A crucial contributing factor to the Western development of the women's movement in the west has been what has sometimes been termed as the "sexual revolution" of the post-war period, i.e. acceptance of pre-marital sex and change of sex partners as a fairly normal part of life.

Among most of Tamil Nadus rural population, especially if the villages are in remote areas, health is not very much a 'felt need'. If one discusses with poor villagers their needs and aspirations, there are many other priorities of a higher order e.g.