NEW YORK CITY: The reproductive health crisis in Gaza and the West Bank will take “generations” to overcome, a senior UN official warned on Wednesday, citing soaring numbers of maternal deaths, mass malnutrition among pregnant women, and widespread psychological trauma affecting the youth of the territories.
Andrew Saberton, deputy executive director of the UN Population Fund, said after a visit to the region that the scale of the devastation women and girls face is “far worse than expected,” with critical services shattered and entire communities pushed beyond survival.
“Gaza has been flattened, mile upon mile of rubble and dust with few buildings left intact,” Saberton told reporters in New York. “This is not collateral damage and I cannot unsee what I saw. This is going to take generations to heal.”
Saberton painted a dire picture of the conditions for women and girls in Gaza, where one in four people are facing starvation, including 11,500 pregnant women, and 70 percent of newborns are now premature or of low birth weight. One in three pregnancies is considered high-risk.
“These are not isolated medical issues, these are generational threats to health and development,” he said.
Women are unable to access even the most basic menstrual hygiene products, Saberton added. Some resort to cutting up old pieces of cloth, supplies of which have themselves run out, while sheltering in tents or damaged buildings. The Population Fund estimates 700,000 women and girls require menstrual supplies.
With 94 percent of hospitals in Gaza damaged or destroyed, maternal deaths are increasing as a result of lack of drugs, equipment and fuel. Several newborns have to share each available incubator. Ambulance services are “basically non-existent” and some women are forced to give birth in rubble by the side of the road, Saberton said.
The fund delivered a small shipment of medical supplies, including incubators and fetal monitors, last week through the Kerem Shalom border crossing, but Saberton warned this was a “trickle” compared to what is needed.
It has more aid supplies ready for delivery at border crossings, including 200,000 menstrual pads, more incubators, hospital beds and hygiene kits, but access to Gaza remains heavily restricted.
“All crossings must be opened and all impediments removed to allow full, safe and sustained humanitarian access,” Saberton said.
There are an estimated 130 births every day in Gaza but most maternity wards have been destroyed or shut down. The Population Fund plans to help rebuild maternity hospitals, establish new emergency birthing centers, deploy networks of midwives, and provide post-partum kits and medications.
Meanwhile, gender-based violence has “soared” in Gaza, as it does in every conflict, Saberton said. He called for immediate investment in safe spaces and mental health services. The mental toll on the population is immense: up to 70 percent of youths and 40 percent of adults are believed to be suffering from post-traumatic stress disorder.
“This trauma will not be resolved in months or years. This will take generations,” Saberton said.
In the West Bank, he told how movement restrictions and military checkpoints continue to severely disrupt daily life, especially for the estimated 73,000 pregnant women in the territory.
“Pregnant women and their partners are often held for hours and then denied onward travel,” he said. “That can mean life-threatening consequences for both mother and child.”
The fund operates mobile clinics and has established 19 emergency centers to provide support for women unable to reach a hospital to give birth.
Saberton also underscored the wider human toll of the conflict between Israel and Hamas. In Gaza, which has a population of 2.1 million people living in an area of just 363 sq. km, about 250,000 people have been killed or injured, which represents almost 12 percent of the total population.
“To put that in perspective, that would be like 39 million people in the United States dead or injured,” he said.
He also warned of an increase in the number of unsafe abortions as a result of lack of contraception, and said an estimated 170,000 people have urinary or reproductive tract infections, which are preventable and treatable under normal circumstances.
The Population Fund’s humanitarian appeal is currently only about one-third funded, Saberton said, after key donors, including the US, pulled back last year leaving critical gaps.
“Donors are stepping up again but the needs are huge,” he added. “If we don’t act quickly … it’s going to be too late.”
Saberton appealed for sustained international engagement with the crisis: “The world can no longer afford to turn away; not from Gaza and not from the West Bank.
“Women and girls’ lives must transcend mere survival. True peace must guarantee safety, support and agency for every woman and girl to heal and to live their lives in dignity.”