“The act of caregiving has unique impacts on women, in terms of economic, emotional, and physical well-being,” said Dr. Belén Garijo, the CEO for healthcare and executive board member of Merck KGaA, Darmstadt, Germany, at a recent Wilson Center event.

“We cannot achieve our goals of ending maternal and child deaths without addressing critical health system barriers around the world,” said Grace Chee of the U.S. Agency for International Development (USAID)’s flagship Maternal and Child Survival Program at a recent Wilson Center event. To improve the lives of mothers and children, health workers must address the underlying causes of poor health outcomes, including systemic weaknesses in health care governance, financing, and human resources.

“There is no healthcare delivery system for non-pregnant 15- to 24-year olds,” said the U.S. Global AIDS Coordinator, Ambassador Deborah Birx, at a recent Wilson Center event on efforts to reduce the prevalence of HIV/AIDS among adolescent girls in sub-Saharan Africa. In 2014, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) established the DREAMS program, which aims to create “a health care system where young people interact in a proactive and positive way,” said Birx.

Since 1987, the number of women dying during pregnancy and delivery has dropped by 43 percent, saving hundreds of thousands of women’s lives—and changing the lives of their families—around the world. “Our achievement in making maternal mortality an injustice that needs to be recognized by health ministers, by heads of state, by heads of agencies, has been, I think, the single greatest achievement of the Safe Motherhood Initiative” since it began 30 years ago, said Ann Starrs, President and CEO of Guttmacher Institute, at a Wilson Center event marking the anniversary of this important effort.