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.

For many people, stillbirth— the occurrence of a fetal death at 20+ week’s gestation—is a concept. A statistic. Each year, at least 23,000 stillbirths occur in the United States. It occurs in one out of every 160 pregnancies. Yet when these numbers become a reality in your own life, they take on a new meaning.

“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.

“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.”