The state of the global environment is terrible – and deteriorating. The globalization of industrial production and the consumptive habits of 7 billion people have created the Anthropocene, a geologic age in which the actions of humans are the primary determinant of the Earth’s natural systems. This shift creates a profound new form of environmental interdependence, of which climate change is only the most salient example.

As you walk through the supermarket, you’ve probably noticed labels like “Rainforest Alliance Certified,” “Fair Trade,” or “Green Seal.” These certifications were created to help consumers use their purchasing power to reward companies that treat workers fairly and limit their harm to the environment. What’s missing is health, particularly women’s health. Too often these standards focus narrowly on occupational safety rather than addressing broader, but relevant, health needs of workers.

“Midwives play a vital role in the health care of mothers and babies,” said Samara Ferrara, a midwife from Mexico, at the Wilson Center on February 27. But in many parts of the world they face a confluence of stressors that make working conditions miserable: low and irregular pay; harassment and disrespect from both patients and doctors; and little supplies, training, or say in the policy dialogue about maternal health.

MEXICO CITY – On bad days, you can smell the stench from a mile away, drifting over a nowhere sprawl of highways and office parks.

Urbanization is changing the face of poverty and marginalization, and the maternal and newborn health field needs to change too, said a panel of experts at the Wilson Center on January 24.