“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.”

More than 60 percent of preventable maternal deaths and 45 percent of newborn deaths take place in countries affected by recent conflict, natural disaster, or both. Yet as Sarah B. Barnes, Project Director of the Maternal Health Initiative, observed at a recent event hosted by the Wilson Center and UNFPA, in collaboration with the Inter-agency Working Group on Reproductive Health in Crisis (IAWG) and White Ribbon Alliance, “the leading causes of both maternal and newborn death occurring in humanitarian settings are considered to be preventable if managed by skilled providers and adequate resources.”

“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.

I knew from a young age that I saw myself differently from the way others perceived me. Just as quickly as I noticed this difference, I also learned about the unforeseen complications of being different.

Many researchers have documented the impact of the Global Gag Rule (GGR) around the world—and what happens when the policy is in place. “But we don’t know enough about what happens when the policy is revoked,” said Bergen Cooper, Director of Policy Research at Fòs Feminista at the launch of the organization’s new report, Chaos Continues: The 2021 Revocation of the Global Gag Rule and The Need for Permanent Repeal.

Every month, young women and girls in the villages of Nepal make their way into makeshift huts where they will reside for the week until their menstruation has finished. Some of them will turn to nearby sheds whereas others will travel through dense forests to reach these huts. Venomous snake bites, asphyxiation, and rape are just a few of the harsh realities of living in these poorly ventilated and weakly protected menstrual huts. This practice of self-isolation called “chhaupadi” is an ancient tradition of “untouchability” rooted in the belief that menstruation is sinful and impure. Considered bringers of misfortune, menstruating girls and women are forbidden from taking part in any household, religious, and social activities under this tradition, forcing them to distance themselves from their family and community during this time. Although chhaupadi seems like an extreme case or isolated custom, it actually represents a common global issue—menstrual stigma.

Women around the world are choosing to forego motherhood. Yet more often than not stigma remains the global response, despite a decades-long global trend of women making this decision.  

Varied social perceptions greet the choice to not bear children, depending on the culture and economic status of the country. Yet regardless of income level, globally recognized female stereotypes often place a high value on a woman’s fertility and her potential role as a mother, making it harder for women to exercise their agency to embrace other alternatives.