Indeed, this drop in fertility is among the largest in the Western Hemisphere and is attributed largely to unrestricted access to legal abortion: Cuba's abortion rate was 58.6 per 1000 pregnancies in 1996, compared to an average of 35 in the Caribbean, 27 in Latin America overall, and 48 in Europe. Similarly, the use of contraceptives is also widespread, estimated at 79% of the female population (in the upper third of countries in the Western Hemisphere).