Zamerun Nisha, 33, lies down after giving birth while a doctor holds and cleans her newborn baby, at the labor ward of a community health center in Bahadurganj subdivision of Kishanganj district, Bihar, India, March 21, 2023.
India’s fertility rate, fell to 2.0 in 2019-21, but State health officials estimate Kishanganj's fertility rate at 4.8 or 4.9, creating a population growth problem that the state is trying to curb with the distribution of condoms and birth control pills, as well as the paying 3,000 Indian rupees ($36.50) to women who get sterilized, 4,000 rupees to men, and 500 rupees per surgery to the health workers who perform them.
"I talk to women while they are experiencing labor pain and nudge them to undergo sterilization immediately after delivery," said Parvati Rajak, a medical officer in one of Kishanganj’s seven government health centers.
"But the final choice is always made by the family."
REUTERS/Anushree FadnavisClose