This monograph is guided by f

The existing structural nature of women's work (domestic as well as non-domestic) has severe built-in hazards for women (reproductive and otherwise) which no amount of first rate quality of care, total coverage and/or access to health services alone can deal with.

The health of the general population as well as specific groups (infants, women, etc) has for long been an important concern for development studies.

In many developing countries, women's activities, traditionally confined to the household, have changed over time.

Hysterectomy is major surgery with a mortality rate of 1-2 per 1000 operations and an even higher complication rate. There is a widespread misconception, even among doctors that removal of the uterus, without removal of the ovaries has little or no long-term health consequences for the woman.

Form for, Medical Ethics sought and obtained opinion and advice from a variety of experts. It also studied some of the publications on the subject in medical and other journals.