Globally, Indigenous women experience worse maternal health outcomes than non-Indigenous women. In the United States, the risk of maternal death is twice as high for Native women than for white women, while in Australia the risk is four and a half times higher. This week’s edition of Friday Podcasts highlights remarks from a recent Wilson Center event with the United Nations Population Fund (UNFPA) and the International Confederation of Midwives about Indigenous midwifery.

“Unintended pregnancy and abortion are reproductive health experiences shared by tens of millions of people around the world, irrespective of personal status or circumstance. What differs though are the obstacles,” said Dr. Zara Ahmed, Associate Director of Federal Issues at the Guttmacher Institute in this week’s Friday Podcast. Research from the Guttmacher Institute on sexual and reproductive health (SRH) found that in 2018, there were 121 million unintended pregnancies globally, and of those, 61 percent ended in abortion. About half of these abortions were in unsafe conditions and led to approximately 23,000 preventable pregnancy related deaths, said Ahmed.

“I believe that we’re experiencing a national reckoning and in this unique moment, I definitely see an opportunity for Congress, but also for our local governments to enact policies that begin to address our country’s greatest ills,” said Representative Alma Adams (D-NC-12) at a recent Wilson Center event on women, race, and COVID-19 in the United States. “COVID-19 has revealed what the Black community and communities of color have known for a long time—health outcomes are further compounded by systemic and structural racism. COVID-19 has exposed what women have known for a long time—gender inequality exists, it threatens economic empowerment, and it increases vulnerabilities.” 

“NCDs have raised the risk of and the severity of the COVID-19 infection,” says Dr. Belén Garijo, Executive Board Member and CEO of Healthcare at Merck KGaA Darmstadt, Germany, in this week’s Friday Podcast. Women living with NCDs like cardiovascular disease, hypertension, cancer, mental health disorders, multiple sclerosis, and diabetes, have an increased risk of severe complications and death from COVID-19. “When you take a look at the mortality rate for one million inhabitants, you see a lot of diversity, and what has been consistent amongst all the countries is the association between severity of the infection and underlying diseases,” says Garijo.

COVID-19 has wreaked havoc the world over, and recent data shows that the hardest hit will be the world’s women and girls and populations impacted by racism and discrimination. This week’s Friday Podcast highlights remarks from a recent Wilson Center event sponsored by EMD Serono, the biopharmaceutical business of Merck KGaA, Darmstadt, Germany in the United States and Canada, on the impact of COVID-19 on race and gender inequities.

The year 2020 has been designated as the Year of the Nurse and the Midwife by the World Health Organization. In April 2020, the World Health Organization (WHO), International Council of Nurses, and Nursing Now, published the first-ever State of the World’s Nursing Report. This week’s Friday Podcast highlights remarks from a recent Wilson Center event on the report’s findings and recommendations, gender implications in the health workforce, and the role of nurses during the COVID-19 pandemic.

“What are the underlying drivers of risk that created the conditions for Covid-19 to emerge, and how do we better address them?” said Lauren Herzer Risi, Project Director for the Environmental Change and Security Program, in this week’s Friday Podcast, recorded during a recent Wilson Center Ground Truth Briefing on the Covid-19 pandemic. This question framed the discussion, which explored the intersection of the environment, public health, and national security. Although the global pandemic came as a shock to many, the novel coronavirus was not a surprise to epidemiologists and experts who had been sounding the alarm for decades. There have been clear signals of the risks we face from animal-to-human virus transmission, including Ebola, SARS, and other regional epidemics, said Risi. These zoonotic diseases, especially now, are creating concerns about food safety, wildlife conservation, and public health. But the risks don’t just come from wet markets and our increasingly connected world.

What is inherent in the word “universal,” is that it is for all women, said Anneka Knutsson, Chief of the Sexual and Reproductive Health Branch at the United Nations Population Fund (UNFPA), at a recent Wilson Center event on the importance of midwives in achieving universal health coverage.