In August 2013, Josephine Majani, a mother of three from Bungoma County in Kenya, endured a harrowing birth experience. Despite her repeated pleas for help during labor, the nurses in the hospital ignored her. She struggled to walk to the labor ward while in intense pain, but all of its beds were occupied. Majani was forced to give birth on the cold concrete floor. Subsequently, nurses there subjected her to verbal and physical abuse—even making her carry her placenta back to the labor ward.

Maternal health among adolescents in low- and middle-income countries (LMICs) remains a largely unexplored and frequently neglected area within the public health field. Adolescent birth rates remain disproportionately high in LMICs, accounting for approximately 97% of all adolescent births globally. The prevalence of child marriage, poverty, gender-based violence, and limited access to and utilization of contraceptive methods all contribute to this startling statistic.

During humanitarian emergencies, women and newborns face severe disparities and heightened vulnerabilities, increasing their risk of illness and death. Humanitarian crises—caused by conflict, climate-related disasters, or forced displacement—disrupt health systems, limit access to essential services, and increase the likelihood of preventable deaths. In 2023, 58% of global maternal deaths, 50% of newborn deaths, and 51% of stillbirths worldwide occurred in the 29 countries with a UN humanitarian response plan or regional response plan. In humanitarian emergencies, a lack of skilled health personnel, inadequate infrastructure, and shortages of essential medicines are common—resulting in limited access to both basic and emergency maternal and newborn care. A fight for humanitarian aid is also a challenge, as maternal and newborn health are often under-prioritized or neglected in humanitarian response.

A recent study from the United Nations Population Fund (UNFPA) and its partners found that women and girls of African descent living in the Americas are up to three times more likely to die from preventable maternal death causes. So it is no surprise that UNFPA’s Executive Director of Programs, Diene Keita, is calling attention to this challenge.

Each day, almost 800 women die from preventable causes related to pregnancy and childbirth. A maternal death occurs every two minutes. Maternal mortality is defined as the death of a woman from complications of pregnancy or childbirth that occur during the pregnancy or within 6 weeks after the pregnancy ends.*

At the opening of the Commission on the Status of Women in New York this past March,  UN Secretary-General António Guterres underscored the importance of stepping up national and global efforts to advance the rights of women. Guterres observed that “many women and girls are also facing a war on their fundamental rights at home and in their communities. Hard-fought progress is being reversed.”

We’re often told that we’re living during a population crisis, a time of simultaneous concerns born of too many people to sustain necessary resources for a healthy planet, and too few working-age people to support a healthy economy. Population dynamics and trends are key to national and international security and contribute to the overall wellbeing of a society. Fertility, along with mortality and migration, is central to population and its importance to demographers, policymakers, economists, and a country’s development is without question. But focusing on population trends without considering the experiences of the billions of individuals who make up those trends—each with a unique life course, personal aspirations, and individual potential—establishes an unhealthy and dangerous tension that can strip women of their rights and leave them socially disenfranchised.

A window into what we are reading at the Wilson Center’s Environmental Change and Security Program

Mpox Outbreak a Global Health Emergency, Again (The Washington Post) 

Various rapidly spreading mpox strains in Central and East African countries have led the World Health Organization (WHO) to declare the viral infection as a global health emergency. More than 15,000 people have been infected this year alone, with over 500 deaths reported. Mpox is transmitted largely through exposure to infected animals, as well as via skin-to-skin or sexual contact, and it disproportionately affects heterosexuals and sex workers.