Selected Articles from Various Newspapers & Journals
Gendered approach to sterilisation
In just less than a month after the Centre announced an
‘Enhanced Compensation Scheme’ for sterilisation services in 11 States having
high Total Fertility Rates (TFR), more than 13 women lost their lives following
botched up surgeries in a medical camp in Bilaspur district of Chhattisgarh.
There seemed no apparent urgency to organize the sterilisation camp other than
to meet the ‘targets’ set by the State government and the enhanced compensation,
perhaps, was an incentive for the young women. But just that in India
sterilisation, somehow, is understood as a permanent method of contraception
only for women — safe and simple. Official statistics suggest that the
governments — both at the Centre and States — promote female sterilisation
disproportionately. Of the total sterilisations performed in 2012-13, as many as
97.4 per cent were tubectomy procedures. Similarly, an analysis by
non-governmental organization suggests that in 2013-14, India spent 85 per cent
of its family planning expenditure on sterilisation, the beneficiaries of which
were mostly women.
On October 20 this year, the Ministry of Health and Family
Welfare decided to enhance compensation for sterilisations for 11 States which
were one of the “main interventions’’ under the Reproductive Maternal Neonatal
Child Health plus Adolescent (RMNCH+A) programme launched to meet the millennium
development goals. It also added a new component of Post Partum Sterilisation
(PPS) — done soon after delivery or within 7 days — to the package for which an
extra amount of Rs.3,000 would be given, of which the woman would get Rs 2,200.
This was in addition to the hiked compensation of Rs.1,400 from the earlier
Rs.600, but restricted for women who came to the public facility for delivery.
For vasectomy, the compensation has been hiked from Rs.1,100 to Rs.2,000. These
States are Uttar Pradesh, Bihar, Madhya Pradesh, Rajasthan, Chhattisgarh,
Jharkhand, Uttarakhand, Odisha, Assam, Haryana and Gujarat.
An analysis done by the Population Council of India, Family
Planning Association of India, Parivar Sewa Sansthan, and Common Health in a
report on ‘Robbed of Choice and Dignity: Indian Women Dead after Mass
Sterilisation’ suggests that in 2013-14, India spent 85 per cent of its family
planning expenditure on sterilisation. In 2013-14, India spent Rs.396.97 crore
on female sterilisation with the procedure being performed on over 39 lakh
women. A chunk of this money — Rs.324.49 crore — was spent on incentives and
compensation, and Rs.14.42 crore on the camps themselves. The amount spent as
compensation was two-and-half times the untied grants given to Primary Health
Centres for infrastructure strengthening. Less than 1.5 per cent of the annual
expenditure on family planning went towards spacing methods and the remaining
1.5 per cent was spent on equipment, transport, IEC activities and staff
expenses, it said.