In the next six minutesthat you will listen to me,
the world will have lost three mothers
while delivering their babies:
one, because of a severe complication;
second, because she will be a teenager
and her body will notbe prepared for birth;
but the third, only because of lackof access to basic clean tools
at the time of childbirth.
She will not be alone.
Over one million mothers and babiesdie every single year
in the developing world,
only because of lack of accessto basic cleanliness
while giving birth to their babies.
My journey began on a hot summer afternoon
in India in 2008,
when after a day of meeting womenand listening to their needs,
I landed in a thatched hut with a midwife.
As a mother, I was very curiouson how she delivered babies in her house.
我和她进行了一场深入的谈话 在谈话中 她说到
After a deep and engagingconversation with her
on how she considered it a profoundcalling to do what she was doing,
I asked her a parting question:
Do you have the tools that you needto deliver the babies?
I got to see her tool.
“This is what I use to separatethe mother and the baby,” she said.
Unsure of how to react, I held thisagricultural tool in my hand in shock.
I took a picture of this,hugged her and walked away.
My mind was flooded with reflectionsof my own infection
that I had to struggle withfor a year past childbirth
despite having accessto the best medical care,
and memories of my conversationwith my father,
who had lost his mom to childbirth,
on how he thought his lifewould be so different
if she would have beenjust next to him growing up.
As a product developer,I started my process of research.
I was very excited to findthat there was a product out there
called the Clean Birth Kit.
But I just couldn’t buy one for months.
They were only assembledbased on availability of funding.
最终 当我拿到它的时候 我再一次地震惊了
Finally, when I got my hands on one,I was in shock again.
I would never use these toolsto deliver my baby, I thought.
But to confirm my instincts,I went back to the women,
some of whom had the experienceof using this product.
你瞧 她们(和我)有同样的反应 甚至反应更大
Lo and behold, they hadthe same reaction and more.
The women said they would ratherdeliver on a floor
than on a plastic sheetthat smeared blood all over.
They were absolutely right –it would cause more infection.
The thread provided was a highwayto bacterial infection
through the baby’s umbilical cord,
and the blade used was the kindthat men used for shaving,
and they did not want itanywhere close to them.
There was no incentive for anybodyto redesign this product,
because it was based on charity.
The women were neverconsulted in this process.
And to my surprise, the needwas not only in homes
but also in institutional settingswith high-volume births.
Situations in remote areaswere even more daunting.
This had to change.
I made this my area of focus.
I started the design processby collecting feedback,
and engaging with various stakeholdersresearching global protocols.
With every single prototype,we went back to the women
to ensure that we had a product for them.
What I learned through this processwas that these women,
despite their extreme poverty,
placed great valueon their health and well-being.
They were absolutely not poor in mind.
As with all of us, they would appreciatea well-designed product
developed for their needs.
After many iterationsworking with experts,
medical health professionals
and the women themselves,
I should say it was notan easy process at all,
but we had a simple and beautiful design.
For a dollar more than whatthe existing product was offered for,
at three dollars, we were ableto deliver “janma,”
a clean birth kit in a purse.
Janma, meaning “birth,” containeda blood-absorbing sheet
for the woman to give birth on,
一把外科手术刀 一把用来剪脐带的螺丝钳一条肥皂 一双手套
a surgical scalpel, a cord clamp,a bar of soap, a pair of gloves
and the first clothto wipe the baby clean.
All this came packagedin a beautiful purse
that was given to the motheras a gift after all her hard work,
that she carried home with prideas a symbol of prosperity.
One woman reacted to this gift.
她问 “这真的是我的吗? 我可以留下它吗?”
She said, “Is this really mine?Can I keep it?”
The other one said,”Will you give me a different color
when I have my next baby?”
更好的是 一位女士说 这是她一生中
Better yet, a woman expressedthat this was the first purse
that she had ever owned in her life.
The kit, aside from its symbolismand its simplicity,
is designed to followglobally recommended medical protocol
and serves as a behavior-change toolto follow steps one after the other.
It can not only be used in homes,but also in institutional settings.
To date, our kit has impactedover 600,000 mothers and babies
around the world.
It’s a humbling experienceto watch these numbers grow,
and I cannot wait untilwe reach a hundred million.
But women’s health issues do not end here.
There are thousands of simple issuesthat require low-cost interventions.
我们有证据能够证明 如果我们在女性身上投入(时间 金钱 精力)
We have facts to provethat if we invest in women and girls
and provide them with betterhealth and well-being,
they will deliver healthier and wealthierand prosperous communities.
我们首先必须尊重女性健康问题 而且不要把它想得很复杂 从以下几个方面着手:
We have to start by bringing simplicityand dignity to women’s health issues:
from reducing maternal mortality,to breaking taboos,
to empowering womento take control of their own lives.
This is my dream.
但是如果没有来自全世界的人 无论男女 同时参与
But it is not possible to achieve itwithout engaging men and women alike
from around the world —
yes, all of you.
I recently heard this lyricby Leonard Cohen:
“Ring the bells that still can ring.
Forget your perfect offering.
There is a crack in everything.
That’s how the light gets in.”
This is my bit of light.
But we need more light.
In fact, we need huge spotlightsplaced in the world of women’s health
if we need a better tomorrow.
We should never forget that womenare at the center of a sustainable world,
and we do not exist without them.