“Everyone in the community knew that I was the next [to get pregnant], but I was so determined that until I achieve my dream of becoming an accountant, I will not drop out of school, and I will not get pregnant,” said Rebecca Acio, a 19-year-old Ambassador for the Strengthening School-Community Accountability for Girls’ Education (SAGE) DREAMS Project, Uganda. She spoke at a recent Wilson Center event on emerging lessons from the DREAMS Innovation Challenge. As a peer educator at her school in Lira, Uganda, and a temporary dropout herself, Acio “knew what it cost to be a dropout” and worked to identify other at-risk girls to encourage them to stay in school.

In Alaska’s arctic communities, Inuit contemplating the need to relocate have reported that the loss of sea ice would make them feel like they are lost or going crazy.  Zika and other vector-borne diseases have been a concern primarily for people in the southeastern United States. Recent research on the long-range internal migration of people from the coasts to the interior suggests a broader national concern regarding “climate augmentation” of disease. These are just two examples of the many public health effects we can expect as climate change forces people to uproot themselves.  

Poor quality care is now a bigger barrier to reducing mortality than insufficient access to healthcare, said Dr. Margaret Kruk, Chair of The Lancet Global Health Commission on High Quality Health Systems in the Sustainable Development Goal Era. She spoke at a recent Wilson Center event on strategies to improve and sustain high-quality reproductive, maternal, and newborn care at scale. “We estimate that 8.6 million lives are lost every year due to lack of access to high quality care, and of that 8.6 million, five million lives are lost by people who have already reached out to the health system.”

While most people killed in wars are male, several studies have found that “mortality among women in some high-intensity conflicts was as severe as male mortality,” said Henrik Urdal, the Director of the Peace Research Institute Oslo (PRIO), at a recent Wilson Center event on the links between maternal and child health, aid, and armed conflict. “Maternal health is a very natural place to start” when researching excess mortality and indirect deaths among women impacted by war, said Urdal.

“We are seeing increasingly self-reliant countries develop national health sector plans solidly grounded on technical evidence,” said Dr. Jim Ricca of the United States Agency for International Development (USAID)’s flagship Maternal and Child Survival Program (MCSP) at a recent Wilson Center event. Expanding successful reproductive, maternal, newborn, child, and adolescent healthcare (known as RMNCAH) interventions to the national level could make a significant contribution to meeting the 2030 Sustainable Development Goals for mortality reduction, he said.