Many people in the Democratic Republic of Korea (DPRK) face major barriers in meeting their basic needs; food insecurity continues to be widespread and the country’s health system is challenged by poor infrastructure, shortage of essential medicines and limited skills among health personnel. Vulnerabilities are exacerbated by recurrent natural disasters, such as floods and droughts. In the DPRK, UNFPA supports health facilities that provide life-saving sexual and reproductive health services, including emergency obstetric care, and distributes dignity kits, to support people in meeting their basic hygiene needs.