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If instead policy makers and program managers participate in an interdisciplinary assessment team, make informal visits to local families and have in-depth conversations with local providers and health authorities, the real needs and complex challenges of organizing good reproductive health services become apparent. The first country that implemented this participatory program of assessment, research and policy development was Brazil. I was one of the outsiders who provided support to the initiative.

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My grandmother, grandfather, my mom - we've always been driven by laughter. It's what held us together. Thanksgivings, any kind of family get-together, we usually end up in tears.

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