“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.

Scenario planning—a powerful method for communicating and examining uncertainty—is once again in vogue as a result of the COVID-19 pandemic. Despite the growing interest in this approach, however, its use is still limited, deployed predominately by the intelligence, business, and military communities.

“I think we have to remember not to forget what these diseases did in the past and to actively collaborate, to work with each other, and to communicate well that vaccines work,” said Dr. Paul Duprex, Director of Pitt’s Center for Vaccine Research and Professor of Microbiology and Molecular Genetics at a recent Wilson Center event on the development of a COVID-19 vaccine, co-sponsored by the University of Pittsburgh (Pitt), March of Dimes, and the Jonas Salk Legacy Foundation.

Each year, 700 women in the United States die as a result of pregnancy-related complications. In fact, the United States has the highest maternal mortality ratio of all high-income countries—16.7 maternal deaths per 100,000 live births. For Indigenous/Alaskan Native women, that number is even higher: Indigenous/Alaska Natives are 2.3 times more likely to die from pregnancy-related complications than their white counterparts. While recent years have seen growing national attention to the U.S. maternal mortality crisis, research and advocacy for Indigenous peoples’ maternal health in the United States has been limited. This research gap includes the Alaskan Native peoples—Iñupiat, Yupik, Aleut, Eyak, Tlingit, Haida, Tsimshian, and multiple Diné tribes.

“We need more Indigenous midwives,” said Claire Dion Fletcher, an Indigenous Potawatomi-Lenape Registered Midwife and co-chair of the National Aboriginal Council of Midwives (NACM), at a recent Wilson Center event with the United Nations Population Fund (UNFPA) and the International Confederation of Midwives about Indigenous midwifery. Globally, Indigenous women experience worse maternal health outcomes than non-Indigenous women. In the United States, risk of maternal death is twice as high for Native women than white women, while in Australia the risk is four and a half times higher.

“As we face a global pandemic that has taken the lives of more than 800,000 people as of right now around the world, we certainly have to recognize the particular impacts that that has had on women and girls and their lives,” said Rep. Chrissy Houlahan (D-PA), at a recent event hosted by CARE and UNFPA about the global impact of COVID-19 on women and girls. While women make up 70-80 percent of frontline healthcare workers globally, they have also been disproportionately affected during the pandemic by increased rates of gender-based violence, lack of access to sexual and reproductive healthcare, and economic and food insecurity.