Rainu Gupta- Auxiliary Nurse Midwife from Rajasthan India
Looking at pressures on nurses in India to motivate women to get sterilized.
RainuGupta knows exactly where she’s going on one sunny September afternoon. Small and sprite, she bolts out of the
Unfortunately,the type of conversation between Rainu and Santosh is still commonplace in ruralRajasthan, a desert state in
Although,after the International Conference on Population and Development in 1994,
Throughoutthe year then, meeting these “targets” (an eerie use of an English word bymonolingual Hindi speakers) is a perennial concern for the ANMs. At monthly meetings with the Chief MedicalHealth Officers (CMHO), they are often scolded for not encouraging enoughcandidates to attend the bi-monthly sterilization camps. Many nurses testify that they spend a greatdeal of their day talking to women about their responsibility to becomesterilized. “In the street, in thefield, in their homes, at lunch.” Rainulaments. “I ask them how many childrenthey have and whether they can feed them, and they rarely understand that theycan’t.” “Even if they say they will goto the camp, they decide not to later.”
Thewomen in Rainu’s village are also often under intense pressure by theirfamilies to have more children, particularly sons. Throughout
As aresult, nurses like Rainu Gupta stand at the intersection of three competingforces from both her local community, the greater national community and abroad. The first comes from the population controlmovements. Western scholars likeJonathan Sachs and Thomas Friedman often bemoan the high birth rates in thedeveloping world and the potential toll that population growth may have on theenvironment. The rhetorical influence ofthese arguments is great on the subcontinent. Further, many Indian officialssee the “population problem” as one that is rudimentarily steeped in poverty-mainly families having more children than they can afford to support. Nurses also face the well-intentioned influencefrom some abortion-focused Western feminist activists who often emphasize theimportance of access to a variety of contraception methods, but often neglectsocial factors that disempower women such as low literacy levels and maternalhealth. Even in the final agreements at