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In 2008, our 41 Member Associations in Latin America and the Caribbean provided 29, 819,125 services. We helped improve individual lives, change attitudes and reduce poverty’s grip throughout the region. We drove on rugged mountain roads to serve women living in remote villages, miles from the nearest clinic. We were in the forefront of opposition to restrictive laws repressive policies and that deprive women of their dignity and the right to determine their own reproductive destinies.  We also empowered young people through peer education programs and increased their access to appropriate sexual and reproductive health education, information and services.

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The Family Planning Association of Trinidad and Tobago is presenting this interpretation and legal opinion in the hope that it will serve to set out more clearly the circumstances under which a woman may have access to safe and legal terminations of pregnancy in Trinidad and Tobago and so guide actual practice in this important matter of women’s health.

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In 2007, the International Federation of Gynecology and Obstetrics (FIGO) initiated a project to conduct situational analyses of unsafe abortion in each country or territory with FIGO affiliated societies; this initiative represents a notable step in the formulation of a global public health response to the issue of Unsafe Abortion and Maternal Mortality. There was a stipulation that no new research should be done, but country groups should collect available information.

A core list of items to be included in the situational analysis of every country was defined, as well as a longer list of items to be collected whenever possible. These form the headings for the various sections of this document.

Furthermore, the FIGO project calls upon health professionals and governments to examine these pressing issues and generate solutions to address the needs of women facing an unwanted pregnancy from a social justice and human rights perspective. The situational analysis conducted in Trinidad and Tobago demonstrates an impressive effort by a range of key organizations and local actors to gather and analyze the available country data on unwanted pregnancy and unsafe abortion.

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This report analyzes the relationship between unsafe abortion, restrictive laws, and a lack of economic resources, and urges a commitment to ending the fatal effects of unsafe abortion through law reform and provision of safe abortion.

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The health exception is one of the components of legal permission for the termination of a pregnancy guaranteed by the majority of Latin American and Caribbean countries. This exception refers to the possibility of terminating a pregnancy when the pregnancy puts
the woman’s health at risk. However, its practical implementation has been accompanied by a combination of obstacles that have resulted in many women not accessing safe and timely abortion services, even when legally permitted.

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The publications contains an analysis of health regulation in various countries in Latin America and the Caribbean, designed to assess measure that aid in the implementation of laws enabling the provision of legal abortion services.

The report also sets out a proposed model regulation that includes minimum standards for what is required by governments and health care providers to ensure women’s access to safe, dignified and timely services.  This publication is the first attempt to establish a model regulation based on a comparison of current regulations.

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This
 Fall edition includes articles on IPPF/WHR's lead in the fight for 
sexual rights and our work shaping international youth activists. We 
also highlight donor, Walter Youngquist and an article about the Mexico
 Supreme Court's decision to decriminalize abortion.


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The Spring 2009 edition of Reaching Out includes articles on guarenteeing sexual and reproductive rights in the Andean region and on comprehensive sexuality education.  There is also an editorial on the end of the Global Gag Rule and a profile of donors Scott and Julie McIntosh.

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We have been working hand in hand with our Member Association PROFAMIL for more than two decades. Now, after the devastating earthquake this past January, we are working to help develop a long-term recovery plan to increase access to sexual and reproductive health services for displaced women and others during the grueling rebuilding phase. In this Spring 2010 edition of Reaching Out you will learn more about our work in Haiti in addition to Nicaragua’s highly restrictive abortion laws and how one pregnant cancer patient faces certain death because of the ban on therapeutic abortions. Also, Alex Sanger contributes an OpEd about maternal mortality and Kristi Miller shares her experience of visiting four IPPF/WHR Member Associations.

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By means of this publication, IPPF/WHR aims to contribute to young people’s exercise of their rights by presenting five articles written by experts. These essays include thoughts and recommendations concerning key elements that foster the development of adolescents’ capacities. We are referring specifically to their ability to make autonomous decisions regarding their sexual and reproductive health in a confidential environment. The articles particularly stress the aspects that must be taken into account in the context of health services provision, including comprehensive care services for unwanted pregnancies. The latter is a topic of special interest for IPPF/ WHR and its Member Associations, and a prevailing problem in Latin America and the Caribbean.

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