In 2022, Pakistan was hit by the worst climate crisis in the country’s history, affecting over 33 million people including around 8.2 million girls and women of reproductive age and 650,000 pregnant girls and women. Distressing conditions faced by displaced young girls in relief camps highlighted their vulnerability, particularly the heightened risk of gender-based abuse, sexual violence, unintended pregnancies, child marriages, negative maternal and neonatal outcomes, and human trafficking. Due to displacement, loss of mobility, and existing stigma, young girls’ access to menstrual products, sexual and reproductive health services, and family planning services was also severely compromised.