Whether marginalized populations, such as adolescents, LGBTQ+ people, migrant workers, and sex workers are included in health services can be a “litmus test” of our progress towards universal health coverage (UHC), said Sivananthi Thanenthiran, Executive Director of Asian-Pacific Resource and Research Centre for Women (ARROW). Thanenthiran spoke at a recent Wilson Center event with the United Nations Population Fund (UNFPA) and the World Health Organization (WHO) Department of Sexual and Reproductive Health and Research about the importance of engaging stakeholders in sexual and reproductive health (SRH) to achieve UHC for all. In SRH services, the most marginalized and most vulnerable populations are often left out, she said. When engaging stakeholders, representatives from these groups must be included to ensure equity in healthcare services.

“Spoiler alert: COVID made it even worse,” said Natascha Braumann, Director of Global Government and Public Affairs for Fertility at EMD Serono, of declining fertility trends across the globe. Braumann spoke at a recent Wilson Center event highlighting pre-pandemic fertility, demographic trends, and the impact of COVID-19. The panel was co-sponsored by EMD Serono, the healthcare business of Merck KGaA, Darmstadt, Germany.

Pride month 2021 is underway, with parades, celebrations, and advocacy movements all over the world. Given the month’s celebratory nature—along with the increasing acceptance of and recent victories for LGBTQ+ * (lesbian, gay, bisexual, transgender, queer or questioning, and others) communities in some countries—it might be easy to assume that most lesbian, gay, and bisexual individuals are “out.” However, according to a study by the Yale School of Public Health, this is far from the case. The vast majority of lesbian, gay, and bisexual individuals remain in the closet, concealing their sexual orientation from “all or most” people in their lives.

In June 1969, the Stonewall Uprising in Manhattan served as a critical tipping point for the Gay Liberation Movement in the United States. Each June, communities around the world celebrate Pride Month to honor this struggle and continue fighting for a more equal future. More than 50 years after Stonewall, Lesbian, Gay, Bisexual, Transgender, and Queer or Questioning (LGBTQ+)* people in the United States struggle to access culturally competent and respectful sexual and reproductive health care.

“From birth, from almost from cradle to grave, girls have been seen as some sort of baggage,” said Shamsa Suleiman, Project Management Specialist for Gender and Youth at the U.S. Agency for International Development (USAID), Tanzania. Suleiman spoke at a recent Wilson Center event with USAID MOMENTUM Country and Global Leadership about balancing power dynamics to achieve equity for all women and children in maternal, child, and adolescent health, and family planning. Home should be a safe space, said Suleiman. But for many girls, it no longer is. To escape the poverty and pressures at home, including early marriage and other forms of gender-based violence, some girls leave, said Suleiman. “Girls are trying to escape the safe spaces.”

More than a year after it began, the COVID-19 pandemic continues to disrupt essential health services, including routine childhood immunizations, according to the World Health Organization’s (WHO) second pulse survey. The survey asked countries to report the level of disruption in their jurisdictions to 63 health services during the previous three months. 135 countries and territories from across the six WHO regions responded with data covering October 2020 to February 2021.