In Peru, despite promises from the US Agency for International Development to correct family planning abuses, problems continue. Dr. Blanca Neira of Lima recently told Population Research Institute that state-funded hospitals routinely use manual vacuum aspirators on poor women who complain that their period is late. Doctors immediately and without consent (the women think that he is merely examining them) use an aspirator to evacuate the contents of the uterus. If the woman was pregnant, as many of these women undoubtedly are, this is a form of abortion.