Of COVID-19’s many lessons, one is most critical to our collective next steps:

Business as usual in global health is no longer possible.

The pandemic exposed weaknesses in health systems across the world, and particularly in the delivery of equitable, high-quality reproductive, maternal, newborn, adolescent, and child health (RMNCAH) services. It also reinforced that effectively addressing these challenges requires rapid, responsive approaches driven and owned by countries and local institutions.

While the world’s population now approaches 8 billion people, global fertility rates have been declining for decades. The overall drivers of this decline include increased access to contraception and reproductive health care, an increase in women seeking higher education, women’s empowerment in the workforce, lower rates of child mortality globally, increased cost of raising children, and overall greater gender equality.

“Half. This is the proportion of all pregnancies that are unintended. That is 121 million pregnancies every year,” said Sarah Craven, Director of the Washington D.C. Office at UNFPA during a recent U.S. launch event for the 2022 UNFPA State of World Population (SWOP) report. “For these women, the most life altering reproductive choice, whether to become pregnant or not, is no choice at all. This is an unseen crisis unfolding right before our eyes.”

July 11 is World Population Day—a day designated annually by the United Nations that should prompt us, in the words of the International Institute for Sustainable Development, to “focus attention on the urgency and importance of population issues.”

Examining population trends helps describe where we’ve been and suggests where we’re headed. Yet these facts about human existence on our planet also offer insights into how we got here—including a window into places where inequities exist and rights have been denied.

“Building strong and inclusive partnerships for maternal, newborn, child health, and family planning programs is not future work,” said Dr. Koki Agarwal, Director of USAID’s MOMENTUM Country and Global Leadership at a recent Wilson Center event. “It’s urgent and it’s ‘right now’ work.”

This exploration of country perspectives and expertise on improving maternal, newborn, child, and adolescent health and family planning programs was the third event in a series that placed regional experiences and voices in the foreground.

The infant formula shortage and the COVID-19 pandemic have added fuel to an already existing fire in maternal mental health in the United States.

As Adrienne Griffen, Executive Director of Maternal Mental Health Leadership Alliance pointed out at a recent event on the COVID-19 pandemic, maternal mental health, and policy solutions, “maternal mental health conditions, including anxiety, depression, and other issues, affect 1 in 5 pregnant or postpartum people [in the U.S.].”

Reducing maternal mortality is key to promoting population health. It is also a main priority of the UN General Assembly’s Sustainable Development Goals. And the reasons for concern are clear. Globally, 800 women and 6,500 infants die during pregnancy and birth every day. More than 94 percent of these deaths occur in low-and-middle-income countries (LMICs).