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

248,801 views ・ 2012-04-11

TED


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Prevoditelj: Anja Kolobarić Recezent: Ivan Stamenković
00:04
Today, I'd like to talk with you
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Danas ću vam govoriti
00:06
about something that should be a totally uncontroversial topic.
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o nečemu što bi trebalo biti posve nekontroverzna tema,
00:11
But, unfortunately, it's become incredibly controversial.
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ali je nažalost postalo iznimno kontroverzno.
00:17
This year, if you think about it,
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Ako razmislite o tome, ove godine
00:19
over a billion couples will have sex with one another.
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preko milijardu parova spavat će jedno s drugim.
00:24
Couples like this one,
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Parovi poput ovoga,
00:26
and this one,
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i ovoga,
00:28
and this one,
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i ovoga
00:29
and, yes,
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i da,
00:31
even this one.
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čak i ovoga.
00:32
(Laughter)
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(Smijeh)
00:34
And my idea is this --
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A ja smatram sljedeće:
00:37
all these men and women should be free to decide
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svi ovi muškarci i žene trebali bi imati slobodu izbora
00:41
whether they do or do not want to conceive a child.
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po pitanju toga žele li ili ne žele imati dijete.
00:46
And they should be able to use one of these birth control methods
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Trebali bi biti u mogućnosti koristiti jedno od ovih oblika kontracepcije
00:49
to act on their decision.
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u svrhu ostvarivanja te odluke.
00:53
Now, I think you'd have a hard time
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Mislim da bi vam bilo teško
00:56
finding many people who disagree with this idea.
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pronaći ljude koji se s ovim ne bi složili.
01:00
Over one billion people use birth control without any hesitation at all.
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Preko milijardu ljudi koristi kontracepciju bez ikakvog oklijevanja.
01:07
They want the power to plan their own lives
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Žele moći planirati vlastite živote
01:12
and to raise healthier, better educated and more prosperous families.
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i odgajati zdravije, bolje obrazovane i uspješnije obitelji.
01:18
But, for an idea that is so broadly accepted in private,
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No, za jednu ideju koja je u privatnosti tako široko prihvaćena,
01:24
birth control certainly generates a lot of opposition in public.
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kontracepcija definitivno izaziva jako puno protivljenja u javnosti.
01:30
Some people think when we talk about contraception
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Neki ljudi misle da kad govorimo o kontracepciji,
01:33
that it's code for abortion,
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da je to tek šifra za pobačaj,
01:35
which it's not.
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a nije.
01:37
Some people -- let's be honest --
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Budimo iskreni, nekim je ljudima
01:39
they're uncomfortable with the topic because it's about sex.
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neugodno zbog te teme jer se radi o seksu.
01:43
Some people worry
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Neki ljudi brinu
01:45
that the real goal of family planning is to control populations.
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da je pravi cilj planiranja obitelji kontrola populacije.
01:51
These are all side issues
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Sve su to sporedna pitanja
01:55
that have attached themselves to this core idea that men and women
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koja su se nadovezala na tu temeljnu ideju da bi muškarci i žene
02:00
should be able to decide when they want to have a child.
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trebali moći odlučiti o tome kada žele imati dijete.
02:05
And as a result, birth control has almost completely and totally disappeared
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Posljedično, kontracepcija je gotovo potpuno nestala
02:12
from the global health agenda.
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s dnevnog reda javnog zdravstva.
02:14
The victims of this paralysis are the people of sub-Saharan Africa
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Žrtve te paralize su stanovnici subsaharske Afrike
02:21
and South Asia.
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i sjeverne Azije.
02:23
Here in Germany, the proportion of people that use contraception
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Ovdje u Njemačkoj stopa ljudi koji koriste kontracepciju
02:27
is about 66 percent.
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iznosi oko 66 %.
02:29
That's about what you'd expect.
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Ta brojka ne iznenađuje.
02:32
In El Salvador, very similar, 66 percent.
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U El Salvadoru je slična situacija - 66 %.
02:36
Thailand, 64 percent.
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Na Tajlandu 64 %.
02:39
But let's compare that to other places,
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Ali usporedimo to s drugim mjestima
02:42
like Uttar Pradesh, one of the largest states in India.
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poput Uttar Pradesha, jedne od najvećih indijskih zemalja.
02:46
In fact, if Uttar Pradesh was its own country,
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Naime, da je Uttar Pradesh samostalna država,
02:49
it would be the fifth largest country in the world.
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bila bi peta najveća država u svijetu.
02:54
Their contraception rate -- 29 percent.
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Njihova stopa uporabe kontracepcije iznosi 29 %.
02:58
Nigeria, the most populous country in Africa, 10 percent.
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Nigerija, najnaseljenija afrička zemlja, ima stopu uporabe od 10 %.
03:05
Chad, 2 percent.
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Čad - 2 %.
03:10
Let's just take one country in Africa, Senegal.
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Uzmimo samo jednu afričku zemlju - Senegal
03:13
Their rate is about 12 percent.
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čija stopa iznosi oko 12 %.
03:15
But why is it so low?
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Ali zašto je ta stopa tako niska?
03:17
One reason is that the most popular contraceptives are rarely available.
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Jedan od razloga leži u nedostupnosti najomiljenijih kontracepcijskih sredstava.
03:24
Women in Africa will tell you over and over again
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Afričke žene uvijek će vam reći
03:27
that what they prefer today is an injectable.
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da sada preferiraju sredstva u obliku cjepiva.
03:30
They get it in their arm -- and they go about four times a year,
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Dobivaju ih u ruku, i to oko četiri puta godišnje
03:34
they have to get it every three months -- to get their injection.
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i moraju ići svaka tri mjeseca po novu dozu.
03:37
The reason women like it so much in Africa is they can hide it from their husbands,
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A preferiraju taj oblik jer ga mogu sakriti od muževa
03:43
who sometimes want a lot of children.
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koji ponekad žele jako puno djece.
03:45
The problem is every other time a woman goes into a clinic in Senegal,
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Problem je u tome što svaki drugi put kad žena ode u kliniku u Senegalu,
03:51
that injection is stocked out.
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sazna da cjepiva nema na zalihi.
03:53
It's stocked out 150 days out of the year.
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Nema ga na zalihi 150 dana tijekom godine.
03:58
So can you imagine the situation --
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Zamislite tu situaciju -
04:00
she walks all this way to go get her injection.
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ona prijeđe toliki put za cjepivo.
04:03
She leaves her field, sometimes leaves her children,
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Napusti polje, a ponekad i djecu,
04:06
and it's not there.
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a cjepiva nema
04:08
And she doesn't know when it's going to be available again.
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i ne zna kad će ponovno biti dostupno.
04:11
This is the same story across the continent of Africa today.
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Ta se priča danas ponavlja diljem afričkog kontinenta.
04:17
And so what we've created as a world has become a life-and-death crisis.
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Stvorili smo svijet u kojem vlada kriza na život ili smrt.
04:22
There are 100,000 women [per year] who say they don't want to be pregnant
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Godišnje 100 000 žena koje izjave da ne žele zatrudnjeti
04:28
and they die in childbirth -- 100,000 women a year.
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umru pri porodu - 100 000 žena godišnje.
04:32
There are another 600,000 women [per year]
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Ima tu i drugih 600 000 žena koje godišnje
04:35
who say they didn't want to be pregnant in the first place,
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izjave da nisu ni htjele ostati trudne,
04:37
and they give birth to a baby
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a rode dijete
04:40
and her baby dies in that first month of life.
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koje premine tijekom prvog mjeseca života.
04:44
I know everyone wants to save these mothers and these children.
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Znam da svi žele spasiti te žene i njihovu djecu,
04:51
But somewhere along the way, we got confused by our own conversation.
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ali negdje usput sami smo sebe zbunili tim pričama
04:57
And we stopped trying to save these lives.
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i prestali smo pokušavati spašavati te živote.
05:01
So if we're going to make progress on this issue,
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Ako planiramo napredovati po ovom pitanju,
05:05
we have to be really clear about what our agenda is.
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moramo izričito naglasiti što nam je na dnevnom redu.
05:09
We're not talking about abortion.
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Ne govorimo o pobačaju,
05:11
We're not talking about population control.
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ne govorimo o kontroli populacije.
05:15
What I'm talking about is giving women the power to save their lives,
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već o tome da ženama dajemo moć da spase vlastite živote,
05:21
to save their children's lives
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da spase živote svoje djece
05:23
and to give their families the best possible future.
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i da svojim obiteljima pruže najbolju moguću budućnost.
05:28
Now, as a world,
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Kao svijet
05:30
there are lots of things we have to do in the global health community
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puno toga moramo učiniti u zajednicama javnog zdravstva
05:33
if we want to make the world better in the future --
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ako želim popraviti svijet u budućnosti -
05:36
things like fight diseases.
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kao npr. boriti se s bolestima.
05:38
So many children today die of diarrhea, as you heard earlier, and pneumonia.
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Danas toliko djece umire od proljeva, kao što ste već čuli, i upale pluća.
05:43
They kill literally millions of children a year.
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Te bolesti ubijaju doslovno milijune djece godišnje.
05:45
We also need to help small farmers --
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Moramo pomoći i malim farmerima -
05:48
farmers who plow small plots of land in Africa --
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farmerima koji u Africi obrađuju male komade zemlje -
05:52
so that they can grow enough food to feed their children.
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da uzgoje dovoljno hrane da prehrane svoju djecu.
05:55
And we have to make sure that children are educated around the world.
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Moramo osigurati i da djeca diljem svijeta budu obrazovana.
05:59
But one of the simplest and most transformative things we can do
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Ali jedna od najučinkovitijih stvari koje možemo učiniti
06:04
is to give everybody access to birth control methods
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jest svima omogućiti pristup kontracepcijskim metodama
06:08
that almost all Germans have access to and all Americans, at some point,
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kojima imaju pristup gotovo svi Nijemci i svi Amerikanci u određenom razdoblju
06:14
they use these tools during their life.
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života kada ih koriste.
06:17
And I think as long as we're really clear about what our agenda is,
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Dok nam je jasno što nam je na dnevnom redu,
06:23
there's a global movement waiting to happen
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čeka nas globalni pokret
06:26
and ready to get behind this totally uncontroversial idea.
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koji je spreman poduprijeti ovu nekontroverznu ideju.
06:33
When I grew up, I grew up in a Catholic home.
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Odrastala sam u katoličkom domu,
06:36
I still consider myself a practicing Catholic.
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još se uvijek smatram praktičnim katolikom.
06:39
My mom's great-uncle was a Jesuit priest.
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Majčin praujak bio je jezuitski svećenik.
06:43
My great-aunt was a Dominican nun.
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Moja prateta bila je sestra dominikanka.
06:47
She was a schoolteacher and a principal her entire life.
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Bila je učiteljica i ravnateljica cijeli svoj život.
06:51
In fact, she's the one who taught me as a young girl how to read.
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Ona me i naučila čitati kad sam bila djevojčica.
06:55
I was very close to her.
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Bile smo jako bliske.
06:57
And I went to Catholic schools for my entire childhood
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Cijeli život išla sam u katoličke škole
07:01
until I left home to go to university.
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sve dok zbog fakulteta nisam otišla od kuće.
07:04
In my high school, Ursuline Academy,
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U mojoj srednjoj školi Ursuline Academy
07:07
the nuns made service and social justice a high priority in the school.
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sestrama je u školi služba i društvena pravda bio veliki prioritet.
07:14
Today, in the [Gates] Foundation's work,
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Vjerujem da danas u radu Zaklade Gates
07:16
I believe I'm applying the lessons that I learned in high school.
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primjenjujem lekcije koje sam usvojila u srednjoj školi.
07:22
So, in the tradition of Catholic scholars,
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Prema tradiciji katoličkih učenjaka,
07:25
the nuns also taught us to question received teachings.
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sestre nas uče da preispitujemo primljena učenja.
07:31
And one of the teachings that we girls and my peers questioned
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Jedno od učenja koje smo mi djevojke i moji vršnjaci preispitivali bilo je
07:37
was is birth control really a sin?
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pitanje je li kontracepcija uistinu grijeh.
07:41
Because I think one of the reasons
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Mislim da je jedan od razloga
07:43
we have this huge discomfort talking about contraception
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zašto nam je toliko neugodno pričati o kontracepciji
07:48
is this lingering concern
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jest ta trajna zabrinutost
07:50
that if we separate sex from reproduction, we're going to promote promiscuity.
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da ako odvojimo seks od reprodukcije, promicat ćemo promiskuitet.
07:56
And I think that's a reasonable question to be asked about contraception --
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Mislim da je to jedno razumno pitanje koje se treba postaviti o kontracepciji -
08:00
what is its impact on sexual morality?
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kako ona utječe na seksualnu moralnost?
08:05
But, like most women,
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No, kao ni većini žena,
08:07
my decision about birth control had nothing to do with promiscuity.
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moja odluka o kontracepciji nije imala nikakve veze s promiskuitetom.
08:12
I had a plan for my future. I wanted to go to college.
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Imala sam plan za budućnosti. Htjela sam ići na fakultet.
08:15
I studied really hard in college,
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Marljivo sam učila na faksu
08:18
and I was proud to be one of the very few female computer science graduates
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i ponosila sam se time što sam jedna od rijetkih studentica računalnih znanosti
08:22
at my university.
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na mom fakultetu.
08:24
I wanted to have a career, so I went on to business school
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Htjela sam imati karijeru, pa sam otišla u poslovnu školu
08:28
and I became one of the youngest female executives at Microsoft.
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i postala jedna od najmlađih rukovoditeljica u Microsoftu.
08:33
I still remember, though, when I left my parents' home
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No, još se uvijek sjećam kako sam napustila roditeljski dom
08:36
to move across the country to start this new job at Microsoft.
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i otišla na drugi kraj zemlje zbog tog novog posla u Microsoftu.
08:40
They had sacrificed a lot to give me five years of higher education.
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Puno su se žrtvovali kako bi meni omogućili pet godina visoke naobrazbe.
08:46
But they said, as I left home --
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No, kad sam odlazila, rekli su mi,
08:48
and I literally went down the front steps, down the porch at home --
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doslovno sam silazila niz stube ispred kuće,
08:51
and they said,
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i rekli su mi:
08:52
"Even though you've had this great education,
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"Iako si imala sjajno obrazovanje,
08:55
if you decide to get married and have kids right away,
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ako se odlučiš udati i odmah imati djecu,
09:01
that's OK by us, too."
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mi nemamo ništa protiv."
09:03
They wanted me to do the thing that would make me the very happiest.
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Htjeli su da učinim ono što bi me najviše usrećilo.
09:08
I was free to decide what that would be.
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Bila sam slobodna izabrati što će to biti.
09:11
It was an amazing feeling.
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Bio je to sjajan osjećaj.
09:15
In fact, I did want to have kids --
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Zapravo sam htjela imati djecu,
09:19
but I wanted to have them when I was ready.
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ali htjela sam ih imati onda kad budem spremna.
09:23
And so now, Bill and I have three.
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Sada Bill i ja imamo troje djece.
09:26
And when our eldest daughter was born,
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Kad nam se rodila najstarija kći,
09:29
we weren't, I would say, exactly sure how to be great parents.
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rekla bih da nismo bili baš najsigurniji kako biti odlični roditelji.
09:33
Maybe some of you know that feeling.
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Možda neki od vas znaju taj osjećaj.
09:35
And so we waited a little while before we had our second child.
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Stoga smo se malo strpili do drugog djeteta.
09:39
And it's no accident that we have three children
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Nemamo slučajno troje djece
09:43
that are spaced three years apart.
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između kojih je po tri godine razlike.
09:46
Now, as a mother, what do I want the very most for my children?
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Kao majka, što najviše želim svojoj djeci?
09:52
I want them to feel the way I did --
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Želim da se osjećaju poput mene -
09:54
like they can do anything they want to do in life.
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kao da sa svojim životom mogu raditi sve što požele.
10:00
And so, what has struck me
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Ono što me zapanjilo
10:02
as I've travelled the last decade for the foundation around the world
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dok sam tijekom prošlog desetljeća zbog zaklade putovala svijetom
10:06
is that all women want that same thing.
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bilo je to što sve žene žele to isto.
10:12
Last year, I was in Nairobi, in the slums, in one called Korogocho --
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Prošle godine bila sam u Nairobiju u predgrađu Korogocho -
10:17
which literally means when translated, "standing shoulder to shoulder."
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naziv koji u doslovnom prijevodu znači "stajati rame uz rame".
10:22
And I spoke with this women's group that's pictured here.
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Razgovarala sam sa ženskom skupinom s ove slike.
10:25
And the women talked very openly about their family life in the slums,
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Žene su zaista otvoreno govorile o svom obiteljskom životu u predgrađu,
10:29
what it was like.
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o tome kakav je.
10:31
And they talked quite intimately about what they did for birth control.
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A prilično su povjerljivo govorile o metodama kontracepcije.
10:35
Marianne, in the center of the screen in the red sweater,
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Marriane, žena sa sredine ekrana u crvenom džemperu,
10:38
she summed up that entire two-hour conversation
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sažela je taj cijeli dvosatni razgovor
10:42
in a phrase that I will never forget.
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u frazu koju nikad neću zaboraviti.
10:45
She said, "I want to bring every good thing to this child
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Rekla je: "Želim ovom djetetu pružiti svako dobro
10:53
before I have another."
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prije nego dobijem sljedeće."
10:55
And I thought -- that's it.
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Pomislih - to je to.
10:57
That's universal.
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To je univerzalno.
10:59
We all want to bring every good thing to our children.
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Svi želimo svojoj djeci pružiti svako dobro.
11:05
But what's not universal is our ability to provide every good thing.
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No, naše mogućnosti da im pružimo svako dobro nisu univerzalne.
11:10
So many women suffer from domestic violence.
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Puno je žena žrtava obiteljskog nasilja
11:13
And they can't even broach the subject of contraception,
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koje ne mogu ni načeti temu kontracepcije,
11:16
even inside their own marriage.
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čak ni unutar vlastitog braka.
11:18
There are many women who lack basic education.
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Ima žena koje nemaju osnovno obrazovanje.
11:22
Even many of the women who do have knowledge and do have power
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Čak i puno žena koje imaju i znanje i moć
11:27
don't have access to contraceptives.
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nema pristup kontracepcijskim sredstvima.
11:30
For 250 years, parents around the world
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Već 250 godina roditelji diljem svijeta
11:35
have been deciding to have smaller families.
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odlučuju se za manje obitelji.
11:39
This trend has been steady for a quarter of a millennium,
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Taj je trend ostao nepromijenjen već četvrtinu tisućljeća
11:43
across cultures and across geographies,
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u različitim kulturama i u različitim zemljama,
11:47
with the glaring exception of sub-Saharan Africa and South Asia.
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uz upadljivu iznimku subsaharske Afrike i južne Azije.
11:54
The French started bringing down their family size in the mid-1700s.
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Francuzi su počeli smanjivati veličinu obitelji sredinom 1700-ih,
11:58
And over the next 150 years, this trend spread all across Europe.
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a tijekom sljedećih 150 godina taj se trend proširio Europom.
12:05
The surprising thing to me, as I learned this history,
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Kad sam naučila o tom razvoju, ono što me iznenadilo bilo je
12:09
was that it spread not along socioeconomic lines but around cultural lines.
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to što se nije proširio socioekonomskim linijama, već kulturalnim.
12:15
People who spoke the same language made that change as a group.
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Ljudi koji su govorili istim jezikom tu su promjenu usvojili kao grupa.
12:19
They made the same choice for their family,
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Tu su odluku donijeli i za svoje obitelji,
12:22
whether they were rich or whether they were poor.
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bez obzira na to bili oni bogati ili siromašni.
12:26
The reason that trend toward smaller families spread
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Taj trend manjih obitelji proširio se
12:30
was that this whole way was driven by an idea --
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zato što je cijelim tim putem upravljala jedna ideja -
12:33
the idea that couples can exercise conscious control
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ideja da parovi mogu svjesnom kontrolom
12:38
over how many children they have.
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utjecati na broj svoje djece.
12:42
This is a very powerful idea.
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Moćna je to ideja
12:46
It means that parents have the ability to affect the future,
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koja znači da roditelji imaju mogućnost utjecati na budućnost,
12:50
not just accept it as it is.
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a ne je samo prihvatiti takvu kakva jest.
12:55
In France, the average family size went down every decade
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U Francuskoj se prosječna veličina obitelji smanjivala svakim desetljećem
12:59
for 150 years in a row until it stabilized.
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tijekom 150 godina sve dok se nije stabilizirala.
13:03
It took so long back then because the contraceptives weren't that good.
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Tada je trebalo toliko vremena jer kontracepcija nije bila tako kvalitetna.
13:09
In Germany, this transition started in the 1880s, and it took just 50 years
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U Njemačkoj je ta tranzicija započela 1880-ih i trebalo je samo 50 godina
13:15
for family size to stabilize in this country.
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da se veličina obitelji stabilizira.
13:18
And in Asia and Latin America, the transition started in the 1960s,
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U Aziji i Latinskoj Americi tranzicija je započela 1960-ih
13:23
and it happened much faster because of modern contraception.
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i dogodila se puno brže zbog modernih kontracepcijskih sredstava.
13:29
I think, as we go through this history, it's important to pause for a moment
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Promatrajući ovaj razvoj, važno je zastati
13:35
and to remember why this has become such a contentious issue.
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i prisjetiti se zašto je to postalo tako sporno pitanje.
13:40
It's because some family planning programs
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Zato što su neki programi za planiranje obitelji
13:43
resorted to unfortunate incentives and coercive policies.
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pribjegavali nepovoljnim poticajima i prisilnim strategijama.
13:49
For instance, in the 1960s, India adopted very specific numeric targets
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Npr. 1960-ih Indija je prihvatila jako specifične ciljne brojke
13:55
and they paid women to accept having an IUD placed in their bodies.
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i plaćali su ženama da pristanu ugraditi kontracepcijski uložak.
14:00
Now, Indian women were really smart in this situation.
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Indijke su u toj situaciji postupile zaista pametno.
14:04
When they went to get an IUD inserted, they got paid six rupees.
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Kad su išle na ugradnju uloška, dobile su šest rupija.
14:07
And so what did they do?
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I što su one učinile?
14:09
They waited a few hours or a few days,
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Čekale su nekoliko sati ili nekoliko dana
14:11
and they went to another service provider and had the IUD removed for one rupee.
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i otišle drugom pružatelju usluga kod kojega su za 1 rupi uklonile uložak.
14:18
For decades in the United States,
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U SAD-u desetljećima su
14:21
African-American women were sterilized without their consent.
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Afroamerikanke bivale sterilizirane bez pristanka.
14:27
The procedure was so common
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Taj je postupak bio toliko uobičajen
14:29
it became known as the Mississippi appendectomy --
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da je postao poznat kao misisipijska apendektomija -
14:33
a tragic chapter in my country's history.
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tragično razdoblje u povijesti moje zemlje.
14:37
And as recently as the 1990s, in Peru,
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A nedavno, 1990-ih, u Peruu
14:40
women from the Andes region were given anesthesia
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žene iz pokrajine Ande dobivale su anesteziju
14:44
and they were sterilized without their knowledge.
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i bivale sterilizirane bez znanja.
14:48
The most startling thing about this
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Najviše iznenađuje
14:51
is that these coercive policies weren't even needed.
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to što takve prisilne strategije uopće nisu bile potrebne.
14:54
They were carried out in places
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Provodile su se u mjestima
14:55
where parents already wanted to lower their family size.
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u kojima su roditelji i sami htjeli smanjiti veličinu obitelji.
15:00
Because in region after region, again and again,
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U regiji za regijom
15:03
parents have wanted to have smaller families.
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roditelji su htjeli imati manje obitelji.
15:08
There's no reason to believe
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Nema razloga vjerovati
15:09
that African women have innately different desires.
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da je Afrikankama urođena drugačija želja.
15:14
Given the option, they will have fewer children.
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Ako im se pruži pravo izbora, odlučit će se na manji broj djece.
15:18
The question is:
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Pitanje glasi:
15:20
will we invest in helping all women get what they want now?
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hoćemo li sada ulagati u pomoć svim ženama u ostvarenju njihovih želja
15:26
Or, are we going to condemn them to some century-long struggle,
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ili ćemo ih osuditi na borbu dugu stoljećima,
15:31
as if this was still revolutionary France
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kao da još uvijek živimo za vrijeme francuske revolucije
15:33
and the best method was coitus interruptus?
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kada je najbolja metoda bio prekinuti snošaj?
15:39
Empowering parents -- it doesn't need justification.
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Za osnaživanje roditelja nije potrebno opravdavanje,
15:45
But here's the thing -- our desire to bring every good thing to our children
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no naša želja da djeci pružimo svako dobro
15:51
is a force for good throughout the world.
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sila je za dobro diljem svijeta.
15:55
It's what propels societies forward.
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To društvo tjera naprijed.
15:59
In that same slum in Nairobi, I met a young businesswoman,
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U istom predgrađu u Nairobiju upoznala sam mladu poslovnu ženu
16:03
and she was making backpacks out of her home.
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koja je od kuće izrađivala ruksake.
16:05
She and her young kids would go to the local jeans factory
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Ona i njezina mala djeca odlazila su u obližnju tvornicu traperica
16:08
and collect scraps of denim.
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i skupljala ostatke trapera.
16:10
She'd create these backpacks and resell them.
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Od njih je pravila ruksake i prodavala ih.
16:13
And when I talked with her, she had three children,
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Razgovarala sam s njom, imala je troje djece,
16:15
and I asked her about her family.
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i kad sam je pitala za obitelj,
16:17
And she said she and her husband decided
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rekla je da su ona i njezin muž odlučili
16:19
that they wanted to stop having children after their third one.
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da nakon trećeg djeteta neće imati više djece.
16:22
And so when I asked her why, she simply said,
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Kad sam je pitala zašto, jednostavno je rekla:
16:24
"Well, because I couldn't run my business if I had another child."
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"Pa ne bih mogla voditi posao s još jednim djetetom."
16:28
And she explained the income that she was getting out of her business
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Objasnila mi je da prihodi koje joj donosi njezin posao
16:31
afforded her to be able to give an education to all three of her children.
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osiguravaju obrazovanje za sva tri djeteta.
16:35
She was incredibly optimistic about her family's future.
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Bila je strašno optimistična u vezi budućnosti svoje obitelji.
16:41
This is the same mental calculus
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To je ista mentalna računica
16:44
that hundreds of millions of men and women have gone through.
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koju obavi stotine milijuna muškaraca i žena,
16:48
And evidence proves that they have it exactly right.
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a dokazi pokazuju da su u pravu.
16:52
They are able to give their children more opportunities
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U mogućnosti su pružiti svojoj djeci više mogućnosti
16:56
by exercising control over when they have them.
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utječući na to kada će ih imati.
17:01
In Bangladesh,
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U Bangladešu
17:03
there's a district called Matlab.
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ima četvrt pod imenom Matlab.
17:05
It's where researchers have collected data on over 180,000 inhabitants since 1963.
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Tu su istraživači prikupili podatke o 180 000 stanovnika od 1963. g.
17:11
In the global health community,
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U društvu za javno zdravstvo
17:13
we like to say it's one of the longest pieces of research that's been running.
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to nazivamo jednim od najduže provođenih istraživanja.
17:17
We have so many great health statistics.
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Imamo puno sjajnih zdravstvenih statistika.
17:19
In one of the studies, what did they do?
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U jednom od istraživanja
17:21
Half the villagers were chosen to get contraceptives.
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pola seljaka izabrano je za korištenje kontracepcije.
17:26
They got education and access to contraception.
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Obučili su ih o kontracepciji i pružili im pristup kontracepciji.
17:29
Twenty years later, following those villages,
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Dvadeset godina kasnije, prateći te seljake,
17:32
what we learned is that they had a better quality of life than their neighbors.
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spoznali smo da su imali bolju kvalitetu života od susjeda.
17:36
The families were healthier.
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Obitelji su im bile zdravije.
17:38
The women were less likely to die in childbirth.
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Žene su bile manje sklone smrti pri porodu.
17:41
Their children were less likely to die in the first thirty days of life.
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Djeca su im bila manje sklona umrijeti tijekom prvih trideset dana života.
17:45
The children were better nourished.
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Djeca su im imala bolju prehranu,
17:47
The families were also wealthier.
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a i same obitelji bile su bogatije.
17:49
The adult women's wages were higher.
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Plaće odraslih žena bile su više.
17:52
Households had more assets -- things like livestock or land or savings.
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Domaćinstva su imala više imovine poput stoke, zemlje ili ušteđevine,
17:57
Finally, their sons and daughters had more schooling.
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a sinovi i kćeri bili su obrazovaniji.
18:02
So when you multiply these types of effects over millions of families,
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Kad takve učinke pomnožite s milijunima obitelji,
18:07
the product can be large-scale economic development.
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dobijete ekonomski razvoj velikih dimenzija.
18:12
People talk about the Asian economic miracle of the 1980s --
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Govori se o azijskom ekonomskom čudu iz 1980-ih,
18:16
but it wasn't really a miracle.
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ali to i nije bilo čudo.
18:18
One of the leading causes of economic growth across that region
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Jedan od glavnih uzroka ekonomskog rasta diljem te regije
18:21
was this cultural trend towards smaller families.
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bio je kulturalni trend prema manjim obiteljima.
18:27
Sweeping changes start at the individual family level --
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Velike promjene počinju na razini obitelji
18:31
the family making a decision about what's best for their children.
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koja donese odluku o tome što je najbolje za njihovu djecu.
18:36
When they make that change and that decision,
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Kad to promijene i donesu odluku,
18:39
those become sweeping regional and national trends.
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to postaju veliki regionalni i nacionalni trendovi.
18:43
When families in sub-Saharan Africa are given the opportunity
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Kad obitelji u subsaharskoj Africi dobiju priliku
18:47
to make those decisions for themselves,
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sami odlučivati o tome,
18:50
I think it will help spark a virtuous cycle of development
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mislim da će to pokrenuti ciklus razvoja
18:54
in communities across the continent.
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u zajednicama diljem kontinenta.
18:58
We can help poor families build a better future.
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Možemo pomoći siromašnim obiteljima u stvaranju bolje budućnosti.
19:02
We can insist that all people have the opportunity
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Možemo inzistirati na tome da svi ljudi dobiju priliku
19:06
to learn about contraceptives
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učiti o kontracepcijskim sredstvima
19:08
and have access to the full variety of methods.
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i da dobiju pristup različitim metodama.
19:12
I think the goal here is really clear:
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Mislim da je cilj ovdje jasan:
19:15
universal access to birth control that women want.
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univerzalni pristup kontracepcijskim sredstvima koje žene žele,
19:20
And for that to happen, it means that both rich and poor governments alike
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a kako bi se to omogućilo, i bogate i siromašne vlade
19:26
must make contraception a total priority.
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moraju kontracepciju učiniti apsolutnim prioritetom.
19:30
We can do our part, in this room and globally,
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Mi možemo sudjelovati, u ovoj sobi i globalno,
19:34
by talking about the hundreds of millions of families
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govoreći o stotinama milijuna obitelji
19:37
that don't have access to contraception today
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koje danas nemaju pristup kontracepcijskim sredstvima
19:40
and what it would do to change their lives if they did have access.
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i o tome kako bi se njihovi životi promijenili kada to više ne bi bilo tako.
19:45
I think if Marianne and the members of her women's group
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Ako Marianne i ostale članice njezine ženske grupe
19:48
can talk about this openly
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mogu otvoreno razgovarati o ovome
19:51
and have this discussion out amongst themselves and in public,
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i ovu raspravu održavati među sobom i u javnosti,
19:55
we can, too.
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možemo i mi.
19:57
And we need to start now.
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Moramo početi odmah
20:00
Because like Marianne, we all want to bring every good thing to our children.
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jer svi mi, poput Maranne, želimo našoj djeci donijeti svako dobro.
20:07
And where is the controversy in that?
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Što je u tome kontroverzno?
20:10
Thank you.
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Hvala vam.
20:11
(Applause)
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(Pljesak)
20:14
Chris Anderson: Thank you.
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Chris Anderson: Hvala ti.
20:22
I have some questions for Melinda.
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Imam nekoliko pitanja za Melindu.
20:26
(Applause ends)
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(Pljesak prestaje)
20:28
Thank you for your courage and everything else.
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Hvala ti na hrabrosti i na svemu ostalom.
20:32
So, Melinda, in the last few years
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Melinda, zadnjih nekoliko godina
20:34
I've heard a lot of smart people say something to the effect of,
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čuo sam prilično pametne ljude kako govore nešto poput ovoga:
20:39
"We don't need to worry about the population issue anymore.
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"Više se ne moramo brinuti oko problema populacije.
20:43
Family sizes are coming down naturally all over the world.
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Veličine obitelji prirodno se smanjuju diljem svijeta.
20:46
We're going to peak at nine or 10 billion. And that's it."
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Imat ćemo najviše 9 ili 10 milijardi ljudi i to je to."
20:51
Are they wrong?
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Jesu li u krivu?
20:52
Melinda Gates: If you look at the statistics across Africa,
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Melinda Gates: Ako promotrimo statistike diljem Afrike,
20:55
they are wrong.
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u krivu su.
20:56
And I think we need to look at it, though, from a different lens.
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Mislim da taj problem trebamo malo drugačije sagledati.
20:59
We need to look at it from the ground upwards.
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Moramo ga promatrati odozdo prema gore.
21:01
I think that's one of the reasons we got ourselves in so much trouble
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Mislim da je to jedan od razloga zašto smo u tolikim problemima
21:05
on this issue of contraception.
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kad se radi o kontracepciji.
21:06
We looked at it from top down
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Promatrali smo ga odozgo
21:08
and said we want to have different population numbers over time.
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i izjavili da se uskoro nadamo manjoj populaciji.
21:11
Yes, we care about the planet. Yes, we need to make the right choices.
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Da, stalo nam je do planeta. Da, moramo donositi prave odluke,
21:15
But the choices have to be made at the family level.
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ali one se moraju donositi na razini obitelji.
21:17
And it's only by giving people access and letting them choose what to do
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Samo ako ljudima damo pristup i pustimo ih da biraju što će činiti,
21:22
that you get those sweeping changes that we have seen globally --
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vidjet ćemo te velike promjene kakve viđamo na globalnoj razini -
21:25
except for sub-Saharan Africa and those places in South Asia and Afghanistan.
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osim u subsaharskoj Africi i južnoj Aziji i u Afganistanu.
21:32
CA: Some people on the right in America
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CA: Neki članovi desnice u Americi
21:34
and in many conservative cultures around the world
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i u mnogim konzervativnim kulturama diljem svijeta
21:39
might say something like this:
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mogli bi izjaviti ovako nešto:
21:41
"It's all very well to talk about saving lives and empowering women and so on.
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"Divno je i krasno govoriti o spašavanju života i osnaživanju žena itd.,
21:45
But, sex is sacred.
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ali seks je svetinja.
21:48
What you're proposing is going to increase the likelihood
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Ono što vi predlažete povećat će vjerojatnost
21:52
that lots of sex happens outside marriage.
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da se puno seksa zbiva izvan braka,
21:54
And that is wrong."
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što je loše."
21:57
What would you say to them?
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Što biste njima rekli?
21:59
MG: I would say that sex is absolutely sacred.
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MG: Rekla bih da je seks prava svetinja,
22:02
And it's sacred in Germany, and it's sacred in the United States,
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svetinja je i u Njemačkoj, i u SAD-u,
22:05
and it's sacred in France and so many places around the world.
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i u Francuskoj i u mnogim drugim državama diljem svijeta.
22:08
And the fact that 98 percent of women in my country who are sexually experienced
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Činjenica je da 98 % seksualno iskusnih žena u mojoj zemlji
22:13
say they use birth control doesn't make sex any less sacred.
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tvrdi da njihova upotreba kontracepcije ne čini seks ništa manjom svetinjom.
22:17
It just means that they're getting to make choices about their lives.
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To samo znači da dobivaju priliku donositi odluke o svojim životima,
22:21
And I think in that choice,
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a mislim da takvim izborom
22:22
we're also honoring the sacredness of the family
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izražavamo poštovanje prema svetosti obitelji,
22:25
and the sacredness of the mother's life
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prema svetosti majčina života
22:27
and the childrens' lives by saving their lives.
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i života njezine djece spašavajući te živote.
22:29
To me, that's incredibly sacred, too.
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Meni je i to ogromna svetinja.
22:33
CA: So what is your foundation doing to promote this issue?
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CA: Što vaša zaklada čini kako bi promicala to pitanje?
22:38
And what could people here and people listening on the web --
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I što biste htjeli da naša publika ovdje i publika koja sluša preko interneta
22:42
what would you like them to do?
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učini?
22:43
MG: I would say this -- join the conversation.
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MG: Rekla bih ovo - pridružite se razgovoru.
22:45
We've listed the website up here. Join the conversation.
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Ovdje smo naveli internetsku stranicu. Pridružite se razgovoru.
22:50
Tell your story about how contraception has either changed your life
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Ispričajte svoju priču o tome kako je kontracepcija promijenila ili vaš život
22:53
or somebody's life that you know.
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ili život nekog vašeg poznanika.
22:55
And say that you're for this.
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I recite da ste ZA ovo.
22:57
We need a groundswell of people saying, "This makes sense.
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Treba nam široka potpora ljudi koji govore: "Ima smisla.
23:00
We've got to give all women access -- no matter where they live."
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Sve žene trebaju imati pristup kontracepciji, bez obzira gdje žive."
23:03
And one of the things that we're going to do
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Jedna od stvari koje ćemo učiniti
23:05
is do a large event July 11 in London,
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jest organizirati veliko događanje 11. srpnja u Londonu
23:08
with a whole host of countries, a whole host of African nations,
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u kojem će sudjelovati cijeli niz država, cijeli niz afričkih država
23:12
to all say we're putting this back on the global health agenda.
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i svi će reći da ovo vraćamo na dnevni red javnog zdravstva.
23:15
We're going to commit resources to it,
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Uložit ćemo sredstva u to,
23:17
and we're going to do planning from the bottom up with governments
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planirat ćemo odozdo prema gore s vladama
23:20
to make sure that women are educated --
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kako bismo osigurali edukaciju svim ženama
23:22
so that if they want the tool, they have it,
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da ukoliko žele, mogu koristiti ta sredstva
23:24
and that they have lots of options available
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i da imaju na raspolaganju puno opcija
23:27
either through their local healthcare worker
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ili preko lokalnog zdravstvenog radnika
23:29
or their local community rural clinic.
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ili preko lokalne seoske klinike.
23:32
CA: Melinda, I'm guessing that some of those nuns who taught you at school
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CA: Melinda, pretpostavljam da će neke od časnih sestara koje su te učile
23:37
are going to see this TED Talk at some point.
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jednom vidjeti ovaj TED-govor.
23:40
Are they going to be horrified, or are they cheering you on?
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Hoće li biti užasnute ili te bodre?
23:43
MG: I know they're going to see the TED Talk
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MG: Znam da će vidjeti ovaj govor
23:45
because they know that I'm doing it and I plan to send it to them.
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jer znaju da ga držim i planiram im ga poslati.
23:48
And, you know, the nuns who taught me were incredibly progressive.
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A te časne koje su me poučavale iznimno su progresivne.
23:51
I hope that they'll be very proud of me
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Nadam se da će se ponositi
23:53
for living out what they taught us about social justice and service.
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jer živim ono što su nas one učile o društvenoj pravdi i službi.
23:57
I have come to feel incredibly passionate about this issue
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Postala sam jako strastvena oko ovog problema
24:01
because of what I've seen in the developing world.
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zbog onoga što sam vidjela u svijetu u razvoju.
24:04
And for me, this topic has become very close to heart
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Meni je ova tema jako važna
24:09
because you meet these women and they are so often voiceless.
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jer upoznajem te žene koje često nemaju pravo glasa,
24:12
And yet they shouldn't be --
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a ne bi trebalo biti tako -
24:13
they should have a voice, they should have access.
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trebale bi imati pravo glasa i pristup.
24:16
And so I hope they'll feel
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Nadam se da će vidjeti
24:17
that I'm living out what I've learned from them
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da živim ono što sam naučila od njih
24:20
and from the decades of work that I've already done at the foundation.
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i ono što sam naučila iz desetljeća rada u zakladi.
24:24
CA: So, you and your team brought together today an amazing group of speakers
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CA: Ti i tvoj tim danas ste doveli sjajnu skupinu govornika
24:29
to whom we're all grateful.
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kojima smo iznimno zahvalni.
24:32
Did you learn anything?
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Jesi li štogod naučila?
24:34
(Laughter)
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(Smijeh)
24:35
MG: Oh my gosh, I learned so many things. I have so many follow-up questions.
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MG: Bože, naučila sam toliko toga, imam toliko dodatnih pitanja
24:39
And I think a lot of this work is a journey.
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i mislim da je većina tog posla putovanje.
24:41
You heard the discussion about the journey through energy,
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Čuli ste raspravu o putovanju energijom
24:45
or the journey through social design,
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ili o putovanju društvenim dizajnom
24:47
or the journey in the coming and saying,
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ili o putovanju u kojem dođete i kažete:
24:49
"Why aren't there any women on this platform?"
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"Zašto na ovoj pozornici nema žena?"
24:51
And I think for all of us who work on these development issues,
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Smatram da svi mi koji radimo na takvim razvojnim pitanjima
24:55
you learn by talking to other people.
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učimo kroz razgovor s drugima.
24:56
You learn by doing. You learn by trying and making mistakes.
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Učimo djelima. Učimo kroz pokušaje i pogreške.
24:59
And it's the questions you ask.
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Važna su pitanja koja postavite.
25:01
Sometimes it's the questions you ask that helps lead to the answer
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Nekad su to pitanja koja vode do odgovora
25:04
the next person that can help you answer it.
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na koji sljedeća osoba pomaže odgovoriti.
25:06
So I have lots of questions for the panelists from today.
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Imam puno pitanja za današnje sudionike.
25:09
And I thought it was just an amazing day.
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Bio mi je ovo nevjerojatan dan.
25:11
CA: Melinda, thank you for inviting all of us on this journey with you.
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CA: Melinda, hvala ti što si nas sve pozvala na ovo putovanje sa sobom.
25:15
Thank you so much. MG: Great. Thanks, Chris.
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Puno ti hvala. MG: Odlično. Hvala, Chris.
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