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.

In the United States, approximately 10 to 15 percent of known pregnancies end in miscarriage. But this doesn’t capture the full picture. In reality, studies show that as many as half of all pregnancies may end in miscarriage, with the vast majority occurring before people realize they are pregnant. A miscarriage is defined as pregnancy loss before 20 weeks gestation. While some health conditions such as autoimmune disorders, polycystic ovary syndrome (PCOS), and diabetes can exacerbate the risk of having a miscarriage, the exact causes of pregnancy loss are largely unknown.

Globally, the demographic transition from high to low fertility and mortality has improved quality of life for billions of people over the past several decades. The average number of children born per woman worldwide decreased from nearly 5 in 1950 to 2.47 by 2020. Improvements in infant and child mortality boosted life expectancy at birth from a global average of 47 years in 1950 to over 72 years today. These gains in fertility and mortality were a result of rising incomes and significant investments and improvements in public health, education, and family planning access—18 months into a global pandemic, it’s becoming increasingly apparent that COVID-19 has disrupted these gains, slowing progress along the demographic transition for those countries in the earliest stages. This World Population Day is therefore an important opportunity to recommit to investments in health and education and resume our progress in improving lives for the world’s poorest and most vulnerable.

In our top post for June, Steve Gale shares 5 consequences out of the National Intelligence Council’s recently released Global Trends report that development actors should be particularly attuned to. In addition to the “long tail” of the COVID-19 pandemic, the report recognizes the environmental consequences of climate change, including unprecedented numbers of wildfires, increased intensity of tropical storms, and sea-level rise. As a result, migration will be more pronounced and require more targeted aid approaches as demographics shift.

Whether marginalized populations, such as adolescents, LGBTQ+ people, migrant workers, and sex workers are included in health services can be a “litmus test” of our progress towards universal health coverage (UHC), said Sivananthi Thanenthiran, Executive Director of Asian-Pacific Resource and Research Centre for Women (ARROW). Thanenthiran spoke at a recent Wilson Center event with the United Nations Population Fund (UNFPA) and the World Health Organization (WHO) Department of Sexual and Reproductive Health and Research about the importance of engaging stakeholders in sexual and reproductive health (SRH) to achieve UHC for all. In SRH services, the most marginalized and most vulnerable populations are often left out, she said. When engaging stakeholders, representatives from these groups must be included to ensure equity in healthcare services.