The significance of the Biden-Harris administration for the world’s women and girls cannot be overstated. The current status of women and girls is grim. The COVID-19 pandemic and four years of dangerous policies designed to strip women and girls of their reproductive and economic autonomy and punish them—first for their biology, and second for their gender—have slowed and even reversed decades of progress toward gender equity. Systemic racism and policies meant to further exclude and disenfranchise minority communities have targeted women of color with tragic results.

The United States is facing a crucial moment, one in which more pregnant women are at risk of becoming housing insecure than at any other time in recent history. This leaves an unprecedented number of mothers and babies vulnerable to the associated adverse health risks.  Housing instability – which includes challenges ranging from struggles paying rent to chronic homelessness – harms maternal and neonatal health as much as smoking during pregnancy. The economic effects of COVID-19 threaten to exacerbate the adverse health outcomes associated with homelessness.

“This is real,” said Franka Cadée, President of the International Confederation of Midwives (ICM). “And we can no longer get around it. And we can no longer linger.” She spoke at a recent Wilson Center event, in partnership with the United Nations Population Fund (UNFPA) and Johnson & Johnson, launching a new study, Impact of Midwives, published in The Lancet Global Health. If any other intervention could have the same impact as midwives or midwifery, it would be implemented worldwide immediately, she said.

The United States imprisons the most women in the world. Across the United States, approximately 200,000 women are incarcerated—nearly an 800 percent increase since 1980. Women of color are disproportionately affected by the criminal justice system. In 2017, twice as many Black women and 1.3 times as many Hispanic women were incarcerated compared to white women. An often overlooked aspect of the increasing rates of women’s incarceration is the impact on the sexual and reproductive health needs of these women. “Despite being the fastest growing incarcerated population, women and girls are correctional afterthoughts,” writes Kimberly Haven, an activist and formerly incarcerated woman who had to undergo a hysterectomy—a surgical procedure to remove the uterus (and, with it, childbearing possibilities)—after being denied proper menstrual products while incarcerated.

“Achieving true progress on sexual and reproductive health and rights requires a comprehensive approach and a commitment to tackling deeply entrenched inequities and injustices of which marginalized communities continue to bear the brunt,” said Dr. Herminia Palacio, President and CEO of the Guttmacher Institute. She spoke at a recent Wilson Center event where speakers analyzed findings from the Guttmacher Institute on the state of sexual and reproductive health and rights (SRHR) globally.

“The pandemic has shown us in the starkest terms how wide the gaps are in health outcomes between Black and White America and between men and women,” said Representative Alma Adams (D-NC-12) at a recent Wilson Center event on women, race, and COVID-19 in the United States. “COVID-19 has revealed what the Black community and communities of color have known for a long time, health outcomes are further compounded by systemic and structural racism,” said Rep. Alma Adams. And COVID-19 has exposed what women have known for a long time. Gender inequality exists, it threatens economic empowerment, and it increases vulnerabilities.