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.

The rapid growth of population is one of the major problems facing the country today. India is at the turning point in its population development. As early as 1970, the birth rate showed a distinct downward trend, and continued to fall further to its present lowest.