ABOUT THE SPEAKER
Melinda Gates - Philanthropist
Melinda French Gates is co-chair of the Bill & Melinda Gates Foundation, where she puts into practice the idea that every life has equal value.

Why you should listen

The Bill & Melinda Gates Foundation works to help all people lead healthy, productive lives. As co-chair, Melinda French Gates helps shape and approve strategies, review results, advocate for foundation issues and set the overall direction. In developing countries, the foundation focuses on improving people's health with vaccines and other life-saving tools and giving them a chance to lift themselves out of hunger and extreme poverty. In the United States, it seeks to dramatically improve education so that all young people have the opportunity to reach their full potential. Based in Seattle, Washington, the foundation is led by CEO Jeff Raikes and co-chair William H. Gates Sr., under the direction of Bill Gates, Melinda Gates and Warren Buffett.

In recent years, Melinda French Gates has become a vocal advocate for access to contraception, advancing the idea that empowering women to decide whether and when to have children can have transformational effects on societies. In 2012, Gates spearheaded the London Summit on Family Planning, with the goal of delivering contraceptives to 120 million women in developing countries by 2020. When asked why she got involved in this issue, Gates said, "We knew that 210 million women were saying they wanted access to the contraceptives we have here in the United States and we weren't providing them because of political controversy in our country. To me, that was just a crime. I kept looking around trying to find the person to get this back on the global stage. I realized I just had to do it."

 

More profile about the speaker
Melinda Gates | Speaker | TED.com
TEDxChange

Melinda Gates: Let's put birth control back on the agenda

Filmed:
1,260,206 views

Contraception. The topic has become controversial in recent years. But should it be? Melinda Gates believes that many of the world's social change issues depend on ensuring that women are able to control their rate of having kids. In this significant talk, she makes the case for the world to re-examine an issue she intends to lend her voice to for the next decade. (Filmed at TEDxChange.)
- Philanthropist
Melinda French Gates is co-chair of the Bill & Melinda Gates Foundation, where she puts into practice the idea that every life has equal value. Full bio

Double-click the English transcript below to play the video.

00:04
TodayOggi, I'd like to talk with you
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Oggi vorrei parlarvi
00:05
about something that should be
a totallytotalmente uncontroversialincontrovertibile topicargomento.
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di un argomento che dovrebbe essere
assolutamente incontrovertibile,
00:11
But, unfortunatelypurtroppo,
it's becomediventare incrediblyincredibilmente controversialcontroverso.
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ma che purtroppo e' diventato
incredibilmente controverso.
00:17
This yearanno, if you think about it,
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over a billionmiliardo couplescoppie
will have sexsesso with one anotherun altro.
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CouplesCoppie like this one,
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00:26
and this one,
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00:27
and this one,
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and, yes,
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even this one.
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00:32
(LaughterRisate)
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00:34
And my ideaidea is this --
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all these menuomini and womendonne
should be freegratuito to decidedecidere
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00:41
whetherse they do or do not
want to conceiveconcepire a childbambino.
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00:45
And they should be ablecapace to use
one of these birthnascita controlcontrollo methodsmetodi
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00:49
to actatto on theirloro decisiondecisione.
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00:53
Now, I think you'dfaresti have a harddifficile time
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00:55
findingscoperta manymolti people
who disagreedisaccordo with this ideaidea.
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01:00
Over one billionmiliardo people use birthnascita controlcontrollo
withoutsenza any hesitationesitazione at all.
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01:07
They want the powerenergia
to planPiano theirloro ownproprio livesvite
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01:11
and to raiseaumentare healthierpiù sano, better educatededucato
and more prosperousProspero familiesfamiglie.
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01:18
But, for an ideaidea that is
so broadlyin linea di massima acceptedaccettato in privateprivato,
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01:24
birthnascita controlcontrollo certainlycertamente generatesgenera
a lot of oppositionopposizione in publicpubblico.
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01:29
Some people think
when we talk about contraceptioncontraccezione
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01:32
that it's codecodice for abortionaborto,
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01:35
whichquale it's not.
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01:36
Some people -- let's be honestonesto --
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01:39
they're uncomfortablescomodo with the topicargomento
because it's about sexsesso.
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01:43
Some people worrypreoccupazione
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that the realvero goalobbiettivo of familyfamiglia planningpianificazione
is to controlcontrollo populationspopolazioni.
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01:50
These are all sidelato issuesproblemi
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that have attachedallegato themselvesloro stessi
to this corenucleo ideaidea that menuomini and womendonne
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02:00
should be ablecapace to decidedecidere
when they want to have a childbambino.
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02:05
And as a resultrisultato, birthnascita controlcontrollo has
almostquasi completelycompletamente and totallytotalmente disappearedscomparso
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from the globalglobale healthSalute agendaordine del giorno.
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The victimsvittime of this paralysisparalisi
are the people of sub-SaharanSub-sahariana AfricaAfrica
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02:20
and SouthSud AsiaAsia.
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02:23
Here in GermanyGermania, the proportionproporzione of people
that use contraceptioncontraccezione
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is about 66 percentper cento.
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02:29
That's about what you'dfaresti expectaspettarsi.
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In ElEl SalvadorSalvador, very similarsimile, 66 percentper cento.
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ThailandThailandia, 64 percentper cento.
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02:39
But let's compareconfrontare that to other placesposti,
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like UttarUttar PradeshPradesh,
one of the largestmaggiore statesstati in IndiaIndia.
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02:45
In factfatto, if UttarUttar PradeshPradesh
was its ownproprio countrynazione,
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it would be the fifthquinto largestmaggiore
countrynazione in the worldmondo.
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TheirLoro contraceptioncontraccezione rateVota -- 29 percentper cento.
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NigeriaNigeria, the mostmaggior parte populouspopoloso
countrynazione in AfricaAfrica, 10 percentper cento.
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03:04
ChadChad, 2 percentper cento.
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Let's just take one countrynazione
in AfricaAfrica, SenegalSenegal.
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TheirLoro rateVota is about 12 percentper cento.
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03:14
But why is it so lowBasso?
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One reasonragionare is that the mostmaggior parte popularpopolare
contraceptivescontraccettivi are rarelyraramente availablea disposizione.
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03:23
WomenDonne in AfricaAfrica will tell you
over and over again
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that what they preferpreferire todayoggi
is an injectableiniettabili.
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They get it in theirloro armbraccio --
and they go about fourquattro timesvolte a yearanno,
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they have to get it everyogni threetre monthsmesi --
to get theirloro injectioniniezione.
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The reasonragionare womendonne like it so much in AfricaAfrica
is they can hidenascondere it from theirloro husbandsmariti,
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who sometimesa volte want a lot of childrenbambini.
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The problemproblema is everyogni other time
a womandonna goesva into a clinicclinica in SenegalSenegal,
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that injectioniniezione is stockedrifornito out.
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It's stockedrifornito out 150 daysgiorni out of the yearanno.
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So can you imagineimmaginare the situationsituazione --
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she walkspasseggiate all this way
to go get her injectioniniezione.
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04:03
She leavesle foglie her fieldcampo,
sometimesa volte leavesle foglie her childrenbambini,
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04:06
and it's not there.
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04:07
And she doesn't know
when it's going to be availablea disposizione again.
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This is the samestesso storystoria
acrossattraverso the continentcontinente of AfricaAfrica todayoggi.
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04:16
And so what we'venoi abbiamo createdcreato as a worldmondo
has becomediventare a life-and-deathvita e la morte crisiscrisi.
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There are 100,000 womendonne [perper yearanno]
who say they don't want to be pregnantincinta
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04:27
and they diemorire in childbirthparto --
100,000 womendonne a yearanno.
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There are anotherun altro 600,000 womendonne [perper yearanno]
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who say they didn't want to be pregnantincinta
in the first placeposto,
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and they give birthnascita to a babybambino
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04:39
and her babybambino diesmuore
in that first monthmese of life.
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I know everyonetutti wants to savesalvare
these mothersmadri and these childrenbambini.
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04:50
But somewhereda qualche parte alonglungo the way,
we got confusedconfuso by our ownproprio conversationconversazione.
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04:56
And we stoppedfermato tryingprovare to savesalvare these livesvite.
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05:01
So if we're going to make
progressprogresso on this issueproblema,
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05:04
we have to be really clearchiaro
about what our agendaordine del giorno is.
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05:08
We're not talkingparlando about abortionaborto.
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05:11
We're not talkingparlando
about populationpopolazione controlcontrollo.
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05:14
What I'm talkingparlando about is givingdando womendonne
the powerenergia to savesalvare theirloro livesvite,
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05:21
to savesalvare theirloro children'sbambini livesvite
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and to give theirloro familiesfamiglie
the bestmigliore possiblepossibile futurefuturo.
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05:28
Now, as a worldmondo,
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there are lots of things we have to do
in the globalglobale healthSalute communitycomunità
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if we want to make the worldmondo
better in the futurefuturo --
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things like fightcombattimento diseasesmalattie.
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So manymolti childrenbambini todayoggi diemorire of diarrheadiarrea,
as you heardsentito earlierprima, and pneumoniapolmonite.
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They killuccidere literallyletteralmente
millionsmilioni of childrenbambini a yearanno.
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We alsoanche need to help smallpiccolo farmersagricoltori --
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farmersagricoltori who plowaratro
smallpiccolo plotstrame of landsbarcare in AfricaAfrica --
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so that they can growcrescere enoughabbastanza foodcibo
to feedalimentazione theirloro childrenbambini.
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And we have to make sure that
childrenbambini are educatededucato around the worldmondo.
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But one of the simplestpiù semplice
and mostmaggior parte transformativetrasformativo things we can do
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06:04
is to give everybodytutti accessaccesso
to birthnascita controlcontrollo methodsmetodi
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that almostquasi all GermansTedeschi have accessaccesso to
and all AmericansAmericani, at some pointpunto,
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they use these toolsutensili duringdurante theirloro life.
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And I think as long as we're really clearchiaro
about what our agendaordine del giorno is,
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there's a globalglobale movementmovimento
waitingin attesa to happenaccadere
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and readypronto to get behinddietro a
this totallytotalmente uncontroversialincontrovertibile ideaidea.
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06:32
When I grewè cresciuto up,
I grewè cresciuto up in a CatholicCattolica home.
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I still considerprendere in considerazione myselfme stessa
a practicingpraticante CatholicCattolica.
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My mom'sLa mamma di great-uncleprozio was a JesuitDei gesuiti priestsacerdote.
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My great-auntprozia was a DominicanRepubblica Dominicana nunsuora.
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06:46
She was a schoolteacherinsegnante
and a principalPrincipal her entireintero life.
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In factfatto, she's the one who taughtinsegnato me
as a younggiovane girlragazza how to readleggere.
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I was very closevicino to her.
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And I wentandato to CatholicCattolica schoolsscuole
for my entireintero childhoodinfanzia
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untilfino a I left home to go to universityUniversità.
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In my highalto schoolscuola, UrsulineOrsoline AcademyAccademia,
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the nunsmonache madefatto serviceservizio and socialsociale justicegiustizia
a highalto prioritypriorità in the schoolscuola.
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07:14
TodayOggi, in the [GatesCancelli] Foundation'sDella Fondazione work,
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I believe I'm applyingl'applicazione the lessonsLezioni
that I learnedimparato in highalto schoolscuola.
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So, in the traditiontradizione of CatholicCattolica scholarsstudiosi,
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the nunsmonache alsoanche taughtinsegnato us
to questiondomanda receivedricevuto teachingsinsegnamenti.
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And one of the teachingsinsegnamenti that we girlsragazze
and my peerscoetanei questionedinterrogato
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was is birthnascita controlcontrollo really a sinpeccato?
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Because I think one of the reasonsmotivi
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we have this hugeenorme discomfortdisagio
talkingparlando about contraceptioncontraccezione
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is this lingeringtempo di ritardo concernpreoccupazione
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that if we separateseparato sexsesso from reproductionriproduzione,
we're going to promotepromuovere promiscuitypromiscuità.
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07:55
And I think that's a reasonableragionevole questiondomanda
to be askedchiesto about contraceptioncontraccezione --
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what is its impacturto on sexualsessuale moralitymoralità?
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But, like mostmaggior parte womendonne,
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my decisiondecisione about birthnascita controlcontrollo
had nothing to do with promiscuitypromiscuità.
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I had a planPiano for my futurefuturo.
I wanted to go to collegeUniversità.
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I studiedstudiato really harddifficile in collegeUniversità,
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and I was proudorgoglioso to be one of the very fewpochi
femalefemmina computercomputer sciencescienza graduateslaureati
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at my universityUniversità.
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I wanted to have a careercarriera,
so I wentandato on to businessattività commerciale schoolscuola
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and I becamedivenne one of the youngestminore
femalefemmina executivesdirigenti at MicrosoftMicrosoft.
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I still rememberricorda, thoughanche se,
when I left my parents'genitori home
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to movemossa acrossattraverso the countrynazione
to startinizio this newnuovo joblavoro at MicrosoftMicrosoft.
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They had sacrificedsacrificato a lot
to give me fivecinque yearsanni of higherpiù alto educationeducazione.
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But they said, as I left home --
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and I literallyletteralmente wentandato down the frontdavanti stepspassaggi,
down the porchveranda at home --
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and they said,
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"Even thoughanche se you've had
this great educationeducazione,
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if you decidedecidere to get marriedsposato
and have kidsbambini right away,
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that's OK by us, too."
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They wanted me to do the thing
that would make me the very happiestpiù felice.
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I was freegratuito to decidedecidere what that would be.
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It was an amazingStupefacente feelingsensazione.
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In factfatto, I did want to have kidsbambini --
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but I wanted to have them
when I was readypronto.
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And so now, BillBill and I have threetre.
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09:26
And when our eldestmaggiore daughterfiglia was bornNato,
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we weren'tnon erano, I would say,
exactlydi preciso sure how to be great parentsgenitori.
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Maybe some of you know that feelingsensazione.
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And so we waitedatteso a little while
before we had our secondsecondo childbambino.
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And it's no accidentincidente
that we have threetre childrenbambini
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that are spaceddistanziati threetre yearsanni aparta parte.
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Now, as a mothermadre, what do I want
the very mostmaggior parte for my childrenbambini?
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I want them to feel the way I did --
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like they can do anything
they want to do in life.
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10:00
And so, what has struckcolpito me
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as I've travelledviaggiato the last decadedecennio
for the foundationfondazione around the worldmondo
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is that all womendonne want that samestesso thing.
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10:11
Last yearanno, I was in NairobiNairobi, in the slumsbaraccopoli,
in one calledchiamato KorogochoKorogocho --
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10:16
whichquale literallyletteralmente meanssi intende when translatedtradotto,
"standingin piedi shoulderspalla to shoulderspalla."
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10:21
And I spokeha parlato with this women'sDa donna groupgruppo
that's picturednella foto here.
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And the womendonne talkedparlato very openlyapertamente
about theirloro familyfamiglia life in the slumsbaraccopoli,
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what it was like.
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And they talkedparlato quiteabbastanza intimatelyintimamente
about what they did for birthnascita controlcontrollo.
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MarianneMarianne, in the centercentro of the screenschermo
in the redrosso sweatermaglione,
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she summedriassunto up that entireintero
two-hourdue ore conversationconversazione
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in a phrasefrase that I will never forgetdimenticare.
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She said, "I want to bringportare
everyogni good thing to this childbambino
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before I have anotherun altro."
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And I thought -- that's it.
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That's universaluniversale.
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We all want to bringportare
everyogni good thing to our childrenbambini.
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But what's not universaluniversale is our abilitycapacità
to providefornire everyogni good thing.
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So manymolti womendonne suffersoffrire
from domesticdomestico violenceviolenza.
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And they can't even
broachbroccia the subjectsoggetto of contraceptioncontraccezione,
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11:15
even insidedentro theirloro ownproprio marriagematrimonio.
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There are manymolti womendonne
who lackmancanza basicdi base educationeducazione.
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Even manymolti of the womendonne
who do have knowledgeconoscenza and do have powerenergia
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don't have accessaccesso to contraceptivescontraccettivi.
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For 250 yearsanni, parentsgenitori around the worldmondo
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have been decidingdecidere
to have smallerpiù piccola familiesfamiglie.
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This trendtendenza has been steadycostante
for a quartertrimestre of a millenniummillennio,
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acrossattraverso culturesculture and acrossattraverso geographiesaree geografiche,
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11:46
with the glaringabbagliante exceptioneccezione
of sub-SaharanSub-sahariana AfricaAfrica and SouthSud AsiaAsia.
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The FrenchFrancese startediniziato bringingportando down
theirloro familyfamiglia sizedimensione in the mid-metà1700s.
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And over the nextIl prossimo 150 yearsanni,
this trendtendenza spreaddiffusione all acrossattraverso EuropeEuropa.
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The surprisingsorprendente thing to me,
as I learnedimparato this historystoria,
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was that it spreaddiffusione not alonglungo socioeconomicsocio-economico
linesLinee but around culturalculturale linesLinee.
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People who spokeha parlato the samestesso languageLingua
madefatto that changemodificare as a groupgruppo.
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They madefatto the samestesso choicescelta
for theirloro familyfamiglia,
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12:21
whetherse they were richricco
or whetherse they were poorpovero.
192
737920
3000
12:26
The reasonragionare that trendtendenza
towardverso smallerpiù piccola familiesfamiglie spreaddiffusione
193
742400
3216
12:29
was that this wholetotale way
was drivenguidato by an ideaidea --
194
745640
3200
12:33
the ideaidea that couplescoppie
can exerciseesercizio consciousconsapevole controlcontrollo
195
749320
5016
12:38
over how manymolti childrenbambini they have.
196
754360
1920
12:41
This is a very powerfulpotente ideaidea.
197
757640
3560
12:45
It meanssi intende that parentsgenitori have
the abilitycapacità to affectinfluenzare the futurefuturo,
198
761680
4240
12:50
not just acceptaccettare it as it is.
199
766400
3240
12:54
In FranceFrancia, the averagemedia familyfamiglia sizedimensione
wentandato down everyogni decadedecennio
200
770960
4056
12:59
for 150 yearsanni in a rowriga
untilfino a it stabilizedstabilizzato.
201
775040
3720
13:03
It tookha preso so long back then because
the contraceptivescontraccettivi weren'tnon erano that good.
202
779440
4320
13:08
In GermanyGermania, this transitiontransizione startediniziato
in the 1880s, and it tookha preso just 50 yearsanni
203
784480
6216
13:14
for familyfamiglia sizedimensione
to stabilizestabilizzare in this countrynazione.
204
790720
2640
13:18
And in AsiaAsia and LatinLatino AmericaAmerica,
the transitiontransizione startediniziato in the 1960s,
205
794120
4616
13:22
and it happenedè accaduto much fasterPiù veloce
because of modernmoderno contraceptioncontraccezione.
206
798760
4120
13:29
I think, as we go throughattraverso this historystoria,
it's importantimportante to pausepausa for a momentmomento
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13:35
and to rememberricorda why this has becomediventare
suchcome a contentiouscontenzioso issueproblema.
208
811000
5056
13:40
It's because some familyfamiglia planningpianificazione programsprogrammi
209
816080
2656
13:42
resortedfatto ricorso to unfortunatesfortunato incentivesincentivi
and coercivecoercitive policiespolitiche.
210
818760
4840
13:48
For instanceesempio, in the 1960s, IndiaIndia
adoptedadottato very specificspecifica numericnumerico targetsobiettivi
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824480
6856
13:55
and they paidpagato womendonne to acceptaccettare
havingavendo an IUDIUD placedposto in theirloro bodiescorpi.
212
831360
4280
14:00
Now, IndianIndiano womendonne were
really smartinteligente in this situationsituazione.
213
836200
3376
14:03
When they wentandato to get an IUDIUD insertedinserito,
they got paidpagato sixsei rupeesrupie.
214
839600
3496
14:07
And so what did they do?
215
843120
1200
14:08
They waitedatteso a fewpochi hoursore or a fewpochi daysgiorni,
216
844960
2016
14:11
and they wentandato to anotherun altro serviceservizio providerprovider di
and had the IUDIUD removedrimosso for one rupeeRupia.
217
847000
5200
14:18
For decadesdecenni in the UnitedUniti d'America StatesStati,
218
854200
2560
14:21
African-AmericanAfrican-American womendonne
were sterilizedsterilizzato withoutsenza theirloro consentconsenso.
219
857280
4680
14:26
The procedureprocedura was so commonComune
220
862880
2216
14:29
it becamedivenne knownconosciuto as
the MississippiMississippi appendectomyappendicectomia --
221
865120
3520
14:33
a tragictragico chaptercapitolo in my country'sdi paese historystoria.
222
869200
3000
14:37
And as recentlyrecentemente as the 1990s, in PeruPerù,
223
873400
2776
14:40
womendonne from the AndesAnde regionregione
were givendato anesthesiaanestesia
224
876200
3496
14:43
and they were sterilizedsterilizzato
withoutsenza theirloro knowledgeconoscenza.
225
879720
2920
14:48
The mostmaggior parte startlingsorprendente thing about this
226
884200
2616
14:50
is that these coercivecoercitive policiespolitiche
weren'tnon erano even needednecessaria.
227
886840
2736
14:53
They were carriedtrasportato out in placesposti
228
889600
1816
14:55
where parentsgenitori alreadygià
wanted to lowerinferiore theirloro familyfamiglia sizedimensione.
229
891440
4120
15:00
Because in regionregione after regionregione,
again and again,
230
896120
3296
15:03
parentsgenitori have wanted
to have smallerpiù piccola familiesfamiglie.
231
899440
2920
15:07
There's no reasonragionare to believe
232
903600
1776
15:09
that AfricanAfricano womendonne
have innatelycongenitalmente differentdiverso desiresdesideri.
233
905400
3600
15:13
GivenDato the optionopzione,
they will have fewermeno childrenbambini.
234
909520
3680
15:18
The questiondomanda is:
235
914080
1496
15:19
will we investinvestire in helpingporzione
all womendonne get what they want now?
236
915600
5480
15:25
Or, are we going to condemncondanni them
to some century-longsecolo-lungo strugglelotta,
237
921880
4696
15:30
as if this was still revolutionaryrivoluzionario FranceFrancia
238
926600
2736
15:33
and the bestmigliore methodmetodo
was coituscoito interruptusinterruptus?
239
929360
2800
15:39
EmpoweringEmpowering parentsgenitori --
it doesn't need justificationgiustificazione.
240
935320
4280
15:44
But here'secco the thing -- our desiredesiderio
to bringportare everyogni good thing to our childrenbambini
241
940560
6856
15:51
is a forcevigore for good throughoutper tutto the worldmondo.
242
947440
2840
15:54
It's what propelsaziona societiessocietà forwardinoltrare.
243
950640
2480
15:58
In that samestesso slumbassifondi in NairobiNairobi,
I metincontrato a younggiovane businesswomandonna d'affari,
244
954600
3936
16:02
and she was makingfabbricazione backpacksZaini
out of her home.
245
958560
2216
16:04
She and her younggiovane kidsbambini
would go to the localLocale jeansjeans factoryfabbrica
246
960800
3336
16:08
and collectraccogliere scrapsscarti of denimdenim.
247
964160
1736
16:09
She'dLei sarebbe createcreare these backpacksZaini
and resellrivendere them.
248
965920
2536
16:12
And when I talkedparlato with her,
she had threetre childrenbambini,
249
968480
2381
16:14
and I askedchiesto her about her familyfamiglia.
250
970885
1576
16:16
And she said she and her husbandmarito decideddeciso
251
972485
2091
16:18
that they wanted to stop
havingavendo childrenbambini after theirloro thirdterzo one.
252
974600
3016
16:21
And so when I askedchiesto her why,
she simplysemplicemente said,
253
977640
2656
16:24
"Well, because I couldn'tnon poteva runcorrere
my businessattività commerciale if I had anotherun altro childbambino."
254
980320
3496
16:27
And she explainedha spiegato the incomereddito
that she was gettingottenere out of her businessattività commerciale
255
983840
3239
16:31
affordedofferta her to be ablecapace to give
an educationeducazione to all threetre of her childrenbambini.
256
987103
3720
16:35
She was incrediblyincredibilmente optimisticottimista
about her family'sLa famiglia di futurefuturo.
257
991280
4280
16:41
This is the samestesso mentalmentale calculuscalcolo
258
997160
2536
16:43
that hundredscentinaia of millionsmilioni
of menuomini and womendonne have goneandato throughattraverso.
259
999720
4176
16:47
And evidenceprova provesdimostra
that they have it exactlydi preciso right.
260
1003920
3800
16:52
They are ablecapace to give theirloro childrenbambini
more opportunitiesopportunità
261
1008320
3896
16:56
by exercisingl'esercizio controlcontrollo
over when they have them.
262
1012240
3280
17:01
In BangladeshBangladesh,
263
1017280
1296
17:02
there's a districtquartiere calledchiamato MatlabMATLAB.
264
1018600
1936
17:04
It's where researchersricercatori have collectedraccolto datadati
on over 180,000 inhabitantsabitanti sinceda 1963.
265
1020560
6736
17:11
In the globalglobale healthSalute communitycomunità,
266
1027319
1537
17:12
we like to say it's one of the longestpiù lunga
piecespezzi of researchricerca that's been runningin esecuzione.
267
1028880
3696
17:16
We have so manymolti great healthSalute statisticsstatistica.
268
1032599
2177
17:18
In one of the studiesstudi, what did they do?
269
1034800
2536
17:21
HalfLa metà the villagersabitanti del villaggio
were chosenscelto to get contraceptivescontraccettivi.
270
1037359
4096
17:25
They got educationeducazione
and accessaccesso to contraceptioncontraccezione.
271
1041480
3176
17:28
TwentyVenti yearsanni laterdopo,
followinga seguire those villagesvillaggi,
272
1044680
3176
17:31
what we learnedimparato is that they had a better
qualityqualità of life than theirloro neighborsvicini di casa.
273
1047880
4016
17:35
The familiesfamiglie were healthierpiù sano.
274
1051920
1696
17:37
The womendonne were lessDi meno likelyprobabile
to diemorire in childbirthparto.
275
1053640
3136
17:40
TheirLoro childrenbambini were lessDi meno likelyprobabile
to diemorire in the first thirtytrenta daysgiorni of life.
276
1056800
4016
17:44
The childrenbambini were better nourishednutrito.
277
1060840
2296
17:47
The familiesfamiglie were alsoanche wealthierpiù ricchi.
278
1063160
2016
17:49
The adultadulto women'sDa donna wagessalari were higherpiù alto.
279
1065200
2496
17:51
HouseholdsEconomie domestiche had more assetsrisorse --
things like livestockbestiame or landsbarcare or savingsrisparmi.
280
1067720
4520
17:56
FinallyInfine, theirloro sonsfigli and daughtersfiglie
had more schoolingistruzione.
281
1072800
3520
18:01
So when you multiplymoltiplicare these typestipi
of effectseffetti over millionsmilioni of familiesfamiglie,
282
1077480
5520
18:07
the productprodotto can be large-scalelarga scala
economiceconomico developmentsviluppo.
283
1083440
3280
18:11
People talk about the AsianAsiatiche
economiceconomico miraclemiracolo of the 1980s --
284
1087560
4056
18:15
but it wasn'tnon era really a miraclemiracolo.
285
1091640
2056
18:17
One of the leadingprincipale causescause
of economiceconomico growthcrescita acrossattraverso that regionregione
286
1093720
3536
18:21
was this culturalculturale trendtendenza
towardsin direzione smallerpiù piccola familiesfamiglie.
287
1097280
3840
18:26
SweepingSpazzare changesi cambiamenti startinizio
at the individualindividuale familyfamiglia levellivello --
288
1102600
3896
18:30
the familyfamiglia makingfabbricazione a decisiondecisione
about what's bestmigliore for theirloro childrenbambini.
289
1106520
4440
18:35
When they make that changemodificare
and that decisiondecisione,
290
1111760
3016
18:38
those becomediventare sweepingradicale
regionalregionale and nationalnazionale trendstendenze.
291
1114800
3720
18:43
When familiesfamiglie in sub-SaharanSub-sahariana AfricaAfrica
are givendato the opportunityopportunità
292
1119160
4136
18:47
to make those decisionsdecisioni for themselvesloro stessi,
293
1123320
2360
18:50
I think it will help sparkscintilla
a virtuousvirtuoso cycleciclo of developmentsviluppo
294
1126280
3256
18:53
in communitiescomunità acrossattraverso the continentcontinente.
295
1129560
2760
18:58
We can help poorpovero familiesfamiglie
buildcostruire a better futurefuturo.
296
1134000
3856
19:01
We can insistinsistere that all people
have the opportunityopportunità
297
1137880
3696
19:05
to learnimparare about contraceptivescontraccettivi
298
1141600
1936
19:07
and have accessaccesso
to the fullpieno varietyvarietà of methodsmetodi.
299
1143560
3280
19:12
I think the goalobbiettivo here is really clearchiaro:
300
1148040
2856
19:14
universaluniversale accessaccesso to birthnascita controlcontrollo
that womendonne want.
301
1150920
4880
19:20
And for that to happenaccadere, it meanssi intende that
bothentrambi richricco and poorpovero governmentsi governi alikenello stesso modo
302
1156360
5296
19:25
mustdovere make contraceptioncontraccezione a totaltotale prioritypriorità.
303
1161680
3520
19:29
We can do our partparte,
in this roomcamera and globallyglobalmente,
304
1165760
3976
19:33
by talkingparlando about the hundredscentinaia
of millionsmilioni of familiesfamiglie
305
1169760
3256
19:37
that don't have accessaccesso
to contraceptioncontraccezione todayoggi
306
1173040
2896
19:39
and what it would do to changemodificare
theirloro livesvite if they did have accessaccesso.
307
1175960
3720
19:44
I think if MarianneMarianne
and the membersmembri of her women'sDa donna groupgruppo
308
1180680
3736
19:48
can talk about this openlyapertamente
309
1184440
2296
19:50
and have this discussiondiscussione
out amongsttra themselvesloro stessi and in publicpubblico,
310
1186760
3400
19:54
we can, too.
311
1190800
1360
19:56
And we need to startinizio now.
312
1192760
1480
19:59
Because like MarianneMarianne, we all want
to bringportare everyogni good thing to our childrenbambini.
313
1195480
6560
20:06
And where is the controversycontroversia in that?
314
1202800
2640
20:10
Thank you.
315
1206160
1216
20:11
(ApplauseApplausi)
316
1207400
2736
20:14
ChrisChris AndersonAnderson: Thank you.
317
1210160
1240
20:22
I have some questionsle domande for MelindaMelinda.
318
1218360
3976
20:26
(ApplauseApplausi endsestremità)
319
1222360
1296
20:27
Thank you for your couragecoraggio
and everything elsealtro.
320
1223680
2960
20:31
So, MelindaMelinda, in the last fewpochi yearsanni
321
1227480
2496
20:34
I've heardsentito a lot of smartinteligente people
say something to the effecteffetto of,
322
1230000
3720
20:39
"We don't need to worrypreoccupazione
about the populationpopolazione issueproblema anymorepiù.
323
1235400
3456
20:42
FamilyFamiglia sizesdimensioni are comingvenuta down
naturallynaturalmente all over the worldmondo.
324
1238880
3496
20:46
We're going to peakpicco
at ninenove or 10 billionmiliardo. And that's it."
325
1242400
2960
20:50
Are they wrongsbagliato?
326
1246720
1216
20:51
MelindaMelinda GatesCancelli: If you look
at the statisticsstatistica acrossattraverso AfricaAfrica,
327
1247960
2776
20:54
they are wrongsbagliato.
328
1250760
1216
20:56
And I think we need to look at it,
thoughanche se, from a differentdiverso lenslente.
329
1252000
3056
20:59
We need to look at it
from the groundterra upwardsverso l'alto.
330
1255080
2176
21:01
I think that's one of the reasonsmotivi
we got ourselvesnoi stessi in so much troubleguaio
331
1257280
3256
21:04
on this issueproblema of contraceptioncontraccezione.
332
1260560
1696
21:06
We lookedguardato at it from topsuperiore down
333
1262280
1381
21:07
and said we want to have differentdiverso
populationpopolazione numbersnumeri over time.
334
1263685
3531
21:11
Yes, we carecura about the planetpianeta.
Yes, we need to make the right choicesscelte.
335
1267240
3296
21:14
But the choicesscelte have to be madefatto
at the familyfamiglia levellivello.
336
1270560
2576
21:17
And it's only by givingdando people accessaccesso
and lettinglocazione them choosescegliere what to do
337
1273160
4336
21:21
that you get those sweepingradicale changesi cambiamenti
that we have seenvisto globallyglobalmente --
338
1277520
3056
21:24
excepttranne for sub-SaharanSub-sahariana AfricaAfrica and those
placesposti in SouthSud AsiaAsia and AfghanistanAfghanistan.
339
1280600
4680
21:31
CACA: Some people on the right in AmericaAmerica
340
1287920
2096
21:34
and in manymolti conservativeprudente culturesculture
around the worldmondo
341
1290040
3400
21:39
mightpotrebbe say something like this:
342
1295360
1816
21:41
"It's all very well to talk about savingSalvataggio
livesvite and empoweringche abilita womendonne and so on.
343
1297200
3667
21:44
But, sexsesso is sacredsacro.
344
1300891
1960
21:48
What you're proposingproponendo
is going to increaseaumentare the likelihoodprobabilità
345
1304000
4016
21:52
that lots of sexsesso happensaccade outsideal di fuori marriagematrimonio.
346
1308040
2216
21:54
And that is wrongsbagliato."
347
1310280
1440
21:56
What would you say to them?
348
1312600
2056
21:58
MGMG: I would say
that sexsesso is absolutelyassolutamente sacredsacro.
349
1314680
3256
22:01
And it's sacredsacro in GermanyGermania,
and it's sacredsacro in the UnitedUniti d'America StatesStati,
350
1317960
3096
22:05
and it's sacredsacro in FranceFrancia
and so manymolti placesposti around the worldmondo.
351
1321080
3096
22:08
And the factfatto that 98 percentper cento of womendonne
in my countrynazione who are sexuallysessualmente experiencedesperto
352
1324200
4896
22:13
say they use birthnascita controlcontrollo
doesn't make sexsesso any lessDi meno sacredsacro.
353
1329120
4176
22:17
It just meanssi intende that they're gettingottenere
to make choicesscelte about theirloro livesvite.
354
1333320
3256
22:20
And I think in that choicescelta,
355
1336600
1296
22:21
we're alsoanche honoringonorare
the sacrednesssacralità of the familyfamiglia
356
1337920
2896
22:24
and the sacrednesssacralità of the mother'sLa madre di life
357
1340840
2256
22:27
and the childrens'per i bambini livesvite
by savingSalvataggio theirloro livesvite.
358
1343120
2256
22:29
To me, that's incrediblyincredibilmente sacredsacro, too.
359
1345400
2280
22:32
CACA: So what is your foundationfondazione
doing to promotepromuovere this issueproblema?
360
1348760
4736
22:37
And what could people here
and people listeningascoltando on the webweb --
361
1353520
4016
22:41
what would you like them to do?
362
1357560
1536
22:43
MGMG: I would say this --
joinaderire the conversationconversazione.
363
1359120
2143
22:45
We'veAbbiamo listedelencato the websiteSito web up here.
JoinIscriviti the conversationconversazione.
364
1361287
4169
22:49
Tell your storystoria about how contraceptioncontraccezione
has eithero changedcambiato your life
365
1365480
3816
22:53
or somebody'sdi qualcuno life that you know.
366
1369320
2016
22:55
And say that you're for this.
367
1371360
1381
22:56
We need a groundswellGroundswell
of people sayingdetto, "This makesfa sensesenso.
368
1372765
2715
22:59
We'veAbbiamo got to give all womendonne accessaccesso --
no matterimporta where they livevivere."
369
1375504
3392
23:02
And one of the things
that we're going to do
370
1378920
2096
23:05
is do a largegrande eventevento JulyLuglio 11 in LondonLondra,
371
1381040
3176
23:08
with a wholetotale hostospite of countriespaesi,
a wholetotale hostospite of AfricanAfricano nationsnazioni,
372
1384240
3376
23:11
to all say we're puttingmettendo this back
on the globalglobale healthSalute agendaordine del giorno.
373
1387640
3136
23:14
We're going to commitcommettere resourcesrisorse to it,
374
1390800
1856
23:16
and we're going to do planningpianificazione
from the bottomparte inferiore up with governmentsi governi
375
1392680
3136
23:19
to make sure that womendonne are educatededucato --
376
1395840
2096
23:21
so that if they
want the toolstrumento, they have it,
377
1397960
2456
23:24
and that they have
lots of optionsopzioni availablea disposizione
378
1400440
2096
23:26
eithero throughattraverso
theirloro localLocale healthcareassistenza sanitaria workerlavoratore
379
1402560
2096
23:28
or theirloro localLocale communitycomunità ruralrurale clinicclinica.
380
1404680
1880
23:31
CACA: MelindaMelinda, I'm guessingindovinando that some
of those nunsmonache who taughtinsegnato you at schoolscuola
381
1407920
4576
23:36
are going to see
this TEDTED Talk at some pointpunto.
382
1412520
2640
23:39
Are they going to be horrifiedinorridito,
or are they cheeringtifo you on?
383
1415960
2896
23:42
MGMG: I know they're going
to see the TEDTED Talk
384
1418880
2096
23:45
because they know that I'm doing it
and I planPiano to sendinviare it to them.
385
1421000
3136
23:48
And, you know, the nunsmonache who taughtinsegnato me
were incrediblyincredibilmente progressiveprogressivo.
386
1424160
3136
23:51
I hopesperanza that they'llfaranno be very proudorgoglioso of me
387
1427320
1896
23:53
for livingvita out what they taughtinsegnato us
about socialsociale justicegiustizia and serviceservizio.
388
1429240
3936
23:57
I have come to feel
incrediblyincredibilmente passionateappassionato about this issueproblema
389
1433200
3896
24:01
because of what I've seenvisto
in the developingin via di sviluppo worldmondo.
390
1437120
2776
24:03
And for me, this topicargomento
has becomediventare very closevicino to heartcuore
391
1439920
4856
24:08
because you meetincontrare these womendonne
and they are so oftenspesso voicelesschi non ha voce.
392
1444800
3056
24:11
And yetancora they shouldn'tnon dovrebbe be --
393
1447880
1336
24:13
they should have a voicevoce,
they should have accessaccesso.
394
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2536
24:15
And so I hopesperanza they'llfaranno feel
395
1451800
1256
24:17
that I'm livingvita out
what I've learnedimparato from them
396
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2816
24:19
and from the decadesdecenni of work
that I've alreadygià donefatto at the foundationfondazione.
397
1455920
3286
24:24
CACA: So, you and your teamsquadra broughtportato togetherinsieme
todayoggi an amazingStupefacente groupgruppo of speakersAltoparlanti
398
1460200
4376
24:28
to whomchi we're all gratefulgrato.
399
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2560
24:31
Did you learnimparare anything?
400
1467680
1816
24:33
(LaughterRisate)
401
1469520
1216
24:34
MGMG: Oh my goshPerbacco, I learnedimparato so manymolti things.
I have so manymolti follow-upfollow-up questionsle domande.
402
1470760
3816
24:38
And I think a lot
of this work is a journeyviaggio.
403
1474600
2256
24:40
You heardsentito the discussiondiscussione
about the journeyviaggio throughattraverso energyenergia,
404
1476880
3856
24:44
or the journeyviaggio throughattraverso socialsociale designdesign,
405
1480760
2336
24:47
or the journeyviaggio in the comingvenuta and sayingdetto,
406
1483120
1920
24:49
"Why aren'tnon sono there any womendonne
on this platformpiattaforma?"
407
1485064
2152
24:51
And I think for all of us who work
on these developmentsviluppo issuesproblemi,
408
1487240
3376
24:54
you learnimparare by talkingparlando to other people.
409
1490640
1776
24:56
You learnimparare by doing.
You learnimparare by tryingprovare and makingfabbricazione mistakeserrori.
410
1492440
2856
24:59
And it's the questionsle domande you askChiedere.
411
1495320
1496
25:00
SometimesA volte it's the questionsle domande you askChiedere
that helpsaiuta leadcondurre to the answerrisposta
412
1496840
3376
25:04
the nextIl prossimo personpersona
that can help you answerrisposta it.
413
1500240
2096
25:06
So I have lots of questionsle domande
for the panelistsrelatori from todayoggi.
414
1502360
2696
25:09
And I thought it was just an amazingStupefacente day.
415
1505080
2056
25:11
CACA: MelindaMelinda, thank you for invitinginvitante
all of us on this journeyviaggio with you.
416
1507160
3334
25:14
Thank you so much.
MGMG: Great. ThanksGrazie, ChrisChris.
417
1510518
2048

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ABOUT THE SPEAKER
Melinda Gates - Philanthropist
Melinda French Gates is co-chair of the Bill & Melinda Gates Foundation, where she puts into practice the idea that every life has equal value.

Why you should listen

The Bill & Melinda Gates Foundation works to help all people lead healthy, productive lives. As co-chair, Melinda French Gates helps shape and approve strategies, review results, advocate for foundation issues and set the overall direction. In developing countries, the foundation focuses on improving people's health with vaccines and other life-saving tools and giving them a chance to lift themselves out of hunger and extreme poverty. In the United States, it seeks to dramatically improve education so that all young people have the opportunity to reach their full potential. Based in Seattle, Washington, the foundation is led by CEO Jeff Raikes and co-chair William H. Gates Sr., under the direction of Bill Gates, Melinda Gates and Warren Buffett.

In recent years, Melinda French Gates has become a vocal advocate for access to contraception, advancing the idea that empowering women to decide whether and when to have children can have transformational effects on societies. In 2012, Gates spearheaded the London Summit on Family Planning, with the goal of delivering contraceptives to 120 million women in developing countries by 2020. When asked why she got involved in this issue, Gates said, "We knew that 210 million women were saying they wanted access to the contraceptives we have here in the United States and we weren't providing them because of political controversy in our country. To me, that was just a crime. I kept looking around trying to find the person to get this back on the global stage. I realized I just had to do it."

 

More profile about the speaker
Melinda Gates | Speaker | TED.com

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