But now the user has to set the preprocessor macro appropriately when he builds your program. Nobody wants to give the user a pop quiz on the intricacies of his C library every time he goes to install new software. So instead the developer writes a shell script that tries to compile a trivial program that uses function foo. If the script succeeds, it defines the preprocessor macro FOO_AVAILABLE, and the program will use foo; if it fails, it doesn’t define that macro, and the program will fall back to bar.
That shell script grew into configure. A configure script for an old and widely ported piece of software can check for a lot of platform features.