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23 Jan 2012

Barrack-room surgery in Bihar's backwaters

"The Kaparfora sterilisations expose the State administration's tenuous hold over NGOs contracted for conducting family planning camps."

This appalling barrack-room surgical procedure, bereft of prescribed operating theatre (OT) facilities, started unravelling in the wee hours, when three women started haemorrhaging profusely. The Hindu : Opinion / Op-Ed : Barrack-room surgery in Bihar's backwaters

At the root of the problem is the State's all-round lack of capacity in the health sector, including family planning. Bihar's Total Fertility Rate (TFR) of 3.9 - the average number of children a woman will bear in her lifetime - is the highest in the country and vastly outstrips the national average of 2.6.

Though NGOs can and do play an important role in augmenting the efforts of the State government, the Kaparfora sterilisations expose the tenuous hold of the Nitish Kumar-run administration over NGOs contracted for conducting family planning camps.

In an indication of cover-up, the State Health Department hurriedly circulated a prima facie report on the incident to the media, contradicting police investigations and seeking to assure the public that events had transpired quite differently.

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