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Project Prevention is headed by Barbara Harris, who started the organisation in 1997. It was initially named CRACK (Children Requiring a Caring Kommunity). While her PR has become more sophisticated in recent years, Barbara Harris has famously been quoted as saying “We don’t allow dogs to breed. We spay them. We neuter them. We try to keep them from having unwanted puppies, and yet these women are literally having litters of children.”

In Britain, human rights groups have been working actively to oppose Project Prevention. Initially it hoped to offer drug users money to be sterilized there too, but faced with the British Medical Association’s stringent ethical requirements, it decided to settle for offering payment for long-term contraception instead. Now Barbara Harris has her sights on Africa, with her first stop in Kenya. There, she claims she has found a doctor who will insert intrauterine devices (IUD) devices into HIV positive women for a fee of $7 a time. She also plans to offer women agreeing to undergo this procedure a one-time cash payment of $40 – bringing the total cost to $47 per procedure.

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