In 1968, Stanford University biologist Paul Ehrlich predicted hundreds of millions would starve to death over the next decade, many of them Americans, and the world would generally decline into chaos in his book The Population Bomb.

East African countries like Kenya have made great strides in recent decades in increasing access to modern contraception, leading to marked declines in fertility rates. But disparities remain.

The world is about to hit a “turning point” in maternal and newborn health, said Laura Laski, chief of the sexual and reproductive health at UNFPA, at the Wilson Center on March 23. “In terms of strengthening the new health system for achieving the MDGS or any other goals, we have to focus on the human resources for health.” In particular, midwives.

In high-income countries, as many as 10 to 15 percent of women experience depression, anxiety, or other non-psychotic mental health challenges during pregnancy or the year after giving birth. In developing countries, the chances rise to 16 percent of pregnant women and 20 percent of post-natal women, according to Jane Fisher, professor of women’s health at Monash University in Melbourne, Australia. [Video Below]

Sub-Saharan Africa is often characterized as an outlier in terms of population dynamics and reproductive health. While women are having fewer children around the world, even prompting some places to begin worrying about aging populations, the demographic transition is proceeding more slowly in Africa. Fertility rates in North and Southern Africa have declined to around three children per woman, but the three other sub-regions of the continent – East, Central, and West Africa – retain much higher fertility, between five and six children per woman. Whether, and how quickly, fertility rates decline in these regions over the next few decades will in large part determine the peak of world population. These regions’ demographic trajectories also have important implications for health, governance, food security, economic development, land use, climate vulnerability, and even security.

May 5 was the International Day of the Midwife, an opportunity for the global community to come together to recognize the incredible impact midwives have on maternal and newborn health and decreasing mortality. Want to know more about what global leaders are doing to strengthen midwifery?