One-third of total maternal deaths in 2015 happened in India: Report

The latest Lancet series on maternal health reveals that nearly one quarter of babies worldwide are still delivered in the absence of a skilled birth attendant. Further, one-third of the total maternal deaths in 2015 happened in India, where 45,000 mothers died during pregnancy or childbirth while Nigeria shouldered the maximum burden of 58,000 maternal deaths.

Each year, about 210 million women become pregnant and about 140 million newborn babies are delivered. Ahead of the U.N. General Assembly, The Lancet has published a new series of papers on maternal health which reveal that while progress has been made in reducing maternal mortality globally, differences remain at international and national levels.In all countries, the burden of maternal mortality falls disproportionately on the most vulnerable groups of women. This reality presents a challenge to the rapid catch-up required to achieve the underlying aim of the Sustainable Development Goals [SDGs] — to leave no one behind.

According to the academic papers, there are two broad scenarios that describe the landscape of poor maternal health care — the absence of timely access to quality care (defined as ‘too little, too late’) and the over-medicalisation of normal and postnatal care (defined as ‘too much, too soon’).

The problem of over-medicalisation has historically been associated with high-income countries, but it is rapidly becoming more common in low and middle-income countries, increasing health costs and the risk of harm. For instance, 40.5% of all births are now by caesarean section in Latin America and the Caribbean.

In high-income countries, rates of maternal mortality are decreasing but there is still wide variation at national and international level. For instance, in the U.S., the maternal mortality ratio is 14 per 1,00,000 live births compared to 4 per 1,00,000 in Sweden.

The sub-Saharan African region accounted for an estimated 66% (2,01,000) of global maternal deaths, followed by southern Asia at 22% (66,000 deaths).


Will the Paris Pact succeed like the Montreal Protocol?

Though the U.S. and China, the two top global greenhouse gas (GHG) emitters, ratified the treaty at the recently concluded G20 summit, implementation is possible only once the agreement is ready to enter into force. And that won’t happen until 55 countries, accounting for 55 per cent of the global GHG emissions, ratify it.

The Montreal precedent

Back in 1987, on September 16, when 197 member nations of the UN signed the Montreal Protocol on Substances that Deplete the Ozone Layer, little would they have anticipated that in three decades the purpose for which they were signing the pact would begin to bear fruit: the ozone layer, which at that time was discovered to have a big hole in it due to ozone-depleting chemicals being widely used, is now beginning to show signs of healing. Researchers believe that the size of the ozone hole has shrunk by around 4 million sq km since 2000 and is not as deep as it used to be, thanks to the collective efforts of nations to cut the use of chlorofluorocarbons and other dangerous gases.

The Montreal Protocol offers a model of a successful environmental treaty that brought nations together to act swiftly on protecting the ozone layer. Next month, nations that are party to the protocol will get together in Kigali, Rwanda, to discuss the phasing down of hydrofluorocarbons (HFCs) as the next step towards addressing ozone depletion, also necessary to curb global warming.

According to the UN Framework Convention on Climate Change (UNFCCC), an HFC phase-down could prevent warming of up to 0.1°C by 2050 and warming of up to 0.5°C by 2100, offering one of the most cost-effective climate mitigation strategies available to the world today.

Replicating success

The more pertinent question is whether the Paris Agreement could succeed similarly in plugging greenhouse gas emissions, though it has a much bigger goal to chase. The Montreal Protocol had to address the use of ozone-depleting substances in select industries where they were widely used whereas the Paris Agreement has to address the challenge of reducing dependence on fossil fuels that continue to be the world’s primary source of energy, a tall order.

The experience of implementing the Montreal Protocol offers several lessons which can lead the climate treaty to success. For starters, unlike climate change, the science behind ozone depletion was contested at the time when the protocol was signed. It was only eight years after the Montreal Protocol came into being that the Nobel Prize in Chemistry to Paul J. Crutzen, Mario J. Molina and F. Sherwood Rowland brought global validation for their work on the formation and decomposition of ozone in the atmosphere. But that did not stop the countries that were party to the protocol from taking necessary action. However, despite the scientific evidence in support of global warming and climate change, signatories to the Paris treaty have much scepticism to overcome before meeting its goal of keeping global warming levels less than 2°C above pre-industrial levels.

The experience with the Kyoto Protocol signed in 1997 shows that if the U.S. wants, it can topple international efforts to fight climate change — though the then President, Bill Clinton, had signed the protocol in 1997, the U.S. Senate did not approve it, and eventually other major GHG emitters abandoned it as well.

Besides political will, there is the question of funding as well. Industrialised countries had committed in Cancun in 2010 to provide funds rising to $100 billion per year by 2020 for a Green Climate Fund (GCF) to help developing countries invest in green energy and prepare for extreme weather events. However, the GCF has so far raised only $10 billion, and allocated money to only about eight projects since it was first set up.

With the latest addition of Micronesia, 28 countries responsible for over 40 per cent of GHG emissions have ratified the Paris Agreement. But a closer look at the list of countries shows that small countries, especially island nations, with low GHG emissions and high risk of climate catastrophe, have been more prompt.

The UNFCCC is confident that more top emitters, including the EU, would soon join the treaty. But the truth is, even after ratification, the pledges made by signatories to the Paris Agreement would be insufficient to keep global warming levels below the danger threshold, as per the UN’s own estimates.

The latest report from the U.S. National Aeronautics and Space Administration’s Goddard Institute for Space Studies shows that August 2016 was the hottest month on the planet, about 0.16°C warmer than the previous 2014 record. So even as we celebrate the relative success of the Montreal Protocol in fixing the ozone layer today, the real lesson that the experience offers the world is that a stitch in time saves nine.


Pakistan’s MFN tag may stay for now

The Centre is not considering any proposal to withdraw the ‘Most Favoured Nation’ (MFN) status accorded to Pakistan as even without the move the level of bilateral trade is very low.

The MFN status was accorded in 1996 as per India’s commitments as a member of the World Trade Organisation (WTO). According to the MFN principle of the WTO’s General Agreement on Tariffs and Trade (GATT) — to which India is a signatory/contracting party — each of the WTO member countries (including India and Pakistan in this case), should “treat all the other members equally as ‘most-favoured’ trading partners.”

According to the WTO, though the term ‘MFN’ “suggests special treatment, it actually means non-discrimination.”

In the wake of the deadly attack on Indian soldiers in Uri, an incident for which India is holding Pakistan responsible, there have been calls in India for tough action against its neighbour, including the revocation of the MFN status.

Minuscule trade

Bilateral trade between the two South Asian neighbours was just $2.6 billion in 2015-16 (of which $2.2 billion constituted India’s exports to Pakistan) — which represented a minuscule 0.4 per cent of India’s overall goods trade worth $643.3 billion in the same year.

Therefore, even if India revokes the MFN status it would only have a “symbolic” impact. On the other hand it would hit India’s exports to Pakistan if there are retaliatory actions and it could also result in India losing goodwill in the South Asian region (where it enjoys a trade surplus and is a party to a free trade pact called SAFTA, which also includes Pakistan). The move may also not go down well at the WTO-level.

The MFN concept is an integral part of the WTO agreements and is among the principles forming the foundation of the multilateral trading system. As per the WTO, whenever a country brings down a trade barrier or liberalises a sector, “it has to do so for the same goods or services from all its trading partners — whether rich or poor, weak or strong.” However, exceptions allowed to this rule include free trade pacts and special benefits to poor nations.

Trade curbs

After the attack in Uri, in which 18 Indian soldiers were killed, international trade experts said India could consider making use of a ‘security exception’ clause in the GATT to deny the MFN status to Pakistan or bring in certain trade restrictions.

This is because Article 21(b)(iii) of GATT states that “Nothing in this Agreement shall be construed to prevent any contracting party (including India in this case) from taking any action which it considers necessary for the protection of its essential security interests taken in time of war or other emergency in international relations.”

Biswajit Dhar, professor, Jawaharlal Nehru University, said: “There is a possibility of India invoking this clause in view of the fact that it perceives a security threat in the aftermath of the Uri attack.”

However, according to a ‘Working Paper’ of the Centre for WTO Studies at the Indian Institute of Foreign Trade, “GATT and WTO practice shows that the countries have by and large observed self restraint in using the national security exception.” “This is hardly surprising as national security is too sensitive a subject that countries will be comfortable submitting to an international review,” the paper’s author Shailja Singh wrote.

No bar

Singh wrote that a closer scrutiny “reveals that there is no categorical bar on the (WTO dispute settlement) panel from proceeding into an Article 21 dispute.” She pointed out that Article 21(b) is clear that any action under it has to fulfil the specific criteria of the clause, adding that a (WTO) “member does not enjoy a free run to take any action it wishes under the guise of security interest.”

But there have been precedents. The Working Paper points out an Article 21-related dispute in 1949 between Czechoslovak (Socialist Republic) and the U.S., and such disputes between the U.S. and Nicaragua in 1983 and 1985 as well as another one in 1992 between the European Communities and the former Socialist Federal Republic of Yugoslavia.


Merger of Plan and Non Plan classification in Budget and Accounts

 

The cabinet has approved the merger of Plan and Non Plan classification in Budget and Accounts from 2017-18, with continuance of earmarking of funds for Scheduled Castes Sub-Plan/Tribal Sub-Plan. Similarly, the allocations for North Eastern States will also continue.

  • The Plan/Non-Plan bifurcation of expenditure has led to a fragmented view of resource allocation to various schemes, making it difficult not only to ascertain cost of delivering a service but also to link outlays to outcomes.
  • The bias in favour of Plan expenditure by Centre as well as the State Governments has led to a neglect of essential expenditures on maintenance of assets and other establishment related expenditures for providing essential social services.
  • The merger of plan and non-plan in the budget is expected to provide appropriate budgetary framework having focus on the revenue, and capital expenditure.

Submarine optical fibre cable connectivity between mainland (Chennai) and Andaman & Nicobar Islands

 

The Union Cabinet has given its approval for provision of a direct communication link through a dedicated submarine Optical Fibre Cable (OFC) between Mainland (Chennai) and Port Blair & five other islands viz. Little Andaman, Car Nicobar, Havelock, Kamorta and Great Nicobar.

 

The Andaman and Nicobar Islands are of immense strategic significance for India. The geographical configuration and the location of the Andaman & Nicobar Islands chain in the Bay of Bengal safeguard India’s eastern seaboard.

  • Provision of secure, reliable, robust, and affordable telecom facilities in these islands is of importance from a strategic point of view to the country and also an important requirement for the socio-economic development of the islands.
  • Currently the only medium of providing telecom connectivity between Mainland and Andaman & Nicobar Islands is though satellites, but the bandwidth available is limited to 1 Gbps. Satellite bandwidth is very costly and its availability is limited due to which future bandwidth requirement cannot be met solely through it.
  • Then, there is an issue of redundancy, that is, no alternate media is available in case of any emergency. Lack of bandwidth and telecom connectivity is also hampering socio-economic development of the islands.
  • Hence it is essential to have submarine OFC connectivity between the Mainland India and Andaman & Nicobar Islands, being the only option for catering to projected future bandwidth requirements.

IIT-M’s cheap solution to make brackish water potable

 

IIT-M has come up with an idea to convert brackish water into drinking water at about 12 paisa per litre right on the kitchen table by using a potential difference of just 1.8 volts.

The researchers used a stack of tissue paper and carbonised it at high temperature to make graphene. Graphite electrodes were then coated with the graphene produced in the lab.

  • When the electrodes are dipped into brackish water and 1.8 volt potential is applied to the electrodes, the sodium and chloride ions move towards respective electrodes and get adsorbed.
  • In about five minutes, the brackish water turns into potable water with less than 500 parts per million (ppm) of sodium chloride, which is less than the permissible limit for drinking water.
  • To render the graphene porous, silica precursors were added to the graphene and removed subsequently. The removal of silica makes the graphene porous while retaining its structural integrity.

Mission Parivar Vikas to be launched to push contraceptive use

 

The government will soon launch Mission Parivar Vikas to improve family planning services in seven states where the combined total fertility rate (TFR), or the number of children a woman has in her lifetime) that constitutes 44% of the country’s population.

Highlights:-

  • The main objective of ‘Mission Parivar Vikas is to accelerate access to high quality family planning choices based on information, reliable services and supplies within a rights-based framework.
  • The Union ministry of health and family welfare will launch the programme in 145 high-focus districts of Uttar Pradesh, Bihar, Rajasthan, Madhya Pradesh, Chhattisgarh, Jharkhand and Assam.
  • These districts were identified based on their total fertility rate and sterilization performance among other measures taken for family planning, for immediate, special and accelerated efforts.
  • The target of the government is to reach the replacement level fertility goals of 2.1 by the year 2025.
  • The key strategic focus of this initiative will be on improving access to contraceptives through delivering assured services, dovetailing with new promotional schemes, ensuring commodity security, building capacity (service providers), creating an enabling environment along with close monitoring and implementation.

 

 

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    On March 31, the World Economic Forum (WEF) released its annual Gender Gap Report 2021. The Global Gender Gap report is an annual report released by the WEF. The gender gap is the difference between women and men as reflected in social, political, intellectual, cultural, or economic attainments or attitudes. The gap between men and women across health, education, politics, and economics widened for the first time since records began in 2006.

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    No need to remember all the data, only pick out few important ones to use in your answers.

    The Global gender gap index aims to measure this gap in four key areas : health, education, economics, and politics. It surveys economies to measure gender disparity by collating and analyzing data that fall under four indices : economic participation and opportunity, educational attainment, health and survival, and political empowerment.

    The 2021 Global Gender Gap Index benchmarks 156 countries on their progress towards gender parity. The index aims to serve as a compass to track progress on relative gaps between women and men in health, education, economy, and politics.

    Although no country has achieved full gender parity, the top two countries (Iceland and Finland) have closed at least 85% of their gap, and the remaining seven countries (Lithuania, Namibia, New Zealand, Norway, Sweden, Rwanda, and Ireland) have closed at least 80% of their gap. Geographically, the global top 10 continues to be dominated by Nordic countries, with —Iceland, Norway, Finland, and Sweden—in the top five.

    The top 10 is completed by one country from Asia Pacific (New Zealand 4th), two Sub-Saharan countries (Namibia, 6th and Rwanda, 7th, one country from Eastern Europe (the new entrant to the top 10, Lithuania, 8th), and another two Western European countries (Ireland, 9th, and Switzerland, 10th, another country in the top-10 for the first time).There is a relatively equitable distribution of available income, resources, and opportunities for men and women in these countries. The tremendous gender gaps are identified primarily in the Middle East, Africa, and South Asia.

    Here, we can discuss the overall global gender gap scores across the index’s four main components : Economic Participation and Opportunity, Educational Attainment, Health and Survival, and Political Empowerment.

    The indicators of the four main components are

    (1) Economic Participation and Opportunity:
    o Labour force participation rate,
    o wage equality for similar work,
    o estimated earned income,
    o Legislators, senior officials, and managers,
    o Professional and technical workers.

    (2) Educational Attainment:
    o Literacy rate (%)
    o Enrollment in primary education (%)
    o Enrollment in secondary education (%)
    o Enrollment in tertiary education (%).

    (3) Health and Survival:
    o Sex ratio at birth (%)
    o Healthy life expectancy (years).

    (4) Political Empowerment:
    o Women in Parliament (%)
    o Women in Ministerial positions (%)
    o Years with a female head of State (last 50 years)
    o The share of tenure years.

    The objective is to shed light on which factors are driving the overall average decline in the global gender gap score. The analysis results show that this year’s decline is mainly caused by a reversal in performance on the Political Empowerment gap.

    Global Trends and Outcomes:

    – Globally, this year, i.e., 2021, the average distance completed to gender parity gap is 68% (This means that the remaining gender gap to close stands at 32%) a step back compared to 2020 (-0.6 percentage points). These figures are mainly driven by a decline in the performance of large countries. On its current trajectory, it will now take 135.6 years to close the gender gap worldwide.

    – The gender gap in Political Empowerment remains the largest of the four gaps tracked, with only 22% closed to date, having further widened since the 2020 edition of the report by 2.4 percentage points. Across the 156 countries covered by the index, women represent only 26.1% of some 35,500 Parliament seats and 22.6% of over 3,400 Ministers worldwide. In 81 countries, there has never been a woman head of State as of January 15, 2021. At the current rate of progress, the World Economic Forum estimates that it will take 145.5 years to attain gender parity in politics.

    – The gender gap in Economic Participation and Opportunity remains the second-largest of the four key gaps tracked by the index. According to this year’s index results, 58% of this gap has been closed so far. The gap has seen marginal improvement since the 2020 edition of the report, and as a result, we estimate that it will take another 267.6 years to close.

    – Gender gaps in Educational Attainment and Health and Survival are nearly closed. In Educational Attainment, 95% of this gender gap has been closed globally, with 37 countries already attaining gender parity. However, the ‘last mile’ of progress is proceeding slowly. The index estimates that it will take another 14.2 years to close this gap on its current trajectory completely.

    In Health and Survival, 96% of this gender gap has been closed, registering a marginal decline since last year (not due to COVID-19), and the time to close this gap remains undefined. For both education and health, while progress is higher than economy and politics in the global data, there are important future implications of disruptions due to the pandemic and continued variations in quality across income, geography, race, and ethnicity.

    India-Specific Findings:

    India had slipped 28 spots to rank 140 out of the 156 countries covered. The pandemic causing a disproportionate impact on women jeopardizes rolling back the little progress made in the last decades-forcing more women to drop off the workforce and leaving them vulnerable to domestic violence.

    India’s poor performance on the Global Gender Gap report card hints at a serious wake-up call and learning lessons from the Nordic region for the Government and policy makers.

    Within the 156 countries covered, women hold only 26 percent of Parliamentary seats and 22 percent of Ministerial positions. India, in some ways, reflects this widening gap, where the number of Ministers declined from 23.1 percent in 2019 to 9.1 percent in 2021. The number of women in Parliament stands low at 14.4 percent. In India, the gender gap has widened to 62.5 %, down from 66.8% the previous year.

    It is mainly due to women’s inadequate representation in politics, technical and leadership roles, a decrease in women’s labor force participation rate, poor healthcare, lagging female to male literacy ratio, and income inequality.

    The gap is the widest on the political empowerment dimension, with economic participation and opportunity being next in line. However, the gap on educational attainment and health and survival has been practically bridged.

    India is the third-worst performer among South Asian countries, with Pakistan and Afghanistan trailing and Bangladesh being at the top. The report states that the country fared the worst in political empowerment, regressing from 23.9% to 9.1%.

    Its ranking on the health and survival dimension is among the five worst performers. The economic participation and opportunity gap saw a decline of 3% compared to 2020, while India’s educational attainment front is in the 114th position.

    India has deteriorated to 51st place from 18th place in 2020 on political empowerment. Still, it has slipped to 155th position from 150th position in 2020 on health and survival, 151st place in economic participation and opportunity from 149th place, and 114th place for educational attainment from 112th.

    In 2020 reports, among the 153 countries studied, India is the only country where the economic gender gap of 64.6% is larger than the political gender gap of 58.9%. In 2021 report, among the 156 countries, the economic gender gap of India is 67.4%, 3.8% gender gap in education, 6.3% gap in health and survival, and 72.4% gender gap in political empowerment. In health and survival, the gender gap of the sex ratio at birth is above 9.1%, and healthy life expectancy is almost the same.

    Discrimination against women has also been reflected in Health and Survival subindex statistics. With 93.7% of this gap closed to date, India ranks among the bottom five countries in this subindex. The wide sex ratio at birth gaps is due to the high incidence of gender-based sex-selective practices. Besides, more than one in four women has faced intimate violence in her lifetime.The gender gap in the literacy rate is above 20.1%.

    Yet, gender gaps persist in literacy : one-third of women are illiterate (34.2%) than 17.6% of men. In political empowerment, globally, women in Parliament is at 128th position and gender gap of 83.2%, and 90% gap in a Ministerial position. The gap in wages equality for similar work is above 51.8%. On health and survival, four large countries Pakistan, India, Vietnam, and China, fare poorly, with millions of women there not getting the same access to health as men.

    The pandemic has only slowed down in its tracks the progress India was making towards achieving gender parity. The country urgently needs to focus on “health and survival,” which points towards a skewed sex ratio because of the high incidence of gender-based sex-selective practices and women’s economic participation. Women’s labour force participation rate and the share of women in technical roles declined in 2020, reducing the estimated earned income of women, one-fifth of men.

    Learning from the Nordic region, noteworthy participation of women in politics, institutions, and public life is the catalyst for transformational change. Women need to be equal participants in the labour force to pioneer the societal changes the world needs in this integral period of transition.

    Every effort must be directed towards achieving gender parallelism by facilitating women in leadership and decision-making positions. Social protection programmes should be gender-responsive and account for the differential needs of women and girls. Research and scientific literature also provide unequivocal evidence that countries led by women are dealing with the pandemic more effectively than many others.

    Gendered inequality, thereby, is a global concern. India should focus on targeted policies and earmarked public and private investments in care and equalized access. Women are not ready to wait for another century for equality. It’s time India accelerates its efforts and fight for an inclusive, equal, global recovery.

    India will not fully develop unless both women and men are equally supported to reach their full potential. There are risks, violations, and vulnerabilities women face just because they are women. Most of these risks are directly linked to women’s economic, political, social, and cultural disadvantages in their daily lives. It becomes acute during crises and disasters.

    With the prevalence of gender discrimination, and social norms and practices, women become exposed to the possibility of child marriage, teenage pregnancy, child domestic work, poor education and health, sexual abuse, exploitation, and violence. Many of these manifestations will not change unless women are valued more.


    2021 WEF Global Gender Gap report, which confirmed its 2016 finding of a decline in worldwide progress towards gender parity.

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    Over 2.8 billion women are legally restricted from having the same choice of jobs as men. As many as 104 countries still have laws preventing women from working in specific jobs, 59 countries have no laws on sexual harassment in the workplace, and it is astonishing that a handful of countries still allow husbands to legally stop their wives from working.

    Globally, women’s participation in the labour force is estimated at 63% (as against 94% of men who participate), but India’s is at a dismal 25% or so currently. Most women are in informal and vulnerable employment—domestic help, agriculture, etc—and are always paid less than men.

    Recent reports from Assam suggest that women workers in plantations are paid much less than men and never promoted to supervisory roles. The gender wage gap is about 24% globally, and women have lost far more jobs than men during lockdowns.

    The problem of gender disparity is compounded by hurdles put up by governments, society and businesses: unequal access to social security schemes, banking services, education, digital services and so on, even as a glass ceiling has kept leadership roles out of women’s reach.

    Yes, many governments and businesses had been working on parity before the pandemic struck. But the global gender gap, defined by differences reflected in the social, political, intellectual, cultural and economic attainments or attitudes of men and women, will not narrow in the near future without all major stakeholders working together on a clear agenda—that of economic growth by inclusion.

    The WEF report estimates 135 years to close the gap at our current rate of progress based on four pillars: educational attainment, health, economic participation and political empowerment.

    India has slipped from rank 112 to 140 in a single year, confirming how hard women were hit by the pandemic. Pakistan and Afghanistan are the only two Asian countries that fared worse.

    Here are a few things we must do:

    One, frame policies for equal-opportunity employment. Use technology and artificial intelligence to eliminate biases of gender, caste, etc, and select candidates at all levels on merit. Numerous surveys indicate that women in general have a better chance of landing jobs if their gender is not known to recruiters.

    Two, foster a culture of gender sensitivity. Take a review of current policies and move from gender-neutral to gender-sensitive. Encourage and insist on diversity and inclusion at all levels, and promote more women internally to leadership roles. Demolish silos to let women grab potential opportunities in hitherto male-dominant roles. Work-from-home has taught us how efficiently women can manage flex-timings and productivity.

    Three, deploy corporate social responsibility (CSR) funds for the education and skilling of women and girls at the bottom of the pyramid. CSR allocations to toilet building, the PM-Cares fund and firms’ own trusts could be re-channelled for this.

    Four, get more women into research and development (R&D) roles. A study of over 4,000 companies found that more women in R&D jobs resulted in radical innovation. It appears women score far higher than men in championing change. If you seek growth from affordable products and services for low-income groups, women often have the best ideas.

    Five, break barriers to allow progress. Cultural and structural issues must be fixed. Unconscious biases and discrimination are rampant even in highly-esteemed organizations. Establish fair and transparent human resource policies.

    Six, get involved in local communities to engage them. As Michael Porter said, it is not possible for businesses to sustain long-term shareholder value without ensuring the welfare of the communities they exist in. It is in the best interest of enterprises to engage with local communities to understand and work towards lowering cultural and other barriers in society. It will also help connect with potential customers, employees and special interest groups driving the gender-equity agenda and achieve better diversity.