There are always pressures on decision-makers other than just what is right or what is wrong.

Economists who studied in the '80s tend to have a pretty crude neoclassical view that's just about freeing up prices and markets, and then you'll get the growth and everybody benefits. And they'll just repeat that, because if you're a minister or a senior civil servant, you don't have time to read anything anymore. You get very fixed in your views.

There's a diversion between economic reality - integration, global village, everybody depending on everybody else - and cultural reality, which is people feeling invaded, undermined, threatened, wanting to have "stand-your-ground" legislation all over the place. It's alarming because at the moment, the fear is outweighing the benefits, and that's partially because the benefits have been so unequally distributed that lots of people don't feel better off. They feel threatened, angry and despairing.

What you don't do is just say, "I've got all the ideas and all the knowledge, and listen to me."

Until you have looked in depth at the system and found out where women in Egypt are not being cut through female genital mutilation, or where kids in Vietnam are not malnourished, or where hospitals in America are getting rid of the superbugs anyway - unless you have that level of curiosity about what's going on without you, you will always come in with your great new recipe and just ignore what's going on, and that will make you much less effective at what you're trying to achieve.

In the end, that's a blind alley - we have to get back to being able to think on our feet and react.

Activists can get very preachy about things. It's more about understanding people's own experiences and tapping into them.