From the day they were born, just seven weeks ago, twins Raghad Hassan and her brother Raad have been battling for survival.
They came into the world prematurely, as fighting surged in Yemen’s long-running civil war between Houthi rebel fighters and government forces.
When the Houthis reached their village in the Kahboub mountains in south-west Yemen, their family of seven was forced to flee amid bombs, missiles, and drone attacks – the twins protected only by blankets.
What followed was three days on foot heading for the port city of Aden.
“It was very difficult,” says their father, Bajash Ali Sagir Hassan, a softly spoken shepherd. “We didn’t find cars or transportation. One kind person brought us here [on the fourth day] while others refused.”
As the family walked, the twins got weaker, according to their mother Lina. “They were exhausted… there was cold and dust. Their vomiting and diarrhoea got worse.”
By the time the newly homeless family arrived at al-Sadaqah hospital in Aden, the twins were barely clinging to life. “Just skin and bone,” said a doctor, shaking his head, as he looked at their wasted limbs.
Raad was the sicker of the two – his ribs visible and his chest heaving as he took rapid, shallow breaths. He was barely bigger than the hands of the nurse who carried him gently to be weighed and measured.
Bajash looked on, worry etched on his face. He told us the twins were fed twice a day, but sometimes he could only give them water – after the war drove up the price of baby milk.
The diagnosis came quickly – severe acute malnutrition. That can be as deadly as a bullet.
Lee Durant/BBCMalnutrition in Yemen is a crisis within a crisis – another frontline in a devastating civil war. Hunger did not arrive with conflict, but it’s spreading with the latest bloodshed.
The United Nations says around 800,000 people can no longer receive lifesaving aid and more than 250,000 have been displaced, after an informal ceasefire collapsed in the summer.
Since then the Houthis have made a lighting advance along the Red Sea coast, and they have now completely cut off Yemen’s third largest city, Taiz.
The UN says civilians there are “at grave risk” and lacking food due to soaring prices.
The internationally-recognised government is fighting back against the Houthis – or trying to – with the help of Saudi air strikes.
Caught in the middle of all this are fathers like Bajash, fighting to get help for their children. We saw another mother with a malnourished baby being turned away.
Lee Durant/BBCWe followed Bajash as he rushed through the corridors, trying to get the all-important admissions slip. He found an ally, a forceful supervising nurse, Aisha Ragab, who had run from the war herself, back in 2018.
“I feel for them,” she said, “because I have already lived through the situation myself.”
Two beds could not be found, but Aisha was undeterred.
“I will settle this by having the twins share a bed… so that we can save them. By God, I will convince them [the doctors].”
Within an hour the twins were lying on a single bed, their tiny bodies taking up little space.
Lina was feeding them sips of fortified milk from a tiny bottle, but Raad could not keep it down. He was cradled in her arms – his eyes wide and his cheeks sunken. Asked if she thought her twins would recover, Lina replied quietly, “God willing.”
Lee Durant/BBCAs we walked through the unit with its pink walls, some doors were padlocked shut.
There are 22 beds, but staff told us only 13 patients were admitted at a time – the most critical cases – due to the lack of international funding, staff, and equipment.
That’s a bitter pill to swallow for Dr Noor Mohammed, a harried young doctor.
“It’s sad to say, but we lose patients [because of the conditions],” she says.
“We don’t have good equipment like ventilation machines, and oxygen bottles,” she adds. “There are no good resources. A lot of laboratory investigations… it’s very hard to do them.”
A recent flare-up in fighting has left civilians in the firing line.
Even before the latest escalation, the UN calculated that half a million Yemeni children would suffer from severe acute malnutrition this year.
Lee Durant/BBCThe malnutrition unit in al-Sadaqah hospital is a conveyor belt of suffering. As one severely ill baby leaves, another arrives. And some of those discharged are back all too soon.
“Sometimes a child comes back to us after a week, or two days,” says Dr Mohammed. “Sometimes it is the same day. They come back and we admit them and the story begins again.”
They return because parents cannot afford proper nutrition or vitamins or antibiotics.
“Every child here, his parents came because they don’t have anything,” she tells me. “They don’t have money or insurance. They are here because they can’t afford a private hospital.”
She does her best for them, she says, and she cries for them.
Lee Durant/BBCMany parents – like Bajash – are trying to outrun both war, and poverty. He is now a shepherd without a flock. When he fled, he had to leave 10 sheep behind. They were his only livelihood.
As doctors monitored his twins, he cared for his three older children – all aged under five. They lingered on a bench in hospital reception without toys, bedding or baggage of any kind. But they could not sleep there.
So, they spent the night outside, on the street – one more family with war wounds that cannot be seen but will disfigure a generation.
Additional reporting by Wietske Burema, Lee Durant and Suaad Al Salahi
