World's Busiest Maternity Ward

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0:00:09 > 0:00:15The world's population is growing at a rate of 80 million people a year.

0:00:15 > 0:00:18Manila, the capital of the Philippines,

0:00:18 > 0:00:21is home to one of the world's busiest maternity wards.

0:00:21 > 0:00:24How many babies have you delivered? Maybe 200,000.

0:00:26 > 0:00:27'In Manila's teeming slums,

0:00:27 > 0:00:32it feels like the world can't possibly support even more people.'

0:00:32 > 0:00:34Oh, gosh. I'm just trying to take this place in.

0:00:34 > 0:00:35It goes on and on.

0:00:35 > 0:00:37'But for the first time in living memory,

0:00:37 > 0:00:39'here and around the world,

0:00:39 > 0:00:41'there's the possibility of a very different future.'

0:00:41 > 0:00:44It's contagious when you talk to Filipinos,

0:00:44 > 0:00:45being so proud of our own country.

0:00:45 > 0:00:48I've followed the lives of three families across Manila

0:00:48 > 0:00:51during a time of dramatic change.

0:00:54 > 0:00:58How are you? Congratulations, Daddy. I'm very happy.

0:00:58 > 0:01:02I will get out of this kind of place. I got a job.

0:01:02 > 0:01:07Who knows? Maybe all your dreams will be fulfilled some day.

0:01:10 > 0:01:11He's opening his eyes.

0:01:14 > 0:01:18It's a future that will see the world's population explosion

0:01:18 > 0:01:20finally come to an end.

0:01:36 > 0:01:41Hello, ladies. Hello. All these pregnant ladies, hello.

0:01:44 > 0:01:49Dr Jose Fabella Public Hospital is in the heart of downtown Manila,

0:01:49 > 0:01:52one of the most densely populated cities on earth.

0:01:53 > 0:01:55How many women have registered today?

0:01:55 > 0:01:58Today? 200.

0:01:58 > 0:01:59And what time is it?

0:01:59 > 0:02:02It's 10.30 in the morning? It's 11... 11.00.

0:02:04 > 0:02:09One in five of central Manila's mums come here to deliver their babies.

0:02:13 > 0:02:15The midwives work day and night,

0:02:15 > 0:02:17bringing young Filipinos into the world.

0:02:20 > 0:02:23Ana Apruebo is the most senior nurse on the ward.

0:02:26 > 0:02:28How many babies have you delivered?

0:02:28 > 0:02:30I'm sorry, but I can't remember, it's so many.

0:02:30 > 0:02:34Give me a ballpark figure. Maybe...

0:02:34 > 0:02:35200,000.

0:02:37 > 0:02:41Yes, because I am already here since 1986,

0:02:41 > 0:02:44been here for almost 28 years.

0:02:44 > 0:02:46OK, I think we may have found

0:02:46 > 0:02:49the most experienced baby deliverer in the world.

0:02:53 > 0:02:57This is maternity on an industrial scale.

0:02:58 > 0:03:03With 24,000 babies born a year, Ana has to run a tight ship.

0:03:05 > 0:03:07When contractions have begun in earnest,

0:03:07 > 0:03:10the women are packed into the tiny labour room.

0:03:12 > 0:03:16How many to a bed? Five. Five in a bed? Five in a bed.

0:03:16 > 0:03:19Sometimes we have more.

0:03:23 > 0:03:28At the very last minute, the mums are wheeled into the delivery room.

0:03:34 > 0:03:37Good luck. Good luck, lady.

0:03:37 > 0:03:40How many women are giving birth in here?

0:03:40 > 0:03:42Six. Six.

0:03:44 > 0:03:47With minimum fuss, the midwives get to work.

0:03:52 > 0:03:54There's a little arm!

0:03:58 > 0:04:03BABY CRIES

0:04:03 > 0:04:07They have what you might call a hands-on approach here.

0:04:07 > 0:04:12And despite the relentless pressure, there's no sense of panic or chaos.

0:04:14 > 0:04:17A woman has just given birth to a baby.

0:04:17 > 0:04:22There's a woman who's about to give birth any second, and...

0:04:22 > 0:04:26I can't hear anybody screaming, I can't hear any babies crying,

0:04:26 > 0:04:29everyone is so controlled, composed...

0:04:29 > 0:04:32I mean, she's obviously in a lot of pain.

0:04:32 > 0:04:35I don't know what that says about the Filipino women..

0:04:35 > 0:04:37maybe it's something about their psyche,

0:04:37 > 0:04:38maybe they are...

0:04:40 > 0:04:41ANITA GASPS

0:04:41 > 0:04:44Yes, oh!

0:04:47 > 0:04:50Just like that, a baby's born. Another one.

0:04:50 > 0:04:53BABY CRIES

0:04:54 > 0:04:55Is it a boy?

0:04:57 > 0:04:59Yep, that's a boy.

0:05:07 > 0:05:09Welcome to Manila.

0:05:14 > 0:05:17BABY WHIMPERS

0:05:22 > 0:05:25This is a 24-hour operation.

0:05:25 > 0:05:29As babies are wheeled out at one end of the hospital...

0:05:29 > 0:05:32expectant mums are checking in at the other.

0:05:32 > 0:05:35How are you? Anita.

0:05:35 > 0:05:36Rosaly.

0:05:36 > 0:05:38Rosaly. Rosaly.

0:05:38 > 0:05:40So, how pregnant are you, Rosaly, when are you due?

0:05:40 > 0:05:42July 17th.

0:05:42 > 0:05:45This month.

0:05:45 > 0:05:48Well, that's in a few days. Amazing.

0:05:48 > 0:05:51What number is this? How many children do you have?

0:05:51 > 0:05:53Seven. You have seven children already? Yes.

0:05:53 > 0:05:55Is this number seven or number eight? Number seven.

0:05:55 > 0:05:57Number seven, lucky number seven.

0:05:59 > 0:06:01And how old are your children?

0:06:01 > 0:06:0616... Uh-huh. ..14,

0:06:06 > 0:06:12nine, eight, four and two years old.

0:06:12 > 0:06:13And...? And then...

0:06:14 > 0:06:17You've been having babies for a long time.

0:06:22 > 0:06:26By baby number seven, the final check-up should be routine.

0:06:38 > 0:06:42When the patient comes in, you must know, how many kids do you have?

0:06:42 > 0:06:46We must know the case, even if you are dealing with this patient.

0:06:46 > 0:06:48You've got to know their case histories...

0:06:48 > 0:06:51Yes, everybody that comes into the delivery room.

0:06:51 > 0:06:52Amazing.

0:06:52 > 0:06:54Even if 10 or 15.

0:06:54 > 0:06:56And you must recognise women as well.

0:06:56 > 0:06:59Oh, I've seen you before. Baby number ten. Yes.

0:07:00 > 0:07:03So, I am just checking the head.

0:07:03 > 0:07:08Would you like to? Yeah, I would. Could I? What do I do? Just...?

0:07:08 > 0:07:11It's the head. That's the head!

0:07:11 > 0:07:12Awww, amazing!

0:07:14 > 0:07:18So I'm checking the uterine size.

0:07:18 > 0:07:23'Everything seems normal, but there are always risks around childbirth.

0:07:23 > 0:07:26'One of the most serious is haemorrhaging,

0:07:26 > 0:07:30'especially for women who've had so many babies.'

0:07:41 > 0:07:45'Because of the shortage of blood for transfusions, every mother has

0:07:45 > 0:07:47'to bring friends or relatives

0:07:47 > 0:07:49'who can give blood in case of an emergency.'

0:08:10 > 0:08:12OK, Rosaly, let's get you up.

0:08:12 > 0:08:16Well done, well done. Thank you.

0:08:25 > 0:08:28The women who give birth in Fabella Hospital

0:08:28 > 0:08:30come from the poorest parts of the city.

0:08:36 > 0:08:40Manila is one of the fastest growing cities on Earth...

0:08:41 > 0:08:44..and there are children everywhere.

0:08:47 > 0:08:50In the next 40 years, the population of the Philippines

0:08:50 > 0:08:53is expected to grow by 50%.

0:08:59 > 0:09:05Rosaly lives in Tondo, Manila's biggest and poorest slum.

0:09:11 > 0:09:12Here we go.

0:09:14 > 0:09:17Tondo grew up around the city's huge rubbish dump.

0:09:17 > 0:09:21It's now thought to be home to up to half a million people.

0:09:23 > 0:09:25The first thing that's really obvious

0:09:25 > 0:09:28is that there's children everywhere.

0:09:31 > 0:09:33Absolutely everywhere.

0:09:35 > 0:09:38Hello. Hello. Hello. Hello.

0:09:38 > 0:09:43There's a shack behind you that's made out of bedsprings.

0:09:44 > 0:09:46God, this is really intense.

0:09:46 > 0:09:49Oh, gosh. I'm just trying to take this place in.

0:09:49 > 0:09:50It goes on and on.

0:09:50 > 0:09:53This is one of the most densely populated places,

0:09:53 > 0:09:57certainly in the Philippines, if not in the world.

0:09:57 > 0:10:00There's thousands of families that live here,

0:10:00 > 0:10:02in this tiny little space.

0:10:06 > 0:10:09Every year, hundreds of thousands of people

0:10:09 > 0:10:12migrate from the countryside, looking for work in the city.

0:10:19 > 0:10:22Are you recycling?

0:10:23 > 0:10:27Yeah, I think they're recycling. Emptying all the rubbish.

0:10:27 > 0:10:30How much money for one bag?

0:10:30 > 0:10:32Six pesos. Six pesos.

0:10:34 > 0:10:36Less than a penny.

0:10:41 > 0:10:44Hello. Hello, hello. Whoo!

0:10:44 > 0:10:45Steady!

0:10:45 > 0:10:48Steady, steady.

0:10:48 > 0:10:51God, this is where they live, this is where they play.

0:10:51 > 0:10:52They live on a rubbish dump.

0:10:57 > 0:11:02In the back streets of Tondo, I finally found Rosaly's house.

0:11:02 > 0:11:04Hey, Rosaly.

0:11:04 > 0:11:07How are you? Lovely to see you again. Thank you.

0:11:07 > 0:11:11Is this your husband? Yes, Eduardo.

0:11:11 > 0:11:13Eduardo, pleased to meet you. How are you, Sir?

0:11:13 > 0:11:14Nice to meet you.

0:11:14 > 0:11:15So where's your home?

0:11:15 > 0:11:17Where do you live, which is your house?

0:11:19 > 0:11:20This one here?

0:11:24 > 0:11:25It's pitch black.

0:11:29 > 0:11:30Be careful.

0:11:30 > 0:11:34Are you being careful? I'm not the one who's nine months pregnant.

0:11:37 > 0:11:39How do you get up here in your condition?

0:11:41 > 0:11:44A-ha, it opens out.

0:11:44 > 0:11:46This is your home. Yeah.

0:11:49 > 0:11:53The whole family lives in this one small room.

0:12:03 > 0:12:06380? Yes.

0:12:06 > 0:12:08Just over ?6 a day, OK.

0:12:08 > 0:12:11And you do a bit of embroidery? Yeah, yeah.

0:12:11 > 0:12:13And how much do you earn from your embroidery?

0:12:23 > 0:12:27So ?4, but it could take you about three to four days to earn ?4.

0:12:27 > 0:12:31So, between you, your income is quite low.

0:12:55 > 0:12:59Rosaly's story is replicated around the world.

0:13:01 > 0:13:05More than a billion people live in extreme poverty,

0:13:05 > 0:13:08battling malnutrition and disease.

0:13:08 > 0:13:11And the poorest families have the most children.

0:13:11 > 0:13:15In Tondo, families of ten or more are common.

0:13:15 > 0:13:19A future with billions more mouths to feed feels very scary.

0:13:20 > 0:13:23But things are changing,

0:13:23 > 0:13:25in ways we couldn't imagine just a few years ago.

0:13:29 > 0:13:31Not far from Manila's biggest slum

0:13:31 > 0:13:35is evidence of an economic revolution.

0:13:40 > 0:13:42This is Makati...

0:13:44 > 0:13:47..Manila's business and financial district.

0:13:51 > 0:13:54Just 20 years ago, most of this wasn't here.

0:13:59 > 0:14:04These skyscrapers now house more than 60,000 different businesses

0:14:04 > 0:14:08including multi-national companies, global banks

0:14:08 > 0:14:11and huge shopping malls.

0:14:19 > 0:14:25In the last few years, the economy here has grown at breakneck speed.

0:14:32 > 0:14:37Along with the posh shops, there's also an exclusive private hospital.

0:14:42 > 0:14:46Makati Med is known for its state-of-the-art maternity unit.

0:14:48 > 0:14:52Its medical director is Dr Annebelle Aherrera.

0:14:53 > 0:14:56OK, "Dr Rani".

0:14:58 > 0:15:00I'm ready to deliver a baby.

0:15:03 > 0:15:04Wow.

0:15:04 > 0:15:09This is where they undergo the caesarean section.

0:15:11 > 0:15:13State of the art.

0:15:13 > 0:15:15It's a huge room, isn't it?

0:15:15 > 0:15:17How much is it to have a caesarean?

0:15:17 > 0:15:19Roughly, in a small private room,

0:15:19 > 0:15:23anywhere from about 140,000 to 150,000.

0:15:23 > 0:15:24That's a lot of money.

0:15:24 > 0:15:27That's about ?2,000.

0:15:27 > 0:15:29Who is it? Is it middle class women? Is it wealthy women?

0:15:29 > 0:15:32Middle class. Upper middle class.

0:15:32 > 0:15:34And is that section of society growing?

0:15:34 > 0:15:37Are you finding your hospital is becoming busier? Yes.

0:15:37 > 0:15:42There is now a growing population of the young professionals,

0:15:42 > 0:15:44the yuppies.

0:15:44 > 0:15:51They can earn more and spend more and actually be able to afford

0:15:51 > 0:15:54this kind of service.

0:15:56 > 0:16:01Now we will enter the operating room theatres. Right.

0:16:02 > 0:16:04This is a caesarean section.

0:16:04 > 0:16:07Oh, someone is actually having a caesarean. Yes.

0:16:07 > 0:16:12This is the anaesthesiologist, the obstetrician,

0:16:12 > 0:16:14the assist, two assists,

0:16:14 > 0:16:20the husband, then the nurse and two paediatric residents.

0:16:20 > 0:16:23Gosh. Lots of people. Yes.

0:16:23 > 0:16:25Is that normal? That's normal.

0:16:26 > 0:16:31So we have three birthing rooms and this is the biggest of the three. OK.

0:16:32 > 0:16:36Oh, this is a birthing room.

0:16:36 > 0:16:38This is the birthing room.

0:16:38 > 0:16:40You have your own bathroom.

0:16:40 > 0:16:42You've got a massive window. A massive window.

0:16:42 > 0:16:45You've got a sofa. Yes.

0:16:45 > 0:16:47This is amazing.

0:16:47 > 0:16:49I want to live here, never mind having my baby here.

0:16:49 > 0:16:51Check out this view!

0:16:51 > 0:16:53This is awesome.

0:16:53 > 0:16:55Welcome to the world, baby!

0:17:03 > 0:17:05And as your yuppies grow, as you call them,

0:17:05 > 0:17:08then more of them will want to come and have their babies here.

0:17:08 > 0:17:13Yes, they are increasing. Although, we do notice

0:17:13 > 0:17:17that they would actually limit to about two or three children.

0:17:21 > 0:17:23The heart...

0:17:23 > 0:17:25the stomach...

0:17:25 > 0:17:26and the thigh bone.

0:17:28 > 0:17:32Rose and Gino Artillaga are having their second baby at Makati Med.

0:17:32 > 0:17:36You see the mouth maturing there? It's a good sign.

0:17:36 > 0:17:39I'm so happy. Of course.

0:17:39 > 0:17:42As part of Manila's growing middle class,

0:17:42 > 0:17:45they can afford the hi-tech facilities here.

0:17:45 > 0:17:48BABY'S HEARTBEAT PLAYS THROUGH MONITOR

0:17:48 > 0:17:50That's the heartbeat.

0:17:53 > 0:17:55OK, we're done.

0:17:56 > 0:18:01Hello, Gino. Hello, Rose. Anita. Pleased to meet you.

0:18:01 > 0:18:02How are you?

0:18:02 > 0:18:04Hello. Who's this?

0:18:04 > 0:18:06Hello?

0:18:06 > 0:18:10I think he's so engrossed into his iPad.

0:18:10 > 0:18:12How are you feeling, Rose?

0:18:12 > 0:18:15I feel...heavy.

0:18:15 > 0:18:18Heavy? How long have you got? You're nearly there, aren't you?

0:18:18 > 0:18:19Just a few days?

0:18:19 > 0:18:24Yeah, actually, I have my scheduled CS on Friday.

0:18:24 > 0:18:26Scheduled Caesarean. Yes.

0:18:26 > 0:18:30Do you know what you're having? Are you having a girl or a boy?

0:18:30 > 0:18:32It's a baby girl.

0:18:33 > 0:18:36Wonderful, perfect.

0:18:36 > 0:18:38One boy, one girl. Done.

0:18:38 > 0:18:40It's done.

0:18:42 > 0:18:47'Like Gino and Rose, most wealthier Filipinos have just two children.

0:18:47 > 0:18:50'Gino wasn't born middle class,

0:18:50 > 0:18:53'he's worked his way up to a job in an international bank.'

0:18:53 > 0:18:55Is there something within the Filipino psyche,

0:18:55 > 0:18:57do you think, that is driving you?

0:18:57 > 0:19:04Yeah, I think so. I think Filipinos, by nature, are hard-working people.

0:19:04 > 0:19:08We strive very hard to improve our lives

0:19:08 > 0:19:12and I think we also try very hard to achieve that.

0:19:12 > 0:19:18From very humble beginnings, I think I've started my way up

0:19:18 > 0:19:20and then I would like to believe

0:19:20 > 0:19:24that I'm still on that path going up.

0:19:25 > 0:19:26The opportunities are there,

0:19:26 > 0:19:31you just have to grab it and take advantage of it.

0:19:38 > 0:19:42More middle class families, like Gino and Rose, means fewer children

0:19:42 > 0:19:45and potentially an end to the population explosion here.

0:19:49 > 0:19:52It's all about creating new jobs.

0:19:52 > 0:19:54For years,

0:19:54 > 0:19:57poverty has driven millions of Filipinos to work abroad.

0:20:00 > 0:20:04Now, like Gino, more and more are finding work here.

0:20:06 > 0:20:10'Siva Subramaniam is the national manager of one of the largest

0:20:10 > 0:20:12'outsourcing companies in the Philippines.'

0:20:12 > 0:20:14We are a Swedish company

0:20:14 > 0:20:18and we service multinational companies from the US, Canada,

0:20:18 > 0:20:19the UK, as well as Australia.

0:20:19 > 0:20:21So when I'm picking up my phone

0:20:21 > 0:20:25to call some customer service company for X, Y or Z,

0:20:25 > 0:20:29I could possibly be speaking to somebody in this building? Yeah.

0:20:29 > 0:20:31High possibility that you could be talking

0:20:31 > 0:20:32to somebody in the Philippines.

0:20:32 > 0:20:36WORKERS CHAT

0:20:36 > 0:20:38The Philippines recently overtook India

0:20:38 > 0:20:41as the call centre capital of the world,

0:20:41 > 0:20:44employing nearly half a million people across the country.

0:20:46 > 0:20:50Companies like this are on a massive recruitment drive.

0:20:50 > 0:20:53How many people come in on average a day?

0:20:53 > 0:20:56On a given day, a good day, 350 to 450.

0:20:56 > 0:20:57That many people?

0:20:57 > 0:21:00And how many jobs are you offering at the end of every day?

0:21:00 > 0:21:02Typically, our hit ratio is anything between 10 to 14%

0:21:02 > 0:21:05of those who will get a job offer at the end of the day.

0:21:05 > 0:21:08So you could walk in here, apply for the job

0:21:08 > 0:21:11and by the end of the day, you could have a job? Job offer.

0:21:13 > 0:21:16Patient, polite and well-educated,

0:21:16 > 0:21:20Filipinos are great at handling customers on the phone,

0:21:20 > 0:21:23even the most difficult clients.

0:21:23 > 0:21:26On this floor, they're dealing with Brits.

0:21:28 > 0:21:30If someone is really aggro with you on the phone, right,

0:21:30 > 0:21:34and a British person, like, "I want some service and I want it now"

0:21:34 > 0:21:36and getting angry, how do you deal with them?

0:21:36 > 0:21:37I say sorry.

0:21:37 > 0:21:40I say, "How is your day doing so far?"

0:21:40 > 0:21:42And then eventually, you get along with the short conversation

0:21:42 > 0:21:44and then you get along with them

0:21:44 > 0:21:47and they say, "Hi, lovey. I believe you can do this, you can do that"

0:21:47 > 0:21:50so basically, you're really working in the end, so it's like...

0:21:50 > 0:21:52And they're calling you "love" by the end of it.

0:21:52 > 0:21:54Yeah, that's the best thing about it.

0:21:54 > 0:21:57You know you've won them over when they're calling you "love". Yeah.

0:21:57 > 0:22:00"Thanks, love." Then I say, "Thank you for calling, bye."

0:22:04 > 0:22:08But getting one of these highly-prized jobs isn't easy.

0:22:08 > 0:22:11There's a rigorous selection process, including interviews

0:22:11 > 0:22:13and language tests.

0:22:15 > 0:22:18Once you're through that, things begin to get serious.

0:22:18 > 0:22:20Right, guys, so welcome to day one.

0:22:20 > 0:22:24We're going to deal with UK culture right now, OK?

0:22:24 > 0:22:26So here's your question.

0:22:26 > 0:22:32So which festival involves putting one's head in a horse collar

0:22:32 > 0:22:35and making the ugliest face that he can?

0:22:37 > 0:22:39What? Maybe...

0:22:39 > 0:22:41You have ten seconds left.

0:22:41 > 0:22:44No idea. Nine, eight, seven...

0:22:44 > 0:22:48Amazingly, one of them actually knew the answer.

0:22:48 > 0:22:50I think it's gurning.

0:22:50 > 0:22:52Pardon? Gurning?

0:22:52 > 0:22:54All right, let's see.

0:22:54 > 0:22:57And there we go. Gurning?!

0:22:57 > 0:23:00How did he know that? I didn't know that.

0:23:03 > 0:23:05OK, so let's go with a few more.

0:23:05 > 0:23:09So if I tell you "donkey's years..."

0:23:09 > 0:23:11Ah, there you go.

0:23:11 > 0:23:15How could we use it and where would it come out during an interaction?

0:23:15 > 0:23:22If the customer complains that he already applied for an iPhone,

0:23:22 > 0:23:24and it hasn't arrived yet,

0:23:24 > 0:23:28he'll probably complain to say, "I've been waiting donkey's years."

0:23:28 > 0:23:31CHEERING AND APPLAUSE

0:23:31 > 0:23:33OK, that's great, that's great.

0:23:33 > 0:23:35All right, bloody hell.

0:23:35 > 0:23:38All right, no, wait, wait, wait. I'll have her say it.

0:23:38 > 0:23:40Could you help us out, please? Say "bloody hell".

0:23:40 > 0:23:43Yes. Bloody hell.

0:23:43 > 0:23:45Bloody hell.

0:23:45 > 0:23:48Flippin' heck, bloody hell.

0:23:48 > 0:23:52You could say that to somebody as a greeting...no, I'm kidding.

0:23:52 > 0:23:54THEY LAUGH

0:23:54 > 0:23:57They're like "OK, OK." No, don't!

0:23:57 > 0:24:02So you're only allowed to hear it, not say it. Yeah. Cool?

0:24:05 > 0:24:09Once they've successfully grasped the subtleties of our language,

0:24:09 > 0:24:12these workers are willing to work long hours for a rate of pay

0:24:12 > 0:24:14far lower than in the West.

0:24:14 > 0:24:18A job here can be the gateway to a whole new life.

0:24:18 > 0:24:19Because of this job,

0:24:19 > 0:24:24I was able to actually send three of my siblings to school

0:24:24 > 0:24:27and, of course, provide for their needs and put food on our table.

0:24:27 > 0:24:29That's seriously impressive.

0:24:29 > 0:24:33How old are you? I am 21. You're 21.

0:24:33 > 0:24:36And you've paid for three of your siblings to go to school

0:24:36 > 0:24:39and you support your whole family. Yeah. That's amazing.

0:24:45 > 0:24:48Unbelievable. I am so impressed.

0:24:48 > 0:24:50I've spoken to a handful of people.

0:24:50 > 0:24:53All of them have got great degrees,

0:24:53 > 0:24:56fantastic grasp of the English language.

0:24:56 > 0:25:01But also, we're talking about ?300 to ?400 a month.

0:25:01 > 0:25:03That's what they are prepared to work for

0:25:03 > 0:25:06and that would radically improve the quality of their lives.

0:25:06 > 0:25:08Very impressive. You can see why

0:25:08 > 0:25:12companies would want to be here in the Philippines.

0:25:18 > 0:25:22It feels like business is booming here.

0:25:22 > 0:25:25But this is a huge country and in rural areas,

0:25:25 > 0:25:29more than a third of people live below the poverty line.

0:25:29 > 0:25:33Can you really lift a country of a hundred million people

0:25:33 > 0:25:35out of poverty with call centres?

0:25:39 > 0:25:42This is the central part of Makati,

0:25:42 > 0:25:45which is really the Wall Street of the Philippines.

0:25:45 > 0:25:48I went to meet one of the country's most respected businessmen,

0:25:48 > 0:25:50Ramon del Rosario.

0:25:51 > 0:25:53Is it happening? It feels like it's happening.

0:25:53 > 0:25:56It feels like the world's eyes are definitely on the Philippines.

0:25:56 > 0:25:58I think it's beginning to happen

0:25:58 > 0:26:01and this is not just call centres,

0:26:01 > 0:26:04these are things like doing medical,

0:26:04 > 0:26:08medical transcription work or work for lawyers

0:26:08 > 0:26:12or even doing more sophisticated things like financial analysis.

0:26:12 > 0:26:14The whole range of business process outsourcing

0:26:14 > 0:26:17has grown in this country tremendously.

0:26:17 > 0:26:20And that's really what's happening in our country now.

0:26:20 > 0:26:22I think maybe part of it is contagious

0:26:22 > 0:26:25when you talk to Filipinos, being so proud of our own country,

0:26:25 > 0:26:28but I think a lot of foreigners have also noticed what's happening

0:26:28 > 0:26:31and that's why there is so much attention.

0:26:31 > 0:26:33I've been here for a little while

0:26:33 > 0:26:35and we know that this country is performing well.

0:26:35 > 0:26:38You outperformed China in terms of your economy

0:26:38 > 0:26:40at the beginning of this year, that's the big headline,

0:26:40 > 0:26:43and I've met people working in call centres.

0:26:43 > 0:26:45You can see that there's a foreign interest here.

0:26:45 > 0:26:49I've also met the poorest of the poor here in Manila.

0:26:49 > 0:26:50What are the opportunities

0:26:50 > 0:26:53for the people at that end of your social structure?

0:26:53 > 0:26:56Well, that's really the big challenge.

0:26:56 > 0:26:58While our economy has grown,

0:26:58 > 0:27:01I guess there's a lot more work that needs to be done

0:27:01 > 0:27:04so that the benefits of this economic growth

0:27:04 > 0:27:07will reach the poorest of the poor.

0:27:07 > 0:27:10And I think number one there is education.

0:27:10 > 0:27:12And the whole idea is to equip our people,

0:27:12 > 0:27:16even the poorer kids in our country, with good education

0:27:16 > 0:27:19that will allow them to lift not only their own lives

0:27:19 > 0:27:21but the lives of their families

0:27:21 > 0:27:23and enjoy part of this prosperity

0:27:23 > 0:27:26that we're looking forward to in this country.

0:27:27 > 0:27:29It's a huge challenge but around the world,

0:27:29 > 0:27:33an extraordinary and hardly-noticed change is going on.

0:27:33 > 0:27:35Despite the growing population,

0:27:35 > 0:27:39a smaller proportion of people now live in extreme poverty

0:27:39 > 0:27:42than ever before in the history of the world.

0:27:42 > 0:27:45And population growth has also begun to slow.

0:27:45 > 0:27:48As improved healthcare leads to greater child survival,

0:27:48 > 0:27:51women around the world are now having far fewer babies.

0:27:51 > 0:27:56Even in places like Tondo, there is now real hope of an end

0:27:56 > 0:28:00to the cycle of large families and extreme poverty.

0:28:00 > 0:28:03GIRL SINGS KARAOKE

0:28:09 > 0:28:13'I was heading to meet someone fighting to improve her life.'

0:28:13 > 0:28:16Hello. Hello, what's he selling?

0:28:18 > 0:28:19Fish?

0:28:19 > 0:28:21Fish and sausages and eggs.

0:28:23 > 0:28:27What's your name? Erlinda Flores.

0:28:27 > 0:28:31Erlinda Flores! How long have you lived here, Erlinda?

0:28:31 > 0:28:32SHE SPEAKS FILIPINO

0:28:32 > 0:28:36Your whole life? Hello. Hello. What's your name?

0:28:38 > 0:28:42I am Junalyn. Junalyn, Anita, pleased to meet you.

0:28:42 > 0:28:46You've got very good English. Not so good. No, it's excellent!

0:28:46 > 0:28:49So you help your mum with the store? Yeah.

0:28:49 > 0:28:52I am the one who helps my mum store managing here.

0:28:52 > 0:28:56And how old are you, Junalyn? 24. 24 years old.

0:28:56 > 0:28:57And what do you want to do?

0:28:57 > 0:29:00Now? What's going on in your life these days?

0:29:00 > 0:29:03Actually, I am working at CBPS. You're working where?

0:29:03 > 0:29:09CBPS. CBPS? CitiGroup Business Practice Solutions. At Citibank.

0:29:09 > 0:29:11You're working at Citibank?

0:29:11 > 0:29:12Yes. Amazing.

0:29:12 > 0:29:16And you live here? Yeah, unfortunately.

0:29:16 > 0:29:18I am working for six months over there.

0:29:20 > 0:29:23Every day, Junalyn travels from her home in Tondo

0:29:23 > 0:29:27to do work experience in the offices of a global bank.

0:29:27 > 0:29:29How long have you lived here?

0:29:29 > 0:29:3120 years, almost 20 years.

0:29:31 > 0:29:32Wow.

0:29:33 > 0:29:36This is my sister. Hello, pleased to meet you!

0:29:36 > 0:29:38Pleased to meet you. Yes.

0:29:38 > 0:29:39And what's your name? Rolinda.

0:29:39 > 0:29:41Rolinda, pleased to meet you, Rolinda.

0:29:41 > 0:29:44So you're Junalyn's older sister? Older sister, yes.

0:29:44 > 0:29:47And what do you do? Well, I am a housewife.

0:29:47 > 0:29:49You're a housewife, OK, where do you live?

0:29:49 > 0:29:52Here. Here, at home. The same home. The same home.

0:29:52 > 0:29:55You must be incredibly proud of your sister?

0:29:55 > 0:29:56Yes, I am.

0:29:56 > 0:29:59She motivates herself to reach her goals,

0:29:59 > 0:30:01which I am not able to do on my own,

0:30:01 > 0:30:04because, as you can see, I am a mother of three.

0:30:04 > 0:30:06What did you want to be?

0:30:06 > 0:30:09Before, I want to be a nurse, but I didn't finish my course.

0:30:09 > 0:30:12Because I get...married

0:30:12 > 0:30:14and you know, so on...

0:30:15 > 0:30:18If you want an example, just look at me,

0:30:18 > 0:30:20you see I never get that far.

0:30:20 > 0:30:24But you can do it, keep it up.

0:30:26 > 0:30:28Junalyn's mother had 11 children.

0:30:28 > 0:30:30Her sister already has three.

0:30:30 > 0:30:33But she's determined to break the cycle of poverty

0:30:33 > 0:30:34and endless childbirth.

0:30:38 > 0:30:40This is our house.

0:30:40 > 0:30:42Yeah, I'll take my boots off.

0:30:42 > 0:30:45No, it's OK. No, no, no. No, it's OK!

0:30:45 > 0:30:48No, I can't, you've just taken yours off, I'm taking mine off.

0:30:48 > 0:30:50Seriously.

0:30:50 > 0:30:52I am sorry it's a bit of a mess.

0:30:52 > 0:30:55It's not a mess, it's incredibly tidy, you don't have to apologise.

0:30:55 > 0:30:57Can I have a look? Yeah, it's OK.

0:30:57 > 0:30:59How many people live here?

0:30:59 > 0:31:02Seven - my mum, my sisters, my nieces and then my brother.

0:31:03 > 0:31:07Who sleeps up here? I sleep here and my mum.

0:31:07 > 0:31:09Then my sister and her three kids.

0:31:09 > 0:31:10Your sister and your three kids there.

0:31:10 > 0:31:13And you sleep here? And my mum. And where do the boys sleep?

0:31:13 > 0:31:16Downstairs, in the living room.

0:31:16 > 0:31:19Quite right, in the living room, and you get the nice bedroom.

0:31:19 > 0:31:23One of Junalyn's 11 siblings works in Egypt as a maid -

0:31:23 > 0:31:25she sends home what little she can.

0:31:25 > 0:31:29But that money is barely enough to keep the household afloat

0:31:29 > 0:31:32and it isn't nearly enough to allow Junalyn to go to college.

0:31:32 > 0:31:35When you were young, what did you want to be?

0:31:35 > 0:31:38When I was young, actually I want to be...

0:31:39 > 0:31:41..a doctor.

0:31:41 > 0:31:44But it would be a hard time for me.

0:31:44 > 0:31:46And, of course, a financial problem. Mm.

0:31:47 > 0:31:50Finding a job is the only way Junalyn will be able

0:31:50 > 0:31:52to cover the costs of going to college.

0:31:54 > 0:31:57What about kids, what about marriage?

0:31:57 > 0:31:59It's not my plan, it's not my plan.

0:31:59 > 0:32:01It's not on my mind right now.

0:32:01 > 0:32:05I need to pursue my dream first before get marriage...

0:32:05 > 0:32:07I know...

0:32:07 > 0:32:09Lots of population here in the Philippines

0:32:09 > 0:32:11so I don't want to...

0:32:11 > 0:32:15To be them, you see, you see it, I know you walk around this.

0:32:15 > 0:32:17There's a lot of family problems here -

0:32:17 > 0:32:19they cannot feed their children.

0:32:19 > 0:32:21So I don't want to be one of them...

0:32:23 > 0:32:26In my mind, if I get marriage,

0:32:26 > 0:32:28I have my own job, a good job.

0:32:29 > 0:32:31I've walked through this area.

0:32:31 > 0:32:33I've seen... You live on a rubbish dump?

0:32:33 > 0:32:35This is a rubbish dump, right? Yeah.

0:32:35 > 0:32:38So how have you managed to...

0:32:38 > 0:32:42get yourself to study and get an internship at Citibank?

0:32:42 > 0:32:45I grow here and then...

0:32:45 > 0:32:49I thought to myself, that some day...

0:32:49 > 0:32:52I will get out of this kind of place because...

0:32:52 > 0:32:55even though I am not...

0:32:55 > 0:32:56Even though I am not that...

0:32:56 > 0:32:58College degree...

0:32:58 > 0:33:00I know if I get a job...

0:33:00 > 0:33:02I can finish my study and pursue my goal

0:33:02 > 0:33:05and get out of this, this kind of place

0:33:05 > 0:33:09because I didn't have father, my father is died

0:33:09 > 0:33:11so before he left...

0:33:12 > 0:33:14..he told me that,

0:33:14 > 0:33:17"Even though you have not finished your degree,

0:33:17 > 0:33:20"finished your study,

0:33:20 > 0:33:25"don't forget to look after your family first.

0:33:25 > 0:33:26"I believe in you."

0:33:26 > 0:33:28So that's why...

0:33:28 > 0:33:29I always put in my mind.

0:33:29 > 0:33:33Who knows, maybe all your dreams will be fulfilled,

0:33:33 > 0:33:35some day I get out of this kind of place.

0:33:38 > 0:33:40I am sorry.

0:33:40 > 0:33:43Sorry. I'm sorry. No, I think you're incredible.

0:33:43 > 0:33:45I'm just, I'm trying to understand

0:33:45 > 0:33:47where this comes from within you.

0:33:47 > 0:33:49Tell me what kind of life you want to live.

0:33:50 > 0:33:52I want a simple life.

0:33:52 > 0:33:55I have own house, I'm working at the office.

0:33:55 > 0:33:58Finished my... That's my goal.

0:33:58 > 0:34:00If I can do...

0:34:00 > 0:34:02If I can do that, I am happy

0:34:02 > 0:34:04and I know my dad would be happy too...

0:34:04 > 0:34:05for me.

0:34:13 > 0:34:17Junalyn now has the chance to fulfil her dreams.

0:34:17 > 0:34:21In a few days, she has an interview for a permanent job at the bank.

0:34:21 > 0:34:24Even a salary of just ?200 a month

0:34:24 > 0:34:26would be enough to change everything.

0:34:31 > 0:34:33And who knew that I'd come

0:34:33 > 0:34:36to one of the worst places I've ever visited

0:34:36 > 0:34:40and meet someone so utterly inspiring.

0:34:40 > 0:34:42With every ounce of her being,

0:34:42 > 0:34:46Junalyn wants to get her and her family

0:34:46 > 0:34:47the heck out of this place...

0:34:50 > 0:34:53..and I really, really hope she does it.

0:35:06 > 0:35:10On the other side of Tondo, Rosaly and Eduardo's baby is due any time.

0:35:18 > 0:35:22With a seventh child on the way, Rosaly can't afford to stop work.

0:36:08 > 0:36:12Eduardo is also working every hour he can before the baby arrives.

0:36:33 > 0:36:37The Philippines is a strictly Catholic country.

0:36:37 > 0:36:38For women like Rosaly,

0:36:38 > 0:36:40contraception isn't readily available

0:36:40 > 0:36:43and when it is, it's expensive.

0:37:00 > 0:37:03Rosaly and Eduardo have come to the Fabella hospital.

0:37:05 > 0:37:08Rosaly's contractions still haven't begun

0:37:08 > 0:37:11and the midwife is worried that she's bleeding.

0:37:14 > 0:37:16Are you OK? Is everything OK? Yes.

0:37:17 > 0:37:19You look a lot more worried today

0:37:19 > 0:37:21than the last time I saw you, Eduardo.

0:37:45 > 0:37:49This is a public hospital, but you still have to pay for operations.

0:37:49 > 0:37:53The cost of a Caesarean would bankrupt the family.

0:37:53 > 0:37:54How do you feel?

0:37:54 > 0:37:57Eduardo is worried, worried about your health,

0:37:57 > 0:37:58worried about the delivery.

0:38:12 > 0:38:14I am just giving Eduardo and Rosaly

0:38:14 > 0:38:16a bit of time to think...

0:38:16 > 0:38:19They're obviously both incredibly worried.

0:38:19 > 0:38:22It's just a waiting game, just have to sit and wait.

0:38:25 > 0:38:27They just...don't want to have a Caesarean section

0:38:27 > 0:38:28at any cost, really.

0:38:50 > 0:38:54For tonight, Rosalie and Eduardo are given the all-clear.

0:38:54 > 0:38:57Now all they can do is go back home to Tondo and hope for the best.

0:39:08 > 0:39:12On the other side of town, Rose has been rushed into hospital.

0:39:12 > 0:39:15It's a day ahead of their scheduled Caesarean.

0:39:19 > 0:39:22I thought the baby was coming tomorrow! Yeah.

0:39:22 > 0:39:24She had other plans.

0:39:24 > 0:39:27She wanted to come out earlier. Yes!

0:39:27 > 0:39:30I was in the office

0:39:30 > 0:39:31when Rose texted me...

0:39:33 > 0:39:35..and they said that...

0:39:35 > 0:39:37the operation can't wait until tomorrow,

0:39:37 > 0:39:39it has to be done tonight.

0:39:39 > 0:39:43So what did you do, just pack up, leave, come straight here?

0:39:43 > 0:39:45Yeah.

0:39:45 > 0:39:48I finished something up in the office before coming here.

0:39:48 > 0:39:50How long did you spend in the office?

0:39:50 > 0:39:53You got the text, how long did you spend in the office

0:39:53 > 0:39:54before you left?

0:39:54 > 0:39:56Three more hours.

0:40:25 > 0:40:27We're cleaning up the baby. How are you?

0:40:27 > 0:40:30Congratulations, Daddy. Very happy.

0:40:30 > 0:40:32How is she? Uh...

0:40:32 > 0:40:34How's little Madeleine?

0:40:34 > 0:40:36She's OK.

0:40:36 > 0:40:38She seems to be very healthy.

0:40:38 > 0:40:40She cries very loud.

0:40:40 > 0:40:42She cries very loud.

0:40:42 > 0:40:44You must be absolutely delighted. Yeah.

0:40:44 > 0:40:46How was the operation? How was it in there?

0:40:46 > 0:40:48It went well. Were you quite tense?

0:40:48 > 0:40:51Oh, yeah, but I tried not to show it.

0:40:51 > 0:40:52Yeah, of course, trying to stay strong.

0:40:52 > 0:40:55And now, how do you feel? Relieved.

0:40:55 > 0:40:56Relieved.

0:40:56 > 0:40:59Done, family done? Yes. That's it. That's it.

0:41:07 > 0:41:11Gino and Rose have decided that two children is enough.

0:41:21 > 0:41:22My name is Junalyn B Flores.

0:41:22 > 0:41:25I am taking a bachelor of science degree.

0:41:25 > 0:41:27Bachelor of science and business administration.

0:41:27 > 0:41:29It would be a four years' course

0:41:29 > 0:41:31but unfortunately, I didn't finish it.

0:41:32 > 0:41:36It's the morning of Junalyn's interview for the job at Citibank.

0:41:36 > 0:41:39Her sister is rehearsing some questions.

0:41:39 > 0:41:40So, Junalyn...

0:41:41 > 0:41:45..tell me...about your skills.

0:41:45 > 0:41:46Do you have any skills?

0:41:46 > 0:41:48I have skills.

0:41:48 > 0:41:51Of course, all of us have our skills, ma'am.

0:41:51 > 0:41:53My skills are more computers

0:41:53 > 0:41:55and I am hardworking.

0:41:55 > 0:41:58How can you prove yourself that you are hardworking?

0:41:59 > 0:42:03I don't have any job experience yet, but I know in myself

0:42:03 > 0:42:05that I'd be hardworking

0:42:05 > 0:42:08because this would be my first job that I'd get hired,

0:42:08 > 0:42:11so I need to prove to myself and my employer-to-be

0:42:11 > 0:42:12that I am hardworking.

0:42:12 > 0:42:15Neither of them has ever had a job interview before,

0:42:15 > 0:42:18so they've researched interview techniques on the internet.

0:42:18 > 0:42:21When you speak in English and you try to answer,

0:42:21 > 0:42:24just be yourself, look at the eyes

0:42:24 > 0:42:28and then have a confidence, that's all I can say.

0:42:28 > 0:42:33Eye contact, try my confidence, be myself during my interview.

0:42:37 > 0:42:40Yeah, she trembles, she doesn't have enough confidence,

0:42:40 > 0:42:42I am very worried for her English.

0:42:44 > 0:42:46I do try to brief her, but...

0:42:48 > 0:42:51..I don't know how can I help her.

0:42:51 > 0:42:54There is lots of competitors,

0:42:54 > 0:42:57fresh graduates from well-known universities.

0:43:00 > 0:43:03I am really worried, I really don't know what to do.

0:43:10 > 0:43:12'There's a lot of mud in Tondo.

0:43:12 > 0:43:15'I don't want to get my good shoes dirty.

0:43:23 > 0:43:25'I need to wear flip flops

0:43:25 > 0:43:27'because my long way...

0:43:29 > 0:43:31'..will be muddy.

0:43:33 > 0:43:37'I need to walk slowly and watch my step.

0:43:43 > 0:43:45'I really need this job.

0:43:45 > 0:43:47'My entire family needs it.

0:43:49 > 0:43:55'My mum worked hard and she always worried about us,

0:43:55 > 0:43:58'so I really...

0:43:58 > 0:44:02'want to give her the best while she is still alive.'

0:44:09 > 0:44:11Junalyn's journey from the slums of Tondo

0:44:11 > 0:44:14to the Makati business district symbolises the challenge

0:44:14 > 0:44:17facing countries like the Philippines -

0:44:18 > 0:44:22how to use this economic boom to lift ordinary people

0:44:22 > 0:44:23out of extreme poverty.

0:44:28 > 0:44:31For Junalyn, today could be the start of that journey.

0:44:42 > 0:44:44'I am so very nervous

0:44:44 > 0:44:48'because if I don't get this job, I'm not sure what I am going to do.'

0:44:54 > 0:44:59There have always been rich and poor in countries like the Philippines.

0:44:59 > 0:45:02What's new is the rise of the middle classes,

0:45:02 > 0:45:07and it's their spending power which is transforming the country.

0:45:07 > 0:45:10But the brashness of this new wealth can still be shocking.

0:45:10 > 0:45:13Not far from where Junalyn hopes to work,

0:45:13 > 0:45:16I'd arranged to meet Manila's own celebrity plastic surgeon

0:45:16 > 0:45:21and host of a popular TV makeover show - Vicky Belo.

0:45:21 > 0:45:23Anita, hello. Pleased to meet you.

0:45:23 > 0:45:25I have heard so much about you!

0:45:25 > 0:45:27Thank you for visiting Belo Medical Group.

0:45:27 > 0:45:29Thank you, Vicky. Can I just say?

0:45:29 > 0:45:31Are these gold computers?

0:45:31 > 0:45:33Yeah, we're the Gold Clinic.

0:45:33 > 0:45:35I'll show you something. I'm so proud of this.

0:45:35 > 0:45:38This is what we call - to bring us luck and feng shui -

0:45:38 > 0:45:40this is a "mother of pearl wall". Oh, wow.

0:45:40 > 0:45:43You know how you buy bags, and they're so expensive?

0:45:43 > 0:45:46I know all about mother of pearl.

0:45:46 > 0:45:48That is quite something.

0:45:48 > 0:45:51Is it real? It is, of course! That must have cost a bit!

0:45:51 > 0:45:54Yeah, but it's worth it, it makes me feel rich.

0:45:55 > 0:45:58I have to say, I've stepped into a completely different world.

0:45:58 > 0:46:01Thank you so much, we appreciate it.

0:46:01 > 0:46:05We really wanted to show off and make our clinic "First World."

0:46:08 > 0:46:11Vicky has nine clinics across the country

0:46:11 > 0:46:13and an increasingly younger clientele.

0:46:15 > 0:46:17We have a lot more patients.

0:46:17 > 0:46:20It used to be that there was very rich and very poor.

0:46:20 > 0:46:22Now, because a lot of people come here to invest,

0:46:22 > 0:46:23our middle class is strong,

0:46:23 > 0:46:26which is really the backbone of any successful country.

0:46:26 > 0:46:28I don't think we could have been successful

0:46:28 > 0:46:29if there were just so many people

0:46:29 > 0:46:31below the poverty line.

0:46:31 > 0:46:33In Britain, if you've made a bit of money,

0:46:33 > 0:46:37the British way is to be very modest and not to tell anybody. Oh.

0:46:37 > 0:46:39What's the Filipino way?

0:46:39 > 0:46:42No, the Filipino way is to show off.

0:46:42 > 0:46:48The Filipino way is to have only signature stuff - the watches.

0:46:48 > 0:46:51It used to be just bags and shoes and now Louboutin,

0:46:51 > 0:46:56everybody's wearing Louboutin, those $1,200 shoes,

0:46:56 > 0:46:57they all have it.

0:46:57 > 0:46:59You know how Imelda Marcos had 3,000 pairs of shoes?

0:46:59 > 0:47:03Yeah. I think a lot of my friends have 3,000 pairs of shoes!

0:47:03 > 0:47:07Shall we go in? Come on, Anita, let's go and meet a patient.

0:47:07 > 0:47:08Hello. Hello, this is Denise.

0:47:08 > 0:47:10Hello, Denise, pleased to meet you.

0:47:10 > 0:47:12How old are you Denise? I am 18.

0:47:12 > 0:47:14Denise, you are so beautiful,

0:47:14 > 0:47:17what on earth could you possibly be having done?

0:47:17 > 0:47:21Oh, I am going to have my underarm lasered and whitened also.

0:47:21 > 0:47:24Underarm whitened? Yes. At 18...

0:47:24 > 0:47:27Can I see your underarm? Here.

0:47:27 > 0:47:29Why does it need whitening?

0:47:29 > 0:47:32I don't know, you know how you get conscious.

0:47:32 > 0:47:34They want it all even.

0:47:34 > 0:47:37So this colour has to be that colour.

0:47:37 > 0:47:39So this one is a bit dark for them.

0:47:39 > 0:47:40I talk to the men,

0:47:40 > 0:47:43and it's really true, they check it out all the time. Really?

0:47:43 > 0:47:45They have an armpit fetish. They have an armpit fetish.

0:47:45 > 0:47:49A lot of people have feet fetish and breast things,

0:47:49 > 0:47:51in the Philippines, it's armpits. Armpits.

0:48:08 > 0:48:09OK, that's it.

0:48:16 > 0:48:20It's hard to understand how this western-style consumerism

0:48:20 > 0:48:23can help the millions of poverty-stricken Filipinos.

0:48:25 > 0:48:28But many economists believe that this country,

0:48:28 > 0:48:30like many others in the developing world,

0:48:30 > 0:48:32have a unique opportunity to move forward.

0:48:34 > 0:48:36I went to meet Batara Sianturi,

0:48:36 > 0:48:40the country CEO of the bank where Junalyn is hoping to get a job.

0:48:40 > 0:48:42Very exciting time.

0:48:42 > 0:48:47The huge workforce of the Philippines economy

0:48:47 > 0:48:51will drive this economy between now and 2050,

0:48:51 > 0:48:55for example, to become one of the, maybe,

0:48:55 > 0:48:58top 15 largest economies in the world.

0:48:58 > 0:49:01But it's also got very high unemployment rates here,

0:49:01 > 0:49:02high levels of poverty,

0:49:02 > 0:49:05surely that's going to be a stumbling block?

0:49:05 > 0:49:07As the economy grows,

0:49:07 > 0:49:09whether it's manufacturing or service,

0:49:09 > 0:49:11the middle class will grow,

0:49:11 > 0:49:14because between the supply and demand,

0:49:14 > 0:49:18it's probably going to be creating a huge domestic consumption economy

0:49:18 > 0:49:23as well, just like other economies have experienced.

0:49:23 > 0:49:27The lower class, which is still not enjoying middle class status,

0:49:27 > 0:49:32will be lifted up and that grows the middle class,

0:49:32 > 0:49:33which will be, you know,

0:49:33 > 0:49:36the basis of the economic growth of the Philippines.

0:49:39 > 0:49:42For Rose and Gino and their new baby daughter Madeleine,

0:49:42 > 0:49:45the future could not look brighter.

0:49:45 > 0:49:47This looks quite nice, doesn't it?

0:49:47 > 0:49:49Gated community.

0:49:49 > 0:49:53They've seized the opportunities on offer in the new Manila.

0:49:53 > 0:49:55Tight security.

0:49:55 > 0:49:56INDISTINCT CONVERSATION

0:49:59 > 0:50:01There he is, he's come out to meet us.

0:50:06 > 0:50:08Hi, Gino. Hi, Anita.

0:50:08 > 0:50:10Good to see you. Yeah, good to see you again.

0:50:10 > 0:50:12Yeah, so this is your place?

0:50:12 > 0:50:14Yeah. Lovely. Our humble home.

0:50:14 > 0:50:16It's very nice.

0:50:16 > 0:50:17How long have you lived here?

0:50:17 > 0:50:19We've lived here two years.

0:50:19 > 0:50:21You can come inside. Thank you.

0:50:23 > 0:50:25(Sound asleep.) Yeah, sleep.

0:50:28 > 0:50:31She's beautiful, look at her!

0:50:31 > 0:50:32You've done very well.

0:50:33 > 0:50:36We are so amazed she has two dimples here.

0:50:36 > 0:50:40I...am not expecting it

0:50:40 > 0:50:44as we don't have any member in the family who has dimples.

0:50:44 > 0:50:47So I don't know why she has them.

0:50:48 > 0:50:51First of all, I want her to grow healthy...

0:50:51 > 0:50:53finish school and then later on,

0:50:53 > 0:50:57she can choose whatever she wants -

0:50:57 > 0:51:01she can choose the college course she wants,

0:51:01 > 0:51:03whatever profession she wants to be.

0:51:03 > 0:51:05We will be here to support her

0:51:05 > 0:51:10and we both hope that she becomes very successful.

0:51:10 > 0:51:13As her parents, I think we did well, so we were hoping

0:51:13 > 0:51:15that she would do better than us...

0:51:17 > 0:51:19..and we did it here in the Philippines.

0:51:19 > 0:51:22We did not have to go out of the country to have it done.

0:51:26 > 0:51:29It's almost impossible to imagine from the crowded maternity ward

0:51:29 > 0:51:31of the Jose Fabella hospital,

0:51:31 > 0:51:35but population growth is now slowing dramatically.

0:51:39 > 0:51:41The average number of babies per woman here

0:51:41 > 0:51:46has dropped from over five to nearer three in just 30 years.

0:51:48 > 0:51:50Globally, the figure is much lower.

0:51:53 > 0:51:57The era of fast population growth will soon be over.

0:52:04 > 0:52:06In another part of Fabella Hospital,

0:52:06 > 0:52:08Rosaly had finally gone into labour.

0:52:17 > 0:52:20It looked like the natural delivery she wanted,

0:52:20 > 0:52:22not the expensive Caesarean they feared.

0:52:25 > 0:52:26Hi, Rosaly.

0:52:32 > 0:52:34Does she...? Should she push?

0:52:34 > 0:52:35Or not yet?

0:52:39 > 0:52:41Oh, my gosh.

0:52:41 > 0:52:43Wow.

0:52:43 > 0:52:45Oh, my God, here it comes.

0:52:45 > 0:52:48Here it comes.

0:52:48 > 0:52:50I can see the head, it's got a lot of hair.

0:52:50 > 0:52:51Come on, Rosaly.

0:52:53 > 0:52:55Go on, girl, go on, go on.

0:52:56 > 0:52:58You can do this.

0:53:20 > 0:53:23OK, Rosaly. Should she be pushing?

0:53:27 > 0:53:29Oh, my gosh.

0:53:37 > 0:53:39Here he is.

0:53:39 > 0:53:41Here he is. Oh.

0:53:44 > 0:53:45And he's perfect.

0:53:47 > 0:53:49He's opening his eyes.

0:53:52 > 0:53:53Hello, sweetheart.

0:54:01 > 0:54:05Rosalie's new baby, Matthew, faces an uncertain future -

0:54:05 > 0:54:09born into poverty in a tough city with no safety net.

0:54:26 > 0:54:29And for the first time in decades, there is real hope

0:54:29 > 0:54:30that kids like these

0:54:30 > 0:54:33will have a better chance in life than their parents.

0:54:33 > 0:54:35There's another one over there, look.

0:54:35 > 0:54:37Do you want to get stuck in?

0:54:37 > 0:54:38No, I'm tired.

0:54:42 > 0:54:45Before leaving Manila, there was one last person

0:54:45 > 0:54:46I wanted to catch up with.

0:54:50 > 0:54:53I am on my way to Citibank to meet Junalyn.

0:54:53 > 0:54:56She's had a six month internship with the bank,

0:54:56 > 0:54:59but today she had an interview for a job.

0:55:01 > 0:55:03It's huge.

0:55:03 > 0:55:05So I'm going to go and meet her to find out how it went.

0:55:07 > 0:55:09If she gets this job...

0:55:09 > 0:55:13it will change that girl's life, not just hers, her entire family's.

0:55:15 > 0:55:18Hi, Junalyn, look at you! Hi.

0:55:18 > 0:55:20How are you? I'm very well.

0:55:20 > 0:55:23How are you? I am good. Tell me, how was your interview?

0:55:23 > 0:55:25My interview is doing...

0:55:25 > 0:55:29GREAT! Perfect!

0:55:29 > 0:55:31Did you get hired? Yeah!

0:55:31 > 0:55:35Yes, I have a job! I have a job!

0:55:35 > 0:55:38I am so proud of myself.

0:55:39 > 0:55:41I am so proud of myself now.

0:55:41 > 0:55:44Now I have more confidence, and dreams to achieve.

0:55:44 > 0:55:46I know I can do it.

0:55:46 > 0:55:48I know I can do it and I am so very excited...

0:55:48 > 0:55:51to work here as an employee.

0:55:51 > 0:55:53Look at the office, look at the surround.

0:55:53 > 0:55:56You see the people who are working here,

0:55:56 > 0:56:00they are corporate. So I am so lucky that I get this job.

0:56:00 > 0:56:01Ah! Thank you.

0:56:03 > 0:56:05Thank you!

0:56:05 > 0:56:10Excited to go home! Yes, go float, run home. Bye-bye. See you.

0:56:10 > 0:56:11She's got a job at Citibank.

0:56:11 > 0:56:15She lives in Tondo, she wants to change her family's life

0:56:15 > 0:56:16and she's done it.

0:56:17 > 0:56:19My hairs are standing on end.

0:56:19 > 0:56:21I'm so thrilled for her. I'm so thrilled.

0:56:22 > 0:56:26After decades of stagnation and seemingly hopeless poverty,

0:56:26 > 0:56:29it feels like the Philippines is finally on the move.

0:56:33 > 0:56:37If current economic trends continue, children born today could,

0:56:37 > 0:56:39by the time they reach middle age,

0:56:39 > 0:56:42be as wealthy on average as westerners are today.

0:56:45 > 0:56:47And as the birth rate falls,

0:56:47 > 0:56:51the era of rampant population growth is also set to come to an end.

0:56:53 > 0:56:57It's a pattern repeated in many parts of the developing world.

0:57:02 > 0:57:04Who knows, there is a chance

0:57:04 > 0:57:08that places like Tondo will one day disappear for ever.

0:57:16 > 0:57:18Next time, Professor Hans Rosling presents

0:57:18 > 0:57:20the amazing population statistics

0:57:20 > 0:57:24that overturn many of our assumptions about the world today.

0:57:24 > 0:57:26I start the world, here we go.

0:57:26 > 0:57:29And you can see that China is getting the big bubble,

0:57:29 > 0:57:32is getting to better health, and then they start family planning.

0:57:32 > 0:57:34They move along to a smaller family. Then India's following.

0:57:34 > 0:57:36'His message is...don't panic.'

0:57:36 > 0:57:38What a change we have.

0:57:58 > 0:58:01Subtitles by Red Bee Media Ltd