In 2003, a scabies skin disease outbreak affecting mountain gorillas in Bwindi Impenetrable National Park was traced to people living around the national park—people with limited access to basic health and social services. To protect the people and wildlife of this special park, we launched Conservation Through Public Health (CTPH), an NGO that promotes biodiversity conservation by enabling people, gorillas, and other wildlife to coexist harmoniously through improved health and wellbeing.

For some time, it has been clear that a global population imbalance is emerging. High income countries, including nearly all of the Americas, Europe, and most of East and parts of South and Southeast Asia, have seen a dramatic, sustained fall in fertility. Already, this is resulting in shrinking labor forces and the oldest mean age populations seen in history. At the same time, the low income countries and even some lower middle-income countries—mainly in Africa but also in Central America, the Middle East, and parts of South and Southeast Asia—continue to have relatively high fertility. This is now, and even more in the coming decades, producing fast-growing labor forces and relatively young populations.

“Midwifery is a fix, it is not an add-on,” said Franka Cadée, President of the International Confederation of Midwives (ICM) at the Nairobi Summit on ICPD25. The World Health Organization designated 2020 the Year of the Nurse and the Midwife in recognition of the invaluable contributions of these two professions.  To meet the Sustainable Development Goals by 2030, midwives and nurses must be valued and utilized as essential members of the health workforce.  Increased utilization of skilled midwives will also help countries achieve universal health coverage and improve access to sexual and reproductive health services, two key actions from the 1994 International Conference on Population and Development (ICPD).

In the quarter century the Wilson Center’s Environmental Change and Security Program has been pondering the issues for which it’s named, the world’s demographic future has been wobbling. A key concern of analysts: How many people will farmers need to feed in 2050? Mainstream projections have teetered between 8.9 billion and 9.8 billion, amounting to an increase of between 13 and 21 percent over today’s 7.7 billion. This significant variation in projections is rarely acknowledged by prognosticators. Many simply round up today’s latest guess and state confidently that there will be 10 billion people in 2050—though just a few years ago, the number most confidently stated was 9 billion.

First published 30 years ago in the National Interest, Francis Fukuyama’s landmark essay, “The End of History?,” argued that, with the fall of fascism and communism, no serious blueprint for modern-state development lay open, save for those paths that would ultimately embrace both political and economic liberalism. Over the past two decades, movement toward this ideal end-state has trickled to a halt. Instead, the political elites of Eurasia’s regional powers—Russia, Turkey, Iran, and China—have crafted stable illiberal regimes that borrow whatever they need from free-market economics, electoral politics, nationalism, and religion. Their ascent has produced a form of “non-endpoint stability”—two mutually antagonistic camps: one composed of liberal democracies, the other a mix of illiberal hybrids. As long as these camps remain stable, the international system falls far short of Fukuyama’s theoretical end of history.