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.