Women smallholder farmers globally are confronting social, economic and environmental challenges related to water resource management with impacts on access to energy, drinking water and food. Furthermore, it is common for women in rural regions to be subjected to physical, economic and slow violence. In this chapter the authors utilize a water-energy-food (WEF) nexus framework with a gender lens to analyze the experience of women smallholders in the fields and in the home in three rural communities in the Magdalena River Watershed in North Colombia. The WEF nexus framework helps reveal integral connections between these elements to show both the magnitude of the challenges women face as well as how they gain access to these resources to produce food and reproduce lives.