Although the Choice on Termination of Pregnancy Act was passed in 1996, its taken a long time for the message to reach many women, especially those in rural areas. Despite resistance from certain social workers, nurses and doctors, the Act gives women the choice whether or not they wish to have an abortion. In this audio report, Pamela Rubushe a Senior Social Worker at Dora Nginza Hospital in Port Elizabeth says before the Act was passed there were many tragic cases of women resorting to back street abortions where they would use extreme measures to abort their unborn babies. This resulted in many women losing their wombs or even dying from infections or loss of blood.