Scrutiny and control of women's sexuality and women's reproductive role by the state are well recognized in the history of societies [Sarkar 1993]. Tribal wars over possession of women were rooted in the struggle for survival of the tribe itself.
Kipling was paying tribute to the Vicereine who established the Fund associated with her name. This was an organisation which employed medical women (or 'lady doctors') to run a chain of hospitals and dispensaries all over India and Burma.