Statement by UNFPA Executive Director, Dr. Natalia Kanem on the suffering of women and girls in the Middle East

Today marks one year since the horrific 7 October terror attacks by Hamas and other armed groups on Israel in which more than 1,250 people were killed, hundreds taken hostage and acts of egregious sexual violence reported. This has been followed by Israel's deadly military campaign in Gaza, where months of relentless bombardment and ground operations have killed more than 41,000 people - most of them women and children - and caused untold pain and destruction.

More than 2 million people in Gaza lack the basic necessities to survive - sanitation, health care, shelter, electricity and protection. Families have been forcibly displaced multiple times, moving from one unsafe place to another, with no escape and no home to which to return. Two million people have lost everything, their neighborhoods reduced to rubble. Around 96 per cent of the population faces crisis levels of hunger or worse. At the same time, the situation in the occupied West Bank, including East Jerusalem, continues to deteriorate. Life for millions in Palestine, Israel, and now across the region has changed forever. The rights and dignity of women and girls have been severely compromised.

The 155,000 pregnant women and new mothers in Gaza struggle every day to keep themselves and their babies alive, with the healthcare system in ruins and facilities deprived of the supplies they need to operate. Women's chances of miscarriage or dying in childbirth have trebled. New mothers have spoken to us of giving birth alone in their tents at night; or seeking early Caesarean sections for fear they won't survive until their due date.

In conflict, it is vulnerable civilians who suffer most - pregnant women, children and newborns; the sick, the elderly, people living with disabilities.

Among those affected are our colleagues, who continue to assist the vulnerable, despite having lost family members and their homes.

More than 280 aid workers have been killed since the conflict began.

As families are packed into overcrowded, unsanitary temporary shelter areas, with no clean water or soap available, menstruation is impossible to manage. Some 10.3 million menstrual pads are needed every month in Gaza, yet nowhere near enough are permitted entry.

Amid this suffering, UNFPA and its partners have helped around 45,000 women give birth safely since October 2023. We are operating six mobile maternal health units in Gaza, which are equipped to manage obstetric emergencies, including Caesarean sections. UNFPA has also distributed reproductive health kits with medicines, equipment and supplies to support safe births, and deployed teams of midwives and healthcare workers to provide essential antenatal and postnatal care.

UNFPA is deeply concerned for the safety and wellbeing of all women and girls caught up in the conflict. The situation they face is beyond catastrophic. It is time for the international community and all parties concerned to forge a future without fighting, where lives, homes and communities can be rebuilt. We need a ceasefire now. All parties must adhere to international humanitarian law and international human rights law. All hostages and all those arbitrarily detained must be released immediately and unconditionally. Rapid, safe and unimpeded humanitarian access to all in need must be guaranteed.

The atrocities must end. The fate of humanity does not belong in the hands of those wielding weapons. It must rest with women and young people and their allies standing together to wage peace.

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