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We would be driving down the street in a place like Zaire, now the Democratic Republic of Congo, and started to see, my gosh, the only people that have shoes are men. Why does that woman have a baby in her belly and one on her back, and she's carrying a huge load of bananas? You start to ask these questions.
In the United States, there's definitely some controversy about birth control in general, and I think we needed to split the debate and have people realize that we actually agree as a country about contraceptives. Over 93 percent of American women say they use contraceptives, and they feel very good about it.
We start with an economic approach. We look at what are the greatest causes of death in the developing world, and what causes the largest amount of disability, which would prevent you from getting a job. A lot of those deaths start with diseases, diseases we don't get in such a great number in the United States.
When I look at 225 million women who want contraceptives, and then I look at the 52 million unintended pregnancies that could be avoided by addressing this unmet need, where can we have the biggest impact with our voice, our dollars, our partners? It's on contraceptives. I would rather address the problem upstream.
It's really one of my all-time favorite things to do. To go out and really see the kids and visit the moms who are in these programs because I think I really get to see what happens on the ground and connect with them about what changes are that happen in their lives because of some of the giving that we're able to do.
Think, for a moment, about our educational ladder. We've strengthened the steps lifting students from elementary school to junior high, and those from junior high to high school. But, that critical step taking students from high school into adulthood is badly broken. And it can no longer support the weight it must bear.
When were you born, who are your parents, where did you grow up? None of us earns these things. These things were given to us. So when we strip away all of our luck and our privilege, and we consider where we'd be without them, it becomes much easier to see someone who's poor and say, "That could be me." And that's empathy.
Childbearing, I mean, if there's no place to go to deliver your baby, then you're the one that's delivering in those unhealthy circumstances. Or if you can't get access to family planning, your chances of surviving and being able to bring your kids up if they come one right after the other, that locks you into a cycle of poverty.
Contraceptives unlock one of the most dormant, but potentially powerful assets in development: women as decision-makers. When women have the power to make choices about their families, they tend to decide precisely what demographers, economists, and development experts recommend. They invest in the long-term human capital of their families.
We also ought to recognize that unpaid labor falls predominantly to women. The other thing I would do in countries like the U.S. is to show more men, even in TV ads, doing household work. Only two percent of ads show men doing chores, and yet we know they actually do several hours of it in real life. Those images affect young boys and girls.
Like in Africa, if somebody doesn't have fuel, they're still going and collecting firewood. If they get an oven, that's a huge difference. You can do things to reduce the inequities by making sure that they can get clean energy, safe energy. To make sure they're not having to collect water every day. That's huge for women in the developing world.
If we're going to make progress on this issue [of contraception], we have to be really clear about what our agenda is. We're not talking about abortion. We're not talking about population control. What I'm talking about is giving women the power to save their lives, to save their children's lives and to give their families the best possible future.
I've travelled extensively in the last 16 years - to slums in Bangladesh, to townships in South Africa, to all kinds of places in India, etc. When I would go and talk to villagers about something like vaccines, if I stayed long enough, the women would bring the conversation around and say: "What about this family planning tool? We can't keep having the number of children we're having."
I am Catholic, I was raised Catholic, I am a practicing Catholic. But I say we need to agree to disagree. We have a shared mission around poverty, and I focus on that, because we do a lot with the Catholic Church around poverty alleviation. I'm always looking for: what is the common thread? What do we care about? What do we believe in? We believe in women around the world. We believe in all lives have equal value.
We also look at farming. Are we making sure that we're getting the latest seeds out to women so they can get a bigger yield off of their farms? A new type of seed that gets out to a man, let's say, that's drought resistant - because, of course, the rains are changing in Africa with climate change - if you don't put it in the hands of a woman, she won't necessarily get it. We look at breaking down all those barriers.
Even in our own agriculture strategy, if we got a great new drought-resistant seed and we managed to get it distributed in the system, we just assumed that it would reach female farmers. That's a false assumption, because women don't interact with agro-dealers. So if you don't develop specific programming to ensure that seed gets in a woman's hands, then the extra income [generated by higher-yielding crops] goes into her husband's hands.
When I studied computer science at Duke University in the first half of the 1980s, I had professors who treated women differently than men. I kind of got used to it. At Microsoft, I had to use my elbows and make sure I spoke up at the table, but it was an incredibly meritocratic place. Outside, in the industry, I would feel the sexism. I'd walk into a room and until I proved my worth, everyone would assume that the guy presenting with me had credibility and I didn't.
In the developing world, they don't have smartphones yet. They have the older plastic phones, but women are saving money on those, because they don't have access to banks. Having that access to digital money changes everything for her because she actually doesn't have to negotiate with her husband, which she will tell you is very hard in these circumstances, especially when the means are meager. She's expected to have money to pay for the kids' health or to help with the school fees.
The world is full of what seem like intractable problems. Often we let that paralyze us. Instead, let is spur you to action. There are some people in the world that we can't help, but there are so many more that we can. So when you see a mother and her children suffering in another part of the world, don't look away. Look right at them. Let them break your heart, then let your empathy and your talents help you make a difference in the lives of others. Whether you volunteer every week or just a few times a year, your time and unique skills are invaluable.