“As we’re talking, the bodily autonomy of millions of women and girls around the world is still denied,” said Klaus Simoni Pedersen, Acting Director of the Division of Communications and Strategic Partnerships for the United Nations Population Fund (UNFPA) at the recent U.S. launch event of the 2021 UNFPA State of the World Population report, hosted by the Wilson Center and UNFPA. The report, My Body is My Own: Claiming the Right to Autonomy and Self-Determination, examines the global status of women and girls as reflected in their agency and decision-making power.

Breastfeeding may seem natural. Yet many women find it hard to get off to a good start with breastfeeding.  Sharp decreases in breastfeeding rates around the world reflect this continuing challenge. While most women still choose to breastfeed, many ultimately feel they have no other choice than to stop breastfeeding earlier than anticipated. In the UK, 80 percent of mothers surveyed said they stopped breastfeeding before they wanted to. Many women describe shattered expectations, feelings of deep sadness, guilt, and anger from their breastfeeding experience.

Until 2016, the agrarian residents of east Kenya’s Kitui county had never encountered a water quality monitor like Mary Musenya. Wearing a bright blue company jersey and furnished with sample bottles and plastic trays, the young Kenyan is a water safety officer for FundiFix, a tiny rural water supply service company. She is one of 20 staff who manage 130 pumps, plus pipes and water tanks that serve 82,000 people across a 1,000 square-mile service area in Kitui and Kwale counties. 

 “Ask a big enough question, and you need more than one discipline to answer it,” said modern dance legend Liz Lerman.

As the COVID-19 pandemic spread across the globe, the World Health Organization (WHO) warned that there would be no going back to normal. They knew a failure to make timely and accurate public health decisions for a pandemic would prove to be the “difference between life and death.” How correct they were.

Joyce Makasi, a young woman in Kambiti village, Kitui County, Kenya, went into labor with her second child one afternoon in December 2020. She had just enough money to hire a motorbike to take her to nearby Waita health center. At the facility, the clinical officer and nurse told her she would need a cesarean delivery. It wouldn’t be her first cesarean, but COVID-19 presented new obstacles.

According to the World Health Organization, 1 in 3 women in the world will experience physical or sexual violence during their lifetime. Intimate partner violence is the most common form of violence, impacting an estimated 641 million women worldwide. Lockdowns and disruptions in access to support services due to the COVID-19 pandemic have exacerbated the prevalence of gender-based violence (GBV).

“Greater attention to pregnant patients as a unique population at higher risk of SARS-CoV-2 infection sequelae, is critical to preventing maternal and neonatal morbidity and mortality,” write the authors of a study in the American Journal of Obstetrics and Gynecology examining morbidity and mortality among pregnant women with COVID-19 in Washington state. The study found “markedly higher” hospitalization and fatality rates among this group compared with similarly-aged non-pregnant individuals.