The notion of quality in the public health system is becoming increasingly an issue for policymakers and planners in India. The Eighth Five-Year Plan identified the poor quality of family welfare services as one of the factors

Patharia, a village-situated in the Bundhelkund region is stark contrast to other villages. Inhabited by the Bedia tribe, a part of the vimukta jati where adult members in the family never worked and depended solely on the earnings of the young girl involved in prostitution.

In the last decade, several international and national movements have focused their attention, on the long neglected areas of women's reproductive health.

There is a growing recognition that gynaecological morbidity is an important health problem among poor women in India.