In recent years, Mexican women have experienced a significant downgrade in the quality and accessibility of public healthcare – and not due to the COVID-19 pandemic – said Irene Tello, Executive Director of Mexican impunity watchdog Impunidad Cero, at a recent event hosted by the Wilson Center’s Mexico Institute. The expert panel agreed that the greatest barriers for Mexican women seeking medical attention lie in the current government’s nearsighted health policies and mismanagement of the public health sector.

U.S. and Mexican officials settled a water dispute that had been simmering for several months and led to protests by Mexican farmers concerned about water access.

“We need more Indigenous midwives,” said Claire Dion Fletcher, an Indigenous Potawatomi-Lenape Registered Midwife and co-chair of the National Aboriginal Council of Midwives (NACM), at a recent Wilson Center event with the United Nations Population Fund (UNFPA) and the International Confederation of Midwives about Indigenous midwifery. Globally, Indigenous women experience worse maternal health outcomes than non-Indigenous women. In the United States, risk of maternal death is twice as high for Native women than white women, while in Australia the risk is four and a half times higher.

“The pandemic is just making visible a reality that has been going on for decades,” said Claudia Calvin, Founder of Mujeres Construyendo (Women Building) and a member of Nosotras Tenemos Otros Datos (We Have Other Data). She spoke at a recent Wilson Center event on femicide and the rule of law in Latin America. The panelists discussed the longstanding roots of this issue and new barriers to protecting women and preventing violence during the pandemic in the launch event for a project examining gender-based violence in Latin America, co-hosted by the Brazil Institute, Latin America Program, Mexico Institute, and Maternal Health Initiative. “Violence against women and femicides are not new,” Calvin said. But what is new is the fact that the media and civil society are bringing this topic to our attention, she said.

COVID-19 is having a profound impact on Latin American women. Gender-based violence increased drastically after governments imposed lockdowns, leaving policymakers and law enforcement scrambling to prevent attacks. Latin America was already one of the most dangerous regions for women, with the highest rate of sexual violence and some of the highest femicide numbers in the world. The Economic Commission for Latin America and the Caribbean registered 3,529 femicides in 2018, or one woman killed every two hours due to her gender. For many women living through the coronavirus pandemic in Latin America, the greater health risk might be staying home.

On May 6, Médecins Sans Frontières (MSF) announced it had started to treat COVID-19 patients in Tijuana, in northwestern Mexico. Tijuana, which is on the border with San Diego, has the greatest number of cases in Mexico and one of the highest death rates.

“We will be providing support to health institutions [by] relieving the hospital burden in Tijuana,” said Maria Rodríguez Rado, MSF’s COVID-19 Emergency Response Coordinator in Mexico, according to the group’s website. “Through this support, we want to relieve the enormous workload of health workers who are responding to this pandemic and help alleviate the suffering of patients.”

The move is welcome. Across Central America, megacities such as Guatemala City, Tegucigalpa in Honduras, and Managua in Nicaragua are vulnerable to the rapid spread of COVID-19.

“The idea to make this film came from a very personal place,” said filmmaker Luciana Kaplan at a recent Wilson Center screening of her documentary Rush Hour, recalling how a woman who worked for her spent six hours a day on public transportation. “I have to make a film about this,” she said she told herself, “because this is a silent enemy that is attacking all of us in big cities.”