“The pandemic has shown us in the starkest terms how wide the gaps are in health outcomes between Black and White America and between men and women,” said Representative Alma Adams (D-NC-12) at a recent Wilson Center event on women, race, and COVID-19 in the United States. “COVID-19 has revealed what the Black community and communities of color have known for a long time, health outcomes are further compounded by systemic and structural racism,” said Rep. Alma Adams. And COVID-19 has exposed what women have known for a long time. Gender inequality exists, it threatens economic empowerment, and it increases vulnerabilities.

“The world is at risk of losing millions of women and children due to reductions in coverage of essential services, reversing hard-earned progress towards the SDGs [Sustainable Development Goals] to date and posing catastrophic consequences for households and communities,” said Dr. Koki Agarwal, Project Director of the United States Agency for International Development’s (USAID) MOMENTUM Country and Global Leadership award, at a recent event on the importance of ensuring continuity of maternal, newborn, and child health services, voluntary family planning, and reproductive health care during the COVID-19 pandemic. The event was the first in a series of virtual country knowledge exchange discussions organized by USAID’s MOMENTUM Country and Global Leadership, led by Jhpiego and partners.

Environmental exposures exacerbated by climate change are contributing to adverse pregnancy outcomes across the United States, with a disproportionate impact on Black women. A new study published in JAMA Network Open draws concrete connections between exposure to air pollution, ozone, and high temperatures during pregnancy and the likelihood of adverse pregnancy outcomes—premature birth, low birth weight, and stillbirth.

In just a single year, a 10 percent decrease in sexual and reproductive health services in low- and middle-income countries could lead to another 49 million women with unmet need for contraception, according to Guttmacher Institute estimates from April 2020. Other possible effects include another 15 million unintended pregnancies, another 28,000 maternal deaths and 168,000 newborn deaths due to untreated complications, and another 3 million unsafe abortions and 1,000 maternal deaths due to unsafe abortions. The implications are staggering in terms of unmet needs, unintended pregnancies, unsafe abortions, and maternal and newborn deaths in 132 countries that are home to more than 1.6 billion women of reproductive age (15–49 years).

Since the onset of the pandemic, nurses and midwives have been asked in some facilities to work without personal protective equipment. Nurses have been sent home and lost their jobs simply because they insisted on following evidence-based practices, such as wearing masks. Some question whether the masks, gloves, gowns, and other commodities in short supply are more important than nurses who question the ethics of showing up when essentials aren’t available.