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Samita, a 35-year-old mother of two, lives near Calcutta. Since the birth of her first son 10 years ago, she has taken extreme measures to self-induce abortions on three occasions: per her midwife’s instructions, she inserts a small grapevine stalk into her uterus, which causes heavy bleeding and intense pain. After her most recent attempt, Samita’s pain continued for more than 10 days. Her family took her to the nearest hospital, where doctors gave Samita blood transfusions and heavy doses of antibiotics. Samita’s doctor said that if she had delayed coming in by just one more day, she would have died.

India has one of Asia’s broadest abortion laws. Under the 1971 Medical Termination of Pregnancy (MTP) Act, abortions may be performed by a registered physician in a government-approved hospital or facility during the first 20 weeks of pregnancy. However, in this sprawling country of more than 1 billion people, progressive laws do not guarantee access to safe services. Although abortion has been legal in India for decades, unsafe abortions far outnumber legal procedures — an estimated 60 percent of abortions performed in India are unsafe.

Ipas India extends to 10 states. During the past 10 years, the program has worked toward strengthening training systems, service delivery of comprehensive abortion care services and advocacy initiatives to increase women's access to safe abortions, with the aim of making a positive impact on the health of Indian women.