Of the 1.8 billion people who menstruate each month, 500 million are unable to adequately manage menstruation, leading to health, economic, and safety concerns. Menstruation remains a taboo topic that is often overlooked within health sectors. But recent attention from global health, international development, women’s empowerment, and humanitarian organizations has increased awareness for the impact of menstruation on women’s participation in societies and economies.

On the edge of beautiful, blue ocean waters in coastal Kenya’s Kilifi County, boats float on the surface of fish landing sites. The fish-eating birds in flight above the boats are a breathtaking sight—and they immediately elicit a sense of tranquility.

Over the past few months, I have traveled to various fish landing sites in Lake Victoria and on Kenya’s coast to continue my research on socioeconomic factors leading to the exclusion of women in the fisheries sector.

It has been two decades since President George W. Bush launched the U.S. President’s Emergency Plan for AIDS Relief – or PEPFAR, and a recent Wilson Center event to celebrate the anniversary demonstrated that its impact as one of the most successful global public health programs is indisputable. Since its inception, PEPFAR has invested more than $100 billion in the global fight against HIV and AIDS, resulting in more than 25 million lives saved and millions of new infections prevented.

“Women’s economic participation promotes economic growth and security. It’s good for the women involved. It’s good for the girls who dream of following in their footsteps,” said Ambassador Mark Green, President and CEO of the Wilson Center at a recent Women’s History Month private event in Washington, DC hosted by the Wilson Center and EMD Serono, the healthcare business of Merck KGaA, Darmstadt, Germany.

“We must unite our efforts to push back the pushback,” said Katrín Jakobsdóttir, Prime Minister of Iceland, at a recent side event during the 67^th Session of the Commission on the Status of Women (CSW67). Humanitarian crises and forced displacement increase pushback against women’s and girl’s human rights and safety. Jakobsdóttir called for global efforts to recognize this inequity and to fight for gender equality in humanitarian responses.

The pace of change towards advancing sexual and reproductive health and rights is piecemeal and far too slow, said Dr. Natalia Kanem, Executive Director of the United Nations Population Fund (UNFPA), at a recent panel hosted by The Columbia University Global Health Justice & Governance Program (GHJG), in partnership with UNFPA, Columbia World Projects, and the Ford Foundation. The event launched the November 2022 report, Sexual and reproductive justice as the vehicle to deliver the Nairobi Summit commitments, published by the High-Level Commission on the Nairobi Summit on ICPD25 Follow-up.

For thousands of years, natural factors like rainfall and temperature helped determine the fate of economies and societies. For thousands of years, humans also engaged in human trafficking and kept one another as enslaved people. But as human prosperity increased exponentially beginning in the 19^th century, it may have seemed that such concerns were relics of the past.

In 2022, the Dot-Mom column published several pieces from expert guest authors from the greater maternal and reproductive health community. In our top read guest contributor piece of the year, Susie Jolly examined the role of colonialism in sexuality education globally. Jolly highlighted examples where sexual health knowledge is built on unethical medical research carried out on racialized people, such as the study of untreated syphilis among Black men in the United States. Sexuality educators, especially those placed in the Global North, have a responsibility to work to decolonize their work. Jolly suggests supporting resources led by marginalized people, critically examining colonialism’s influence in the understanding of sexuality, and shifting the dynamics of who decides on content to lend more weight to non-Western expertise and young people learning from their own experiences.