A positive birth experience is not a luxury, but a necessity, said Hedieh Mehrtash, consultant for the Department of Sexual and Reproductive Health and Research at the World Health Organization (WHO), at a panel during the Maternal Mental Health Technical Consultation hosted by the United States Agency for International Development’s (USAID) MOMENTUM Country and Global Leadership, in collaboration with WHO and the United Nations Population Fund. 

Vaccination hesitancy, even in the midst of a global pandemic, is a major barrier to the elimination of several highly contagious and deadly diseases. While COVID-19 vaccines are getting the most attention, they are not the only vaccines that protect against deadly contagious diseases. And as with the COVID-19 vaccines, around the world, many communities are insufficiently covered by vaccines—particularly children. This is especially true in West Africa, where—though improving—childhood immunization rates still lag behind much of the world. To explore reasons for these persistent low childhood immunization rates, Breakthrough RESEARCH, a USAID-funded project that works to expand the evidence base for social and behavior change programming, increase healthy behaviors, and enable positive social norms through improved social and behavior change programming, conducted a study to look at behavioral drivers of decision-making about vaccines in Nigeria.

“From birth, from almost from cradle to grave, girls have been seen as some sort of baggage,” said Shamsa Suleiman, Project Management Specialist for Gender and Youth at the U.S. Agency for International Development (USAID), Tanzania. Suleiman spoke at a recent Wilson Center event with USAID MOMENTUM Country and Global Leadership about balancing power dynamics to achieve equity for all women and children in maternal, child, and adolescent health, and family planning. Home should be a safe space, said Suleiman. But for many girls, it no longer is. To escape the poverty and pressures at home, including early marriage and other forms of gender-based violence, some girls leave, said Suleiman. “Girls are trying to escape the safe spaces.”

More than a year after it began, the COVID-19 pandemic continues to disrupt essential health services, including routine childhood immunizations, according to the World Health Organization’s (WHO) second pulse survey. The survey asked countries to report the level of disruption in their jurisdictions to 63 health services during the previous three months. 135 countries and territories from across the six WHO regions responded with data covering October 2020 to February 2021.

“Every day in every part of the world, midwives save the lives of women and babies and promote the health and well-being of entire communities,” writes UNFPA Executive Director Dr. Natalia Kanem in honor of International Day of the Midwife. “They deserve our respect and gratitude, but that is not enough. Midwives deserve greater investment in their capabilities, and workplaces that empower them and fully acknowledge their skills and contributions.” Investment in midwifery could save millions of lives per year – an estimated 4.3 million annually by 2035.

Breastfeeding may seem natural. Yet many women find it hard to get off to a good start with breastfeeding.  Sharp decreases in breastfeeding rates around the world reflect this continuing challenge. While most women still choose to breastfeed, many ultimately feel they have no other choice than to stop breastfeeding earlier than anticipated. In the UK, 80 percent of mothers surveyed said they stopped breastfeeding before they wanted to. Many women describe shattered expectations, feelings of deep sadness, guilt, and anger from their breastfeeding experience.

“This week is Black Maternal Health Week, and make no mistake, Black women in our country are facing a maternal health crisis. Black women are two to three times more likely to die in connection with childbirth than other women. We know the primary reasons why—systemic racial inequities and implicit bias,” said Vice President Kamala Harris at a White House Roundtable she hosted with Ambassador Susan Rice in honor of Black Maternal Health Week. The event was the first event of its kind at the White House—Black women who have experienced loss and complications during pregnancy, childbirth, and postpartum were invited to share their experiences and their work in Black maternal health advocacy and research.

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.