHR and climate change, with the specific intersectionality varying significantly across different countries. Climate change and SRHR are undeniably intertwined, with the specific challenges women face varying greatly depending on where they live.”

This “intersectionality,” as Udeh termed it, was further emphasized by Emmanuel Lekishon, one of the Directors of the Centre for Climate Action, who pointed to the plight of young girls and women in Narok County, Kenya.

“Girls and young women, particularly those from Narok County face unique challenges due to the interplay of climate change and gender inequality,” noted Lekishon while presenting the disproportionality of climate shocks.

Additionally, Dr. Samwel Wakibi a public health researcher and regional expert from the University of Nairobi highlighted that the recent climate shocks in Kenya have made it challenging for women to access reproductive health services.
Dr. Wakibi said that pre-existing gender norms coupled with unfavorable climate change further tilted the  socio-economic marginalization imbalances  while exacerbating gender inequalities.

Speaking on the same issue, Angela Baschiera said, “Women are disproportionately impacted by climate change. There is a rich body of resources that women have poorer access to resources that could help with the adaptation such as land title, irrigation, and financial assets.”

Currently, only 37% of 160 countries recognize that women and men have equal rights to own and control land. The most impacted population should be the cost involved in creating solutions.

The training further underscored the critical role of gender equality in achieving the vision of human-centered sustainable development outlined by the International Conference on Population and Development Programme of Action (ICPD PoA).

The training also identified specific “hotspots” within Kenya, areas most vulnerable to the combined threats of climate change and gender inequality. Armed with this knowledge, future efforts to adapt could be designed to ensure no woman or girl is left behind in the fight for a brighter tomorrow.