Seven-week-old twins Raghad and Raad were born prematurely as fighting intensified in Yemen's long-running civil war. Their family fled their village in the Kahboub mountains under Houthi fire, walking for three days to reach the port city of Aden.
"It was very difficult," their father, Bajash Ali Sagir Hassan, told the BBC. "We didn't find cars or transportation. One kind person brought us here [on the fourth day] while others refused."
By the time the family arrived at al-Sadaqah hospital, the twins were barely clinging to life. A doctor described them as "just skin and bone." Both were diagnosed with severe acute malnutrition. Raad, the sicker of the two, could not keep down fortified milk and had visible ribs, his chest heaving with rapid breaths.
The twins' mother Lina said they were exhausted during the journey. "They were exhausted… there was cold and dust. Their vomiting and diarrhoea got worse."
The twins' case is part of a wider crisis in Yemen. The United Nations reports that after an informal ceasefire collapsed in the summer, more than 250,000 people have been displaced and around 800,000 can no longer receive lifesaving aid. Houthi forces have advanced along the Red Sea coast and completely cut off Yemen's third largest city, Taiz, where civilians face grave risk and soaring food prices.
The malnutrition unit at al-Sadaqah hospital has 22 beds but can only admit 13 patients at a time due to a lack of international funding, staff, and equipment. Dr Noor Mohammed, a doctor at the unit, said it was sad but they lose patients because of the conditions. "We don't have good equipment like ventilation machines, and oxygen bottles," she said. "There are no good resources."
Many children return after discharge because their parents cannot afford proper nutrition or medicine. "Sometimes a child comes back to us after a week, or two days. Sometimes it is the same day," Dr Mohammed said.
Supervising nurse Aisha Ragab, who herself fled war in 2018, advocated for the twins to share a single bed so they could be admitted. "I feel for them," she said, "because I have already lived through the situation myself."
Bajash is now a shepherd without a flock, having left behind his ten sheep, his only livelihood, when he fled. He now spends nights on the street with his three other children under five, with no bedding or belongings.
The UN had already estimated that half a million Yemeni children would suffer from severe acute malnutrition this year, before the latest escalation.