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The forced sterilisations of Emergency

Background and Policy Origins

  • The campaign occurred during the National Emergency (1975–77), under India’s broader population control efforts.
  • It was part of India’s National Family Planning Programme, which had historically supported voluntary sterilisation as a method of birth control.
  • The policy was influenced by global support for population control, including from organizations such as the Ford FoundationWorld Bank, and IMF.

Relevance : GS 1(Post Independence)

Scale and Statistics

  • A significant increase in sterilisation numbers was recorded:
    • 1975: Approx. 1.3 million vasectomies
    • 1976: Approx. 2.6 million
    • 1977: Total sterilisation procedures rose to approx. 8.3 million (both male and female)
  • The highest concentration of procedures occurred in northern Indian states like Uttar Pradesh, Bihar, Haryana, Rajasthan, and Madhya Pradesh.
  • Many enumerated figures were documented in studies by researchers such as Pai Panandiker and K.G. Jolly.

Implementation and Methods

  • Enumeration and sterilisation drives were conducted across urban and rural areas.
  • Field-level functionaries — including local officials, teachers, health workers, and law enforcement — were involved in implementation.
  • Measures to encourage participation included:
    • Incentives: monetary compensation, food grains, or job-related benefits.
    • Administrative pressure: In some areas, compliance became linked to access to government schemes and services.

Reported Outcomes

  • According to the Shah Commission of Inquiry:
    • 1,778 deaths were reported due to sterilisation procedures.
    • Instances of coercion and procedural irregularities were noted.
  • In some areas, public protests and legal actions were recorded in response to specific incidents.

Comparative Global Context

  • India was not alone; other countries also implemented population control policies during the 20th century:
    • United States: ~60,000 people sterilised under state eugenics laws (1907–1979).
    • Sweden: ~63,000 sterilised under public health policies (1935–1976).
    • Germany: ~400,000 sterilisations under the 1933 law on “genetic health”.
    • Peru (1990s): ~3,00,000 people, mostly rural women, sterilised under family planning drives.
    • China: Under the One-Child Policy, sterilisation was widely practiced to control population growth.

Public Memory and Long-Term Impact

  • In India, the 1975–77 sterilisation drive became a notable event in the history of public health administration and governance during the Emergency.
  • It is often discussed in relation to:
    • The evolution of health rights
    • The balance between population control and individual consent
    • The need for procedural safeguards in public health interventions.

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