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.

“COVID-19 and the backlash against women’s sexual and reproductive health and rights are further diminishing the outlook for gender equality,” states a recent report on the current progress toward gender equality across all 17 Sustainable Development Goals (SDGs) from the United Nations Entity for Gender Equality and the Empowerment of Women (UN Women) and the Department of Economic and Social Affairs. Yet the new report also zeroes in on another factor that is diminish progress on gender equality: violence. The authors observe that “violence against women remains high, global health, climate and humanitarian crises have further increased risks of violence, especially for the most vulnerable women and girls, and women feel more unsafe than they did before the pandemic.”

In its June 2022 decision, Dobbs v. Jackson Women’s Health Organization, the U.S. Supreme Court abandoned decades of precedent to strike down the constitutional right to abortion. This ruling—and a shift in regulatory power over abortion to individual states—is having a profound impact in American society. Already, a record number of abortion measures are on ballots to protect or abolish abortion rights. In many states, the fight over abortion access continues to take place in courtrooms. Far from settling the matter, the Supreme Court’s ruling showcases the deep divide over abortion in American society.

Ukraine and its people will feel the effects of the Russian invasion for years to come. More than 6 million refugees have left Ukraine, another 8 million Ukrainians are internally displaced. Among those most impacted are Ukraine’s women and girls, who have a greater chance of experiencing gender-based violence, exploitation, and trafficking. They also face escalated maternal and newborn mortality rates stemming from lack of services and diminished care, as well as injuries and trauma due to the ongoing conflict. Less visibly, Ukrainians are confronting severe emotional distress and trauma.

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.

On the night of April 14, 2014, a group of militants attacked the Government Girls Secondary School in Chibok, Nigeria. They kidnapped 276 female students, ranging from ages 15 to 19 years. An armed group called Boko Haram claimed responsibility for the kidnapping.