Child well-being

This archive tracks real progress in child well-being — from advances in nutrition, education, and mental health to policies that expand opportunity for young people worldwide. Each story focuses on what’s working and why, grounded in evidence rather than optimism alone.

People raising Cuban flag, for article on mother-to-child HIV transmission

Cuba is the first country in the world to eliminate mother-to-child HIV and syphilis transmission

Cuba’s WHO validation showed the world something remarkable: with the right system behind it, transmitting HIV from mother to child can be reduced to near zero. This was achieved by weaving HIV testing, antiretroviral treatment, and prenatal care into a single national program reaching virtually every pregnant woman — dropping transmission risk dramatically. The honest caveat is that Cuba’s centralized health system made consistent implementation possible in ways that under-resourced or decentralized systems genuinely struggle to match. Still, the core proof is there — and other countries are already working toward the same goal.

Red and gold Soviet Union logo, for article on Soviet abortion legalization

Soviet Russia becomes the first modern state to legalize abortion

Soviet Russia legalized abortion in October 1920, becoming the first modern government to permit the procedure without restriction, and often for free. The decree aimed to move women away from underground providers and into hospitals — by 1925, roughly three-quarters of abortions in Moscow were performed in medical facilities. It was an early, imperfect test of treating reproductive health as medicine rather than crime.