Couldn't the quickest gains on this issue be raleized via religious reforms on birth control, particularly by the Catholic Church? Isn't that the biggest reason why this is a taboo issue you have to take those guys head on? I mean, whenever I discuss this with people, we identify sex is just for procreation/condoms are bad doctrine as a root cause pretty quick. To address this problem, you have to take on a monolithic institution that's very firmly entrenched in the countries with the highest birth rates. Not fun. Short of convincing celibate fogies to rewrite their laws, I guess we would have to focus our efforts on education in these places. Sounds like work.