“Midwifery is what women want and what the world needs,” said Anneka Knutsson, Chief, Sexual and Reproductive Health Branch, United Nations Population Fund (UNFPA) at the Fourth Global Midwifery Symposium held at Women Deliver on June 2, 2019. More than 200 people, mostly midwives and global midwifery experts, attended the symposium titled, “Empowered Midwives, Transformed Communities.” Organized by UNFPA, the International Confederation of Midwives (ICM), and World Health Organization (WHO), in collaboration with Jhpiego, UNICEF, Laerdal, and the Canadian Association of Midwives, the all-day symposium highlighted how the midwife-led continuity of care model and women-centered care can improve outcomes for women, their newborn, and their families. The discussion also focused on the importance of enabling environments and productive collaborations between midwives and other health professionals.

Every day 830 women around the globe die from pregnancy or childbirth-related causes. Almost all of these deaths occur in the developing world, but over the past sixty years this global problem has made waves at home. While worldwide maternal mortality rates are decreasing, the rates are rising in three countries: Afghanistan, Sudan, and the United States. Between 2000 and 2014, the number of women who died in the United States from pregnancy-related causes while pregnant or within 42 days postpartum increased by almost 27 percent, from 18.8 per 100,000 deaths in 2000 to 23.8 in 2014.

It’s disturbing to see the data going in the wrong direction and it means we have to go beyond what we’ve been doing, said Terri D. Wright, Vice President of Programs and Community at the Eugene and Agnes E. Meyer Foundation at a recent event on equitable prenatal care in the United States hosted by The Jennifer Bush-Lawson Foundation and the American Medical Association at Duke University in DC. “We can’t do the same things the same way and expect a different outcome,” she said. “We’ve got to do something different.”

In Six Steps Towards Ending Preventable Maternal Mortality, Sarah B. Barnes, Project Director of the Maternal Health Initiative, Geeta Lal, Senior Technical Advisor at the United Nations Population Fund (UNFPA), and Elizabeth Wang, Staff Intern at the Maternal Health Initiative, discuss suggested steps to prevent avoidable maternal deaths, globally.

Africa in Transition, a new series hosted by the Wilson Center and the Population Institute, explores the role of population trends—migration, urbanization, fertility, maternal mortality—in shaping sub-Saharan Africa’s chances for prosperity, health, and security. In this podcast, we share highlights from the first Africa in Transition event. Parfait Eloundou-Enyegue, Professor at Cornell University, starts the conversation by reminding us that “African countries are in the middle of multiple transitions that have the potential to create opportunities for prosperity, growth, and increased human capital, but also to create greater inequality. The challenge, therefore, is to build prosperity, but to do it for all.”

Seeing the influx of international aid into Haiti following the 2010 earthquake, Dr. Florence Jean-Louis, Director of Human Development at Fonkoze, asked herself, “How can all this support, all this solidarity, stay in-country and have a real impact in the long-term?” She spoke at a recent Wilson Center event on the importance of community health systems to the sustainable development and stability of countries. The answer, she concluded, was to build the capacity of local organizations.

“Strengthening community health is critical to expanding voluntary family planning,” said A. Jean Affo, Chief of Party at Advancing Partners & Communities (APC) Benin at a recent Wilson Center event on the importance of community health systems to the sustainable development and stability of countries. In Benin, around half of the population lives in rural areas with a lack of access to quality healthcare services and information. Traditional attitudes and gender norms prevent women and couples from utilizing family planning methods, said Affo. Combined with early marriage, inadequate family planning leaves women and girls vulnerable to health issues associated with inadequate timing and spacing between pregnancies.

“Saving Mothers, Giving Life has undeniably raised the bar in how we address maternal perinatal mortality,” said Dr. Florina Serbanescu, Team Lead of Global Reproductive Health Evidence for Action at the Centers for Disease Control and Prevention, for the launch of the Global Health: Science and Practice Supplement on Saving Mothers, Giving Life at a recent Wilson Center event. Saving Mothers, Giving Life (SMGL), is a public-private partnership created to reduce maternal and newborn mortality in sub-Saharan African countries. “The achievements show that what is often seen as an intractable problem,” said Serbanescu, “can be addressed with the right leadership, resources, and political will.”