The COVID-19 pandemic has had far-reaching, negative impacts on health and well-being, particularly in population mental health. Mental health is strongly related to people’s social environment, and the COVID-19 pandemic disrupted this greatly. Many countries instituted shutdowns early in the pandemic restricting people’s movement both within and between countries. Shutdowns socially isolated people from one another and often led to poor mental health. The highest rates of mental distress occurred during time periods when COVID-19 mitigation measures were strictest and the number of COVID-19 related deaths was highest.

On November 15, the world population is projected to reach 8 billion people. As we approach that milestone, there’s no denying that our rapidly growing human population also places extraordinary pressure on the environment. The human population has doubled in the last 50 years, while wildlife populations have been cut in half.

We should be outraged by sexuality education’s colonialist connections. As a researcher and trainer based in the UK, I see how deeply blatant colonialist influences run in the field of sex education. The British empire was obsessed with the sexualities of their subjects and imagined their societies to be exotic licentious places where upper class British men could live out illicit fantasies. Yet, at the same time, these societies were deemed to be wells of immorality that needed Victorian moral education. These dual imaginaries were used to justify colonialism itself as a force to civilize non-western bodies and sexualities, and remain as ideas which echo in more contemporary discourses around controlling population and HIV.

As the COVID-19 pandemic gripped the world in late 2019 and early 2020, the world’s great hope was in the rapid development and deployment of vaccines. Global public health organizations hoped to seize upon the crisis to advance international cooperative efforts to fight COVID-19, and the promise of advanced economies embracing “vaccine diplomacy” to get shots into arms around the planet was a key element in this strategy.

“Globally women and girls continue to face barriers to access healthcare services—whether it be transport costs, financial costs, or even language barriers,” said Shakira Choonara, Technical Specialist with the World Health Organization (WHO) at a recent launch event of the Sexual and Reproductive Health (SRH) and Universal Health Coverage (UHC) Learning by Sharing Portal (LSP).

In its June 2022 decision, Dobbs v. Jackson Women’s Health Organization, the U.S. Supreme Court abandoned decades of precedent to strike down the constitutional right to abortion. This ruling—and a shift in regulatory power over abortion to individual states—is having a profound impact in American society. Already, a record number of abortion measures are on ballots to protect or abolish abortion rights. In many states, the fight over abortion access continues to take place in courtrooms. Far from settling the matter, the Supreme Court’s ruling showcases the deep divide over abortion in American society.

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.