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.

As the world reels from the Russian invasion of Ukraine, the pandemic, climate shocks, and other crises, strategic future planning is more important than ever. In April’s most-read article, Steven Gale points to a source of hope in the suite of inclusive, “future-forward” initiatives that are unfolding under UN leadership, from risk reporting to impact assessments and youth engagement. These activities, encompassed by the UN’s Our Common Agenda, represent a global collaborative effort to map future risks and identify policy options in service of long-term well-being for people and the planet.

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.

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.

Evidence shows that in low- and middle-income countries, the expansion of health coverage or access to care has not always reduced overall mortality, said Dr. Patricia Jodrey, Child Health Team Lead in the Office of Maternal and Child Health and Nutrition at the U.S. Agency for International Development (USAID). “However, the analysis also showed that when countries have progressed in improving the quality of their health systems, the survival rate tends to improve,” she said.

Human rights have been central to the family planning movement for well over half a century, although family planning programs have not always lived up to the human rights commitments that governments publicly subscribe to. The right of couples to control their fertility was first codified in the 1968 Tehran Declaration, which noted that:

“Parents have a basic human right to determine freely and responsibly the number and spacing of their children.”

“The current pandemic is straining human resources, disrupting supply chains and service delivery, and negatively impacting service seeking among women and girls in countries across the globe,” said Sarah Barnes, Project Director of the Wilson Center’s Maternal Health Initiative. She spoke at a recent event, co-hosted by the UN Population Fund (UNFPA), on unintended pregnancies during the COVID-19 pandemic. The increasing rates of unintended pregnancies during the pandemic have exacerbated the vulnerabilities of many women, said Anneka Knutsson, Chief of the Sexual and Reproductive Health Branch at UNFPA.

Globally, 15 to 20 percent of women experience a perinatal mental health condition, said Sarah Barnes, Project Director of the Maternal Health Initiative at a recent event, held in partnership with the United Nations Population Fund (UNFPA), on mental health support for mothers in the perinatal period. Women are more likely to develop anxiety or depression in the year after giving birth than in any other time in their lives, with suicide and overdose the leading causes of death in the first year postpartum. “And yet, the prevention, early recognition, and treatment of perinatal mental health conditions is a challenge for many, if not most, healthcare systems across the world,” said Barnes.