“If there’s one message, it’s health systems need to be resilient, agile, and equitable,” said Uzma Alam, a researcher at the Africa Institute for Health Policy Foundation and Senior Program Officer of the Africa Academy of Sciences. “No one person, no one community, no one minority can be left behind. After all, your health system is as agile, as resilient as your weakest link.” She spoke at a recent Wilson Center event co-sponsored with the Population Institute, “Lessons from Africa: Building Resilience through Community-Based Health Systems.” The event focused on how locally led interventions improved the resilience and responsiveness of health systems in sub-Saharan Africa. 

Six months into the World Health Organization (WHO) declaration of COVID-19 as a global pandemic, many countries, including the United States, are still struggling to contain the spread of the virus which, as of this writing, has taken 744,649 lives globally. Before mask-wearing was recommended as the simplest and most effective defense against contagion, epidemiologists and public health experts recommended regular handwashing with soap and practicing social distancing as fundamental to curbing the spread of the COVID-19 virus. Briefly it appeared as if WASH (water, sanitation, and hygiene) services were actually being accorded the importance they deserved. The critical need for water for handwashing, the millions who lack regular supplies of both water and soap, and the difficulties of social distancing in settlements where thousands share a single toilet with no soap were finally headline news.  

“We all know that while no one is immune from the Covid-19 virus—and people of all types have caught the virus and died from it—it is the world’s most vulnerable communities that have suffered disproportionately from the pandemic,” said Michael Kugelman, Deputy Director and Senior Associate for the Wilson Center’s Asia Program. He spoke at a recent Wilson Center event on the impact of the COVID-19 pandemic on refugee communities. As of 2019, 1 percent of humanity was displaced. That’s more than 79.5 million people. The COVID-19 pandemic has exacerbated the vulnerabilities of these people. “The health pandemic is fostering a new pandemic of poverty,” said Matthew Reynolds, Regional Representative for the U.S. and the Caribbean at the United Nations High Commissioner for Refugees (UNHCR).

Not since COVID-19 burst onto the scene a few months ago have so many individuals and institutions, outside the business, military, and intelligence communities, woken up to the need for a smart way to characterize and communicate uncertainty. The overwhelming choice for many is scenario planning. Today, scenario planning applies to a wide spectrum of issues, not just international development. It has been used to anticipate changes in higher education, rethink workforce composition, and explore options for individual financial planning.  

Safe water, sanitation, and hygiene (WASH) are vital for human well-being. However, 1 in 3 people (approximately 2.2 billion) still lack safe drinking water, 4.2 billion do not have access to safely managed sanitation services, and 829,000 people die annually from unsafe water and related sanitation and hygiene around the world.

Calls to action, strategy development, and multiple initiatives over the last decade have made clear how important it is to end preventable maternal and perinatal deaths. But we still don’t have a comprehensive understanding of how much saving these mothers and newborns, and preventing stillbirths will cost.