In the Taliban’s Afghanistan, it’s not uncommon for three women to share a hospital bed. Nor is it rare for premature babies to share incubators. Families often cannot afford a trip to the doctor to get help for women or children, and more women are dying on their way to the hospital from pregnancy complications because they need to travel hours or even days to get care.

“It’s a perfect storm: less access to healthcare, less access to reproductive choice, and a declining number of healthcare professionals,” Heather Barr of Human Rights Watch said.