Globally, 15 to 20 percent of women experience a perinatal mental health condition, said Sarah Barnes, Project Director of the Maternal Health Initiative at a recent event, held in partnership with the United Nations Population Fund (UNFPA), on mental health support for mothers in the perinatal period. Women are more likely to develop anxiety or depression in the year after giving birth than in any other time in their lives, with suicide and overdose the leading causes of death in the first year postpartum. “And yet, the prevention, early recognition, and treatment of perinatal mental health conditions is a challenge for many, if not most, healthcare systems across the world,” said Barnes.

International development organizations do not exist outside of global systems of oppression. However virtuous their intentions, the power held by development actors remains largely in the hands of the western elite, echoing colonial-era global dynamics.

“When we started out, people thought it was weird. ‘Why are you integrating people and animals and why are you integrating human health and animal health?’” says Kalema-Zikusoka, founder of Conservation Through Public Health (CTPH), in this week’s New Security Broadcast. Indeed, health infrastructure and conservation have long been organized around distinct silos. “Donors were focusing on single sector funding, and government departments were aligned along single sectors,” says Kalema-Zikusoka.

A positive birth experience is not a luxury, but a necessity, said Hedieh Mehrtash, consultant for the Department of Sexual and Reproductive Health and Research at the World Health Organization (WHO), at a panel during the Maternal Mental Health Technical Consultation hosted by the United States Agency for International Development’s (USAID) MOMENTUM Country and Global Leadership, in collaboration with WHO and the United Nations Population Fund. 

“Addressing gender equity and equality is essential to every other challenge we face,” said U.S. Vice President Kamala Harris in a recent speech at the Generation Equality Forum. Following the forum, countries across Francophone Africa made key commitments to end gender-based violence (GBV), including child marriage.

“This COVID-19 pandemic has reminded us, albeit in a devastating way, of the interconnected nature of things, most particularly between economies, the environment, human and wildlife health and welfare,” said John Scanlon AO, the former Secretary-General of the Convention on International Trade in Endangered Species (CITES) and Chair of the Global Initiative to End Wildlife Crime, at a recent Wilson Center event on wildlife crime’s connection to human health and security. Despite its serious implications for a broad swath of issue areas, wildlife crime and trafficking remain under-studied and under-regulated. At the event, experts from diverse fields in defense, global health, and conservation highlighted the need for international cooperation to mitigate wildlife crime’s impact on environmental degradation, the spread of zoonotic disease, and transnational security threats. 

Whether marginalized populations, such as adolescents, LGBTQ+ people, migrant workers, and sex workers are included in health services can be a “litmus test” of our progress towards universal health coverage (UHC), said Sivananthi Thanenthiran, Executive Director of Asian-Pacific Resource and Research Centre for Women (ARROW). Thanenthiran spoke at a recent Wilson Center event with the United Nations Population Fund (UNFPA) and the World Health Organization (WHO) Department of Sexual and Reproductive Health and Research about the importance of engaging stakeholders in sexual and reproductive health (SRH) to achieve UHC for all. In SRH services, the most marginalized and most vulnerable populations are often left out, she said. When engaging stakeholders, representatives from these groups must be included to ensure equity in healthcare services.

“From birth, from almost from cradle to grave, girls have been seen as some sort of baggage,” said Shamsa Suleiman, Project Management Specialist for Gender and Youth at the U.S. Agency for International Development (USAID), Tanzania. Suleiman spoke at a recent Wilson Center event with USAID MOMENTUM Country and Global Leadership about balancing power dynamics to achieve equity for all women and children in maternal, child, and adolescent health, and family planning. Home should be a safe space, said Suleiman. But for many girls, it no longer is. To escape the poverty and pressures at home, including early marriage and other forms of gender-based violence, some girls leave, said Suleiman. “Girls are trying to escape the safe spaces.”