Of COVID-19’s many lessons, one is most critical to our collective next steps:

Business as usual in global health is no longer possible.

The pandemic exposed weaknesses in health systems across the world, and particularly in the delivery of equitable, high-quality reproductive, maternal, newborn, adolescent, and child health (RMNCAH) services. It also reinforced that effectively addressing these challenges requires rapid, responsive approaches driven and owned by countries and local institutions.

While the world’s population now approaches 8 billion people, global fertility rates have been declining for decades. The overall drivers of this decline include increased access to contraception and reproductive health care, an increase in women seeking higher education, women’s empowerment in the workforce, lower rates of child mortality globally, increased cost of raising children, and overall greater gender equality.

“Half. This is the proportion of all pregnancies that are unintended. That is 121 million pregnancies every year,” said Sarah Craven, Director of the Washington D.C. Office at UNFPA during a recent U.S. launch event for the 2022 UNFPA State of World Population (SWOP) report. “For these women, the most life altering reproductive choice, whether to become pregnant or not, is no choice at all. This is an unseen crisis unfolding right before our eyes.”

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.

More than 60 percent of preventable maternal deaths and 45 percent of newborn deaths take place in countries affected by recent conflict, natural disaster, or both. Yet as Sarah B. Barnes, Project Director of the Maternal Health Initiative, observed at a recent event hosted by the Wilson Center and UNFPA, in collaboration with the Inter-agency Working Group on Reproductive Health in Crisis (IAWG) and White Ribbon Alliance, “the leading causes of both maternal and newborn death occurring in humanitarian settings are considered to be preventable if managed by skilled providers and adequate resources.”

July 11 is World Population Day—a day designated annually by the United Nations that should prompt us, in the words of the International Institute for Sustainable Development, to “focus attention on the urgency and importance of population issues.”

Examining population trends helps describe where we’ve been and suggests where we’re headed. Yet these facts about human existence on our planet also offer insights into how we got here—including a window into places where inequities exist and rights have been denied.

In 1976, a Belgian Catholic mission and hospital in what is now the Democratic Republic of the Congo (DRC) was stricken with a mysterious illness that caused fever-like symptoms. Most of the patients who contracted the illness died. A young microbiologist named Jean-Jacques Muyembe Tamfum was called to the mission, where he extracted blood samples from those who had fallen ill. The DRC did not have a functional research laboratory at the time, so Muyembe had to send his samples to Belgium for analysis. The results that came back revealed that they contained a new deadly virus: what the world came to know as Ebola, named after a river near the mission.

“Building strong and inclusive partnerships for maternal, newborn, child health, and family planning programs is not future work,” said Dr. Koki Agarwal, Director of USAID’s MOMENTUM Country and Global Leadership at a recent Wilson Center event. “It’s urgent and it’s ‘right now’ work.”

This exploration of country perspectives and expertise on improving maternal, newborn, child, and adolescent health and family planning programs was the third event in a series that placed regional experiences and voices in the foreground.