We have all the tools we need for the elimination of cervical cancer, a largely preventable cancer that annually kills more than 300,000 women worldwide—the vast majority in low- and middle-income countries.

In response to the World Health Organization (WHO) Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem, countries and communities heavily burdened by cervical cancer are innovating and building momentum toward achieving the ultimate goal. For instance, health care workers in rural Guatemala wear show-and-tell aprons illustrating female reproductive anatomy to educate women on the simplicity of cervical cancer self-sampling for screening. In the Philippines, pop-up tents at a recreation area provide women easy access —and privacy—so they may self- collect samples to be tested for the human papillomavirus (HPV). HPV is the most common viral infection of the reproductive tract and more than 95 percent of all cervical cancer is due to HPV. And, in Burkina Faso, women living with HIV —who have a substantially increased risk for cervical cancer — can be screened for HPV during a visit to pick up their multi-month supply of antiretroviral drugs.

 

During the 2010s, the United States was on the verge of permanently losing competitiveness in global nuclear energy markets. This weakness threatened American geopolitical goals, with Russia further extending its nuclear market dominance and China eyeing reactor exports across the Belt and Road.

Climate change has become part of our daily lexicon. Rarely does a week pass when a hurricane, drought, wildfire, or some other climate disruption is not front page news. These headlines often offer dire predictions of mass migration as well—a bracing vision of hordes of people moving to greener pastures, often found further inland and further north, where some political leaders leverage the narrative to push their own agendas.

Under the narrow shade of our umbrellas, a community health worker from a local NGO and I walked along a dirt path to the edge of some paddy fields in a village in Tamil Nadu, South India in the summer of 2015. There we met a group of Dalit (oppressed-caste) women who were squeezed together under a clump of trees on a small strip of raised land between two fields.

The summer of 2015 was one of the hottest on record in South India at that time, with temperatures consistently above 40ºC (104ºF) every day. Rains which should have begun to arrive had not come by mid-July. These women were hoping to be called for daily agricultural wage labor in the fields, and they had taken refuge under the shade while they waited. They had been waiting all morning with no work available; it had been the same for several days because there was a drought and the crops were failing.

In 2022, the Dot-Mom column published several pieces from expert guest authors from the greater maternal and reproductive health community. In our top read guest contributor piece of the year, Susie Jolly examined the role of colonialism in sexuality education globally. Jolly highlighted examples where sexual health knowledge is built on unethical medical research carried out on racialized people, such as the study of untreated syphilis among Black men in the United States. Sexuality educators, especially those placed in the Global North, have a responsibility to work to decolonize their work. Jolly suggests supporting resources led by marginalized people, critically examining colonialism’s influence in the understanding of sexuality, and shifting the dynamics of who decides on content to lend more weight to non-Western expertise and young people learning from their own experiences.

Go to the Arkansas Rice Festival in Wiener, Arkansas and you will discover how delicious – and diversely flavored – this cereal grain can be. Savory, sweet, or even spicy: Each dish at the festival’s annual rice recipe contest shows the many ways to prepare this international food staple.

Why look to Arkansas for rice? The state produces 4 million tons of it every year, which is nearly half the rice grown in the United States.  But that U.S. annual total is dwarfed by the amount produced by China, which at 207 million tons is the world’s largest rice producer.  It’s also natural that the world looks to China for rice; genomic mapping has suggested that cultivated rice was first grown in the Pearl River valley in southern China.

The Population Institute’s recent report, Invisible Threads: Addressing the root causes of migration from Guatemala by investing in women and girls, has brought attention to the numerous factors that drive migration in Guatemala. One of the key factors addressed in the report is climate change, which is linked closely to issues concerning land in that country. To this day, multiple generations of indigenous women endure the effects of land displacement and inequities in access to land—as well as related social and economic pressures. In concert with other political, social, and economic problems, this particular challenge has resulted in large outflows of migrants from the region.

Migrant care work is a key component of the ongoing global care crisis. The global care economy is critical to overall economic growth, and also affects gender, racial, and class and caste equity and empowerment. Caregiving is also the fastest-growing economic sector in the world—projected to add 150 million jobs by 2030. Global societal changes, like low birth rates, demographic aging, and an increase in female labor force participation, are basic drivers of the continued growth of this sector. But because in many cultures care work is considered “instinctive” for women—a type of work not requiring skill—it has remained virtually invisible, unpaid or underpaid and unregulated. It is also often stigmatized, especially when relegated to already marginalized and underrepresented populations.