Midwives play a central role in maternal and newborn health. So, it is fitting that their efforts took the spotlight at a two-day event – The 5^th Global Midwifery Symposium – held during the first ever International Maternal and Newborn Health Conference (IMNHC) in May 2023 in Cape Town, South Africa.

At a recent Brookings Institution event titled Climate Change, Food Insecurity, and Migration in the Middle East, Ferid Belhaj, Vice President for the Middle East and North Africa (MENA) at the World Bank, observed that the MENA region relies heavily on grain exported from both Ukraine and Russia. When the 2022 invasion reduced grain exports to a trickle, the entire region suffered heavily.

Nigeria is home to many violent conflicts, one of which is the farmers-herders conflict that has posed severe security challenges in the country. The human toll of the violence has been immense, claiming more lives than the Boko Haram insurgency. Hundreds of thousands of people have been killed or displaced. Nigeria has also experienced increased ethnic, regional, and religious polarization, and this crisis has undermined national stability and unity.

The impacts of a changing climate touch every region of the globe, but they are acutely felt by people in Uganda, where floods, droughts, and shifting rainfall patterns disrupt agricultural productivity, livelihoods, and the health and well-being of millions of people. According to the ND-GAIN index, Uganda is the 13^th most vulnerable nation in the world, and action there is urgently needed to better prepare for and adapt to climate change’s impacts.

One can see—and feel—tides shifting significantly on numerous fronts across the globe, especially in the area of climate security. Opportunities and challenges abound—especially for urban communities.

But are those who shape and carry out U.S. foreign policy ready for these extraordinary changes? And how can the growing movement to integrate diversity, equity, inclusion, and accessibility (DEIA) become vital in U.S. foreign affairs?

On a crisp autumn morning, the Yellow Hill Community Center in western North Carolina buzzed with excitement as more than 120 Cherokees and their allies shared conversations, laughter, and a hearty breakfast. They had descended upon the center in the Qualla Boundary on October 19, 2022 to mark the second annual Honor Long Man Day in the homelands of the Eastern Band of Cherokee Indians (EBCI).

Of COVID-19’s many lessons, one is most critical to our collective next steps:

Business as usual in global health is no longer possible.

The pandemic exposed weaknesses in health systems across the world, and particularly in the delivery of equitable, high-quality reproductive, maternal, newborn, adolescent, and child health (RMNCAH) services. It also reinforced that effectively addressing these challenges requires rapid, responsive approaches driven and owned by countries and local institutions.