A longer time perspective is needed because we face a daunting task both in an intellectual and practical sense.

There is strong mentoring of women in the academy. Corporations appear more willing to resist affirmative action to advance women, and boards and shareholders are more tolerant of this approach.

If I can give a very substantial injection of humanistic thinking into corporations, boy, that would change things a lot.

It is not enough to give money for demonstration projects. From the very beginning plans should be made for the scaling-up of successful innovations.

We are trying to discover where this approach could have the greatest possibility of large-scale impact. We have to choose wisely and see where there is greatest interest and need.

One of the things we have learned in the first year is that if you want to scale-up, the first thing you have to do is to expand your own team.

If instead policy makers and program managers participate in an interdisciplinary assessment team, make informal visits to local families and have in-depth conversations with local providers and health authorities, the real needs and complex challenges of organizing good reproductive health services become apparent.The first country that implemented this participatory program of assessment, research and policy development was Brazil. I was one of the outsiders who provided support to the initiative.