The West and Central Africa Region faces multiple new and protracted crises due to violence, insecurity, political instability and climate change, leading to prolonged droughts, food insecurity, and poverty. In 2024, 44 million people require humanitarian assistance, including women needing sexual and reproductive health (SHR) services and protection against gender-based violence (GBV). The Sahel, namely Burkina Faso, Mali and Niger, has been particularly challenged by interconnected crises, with political instability, rising violence, shrinking civic space, and protracted humanitarian crises worsened by the effects of climate change. Conflicts and insecurity worsen humanitarian access.