Evidence shows that in low- and middle-income countries, the expansion of health coverage or access to care has not always reduced overall mortality, said Dr. Patricia Jodrey, Child Health Team Lead in the Office of Maternal and Child Health and Nutrition at the U.S. Agency for International Development (USAID). “However, the analysis also showed that when countries have progressed in improving the quality of their health systems, the survival rate tends to improve,” she said.

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.

“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.”

Until 2016, the agrarian residents of east Kenya’s Kitui county had never encountered a water quality monitor like Mary Musenya. Wearing a bright blue company jersey and furnished with sample bottles and plastic trays, the young Kenyan is a water safety officer for FundiFix, a tiny rural water supply service company. She is one of 20 staff who manage 130 pumps, plus pipes and water tanks that serve 82,000 people across a 1,000 square-mile service area in Kitui and Kwale counties. 

Globally, nearly 690 million people were hungry in 2019. Though the number of people who experience hunger in Asia has declined since 2015, the continent still accounts for more than half of the world’s hungry, or undernourished, at approximately 381 million people. Working toward Sustainable Development Goal 2 (SDG 2), “Zero Hunger,” will require major changes to the world’s food production systems.

“What you do to your women you do to your nation state. And so, if you decide to curse your women, we argue that you will curse your nation state as well,” said Valerie Hudson, University Distinguished Professor and Holder of the George H.W. Bush Chair at the Bush School of Government and Public Service at Texas A&M University, at the launch of The First Political Order. Co-authored by Hudson, Donna Lee Bowen, Professor Emerita at Brigham Young University, and P. Lynne Nielson, Professor of statistics at Brigham Young University, The First Political Order is the culmination of 2 decades of research on the linkages between the status of women and the status of nation-state security.