Net Neutrality in India : Equal Choice , Equal Voice

Let’s imagine a scenario. One day your milkman knocks on your door and you buy your daily share of milk. If you are part of a typical middle class household then you would most likely be buying one liter of milk, as I always do. As you start to pay the milkman, he stops you and hands out a questionnaire to fill up before he can accept the payment. You are slightly puzzled at this moment.

Why this sudden change in the way I am supposed to pay for my milk?

You choose to not argue and fill up the survey instead to get along with your other activities quickly. You take a look at the questionnaire. Now you are even more confused. Questions in the survey ask you about how you are planning to use the one Liter milk. Are you planning to make Ghee out of the milk? You will have to pay extra since his brother runs a Ghee business and your plan will hurt his brother’s business. This is outrageous – you think. When you are anyway paying for one liter of milk what right does this milkman have to ask you how you are going to use the milk?

You are getting uncomfortable now.

This milkman should just mind his milk business and make sure I get delivered my share of milk daily – thoughts ring in your head. He shouldn’t ask me at all what am I going to do with the milk afterwards and even to think that he will charge you based on what you do with the milk is unsettling you. But you don’t fight, there are other milkmen and you’d rather buy from them now. Time to change your milk vendor. Problem solved. You get along with rest of your day.

Now imagine that milk vendor to be your internet provider – firm which hosts the internet service your phone or laptop is connected to currently. And imagine that internet provider asking what you are planning to do with the internet you have bought from them. Are you going to use Whatsapp? You will have to pay extra to have a quality experience. Are you going to use a video streaming site?  But they have a partnership with one particular site and you will either have to pay extra to use any other site or live with a frustratingly low speed. And it’s not just one Internet Service Provider (ISP), imagine every ISP doing so. Now you have no choice. No changing the milkman just because you don’t like his deal!

source (indiatimes.com)

This example is at the heart of net neutrality debate and how it can affect all of our lives.

The debate on network neutrality in India started after Airtel, a mobile service provider, announced in December 2014 that they will charge additional rates for making voice calls (VoIP) from its network using apps like WhatsApp, Skype, etc.

What is Internet Neutrality (also known as Net Neutrality) and why should we care about it?

Explaining Net Neutrality is really very simple. It’s basically these three points:

All websites must be equally accessible

The same access speed at the Internet Service Provider level for each website (independent of ISP selection)

The same data cost for access to each site (per KB/MB).

Net neutrality is based on a simple principle that all content on the internet is equal and all sites should be equally accessible. It means that as long as a content and site is legal to access over the internet, you shouldn't really have to think whether you are going to access a music video, chat with your friends over the weekend, or browse news websites. Service providers shouldn't inspect how you are using your internet data plan.

source (reddit.com) 

It also means that irrespective of what Internet Service Provider you are with, you should have equal access to all the websites and services. Meaning a particular service provider, just because it has some hypothetical deal with an E-commerce company (let’s name in abc.com) can't slow down the speed of other competitive services. Making it virtually impossible for you to shop from any other website than abc.com.

So ISPs are trying to divide internet as we know it into different sections - and you need to pay for individual section based on what type of data and service you end up using.

And this is just the half of the story.

It also has another dimension through which it hurts new and fledgling internet based companies. Any large company can tie up with an ISP and make sure that services offered by the competitors are slow or additionally charged. This is a huge blow to aspiring entrepreneurs working relentlessly on their ideas from small dorm rooms or a makeshift workspace. Deep pocketed enterprises will practically have the power of blocking out any new entrant in their business by striking a deal with the ISP that only suits them.

Internet used to be a luxury item accessed only by high tech professional or people with unnecessary money.

It used to be so.

In today’s age Internet has transformed itself into a utility that’s as basic as any other government subsidized commodity.

source (digit.in)

People in farfetched places use e-banking to send and receive money from their relatives. Students use Internet to complete their course work and project. Government Babus use internet for all types of work they do. Every person can now aspire to be a part of open and transparent ecosystem that internet has come to be. This is also serving as a great equalizer. Access to knowledge is no longer a subject to privileges of geography or money. Anybody can stream a great educational video and watch it just the same way any other person at the far end of the world will do.

This is only true as long as Internet is fair and open - its speed and quality not being subjected to the whims of self-serving conglomerates.

Net Neutrality debate is not just an Indian phenomena. This debate is taking place across the globe as you read this piece. United States of America being home to biggest Internet Service Provider is witnessing this debate rom up close. ISPs like Comcast are engaged in a fierce debate with United States public and federal government to ensure that laws protecting Net Neutrality are not enforced.

At this juncture, it’s only incumbent that we show the impact of ISPs on other websites if laws protecting Net Neutrality are not put in place.

Comcast is one of the many Service Providers in the USA. The image below shows the speed offered to Netflix – a popular video and movie streaming website by different ISPs over a few months. The image shows a very interesting trend. After September 2013 many ISPs started to reduce the speed they offered for Netflix considerably and it hurt Netflix financially. Comcast is an especially effluent ISP and commands a major share of internet traffic in the US. Around Dec 2013 Netflix caved in to this pressure and struck a deal with Comcast to share a part of their earning (read full story here).

Notice how after the deal was struck, Netflix’s speed went up several notches. Imagine this happening for services that you use in your daily lives and those services having to pay extra just to make sure they get a minimum quality from an ISP.

That would invariably lead you to pay extra to use that service.

As of now, India has no laws governing net neutrality and there have been violations of net neutrality principles by several internet service providers. While the Telecom Regulatory Authority of India (TRAI) guidelines ‘promote’ net neutrality, these guidelines are not enforced legally. The Information Technology Act, 2000 does not prohibit companies from throttling their service in accordance with their business interests.

In March 2015, the TRAI released a formal consultation paper on Regulatory Framework and invited comments from general public. More than a million responses were received and the subject matter is under active consideration currently.

To give your voice on net neutrality, please follow the TRAI link here.

(Written by Manish Jha, an Alumnus of IIIT Hyderabad and currently working with Microsoft as Program Manager. He is also associated with a social initiative 'Joy of Reading')

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A detailed Overview : India-Myanmar Bilateral-Relationship

Whenever "Myanmar" comes up for discussion on any table in India, these two pictures are very important. Though Buddha stands for cultural linkage and Aung San Suu Kyi stands for political linkage, both of them have overlapping influence upon people and the government on both the sides of border.

Pic courtesy : eurasiareview.com

Around 89% of populations in Myanmar follow Theravada Buddhism, which is the oldest surviving branch of Buddhism. It is an indication of how old and deep people to people linkage between India and Myanmar has, historically, been. Since religion has always spread along with trade, economic dimension of this relation was also important. As happens with our human neighbors, relationship between two countries did not remain strong after both the nations got their independence from Britain. (India got its freedom on 15th Aug 1947 and Burma, which is now called Myanmar, on 4th Jan 1948.) First of all, we will look into the brief history and the dimensions of relation which kept this relation at low level and then understand how relevant and important Aung San Suu Kyi is.

Pic courtesy : csmonitor.com

Historical evidences show that in the pre-colonial era, the relation between these two nations was warm due to close cultural interactions. Things changed in the colonial period. In the 19th century, one war occurred famous by the name of Anglo-Burmese War. Large number of troops which fought the war for British contained mainly Indians. This war finally resulted in the annexation of Burma to the British Empire in 1886. After that large numbers of Indians were encouraged to emigrate in Burma. They dominated in the civil services, police; landlords etc and so played a significant role in expanding agenda of British and suppressing local sentiments. Burma became a separate colony in 1937 but anti-Indian sentiment remained on the ground. 

After both the nations got Independence, there was a fresh and good start due to excellent personal rapport between the First Prime Ministers of both the nations Nehru and U Nu. Both the nations signed the Treaty of Friendship in 1951. But cracks developed in relation after army rebelled in 1962 and General Ne Win took over the government in Myanmar. Most of the Indians were forcefully expelled and their properties were confiscated in the nationalization initiatives of the govt. However, a very large number of Indians stayed back and that is why today Ethnic Indians account for approximately 2% (about 950,000) of the population of Burma. There was very limited (which we will see later in this article) interactions afterwards till 1988. Here, the relationship touched the new low. This was the year when Aung San Suu Kyi returned to Burma and started mass demonstrations for democracy. On 8 August 1988 (8–8–88, a day seen as auspicious) there was nationwide protest for democracy and Suu Kyi (She is generally called by this name) became a national icon. In the same year, a new military junta (A junta or military junta is a government led by a committee of military leaders.) took power of the govt. and suppressed the uprising. In May 1990, the government held free elections for the first time in almost 30 years and the National League for Democracy (NLD), the party of Aung San Suu Kyi, won 392 out of a total 489 seats. However, the military junta refused to cede power and continued to rule the nation through a council.  Suu Kyi was kept under house arrest until she was released on 13 November 2010 under the pressure of U.S. and others. Only China maintained close links with Myanmar during this period.

Major shift in India's policy (Post 1993)

Pic courtesy : aseanbriefing.com

Every relation has limitations and it needs to be re looked in to the way of its handling when it starts hurting more than the purpose of larger interest it stands for. India had the dilemma of choosing idealism of democracy and pragmatic engagement with a military government. India’s strategic and economic interests could not await the prolonged political evolution in the neighboring country. A major breakthrough occurred in 1987 when the then-Indian Prime Minister Rajiv Gandhi visited Myanmar, but relations worsened after the military junta's severe reaction towards pro-democracy movements in 1988(Since India supported pro-democracy movements), which resulted in an influx of Burmese refugees into India.

In 1991, Prime Minister P.V. Narasimha Rao govt. conceived India's Look East Policy to cultivate extensive economic and strategic relations with the nations of Southeast Asia in order to bolster its standing as a regional power and a counterweight to the strategic influence of China. India started engaging with the military govt in Myanmar since 1993. Over the time this relation is in the process of maturing.

Few landmarks in the relationship

After 1993 many senior level visits (Dr A.P.J Abdul Kalam and several ministers) were made but a major breakthrough occurred in Oct 2011 when Myanmar's President Thein Sein visited India. India's Prime Minister Manmohan Singh visited Myanmar in May 2012 and signed a 12-point agreement which is as following.

1	Regarding $500million Line of Credit
2	Airline Services Agreement between India and Myanmar: with more carriers and more destinations (extending to other Southeast Asian cities)
3	India-Myanmar Border Area Development
4	Establishment of Joint Trade and Investment Forum
5	Establishment of the Advance Centre for Agriculture Research and Education (ACARE)
6	Establishment of Rice Bio Park at the Department of Agricultural Research in Naypyitaw
7	Setting up  Myanmar Institute of Information Technology
8	Cooperation between Dagon University and Calcutta University
9	Cooperation between Myanmar Institute of Strategic and International Studies and Indian Council of World Affairs
10	Agreement on Cooperation between Myanmar Institute of Strategic and International Studies and Institute for Defense Studies and Analyses
11	Cultural Exchange Programme (2012-2015)
12	Establishing of Border Haats across the border between Myanmar and India

But why Myanmar is so important for India?

Right now, India needs Myanmar more than Myanmar needs India. 

1. Energy Security: Myanmar has very large reserves of natural gas and crude oil. Indian companies like GAIL, ONGC, ESSAR etc are investing aggressively.

2. Geo-political considerations: Myanmar may act as a land bridge between India and South-East Asia. Both the nations are cooperating on multilateral fora to take advantage from each other's influences.

•     India and Myanmar are leading members of BIMSTEC and the Mekong-Ganga Cooperation. These groupings are helping India develop its influence in the ASEAN. Myanmar is an Observer in SAARC since 2008. There is huge potential for economic engagement in this region which will pay great dividends to change the destiny of millions of poor.
•     India will be benefited by reaching out to China's vulnerable neighbors to counter its strategy of 'String of Pearls'.

3. To curtail insurgencies and open up space for the development of North East (NE) region: Improving ties with Myanmar will help dismantle training camps and hide-outs which insurgents in NE of India have made in Myanmar. India has a 1,643 km land border without any fence and deep people to people contact. To utilize this advantage positively, hurdles created by insurgency must be removed.

4. Help curtail parallel economy and funding to insurgency: India is located between the “Golden Crescent” (Afghanistan-Pakistan-Iran) in the west and the “Golden Triangle” in the east and thus is confronted by the arms-drug nexus. Drug and arms trafficking is a major source of funding to insurgents in both India and Myanmar.

   

Both the nations have planned various infrastructural projects for economic integration.

1. Indo-Myanmar friendship road: Tamu-Kalewa-Kalemyo highway, popularly called the Indo-Myanmar Friendship Road, built mainly by the Indian Army's Border Roads Organization. India had completed this project in 2001 but Myanmar did not complete its bit of repairing 71 bridges. So, Indian govt. took complete responsibility in 2012. This road will also be connected to other cities by 2016.

Pic courtesy : firstpost.com

2. India-Myanmar-Thailand Friendship Highway: A 4-lane, 3200 km triangular highway connecting will connect these nations. Route: (Guwahati => Mandalay => Yangon=>Mae Sot =>Bangkok.

This road will be extended to Cambodia and Vietnam under Ganga-Mekong Cooperation within the wider framework of Asian Highway Network: proposed and implemented by the United Nations Economic and Social Commission for Asia and Pacific (UNESCAP). India-Myanmar Friendship road is it also part of the Trilateral Highway.

Pic courtesy :quora.com

3. BCIM Corridor: Bangladesh, India, China and Myanmar-Economic Corridor (BCIM-EC) is a sub-regional grouping that seeks to deepen friendly cooperation among the four member nations and linking South Asia with Southeast and East Asia. The primary focus of the economic corridor is to facilitate trade and connectivity between the landlocked and economically isolated southwestern parts of China and the North Eastern region of India. Route: (Kunming in China’s Yunan province) => (Yangon and Mandalay in Myanmar) => North Eastern States of India => (Chittagong-Dhaka-Sylhet in Bangladesh) =>End in Kolkata. The leaders of the four nations intends to revive the ancient “Southern Silk Road” and its southwestern trade routes which emerged as the shortest journey between China and India and served as a highway for merchants carrying gold and silver in the Twelfth century.

4. Kaladan Multi-modal Transit Route

 Route of the Project

 a) Kolkata to Sittwe Port in Myanmar

 b) Sittwe to Paletwa:  Inland Water transport on Kaladan river

 c) Paletwa to India-Myanmar Border : Road 

 d) Border to Lawngtlai on NH-54(Mizoram)

This project is under various stages of completion. (http://www.mdoner.gov.in/content/introduction-1)

5. Many other projects like Delhi-Hanoi rail link, Chennai-Dawei Sea corridor project are in planning stage.

Various contentious issues between India and Myanmar

1. Border Issue with India

Indian govt. decided to fence the border between India and Myanmar to check infiltration, smuggling of arms and narcotics and human trafficking on the pattern of the India-Pakistan and India-Bangladesh borders, where the fence has been effective in checking infiltration and illegal migration to a large extent. This project was started in 2004 after the Joint Survey was completed by both the govt. (India and Myanmar) in 2003.

The vulnerability of the India-Myanmar border stems from a number of factors. 

a. Even though the international boundary between the two countries had been formally delimited and demarcated following the boundary agreement on March 10, 1967, the boundary has not crystallized on the ground.

b. The insurgencies in this area have delayed the crystallization of the international border with Myanmar and have contributed towards sustaining these insurgencies for so long.

c. The India-Myanmar border has a unique arrangement in place called the Free Movement Regime (FMR). The FMR permits the tribes residing along the border to travel 16-km across the boundary without visa restrictions. While the FMR has helped the tribes continue maintain their age old ties, it has also become a cause of concern for the security establishment. The insurgents have been taking advantage of the FMR and have been crossing over to Myanmar to receive training in arms and establish safe havens .This border has also become the main conduit for the trafficking of arms and narcotics from Myanmar. Trafficking of women and children from the Northeast to Myanmar and further to Southeast Asia are also rampant along the border.

The boundary line cuts across houses and villages thus dividing several tribes such as the Singphos, Nagas, Kukis, Mizos, etc., and forcing them to reside as citizens of different countries. They have been claiming that India has ceded its land in the favour of Myanmar. After the Political parties and Non-Governmental Organizations in this area joined the chorus, the central govt. halted this project in Dec 2013.

Similar protest is running on the Myanmar's side but they are raising anti-India sentiment and claiming that India has encroached.

2. Influx of Rohingya refugees to India

In 2012, waves of deadly violence engulfed parts of the western Rakhine state of Myanmar between Buddhist and Muslims. There are racial, religious, economic as well as majoritarian angle behind this conflict. Muslims speaks Rohingya and that is why they are called Rohingya Muslims. They are not considered Burmese citizens under the Citizenship Law. There is controversy among historians over their origin. Some are telling Muslims are migrant from Bangladesh while others are claiming that they are indigenous people. 

Whatever may be the case, the fact is most of Myanmar’s 1.1 million Rohingya are stateless and live in apartheid-like conditions in Rakhine State. Since 2013, as the influx of Ronhingyas increased, Bangladesh has closed its door to one of the most “persecuted minorities (As per U.N.)” in the world, saying they are not Bangladeshis. Earlier it allowed about 30,000 registered Rohingyas, supported by the U.N. High Commissioner for Refugees. So, they came to India in large numbers.

India will have to handle this issue with care because reportedly the bombing of Bodhgaya temple was linked to crisis in Myanmar.

New Buzz in Myanmar

Constitution was promulgated in 2008 by military leadership which led to general election in 2010. Suu Kyi's party the National League for Democracy (NLD) and ethnic-based political parties in Myanmar boycotted this election but nevertheless it was a landmark in the process of the country’s democratic transition. It led to formation of military backed civilian govt. with Thein Sein as the President. Since 2011, the Thein Sein government has ushered in many positive changes — release of political prisoners (Suu Kyi was released just after the election result was out), greater media freedom and several reforms in the economic, social and administrative spheres. Despite a 25 per cent reservation for the military and the strong presence of Members of Parliament from the military-rooted ruling Union Solidarity and Development Party (USDP), Parliament too has evolved into an active deliberative and lawmaking forum.

Suu Kyi's Party took part in bye-election in 2012 in which her party won 43 out of 45 seats. Her entry into active politics led to change in policy of U.S., E.U and other allies. Earlier they had put sanction on Myanmar and had criticized govt. Since when she has spoken her wish to stand for presidency, the big questions being raised is “will Article 59(f) be changed, which effectively bars Aung San Suu Kyi from being a candidate for the post of President?” Recently, during ASEAN summit 2014 in Myanmar, U.S. president Barack Obama put his weight behind Suu Kyi's possible candidature and constitutional reform.

Pic courtesy : niticentral.com

Similar to our North Eastern states, Myanmar is also facing ethnic war, which rebels(Kachin, Karen, Shan, Wa etc.) claim they are fighting for autonomy, preserving language and culture. China and India both are facing security threats near respective borders due to activities of these ethnic groups.

A durable solution to Myanmar’s political transition lies in a reconciliation among its three stakeholders—political parties, ethnic groups, and the military.

Myanmar-China

Beijing is watching the political reforms and softening of Western approach towards Myanmar nervously. Beijing has been reaching out to Suu Kyi and is trying to change the perceptions that its long-lasting support to the military junta was transitory and it is not opposed to democratic transition. The opening up of Myanmar and its political reform have rendered Chinese influence thinner and other countries like the US are upping their stakes in Myanmar. The US interest is vindicated by the fact that the first foreign visit by President Barack Obama in his second term was to Myanmar.

There are two broad assets that Myanmar has, which are of interest to the Chinese – access to the Indian Ocean and rich mineral and water resources. Myanmar and China share over 2000 km of mountainous border. Since 1988, China has made huge investments in Myanmar with more than half of it in hydropower dam projects especially for export to the Chinese province of Yunnan across the border.

Many deals were struck with the earlier military government, which received China’s political support and economic aid during International sanctions against Myanmar.

Since a civilian government took over Myanmar in 2011, China’s investment projects have come under criticism. Public opinion in Myanmar objected to the construction of the Myitsone dam because of which the project was suspended by the government along with other projects such as the Letpadaung Copper Mine in Sagaing Division

In the period of 2012-13 there was a sharp drop in the flow of Chinese money into Myanmar as per the data from China’s Ministry of Commerce. 

Recent visit of PM

Prime Minister Narendra Modi during his recent visit to Myanmar on the sidelines of ASEAN summit 2014 met Myanmar’s president Thein Sein and tried to bring synergy into this relation. With his Act East Policy, it is hoped, he will open up new vistas of deeper cooperation. As discussed above, the opportunities and benefits are immense. These need to be cashed in.

Pic courtesy : srakaritel.com

Before I stop, I should tell that Aung San Suu Kyi is an alumnus of Lady Shri Ram College and she is linked with India through democratic values. Her following comment moved me.

Pic courtesy : time.com

"It is not power that corrupts, but fear. Fear of losing power corrupts those who wield it and fear of the scourge of power corrupts those who are subject to it."

How India can play a much bigger role in Indian subcontinent, SAARC, ASEAN?

 (Written by Sujit Bharti, an alumnus of IIT Bhubaneshwar)

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India and Women Sterilization : Pathetic Condition of Government Medical Set-Up !!

Sumati Devi knew before she arrived at the grimy government clinic in northern India that she would be paid to be sterilized.

She didn't know that she would lie on an operating table with bloody sheets, that the scalpel used to open her up would be stained with rust or that she was supposed to first get counseling on other birth-control methods before giving consent to have her fallopian tubes cut and tied.

Pic courtesy : blogs.wsj.com

The main reason Devi had agreed to be sterilized at all was because the $10 she received -- equivalent to about a week’s wages for a poor family -- would help feed her three children.

“I did it out of desperation,” said Devi, 25, as she lay on the concrete floor recuperating at the clinic in the state of Bihar. “We’re so poor, we need the money. Health officials came to our home. They told us it would be best.”

Relatives mourning death of a relative

The incident cited in this Bloomberg article (published in June 2013) is just one horrific instance of what generally is a government sponsored program to lure economically backward Indians – mainly females, towards surgical sterilization. This trend exists despite global agreement on preferring modern and non-surgical methods of promoting demography and population control.

Last week, 12 women died and over 50 have been hospitalized with over 25 reported to be critical following surgery for laparoscopic tubectomy at a government-run camp in the Bilaspur district of Chattisgarh. Four health officials have been suspended and the Director of Health Services has been transferred. Incoming reports suggest a single doctor with his staff performed 83 operations in 5 hours!  Please note that Tubectomy is a full surgical procedure where the belly is cut open. It takes about 1.5 hours to sterilize the equipment after each procedure. The equipment used in this particular case was rusted even before first woman was operated upon on that day.

All of the 83 surgeries performed that day resulted into varying degrees of infections.

Under established guidelines, a doctor can’t perform more than 10 tubectomy surgeries in one day. Reportedly Dr R. K. Gupta performed 83. This clear breach of law was then topped by distributing rat poison infested anti-biotics to camped women.

Sterilization Camps are often under resourced

Media lapped up this story since the number of deaths were ‘unusual’. Deaths of one off patients while undergoing tubectomy procedure has never raised any enquiring eyebrows in our country. Message is simple, even if stark in its apathy – as long as you are able to meet the target numbers; one or two deaths here and there shouldn’t bother us. These sterilization programs are often driven top-down where doctors are under pressure to meet the target number of surgeries. So even this incident involving 83 women will find itself unable to start any grass root change and which can bring a paradigm shift in how women make informed choice about their lives and health. A shift that India has already claimed to have achieved back in 2012 by the way, on a global forum none the less.

Pic courtesy : www.ryot.org

Instances of such deaths caused by the callousness brought upon unsuspecting rural households – women to be more precise, have been aptly termed as medical homicide by Dr. Binayak Sen. But this will be one of the rare types of homicides which is state approved.

R K Gupta, who performed the fated surgeries, has been summarily dismissed from the job. He was earlier awarded by state government on 26^th January this year for performing record 50,000 tubectomies so far.

The antibiotics Ciprocin that were handed out to women attending sterilization camp were found to contain chemicals used for rat poison. The state government said it had seized 200,000 tablets of ‘Ciprocin 500’ and over 4 million other tablets manufactured by Mahawar Pharma. Let’s put that into perspective. There were 2 lacs tablets containing rat poison which were ‘already manufactured’ and ready to go to the market. This was medical holocaust in making. We don’t know how many other such shady pharma companies are manufacturing life-threatening medicines in the name of generic and affordable drugs.

The drug manufacturing company which is in the eye of storm, Mahawar Pharmacuticals, was banned by state government 2 years ago for selling ‘duplicate generic drugs’. It has a factory in a residential area of Raipur which doesn’t even bear a signboard. Yet the government continued to buy medicines from it.

It is easier to get lost in a debate of fixing personal accountability. But the issue at hand has much larger contours and firm tentacles in the corridors of power.

Women go under scalpel in torrid conditions in shockingly under resourced hospitals where surgeries are often performed by rogue practitioners. These practitioners see each patient as another step toward meeting the target prescribed by higher authorities. Root of this practice could be found in a 1952 announcement that was seen as an effective tool to ward off hunger related misery in India. It found further heft and became more overt during Indira era of 1970, when press was subjugated and constitution briefly suspended. ‘Forced’ surgeries might have waned in the decades since, but a factor of coercion is still present in almost all rural parts of the country. Women from poor households are lured for a paltry sum of INR 1400 – barely enough to support their families for a week, and are herded into shamble of a facility called hospital where they are operated in unsafe conditions in the name of population control.

Pic courtesy : thebreakthrough.org

A glowing irony then, is the fact that, despite such inhumane and coercive initiatives pursued by almost all governments since freedom, India has missed every target it set for population control. India will eclipse China by 2021 in population with the current rate.

So this method solves no one’s problems except for those looking to meet the ‘target’ numbers.

India sterilizes more woman surgically than any other country in the world - accounting for over 37% total such surgeries performed last year globally. Of 5 million sterilizations performed last year, 96% were performed on Women. Only 4% of total surgeries were performed on men.  This despite the fact that surgeries on men is relatively safer to perform.

Are even Indian medical practices sexist?

As an attempt to project a global image which is progressive and modern – India has boasted the paradigm shift in the way medical infrastructure has been revamped to cater remotest corners of the country. Infrastructure has indeed improved in past decades, but the medical services that are supposed to use this infrastructure to take the medical care to last mile have simply been stranded. Lack of any long term planning has ensured that women are not educated about other choices for birth control which is much safer compared to surgical procedure. Educating women and ensuring a constant flow of birth control pills and devices through state managed public distribution system has been deemed ‘expensive’ way of ensuring population control and so we have opted for cheaper and easier option of performing sterilization – Tubectomy.

These camps could be molded into the harbinger of medical portal – taking awareness and medical facilities to the door step of poorest of families. But in reality the doctors at these camps are mostly constrained by resources and are assigned untenable and unethical targets. Camps themselves are filled beyond capacity and often surgeries are performed while women lay in a queue on floor – separated by no more than an arm’s length. Surgical equipment are rusted and never cleaned up between two surgeries. Medicines are bought from dealers and manufacturers who hardly meet any regulatory standard for safety.

Pic courtesy : www.businessweek.com

So some of the pertinent questions for the state and union functionaries are looming large. Will they choose to see and act on these or will the questions be brushed under the carpet till we start to discuss yet another birth control camp mishap in another part of the country -where victims are almost sure to have a predictable profile. A young woman who comes from the poor household, who knows nothing better than risking her life for a remuneration that will support her family for a few days. And who hasn’t been informed about the alternate choices of birth control by medical staff that doesn’t have anything apart from rust induced surgical equipment waiting for her.

What is your view on medical facilities in government hospitals throughout the country? How it can be improved effectively?

Is sterilization is the best way for population control? What are your suggestions?

What do you think about prevailing imbalance in male sterilization vs. female sterilization?

(Written by Manish Jha, an Alumnus of IIIT Hyderabad and currently working with Microsoft as Program Manager. He is also associated with a social initiative 'Joy of Reading')

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