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.

The 2023 Women Deliver Conference in Kigali, Rwanda offered participants an opportunity to think deeply about gender equality, and the urgency of this moment in making progress was evident – even at a pre-conference event hosted by the United Nations Population Fund (UNFPA): Scaling Up Actions to End Preventable Maternal Deaths: Linkages with Family Planning, Bodily Autonomy and the Health Workforce.

One in every 23 people is expected to need humanitarian assistance in 2023. That is a record 339 million this year alone. During such humanitarian crises, the needs of women, newborns and adolescents are often unmet, with devastating consequences. In fact, in 2023, 58 percent of global maternal deaths, 50 percent of newborn deaths, and 51 percent of stillbirths worldwide occur in the 29 countries with a UN humanitarian response plan or regional response plan.

Four months ago, the resident medical officer at the HIV and AIDS clinic in Kampala, Uganda reported that the clinic treated up to 50 patients a day. Now, the clinic is relatively empty, and supplies of antiretroviral therapy (ART) pile up, unused.

In 2021, 1.9 million stillbirths occurred globally. A baby who dies at or after 28 weeks of pregnancy,* and is born with no sign of life is classified as a stillbirth. Stillbirths can be caused by pregnancy and childbirth-related complications, like hemorrhage, placental abruption, and pre-eclampsia; maternal infections during pregnancy, including malaria and sexually transmitted infections; prolonged pregnancy to 42 weeks or more; and pre-existing health conditions. Other risk factors include maternal age and smoking during pregnancy.

Midwives play a central role in maternal and newborn health. So, it is fitting that their efforts took the spotlight at a two-day event – The 5^th Global Midwifery Symposium – held during the first ever International Maternal and Newborn Health Conference (IMNHC) in May 2023 in Cape Town, South Africa.

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.

Women who are treated with respect and dignity during childbirth are more likely to have positive birth experiences, feel empowered to make informed decisions about their care, and have better health outcomes for themselves and their newborns.