Women’s health in a changing climate: understanding vulnerabilities and the role of healthcare providers

Ali Kubba; Anne Kihara; Christiane von Ludwig; Rossella E. Nappi

doi:10.53260/EGO.268012

Vol. 8 No. 1 (2026), Narrative / Short Review

Vol. 8 No. 1 (2026)

Women’s health in a changing climate: understanding vulnerabilities and the role of healthcare providers

Narrative / Short Review

https://doi.org/10.53260/EGO.268012

Published 2026-04-14

Ali Kubba⁺⁻
Anne Kihara⁺⁻
Christiane von Ludwig⁺⁻
Rossella E. Nappi⁺⁻

Ali Kubba

Consultant Community Gynaecologist, Guy’s and St Thomas’ Hospital Trust, United Kingdom,Guy's and St Thomas' NHS Foundation Trust

Anne Kihara

International Federation of Gynecology and Obstetrics (FIGO) - University of Nairobi, Faculty of Medicine, Department of Obs/Gyn, Nairobi, Kenya

Christiane von Ludwig

Bayer AG, Berlin, Germany

Rossella E. Nappi

.

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Keywords

adaptation, Climate change, healthcare professionals, healthcare workers, mitigation, Women’s health

How to Cite

Kubba, A., Kihara, A., von Ludwig, C., & Nappi, R. E. (2026). Women’s health in a changing climate: understanding vulnerabilities and the role of healthcare providers. European Gynecology & Obstetrics, 8(1). https://doi.org/10.53260/EGO.268012

Abstract

This narrative review focuses on the disproportionate impact of climate change on women’s health and outlines practical strategies and interventions that healthcare professionals (HCPs) and healthcare workers (HCWs) can implement to improve health literacy, inform women, and integrate climate-health awareness into care. Through these actions, HCPs and HCWs can support and empower women in managing climate-related health risks and reducing health inequities.

https://doi.org/10.53260/EGO.268012

PDF

References

World Health Organization. Climate change and health. 12 October 2023. Available at: https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health Accessed October 2025.

van Daalen KR, Tonne C, Semenza JC, et al. The 2024 Europe report of the Lancet Countdown on health and climate change: unprecedented warming demands unprecedented action. Lancet Public Health. 2024;9(7):e495-e522.

Intergovernmental Panel on Climate Change. Intergovernmental Program for Climate Change (IPCC) Sixth Assessment Report. Available at: https://www.ipcc.ch/assessment-report/ar6 Accessed December 2024

Mauvais-Jarvis F, Bairey Merz N, Barnes PJ, et al. Sex and gender: modifiers of health, disease, and medicine. Lancet 2020;396(10250):565-582.

Anton B, Cuevas S, Hanson M, et al. Opportunities and challenges for financing women’s, children’s and adolescents’ health in the context of climate change. BMJ Glob Health. 2024;9(4):e014596.

Cucinella L, Tiranini L, Nappi RE. Impact of climate and environmental change on the menopause. Maturitas. 2023;178:107825.

Girardi G, Bremer AA. Effects of climate and environmental changes on women’s reproductive health. J Womens Health (Larchmt). 2022;31(6):755-757.

Segal TR, Giudice LC. Systematic review of climate change effects on reproductive health. Fertil Steril. 2022;118(2):215-223.

Paavola J. Health impacts of climate change and health and social inequalities in the UK. Environ Health. 2017;16(Suppl 1):113.

United Nations. The impact of climate change on the rights of persons with disabilities. Available at: https://www.ohchr.org/en/climate-change/impact-climate-change-rights-persons-disabilities. Accessed December 2024.

Otto IM, Reckien D, Reyer CPO, et al. Social vulnerability to climate change: a review of concepts and evidence. Reg Environ Change. 2017;17:1651-1662.

Denton F. Climate change vulnerability, impacts, and adaptation: Why does gender matter? Gend Dev. 2002;10(2):10-20.

Desai Z, Zhang Y. Climate change and women’s health: a scoping review. Geohealth 2021;5(9):e2021GH000386.

World Economic Forum. These 3 climate disasters will have the biggest impact on human health by 2050. Available at: https://www.weforum.org/stories/2024/01/climate-change-health-impact-mortality/. Accessed January 2025.

Sorensen C, Murray V, Lemery J, Balbus J. Climate change and women’s health: impacts and policy directions. PLoS Med. 2018;15(7):e1002603.

Lecoutere E, Mishra A, Singaraju N, et al. Where women in agri-food systems are at highest climate risk: a methodology for mapping climate–agriculture–gender inequality hotspots. Front Sustain Food Syst. 2023;7:1197809.

Chen LH, Knutsen SF, Shavlik D, et al. The association between fatal coronary heart disease and ambient particulate air pollution: are females at greater risk? Environ Health Perspect. 2005;113(12):1723-1729.

Pinho-Gomes AC, Woodward M. The association between gender equality and climate adaptation across the globe. BMC Public Health. 2024;24:1394.

Giudice LC, Llamas-Clark EF, DeNicola N, et al. Climate change, women’s health, and the role of obstetricians and gynecologists in leadership. Int J Gynaecol Obstet. 2021;155(3):345-356.

World Health Organization. Protecting maternal, newborn and child health from the impacts of climate change: a call for action. Available at: https://www.who.int/publications/i/item/9789240085350. Accessed July 2025.

World Health Organization. Gender, climate change and health. Available at: https://www.who.int/publications/i/item/9789241508186. Accessed July 2025.

Stone K, Blinn N, Spencer R. Mental health impacts of climate change on women: a scoping review. Curr Envir Health. 2022;9:228-243.

Desai BH, Mandal M. Role of climate change in exacerbating sexual and gender-based violence against women: a new challenge for international law. Environ Policy Law. 2021;51(3):137-157.

Haines A, Kimani-Murage EW, Gopfert A. Strengthening primary health care in a changing climate. Lancet. 2024;404(10463):1620-1622.

Amiri M, El-Mowafi IM, Chahien T, Yousef H, Kobeissi LH. An overview of the sexual and reproductive health status and service delivery among Syrian refugees in Jordan, nine years since the crisis: a systematic literature review. Reprod Health. 2020;17(1):166.

Canelon SP, Boland MR. A systematic literature review of factors affecting the timing of menarche: the potential for climate change to impact women’s health. Int J Environ Res Public Health. 2020;17(5):1703.

Hunt PA, Sathyanarayana S, Fowler PA, Trasande L. Female reproductive disorders, diseases, and costs of exposure to endocrine disrupting chemicals in the European Union. J Clin Endocrinol Metab. 2016;101(4):1562-1570.

Merkin SS, Phy JL, Sites CK, Yang D. Environmental determinants of polycystic ovary syndrome. Fertil Steril. 2016;106(1):16-24.

Konkel L. Taking the heat: potential fetal health effects of hot temperatures. Environ Health Perspect. 2019;127(10):102002.

Koman PD, Hogan KA, Sampson N, et al. Examining joint effects of air pollution exposure and social determinants of health in defining “at-risk” populations under the Clean Air Act: susceptibility of pregnant women to hypertensive disorders of pregnancy. World Med Health Policy. 2018;10(1):7-54.

Hiatt RA, Beyeler N. Women’s cancers and climate change. Int J Gynaecol Obstet. 2023;160(2):374-377.

Kakkad K, Barzaga ML, Wallenstein S, Azhar GS, Sheffield PE. Neonates in Ahmedabad, India, during the 2010 heat wave: a climate change adaptation study. J Environ Public Health. 2014;2014:946875.

Makhseed MA, Musini VM, Ahmed MA, Monem RA. Influence of seasonal variation on pregnancy-induced hypertension and/or preeclampsia. Aust N Z J Obstet Gynaecol. 1999;39(2):196-199.

Gelaw KA, Atalay YA, Gebeyehu NA. Unintended pregnancy and contraceptive use among women in low- and middle-income countries: systematic review and meta-analysis. Contracept Reprod Med. 2023;8(1):55.

Pajewska-Szmyt M, Sinkiewicz-Darol E, Gadzala-Kopciuch R. The impact of environmental pollution on the quality of mother’s milk. Environ Sci Pollut Res Int. 2019;26(8):7405-7427.

Sheffield PE. Mental health and climate change: The critical window of pregnancy. Int J Gynaecol Obstet. 2023;160(2):383-384.

Kumar M, Sarma DK, Shubham S, et al. Environmental endocrine-disrupting chemical exposure: role in non-communicable diseases. Front Public Health. 2020;8:553850.

Sbiroli E, Geynisman-Tan J, Sood N, Maines BA, Junn JHJ, Sorensen C. Climate change and women’s health in the United States: impacts and opportunities. J Clim Chang Health. 2022;8:100169.

Pouliot SH, Xiong X, Harville E, et al. Maternal dengue and pregnancy outcomes: a systematic review. Obstet Gynecol Surv. 2010;65(2):107-118.

Schantz-Dunn J, Nour NM. Malaria and pregnancy: a global health perspective. Rev Obstet Gynecol. 2009;2(3):186-192.

Ahuja S, Muntode Gharde P. A narrative review of maternal and perinatal outcomes of Dengue in pregnancy. Cureus. 2023;15(11):e48640.

Chibueze EC, Tirado V, Lopes KD, et al. Zika virus infection in pregnancy: a systematic review of disease course and complications. Reprod Health. 2017;14(1):28.

Shafiq Y, Rubini E, Fazal ZZ, et al. Impact of Ebola and COVID-19 on maternal, neonatal, and child health care among populations affected by conflicts: a scoping review exploring demand and supply-side barriers and solutions. Confl Health. 2024;18(1):12.

Davies GI, McIver L, Kim Y, Hashizume M, Iddings S, Chan V. Water-borne diseases and extreme weather events in Cambodia: review of impacts and implications of climate change. Int J Environ Res Public Health. 2015;12(1):191-213.

Nove A, Friberg IK, de Bernis L, et al. Potential impact of midwives in preventing and reducing maternal and neonatal mortality and stillbirths: a Lives Saved Tool modelling study. Lancet Glob Health. 2021;9(1):e24-e32.

Dean SV, Lassi ZS, Imam AM, Bhutta ZA. Preconception care: closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health. Reprod Health. 2014;11(Suppl 3):S1.

ACOG Committee Opinion No. 762: Prepregnancy Counseling. Obstet Gynecol. 2019;133(1):e78-e89.

Wee J, Tan XR, Gunther SH, et al. Effects of medications on heat loss capacity in chronic disease patients: health implications amidst global warming. Pharmacol Rev. 2023;75(6):1140-1166.

World Health Organization. Climate change and health. WHO Academy. Available at: https://web-staging.lxp.academy.who.int/coursewares/course-v1:WHOA+0021_CCH_EN+2023. Accessed July 2025.

World Health Organization. Communicating on climate change and health: toolkit for health professionals. Available at: https://www.who.int/publications/i/item/9789240090224. Accessed July 2025.

The Guardian. Europe’s medical schools to give more training on diseases linked to climate crisis. Available at: https://www.theguardian.com/global-development/2024/oct/14/european-network-climate-health-education-medical-schools-diseases-students-dengue-malaria-heatstroke. Accessed July 2025.

World Health Organization. COP29 special report on climate change and health. Health is the argument for climate action. Available at: https://cdn.who.int/media/docs/default-source/environment-climate-change-and-health/cop29-report_summary.pdf. Accessed July 2025.

International Federation of Gynecology and Obstetrics. Committee on Climate Change and Toxic Environmental Exposures. Available at: https://www.figo.org/what-we-do/figo-divisions-committees/committee-climate-change-toxic-environmental-exposures. Accessed July 2025.

Zinsstag J, Kaiser-Grolimund A, Heitz-Tokpa K, et al. Advancing One human-animal-environment Health for global health security: what does the evidence say? Lancet. 2023;401(10376):591-604.

Spotlight Initiative. Colliding crises: how the climate crisis fuels gender-based violence. Available at: https://spotlightinitiative.org/publications/colliding-crises-how-climate-crisis-fuels-gender-based-violence. Accessed July 2025.