It has been two decades since President George W. Bush launched the U.S. President’s Emergency Plan for AIDS Relief – or PEPFAR, and a recent Wilson Center event to celebrate the anniversary demonstrated that its impact as one of the most successful global public health programs is indisputable. Since its inception, PEPFAR has invested more than $100 billion in the global fight against HIV and AIDS, resulting in more than 25 million lives saved and millions of new infections prevented.

Madiha vaguely remembers her family fleeing war-torn Syria. But even a decade later, she still bursts into tears describing their midnight escape across the border to Turkey. She and her family were forced to flee after losing family members in a civil war in which they had no stake.

Little did Madiha—who is now 11 years old—and her family know they would experience another monumental trauma a decade later. This time, it was a 7.8 magnitude earthquake that rocked large swaths of southern Turkey on early February 6, 2023.

The roof they built with their own hands collapsed over their heads, killing several of Madiha’s nieces and siblings. “A large piece of brick fell on my mother’s leg, but she luckily survived,” she said tearfully. 

“We must unite our efforts to push back the pushback,” said Katrín Jakobsdóttir, Prime Minister of Iceland, at a recent side event during the 67^th Session of the Commission on the Status of Women (CSW67). Humanitarian crises and forced displacement increase pushback against women’s and girl’s human rights and safety. Jakobsdóttir called for global efforts to recognize this inequity and to fight for gender equality in humanitarian responses.

Links between water and conflict seem to crop up everywhere one looks these days. The Horn of Africa will soon face a sixth consecutive failed rainy season in 2023—its worst drought on record. Not only is this drought a consequence of global climate change, but it has also led to widespread food shortages and local civil conflicts. And over the past year in Ukraine, Russian troops have directly damaged that nation’s already vulnerable water systems, including pipelines, pumping stations, and treatment facilities. These repeated attacks on water infrastructure have not only undermined local livelihoods in Ukraine, but they have also polluted surface waters and threatened biodiversity.

For thousands of years, natural factors like rainfall and temperature helped determine the fate of economies and societies. For thousands of years, humans also engaged in human trafficking and kept one another as enslaved people. But as human prosperity increased exponentially beginning in the 19^th century, it may have seemed that such concerns were relics of the past.

Ukraine and its people will feel the effects of the Russian invasion for years to come. More than 6 million refugees have left Ukraine, another 8 million Ukrainians are internally displaced. Among those most impacted are Ukraine’s women and girls, who have a greater chance of experiencing gender-based violence, exploitation, and trafficking. They also face escalated maternal and newborn mortality rates stemming from lack of services and diminished care, as well as injuries and trauma due to the ongoing conflict. Less visibly, Ukrainians are confronting severe emotional distress and trauma.

Speaking at a session at the 2^nd International Conference on Environmental Peacebuilding in February, Guillaume Pierrehumbert, head of the Water and Habitat Unit of the International Committee of the Red Cross (ICRC) called for “a comprehensive rethink of collective humanitarian action” to address the unprecedented civilian crises in protracted armed conflicts.