Until 2016, the agrarian residents of east Kenya’s Kitui county had never encountered a water quality monitor like Mary Musenya. Wearing a bright blue company jersey and furnished with sample bottles and plastic trays, the young Kenyan is a water safety officer for FundiFix, a tiny rural water supply service company. She is one of 20 staff who manage 130 pumps, plus pipes and water tanks that serve 82,000 people across a 1,000 square-mile service area in Kitui and Kwale counties. 

 “Ask a big enough question, and you need more than one discipline to answer it,” said modern dance legend Liz Lerman.

As the COVID-19 pandemic spread across the globe, the World Health Organization (WHO) warned that there would be no going back to normal. They knew a failure to make timely and accurate public health decisions for a pandemic would prove to be the “difference between life and death.” How correct they were.

“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.

“We are so few, we have no one to lose,” said Christina Henriksen, the president of Saami Council, during an interview on Coronavirus in the Arctic. The COVID-19 pandemic highlights the vulnerability of Arctic residents and the longstanding challenges related to the lack of sanitization, social infrastructure, and health service capacities. The impacts of the pandemic are coupled with the potential negative effects of climate change, including a 3-5 °C temperature increase projected over the Arctic Ocean by 2050. 

Joyce Makasi, a young woman in Kambiti village, Kitui County, Kenya, went into labor with her second child one afternoon in December 2020. She had just enough money to hire a motorbike to take her to nearby Waita health center. At the facility, the clinical officer and nurse told her she would need a cesarean delivery. It wouldn’t be her first cesarean, but COVID-19 presented new obstacles.

According to the World Health Organization, 1 in 3 women in the world will experience physical or sexual violence during their lifetime. Intimate partner violence is the most common form of violence, impacting an estimated 641 million women worldwide. Lockdowns and disruptions in access to support services due to the COVID-19 pandemic have exacerbated the prevalence of gender-based violence (GBV).

“Greater attention to pregnant patients as a unique population at higher risk of SARS-CoV-2 infection sequelae, is critical to preventing maternal and neonatal morbidity and mortality,” write the authors of a study in the American Journal of Obstetrics and Gynecology examining morbidity and mortality among pregnant women with COVID-19 in Washington state. The study found “markedly higher” hospitalization and fatality rates among this group compared with similarly-aged non-pregnant individuals.