“Women’s economic participation promotes economic growth and security. It’s good for the women involved. It’s good for the girls who dream of following in their footsteps,” said Ambassador Mark Green, President and CEO of the Wilson Center at a recent Women’s History Month private event in Washington, DC hosted by the Wilson Center and EMD Serono, the healthcare business of Merck KGaA, Darmstadt, Germany.

The pace of change towards advancing sexual and reproductive health and rights is piecemeal and far too slow, said Dr. Natalia Kanem, Executive Director of the United Nations Population Fund (UNFPA), at a recent panel hosted by The Columbia University Global Health Justice & Governance Program (GHJG), in partnership with UNFPA, Columbia World Projects, and the Ford Foundation. The event launched the November 2022 report, Sexual and reproductive justice as the vehicle to deliver the Nairobi Summit commitments, published by the High-Level Commission on the Nairobi Summit on ICPD25 Follow-up.

“Too many children are dying in the first month of life,” said Richard Horton, Editor-in-Chief of The Lancet at a recent launch event for the 2023 Lancet Series on Breastfeeding, hosted by The Royal Society of Medicine, London. Indeed, the global numbers are staggering. Horton observed that 2.3 million children died in the first month of life in 2021—that’s more than 6,000 newborns dying every single day.

In 2022, the Dot-Mom column published several pieces from expert guest authors from the greater maternal and reproductive health community. In our top read guest contributor piece of the year, Susie Jolly examined the role of colonialism in sexuality education globally. Jolly highlighted examples where sexual health knowledge is built on unethical medical research carried out on racialized people, such as the study of untreated syphilis among Black men in the United States. Sexuality educators, especially those placed in the Global North, have a responsibility to work to decolonize their work. Jolly suggests supporting resources led by marginalized people, critically examining colonialism’s influence in the understanding of sexuality, and shifting the dynamics of who decides on content to lend more weight to non-Western expertise and young people learning from their own experiences.

Abortion restrictions may create obstacles for legal access, but they do nothing to eliminate the need for life-saving reproductive healthcare. And when there is a lack of licit opportunities to obtain that care, patients find pathways to get it through alternative networks.

For instance, after the U.S. Supreme Court’s Dobbs v. Jackson decision in June 2022 reversed a decades-long precedent protecting the constitutional right to an abortion, social media and online forums were filled with reactions and resources alike. Among these interventions were viral posts circulated offering to host anyone going on a “camping” trip in a state with legally protected reproductive rights. These “camping trip” posts alluded to a willingness to aid and abet individuals traveling for abortions in states with legally-protected access—and they captured the complications and conflicts embedded in these responses to the ruling.

COVID-19 has dealt out a double dose of woe for global maternal health. According to a new report from the Government Accountability Office (GAO), the pandemic saw an increase in maternal deaths and an exacerbation of racial disparities driving this overall morbidity. In addition, childbearing people experienced significant anxiety and depression. 

“The effects of climate change can begin in the womb,” said Sarah Barnes, the Project Director of the Maternal Health Initiative at the Wilson Center at a recent event on the impact of climate change on maternal and newborn health outcomes, hosted by the Wilson Center and UNFPA. It is a connection that “[makes] it imperative that climate change and maternal and newborn health leaders work together to tackle climate change and improve maternal and newborn health outcomes, globally.”

Often cast into the backwaters of U.S. foreign policy, sub-Saharan Africa now looms large as the Biden Administration grapples with a wide range of global challenges. President Biden will soon host the upcoming Africa Leaders’ Summit in Washington, that acknowledges the U.S. government must do much more in Africa in order to advance U.S. interests and global prosperity.