Problem: You are part of a medical mission to a small town in a country where contraceptives are not readily available and family planning consists of either constant pregnancies or regular abortions. This has resulted in a health crisis for the women with a life expectancy half that of the male population. Both deaths in childbirth and deaths from complications as a result of an annual cycle of pregnancy followed by an abortion are on the rise.
What are the ethics involved? How do you approach the families of the town? Consider that the culture is highly patriarchal and you need to be convincing rather than dogmatic.