When Mwanahamisi Abdallah’s mother announced plans to marry her off to a stranger, the 14-year-old Tanzanian girl burst into tears. She had no desire to marry—especially after learning the man already had three wives. Remembering advice from a teacher, she phoned authorities to intervene. They blocked the wedding and eventually delivered Mwanahamisi from her village in southeastern Lindi region to a girls’ shelter in Dar es Salaam.

The significance of the Biden-Harris administration for the world’s women and girls cannot be overstated. The current status of women and girls is grim. The COVID-19 pandemic and four years of dangerous policies designed to strip women and girls of their reproductive and economic autonomy and punish them—first for their biology, and second for their gender—have slowed and even reversed decades of progress toward gender equity. Systemic racism and policies meant to further exclude and disenfranchise minority communities have targeted women of color with tragic results.

As the number of confirmed COVID-19 cases and deaths rise, women are experiencing more anxiety both during and after pregnancy. One-third of all mental health problems are associated with adverse childhood and community experiences—the pandemic is an adverse community experience being felt worldwide.

“This is real,” said Franka Cadée, President of the International Confederation of Midwives (ICM). “And we can no longer get around it. And we can no longer linger.” She spoke at a recent Wilson Center event, in partnership with the United Nations Population Fund (UNFPA) and Johnson & Johnson, launching a new study, Impact of Midwives, published in The Lancet Global Health. If any other intervention could have the same impact as midwives or midwifery, it would be implemented worldwide immediately, she said.

“No single individual, discipline, sector or ministry can preempt and solve complex health problems.”

The COVID-19 pandemic underscores the importance of multisectoral action to contain and mitigate the effects of the virus. Presently, during crisis conditions or “war time,” in the language of outbreak experts, multisectoral efforts—including actions traversing health, education, labor, finance and other sectors—are readily apparent. But when policymakers perceive crises have passed, during so-called “peacetime,” governance structures that enable multisectoral collaboration tend to diminish or languish.