After a decade and a half of working on the issues facing the world’s poorest people, I like to call myself an impatient optimist. When I visited rural India last month, I was reminded of all the reasons why. I got impatient for progress to move faster when I saw a toddler suffering from malnutrition, his little belly painfully swollen and distended — and when I met a six-year-old whose prospect of living a healthy and productive life is much grimmer than her twin brothers, simply because she was born a girl.

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