“Too many children are dying in the first month of life,” said Richard Horton, Editor-in-Chief of The Lancet at a recent launch event for the 2023 Lancet Series on Breastfeeding, hosted by The Royal Society of Medicine, London. Indeed, the global numbers are staggering. Horton observed that 2.3 million children died in the first month of life in 2021—that’s more than 6,000 newborns dying every single day.

The sixth International Conference on Family Planning (ICFP) held in Pattaya, Thailand in November 2022 offered an important reason for celebration: tens of millions more people are using a modern method of family planning now than were doing so when the first ICFP was held in London ten years ago. How has this happened? One key reason is that governments, corporations, non-governmental organizations, and donors globally are taking steps to advance reproductive freedom through providing voluntary family planning.

We have all the tools we need for the elimination of cervical cancer, a largely preventable cancer that annually kills more than 300,000 women worldwide—the vast majority in low- and middle-income countries.

Under the narrow shade of our umbrellas, a community health worker from a local NGO and I walked along a dirt path to the edge of some paddy fields in a village in Tamil Nadu, South India in the summer of 2015. There we met a group of Dalit (oppressed-caste) women who were squeezed together under a clump of trees on a small strip of raised land between two fields.

The summer of 2015 was one of the hottest on record in South India at that time, with temperatures consistently above 40ºC (104ºF) every day. Rains which should have begun to arrive had not come by mid-July. These women were hoping to be called for daily agricultural wage labor in the fields, and they had taken refuge under the shade while they waited. They had been waiting all morning with no work available; it had been the same for several days because there was a drought and the crops were failing.

In 2022, the Dot-Mom column published several pieces from expert guest authors from the greater maternal and reproductive health community. In our top read guest contributor piece of the year, Susie Jolly examined the role of colonialism in sexuality education globally. Jolly highlighted examples where sexual health knowledge is built on unethical medical research carried out on racialized people, such as the study of untreated syphilis among Black men in the United States. Sexuality educators, especially those placed in the Global North, have a responsibility to work to decolonize their work. Jolly suggests supporting resources led by marginalized people, critically examining colonialism’s influence in the understanding of sexuality, and shifting the dynamics of who decides on content to lend more weight to non-Western expertise and young people learning from their own experiences.

Migrant care work is a key component of the ongoing global care crisis. The global care economy is critical to overall economic growth, and also affects gender, racial, and class and caste equity and empowerment. Caregiving is also the fastest-growing economic sector in the world—projected to add 150 million jobs by 2030. Global societal changes, like low birth rates, demographic aging, and an increase in female labor force participation, are basic drivers of the continued growth of this sector. But because in many cultures care work is considered “instinctive” for women—a type of work not requiring skill—it has remained virtually invisible, unpaid or underpaid and unregulated. It is also often stigmatized, especially when relegated to already marginalized and underrepresented populations.

COVID-19 has dealt out a double dose of woe for global maternal health. According to a new report from the Government Accountability Office (GAO), the pandemic saw an increase in maternal deaths and an exacerbation of racial disparities driving this overall morbidity. In addition, childbearing people experienced significant anxiety and depression. 

“The COVID-19 pandemic has brought into the open two things that much of the world has always assumed but not fully acknowledged: women do the vast majority of caregiving, and caregiving is grossly undervalued. Caregiving is also the fastest-growing economic sector in the world—projected to add 150 million jobs by 2030. Global societal changes, like low birth rates, demographic aging, and an increase in female labor force participation, are basic drivers of the continued growth of this sector. But because in many cultures care work is considered “instinctive” for women—a type of work not requiring skill—it has remained virtually invisible, unpaid or underpaid and unregulated. It is also often stigmatized, especially when relegated to already marginalized and underrepresented populations.” – Pandemic Learning: Migrant Care Workers and Their Families Are Essential in a Post-COVID-19 World