Whether marginalized populations, such as adolescents, LGBTQ+ people, migrant workers, and sex workers are included in health services can be a “litmus test” of our progress towards universal health coverage (UHC), said Sivananthi Thanenthiran, Executive Director of Asian-Pacific Resource and Research Centre for Women (ARROW). Thanenthiran spoke at a recent Wilson Center event with the United Nations Population Fund (UNFPA) and the World Health Organization (WHO) Department of Sexual and Reproductive Health and Research about the importance of engaging stakeholders in sexual and reproductive health (SRH) to achieve UHC for all. In SRH services, the most marginalized and most vulnerable populations are often left out, she said. When engaging stakeholders, representatives from these groups must be included to ensure equity in healthcare services.

“Spoiler alert: COVID made it even worse,” said Natascha Braumann, Director of Global Government and Public Affairs for Fertility at EMD Serono, of declining fertility trends across the globe. Braumann spoke at a recent Wilson Center event highlighting pre-pandemic fertility, demographic trends, and the impact of COVID-19. The panel was co-sponsored by EMD Serono, the healthcare business of Merck KGaA, Darmstadt, Germany.

In June 1969, the Stonewall Uprising in Manhattan served as a critical tipping point for the Gay Liberation Movement in the United States. Each June, communities around the world celebrate Pride Month to honor this struggle and continue fighting for a more equal future. More than 50 years after Stonewall, Lesbian, Gay, Bisexual, Transgender, and Queer or Questioning (LGBTQ+)* people in the United States struggle to access culturally competent and respectful sexual and reproductive health care.

“From birth, from almost from cradle to grave, girls have been seen as some sort of baggage,” said Shamsa Suleiman, Project Management Specialist for Gender and Youth at the U.S. Agency for International Development (USAID), Tanzania. Suleiman spoke at a recent Wilson Center event with USAID MOMENTUM Country and Global Leadership about balancing power dynamics to achieve equity for all women and children in maternal, child, and adolescent health, and family planning. Home should be a safe space, said Suleiman. But for many girls, it no longer is. To escape the poverty and pressures at home, including early marriage and other forms of gender-based violence, some girls leave, said Suleiman. “Girls are trying to escape the safe spaces.”

“Every day in every part of the world, midwives save the lives of women and babies and promote the health and well-being of entire communities,” writes UNFPA Executive Director Dr. Natalia Kanem in honor of International Day of the Midwife. “They deserve our respect and gratitude, but that is not enough. Midwives deserve greater investment in their capabilities, and workplaces that empower them and fully acknowledge their skills and contributions.” Investment in midwifery could save millions of lives per year – an estimated 4.3 million annually by 2035.

“The pandemic has undoubtedly resulted in more deaths and more illness – particularly for the most vulnerable women and children,” write the authors of a new United Nations International Children’s Emergency Fund (UNICEF) report examining the direct and indirect effects of the COVID-19 pandemic in South Asia. The report found that the disruptions in several essential health services due to the COVID-19 pandemic had a “substantial impact” on maternal and child mortality in the region.