At the opening of the Commission on the Status of Women in New York this past March,  UN Secretary-General António Guterres underscored the importance of stepping up national and global efforts to advance the rights of women. Guterres observed that “many women and girls are also facing a war on their fundamental rights at home and in their communities. Hard-fought progress is being reversed.”

We’re often told that we’re living during a population crisis, a time of simultaneous concerns born of too many people to sustain necessary resources for a healthy planet, and too few working-age people to support a healthy economy. Population dynamics and trends are key to national and international security and contribute to the overall wellbeing of a society. Fertility, along with mortality and migration, is central to population and its importance to demographers, policymakers, economists, and a country’s development is without question. But focusing on population trends without considering the experiences of the billions of individuals who make up those trends—each with a unique life course, personal aspirations, and individual potential—establishes an unhealthy and dangerous tension that can strip women of their rights and leave them socially disenfranchised.

A window into what we are reading at the Wilson Center’s Environmental Change and Security Program

Mpox Outbreak a Global Health Emergency, Again (The Washington Post) 

Various rapidly spreading mpox strains in Central and East African countries have led the World Health Organization (WHO) to declare the viral infection as a global health emergency. More than 15,000 people have been infected this year alone, with over 500 deaths reported. Mpox is transmitted largely through exposure to infected animals, as well as via skin-to-skin or sexual contact, and it disproportionately affects heterosexuals and sex workers.

Gambian lawmakers voted on July 15, 2024, to maintain the nine-year old ban on female genital cutting (FGC). Also known as female genital mutilation (FGM), female genital cutting is defined by the World Health Organization as “all procedures that involve partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons.” The negative health outcomes of FGC can include severe pain, infections, sexual health problems, and obstetric complications.

Ongoing fighting in Sudan has led to a devastating humanitarian crisis that United Nations Humanitarian and Emergency Relief Chief Martin Griffiths calls “one of the worst humanitarian nightmares in recent history.”  

Among the millions of people harmed by the fighting are countless pregnant people and new mothers, who face direct and indirect threats to their health and lives in the country’s renewed conflict. Sudan was already suffering from a maternal mortality crisis prior to the onset of its latest civil war. Before the most recent round of bloodshed, Sudan’s maternal mortality rate stood at 270 deaths per 100,000 live births in 2020 – higher than the global average of 223 deaths. And as this crisis worsens, it is imperative to call attention to what is occurring there.  

Last month, the biopharmaceutical company Gilead shared groundbreaking results from a recent clinical trial (PURPOSE1) for long-acting injectable HIV prevention. The twice-yearly injectable drug, lenacapavir, provided total protection from HIV for a test group of 2,134 women in Uganda and South Africa. While lenacapavir has been used to treat multi-drug resistant HIV since 2022, this trial marks the first usage as pre-exposure prophylaxis (PrEP). PrEP is one tool to prevent the virus, and refers to anti-retroviral medication taken by people who do not have HIV to reduce the risk of contracting it through sexual transmission or injection drug use. These new findings offer immense promise for the future of PrEP as a global tactic to protect young women from contracting HIV. 

“There is a really important need in talking about knowledge equity around what is actually happening with the climate crisis, and what happens to maternal [and] neo-natal health as a result of it,” said Neha Mankani, Midwifery Association Capacity Assessment Strengthening Lead at the International Confederation of Midwives, at a recent Wilson Center event titled “Midwives Are Key to Climate Resilience.”