The general silence around SRHR issues and its limited services are further worsened by the climate crisis and, its resulting, humanitarian emergencies. An immediate impact of it on SRHR is the disruption of critical infrastructures such as roads and clinics due to extreme weather events. This in turn impedes the accessibility and availability of SRHR services including STI and HIV testing, safe abortion and contraceptive services. Where these services are unavailable, maternal morbidity, mortality and other adverse health outcomes increase.
A lack of access to clean and safe water affects the quality and safety of SRHR services, including during pregnancy, childbirth and the management of menstrual health. Research shows significant associations between air pollution and heat exposure related to climate change and the risk it poses to pregnancy outcomes such as preterm birth, low birth weight and stillbirth.
The breakdown of family, social networks and protective structures due to climate-related disasters increase rates of gender-based violence including sexual abuse, exploitation, rape, child/ early marriage etc. Some families may resort to forcibly marrying of their daughters due to food and income security.
Kiribati's Youth Leadership on SRHR advocacy and Climate Crises
SRHR is critical to climate change preparedness, adaptation and resilience as it helps advance gender equality, health and well-being of individuals in society. The Kiribati Family Health Association (KFHA) provides access to lifesaving sexual and reproductive health care including family planning, contraception, prenatal and postnatal care, and HIV/AIDS prevention and education. It also engages in capacity building and training programs to enhance skills and knowledge to deliver quality SRHR services across the country.
KFHA is also preparing for climatic emergencies by undertaking humanitarian preparedness and response training. Central to KFHA’s work is its Humanitarian Youth Club, where Kiribati’s youth meet regularly to plan rapid responses for their communities during climate-related disasters.
"Our youth have been organized as a club since we were younger, we were very active. Now we are leaders... We share our ideas on sexual and reproductive issues such as sexually transmitted-infections, and we discuss how it would feel to be a pregnant woman in a disaster", reflects Theta Kiraneti on her experience as a Humanitarian Youth Club member.
Tikatake, a youth participant of KFHA’s capacitating program on humanitarian emergencies, speaks about the lessons he received. "I learned we have to look out for people with disabilities and pregnant women … If a woman goes into labor during an emergency, we know we must call on the traditional midwife. It is my responsibility to look after our community members."
In the face of adversity experienced by Kiribati due to increasing climate-related disasters and SRHR disparities, its youth, led by KFHA’s Humanitarian Youth Club, emerge as powerful SRHR advocates and preparedness leaders. Through education, advocacy, and community action, they show resilience, embodying hope for a future for their upcoming generation. As Theta puts, ‘I want my daughter to grow up in the same place I grew up in. Isn’t that what most people would want?’
Illustrations by Regina Vaka'uta (@reginaz_shiki)