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Reviving Essential Health Services in Rural Taiz

Health doctors use newly received devices to examine patients. Photo: Albaraa/CARE

Health doctors use newly received devices to examine patients. Photo: Albaraa/CARE

Years of conflict, displacement, and economic hardship have weakened access to basic services including health services in Taiz Governorate, southwestern Yemen. After more than a decade of conflict, Yemen remains one of the world’s most severe humanitarian crises. According to the 2026 Yemen Humanitarian Needs and Response Plan (HNRP), more than 22 million people require humanitarian assistance, while only 59.3 per cent of health facilities are fully functional nationwide. Yemen continues to face recurrent outbreaks of communicable diseases, low vaccination coverage, and a severe shortage of accessible health services, particularly in rural and conflict-affected areas.

The challenges are especially acute for women and children. More than 2.2 million children under five are acutely malnourished, while an additional 1.3 million pregnant and breastfeeding women are expected to suffer from malnutrition in 2026.

For communities in rural Taiz, geographic isolation and insecurity compound these national challenges. Many families struggle to afford transportation to distant hospitals. For those displaced by conflict or living in poverty, seeking healthcare often means choosing between medical treatment and meeting other essential household needs.

Just a few months ago, the 26 September Health Centre in Salah district was little more than an empty building. The walls stood, but the service did not. There were no examination beds, no laboratory equipment, no medicines, and no reliable source of electricity. Health workers volunteered their time without incentives, doing what they could with almost nothing.

The health center was empty and lacked essential tools to function. Photo: Sara/CARE

“When we started, the center was only walls, a roof, and a floor,” recalls Dr. Omar, director of the 26 September Health Centre. “We had no furniture, no medical equipment, no medicines, and no laboratory capacity. Even our staff were working voluntarily because there was simply no support available.”

The situation was so difficult that laboratory staff had to borrow a microscope from a local resident to conduct basic tests. Patient records were written on improvised sheets of paper because standard registration materials were unavailable. Women arriving for consultations often left disappointed because the facility lacked the equipment needed for examinations and diagnosis.

Many patients delayed seeking care until illnesses became severe. Mothers faced risks when maternal and reproductive health services were unavailable nearby. Some families chose to remain at home despite sickness because they could not afford transport or feared travelling through insecure areas.

With support from Global Affairs Canada (GAC), CARE implemented the Multi-Sectoral Humanitarian Response Targeting IDPs, Returnees and Host Communities in Yemen 2024–2026 project. Through this initiative, CARE rehabilitated and comprehensively equipped the 26 September Primary Health Care Center in Salah district, transforming it into a functional health facility capable of delivering quality, life-saving primary healthcare, reproductive health, and nutrition services for vulnerable populations, including internally displaced persons, returnees, and host communities.

The health center received essential medicines, medical equipment, laboratory supplies, furniture, solar-power systems, cold-chain equipment, and operational support. Health workers also benefited from professional training and supportive supervision, strengthening both their technical skills and confidence.

“The project completely changed the identity of the center. It provided medicines, equipment, furniture, laboratory materials, and incentives that allowed us to function properly. It brought smiles back to the faces of both patients and health workers,” says Dr. Omar.

The project also invested in capacity building. Training in integrated reproductive and maternal healthcare enabled staff to deliver higher-quality services and respond more effectively to community needs. Health workers who previously possessed academic qualifications but limited practical training gained new competencies that improved patient care.

Before the intervention, few people visited the health facility, and many never returned after their first visit. Today, the center receives patients from surrounding villages and neighboring communities who actively seek care there because of the quality and reliability of the services available.

One woman shared with her experience with the health workers, explaining how she previously kept sick family members at home because obtaining medical care was too difficult and expensive. After receiving treatment and health education at the center, she became more proactive about her family’s health and encouraged others in her community to utilize the available services.

The restored facility now offers patients a safe and dignified environment, including improved privacy and confidential consultations, an important factor for women seeking reproductive healthcare.

Today, the center serves women, children, and vulnerable families from across the district, providing essential reproductive health, maternal and child health, family planning, health education, and laboratory services. The transformation reflects the profound impact that humanitarian health investments can have in communities living on the frontlines of Yemen’s prolonged crisis.

In a country where millions still struggle to access essential health services and nearly 40 per cent of facilities are only partially functional or completely non-functional, strengthening local health centers offers one of the most effective ways to save lives and build resilience.

Health doctors use newly received devices to examine patients. Photo: Albaraa/CARE

“The support came to a place that truly needed it. What was provided here was not just equipment or medicines, it restored hope. The effect will remain in this community for many years,” says Dr. Omar.

In rural Taiz, where access to healthcare can mean the difference between life and death, that hope is now being translated into healthier mothers, safer births, better outcomes for children, and renewed confidence in a health system that communities desperately need.

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