Introduction 1. Sexual and Reproductive health and health sector reform in Latin America and the Caribbean: a aritical analysis. 2.Health sytems reform and equity: a theoretical framework. 3. Health sector reform in Latin America and the Caribbean: conceptualisation and agenda. 4.The presence of international organizations in the region. 5.Economic and social overview of the Latin American region in the 80´s and 90´s. 6.Overview of health in the region in the 80´s and 90´s: some indicators. 7. Overview of sexual and reproductive health in the region in the 80´s and 90´s: some indicators. 8.The child-maternal insurances. 9.The case studies- Colombia, Brazil, Chile, Costa Rica and Belize - a brief comparison.