I would like to make it possible for many women and men in Latin America to win the lottery and receive the type of reproductive health services they so urgently need.

I have been working with the World Health Organization since 1989 in an effort to redefine approaches to contraceptive introduction. This has given me the opportunity to insist that strategies for research and policy development must simultaneously address people's needs, the capacity of programs to provide good quality of care, and the range of technological options available.

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

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

If we succeed in learning more about how to expand program innovations from pilot projects so that they have broader program impact, this should be very relevant for public health initiatives in Michigan and elsewhere in the US.

When ownership is local and national, and various stakeholders work together, program innovations have a greater chance to take root and survive.

We wanted to see how access to care can be expanded and service quality can be improved when one uses a participatory approach to program development. We showed that major changes become possible if you work in a participatory manner, listen to local people, diagnose what the problems are, provide training and identify where there are opportunities for mobilizing local resources to take action. In time leaders from other municipalities expressed interest in replication and the project succeeded in expanding innovations to three other areas.