Legal reforms have been at the centre of the agenda for strategizing gender justice in India. This has been so, right from the time of nine-teenth century social reforms movements, through the period of nationalist struggles, down to the contemporary women's movement.

In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level.