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For this essay, Adrienne Germain draws from her professional life, especially her interactions with female sex workers in the Indian subcontinent. The author details how action around sex workers is often centred on “rehabilitation” and “relocation” as though all women in sex work had been “forced” into it by circumstance. Germain believes that this position deprives these women of their agency and fails to respect their autonomy as individuals.
The central theme of the essay is the difference of opinion among feminists, and between some feminists and the sex workers’ movement, on if sex work is or can be an autonomous choice by women, or is always and only a form of violence and exploitation of women. Another important theme dealt with in the essay is the interface of sex work and HIV, where policy makers often see sex workers only as a vector of the disease with programmatic interventions often not recognizing these workers as agents of change themselves. She mentions her engagement with several non-governmental organizations in India that led her to realize the need to establish and implement sex workers’ labour rights.
The author also discusses her positionality and mentions the emotive barriers or discomforts that still remain for her around sex work, which she attributes to differences in life experience. She describes these “emotive barriers” as stemming from the fact that she cannot fully imagine the choices, as much as she respects their right to sex work. In addition to general opposition to defending the rights of women in sex work, she discusses how many women perceive these sex workers as a direct threat to themselves, to their marriages, or to a social order in which they feel “safe”. The author states that in the broadest sense, both feminist and sex workers’ movement are founded on the commitment to women’s autonomy especially control of their bodies. She concludes with a call for solidarity and for women to unite across diversities to mitigate the challenges around sex work.
A qualitative as well as quantitative ethnography of 500 Dalit women who had been subjected to verbal, sexual and physical violence by men of the dominant castes, this essay starts as a narrative of individual Dalit women and moves towards an analysis of the reasons for the kinds of responses these women received when they tried to seek justice.
The essence of the essay’s argument is that despite the existence of adequate legal measures, Dalit women still face insurmountable obstacles while getting those measures implemented, assuming of course that they know that what has been perpetrated against them is legally actionable.
Typically, the responses to such violence include the women not seeking legal remedies in the first place; women getting blocked at the community level (by perpetrators, by the dominant caste community, by dominant caste Panchayats, by their own families, or by Dalit panchayats) from accessing legal remedies; women receiving some informal, inadequate form of justice by NGOs or panchayats; and women getting blocked by the police from accessing legal remedies.
The author finds that state impunity, dominant caste impunity and the collusion between the two is the central reason for Dalit women not being able to receive the formal redress that they ought to. To that effect, the author suggests that challenging this impunity will be the primary task of organizations seeking Dalit women’s empowerment.
This essay uncovers how the writings of women have emerged as forms of protest in Assam, a region torn by political violence and prolonged militancy. For Tilottoma Misra, these voices are doing more than simply responding to a need to represent the marginalised; they are attempting to depict the trauma that the women experience in their lives. In discussing the power of the narrative, Misra lays out those aspects of traumatic events that a literary discourse can grasp more expansively than a strictly historical narrative.
Through a discussion of women's writing in the last ten years, the essay explores ways in which women have been affected by violence committed by both the armed forces as well as the militants. Questions of representations do figure prominently in the essay, and the author refers to short stories and poems to illustrate the experience of living through traumatic incidents and moments of devastation. The texts also reveal a desire to create subjects who are able to rise above their immediate political locations and see suffering in a more universal light.
Written by women during times of conflict, these stories and poems help explore nuances of the ways in which one's psyche is affected by the same. With a population facing discoveries of mass graves and an increasing breakdown of basic civic amenities, Misra poses urgent questions as to the role of the writer in such difficult times.
Chakravarti’s essay counters the claim that in the pre-colonial period, a ‘fixed’ Hindu law didn’t exist because of multiple caste laws, by arguing instead that even those separate caste laws were bound by a broader rational framework, enforced as such by the Peshwai.
Chakravarti analyses the three legal issues of widow remarriage, conjugality and the age of consent to explore how the colonial laws affected women; the relationship between the caste panchayat and the larger legal culture of the second half of the nineteenth century, and whether the textual law was more or less repressive than customary law.
Women came under the purview of the colonial law because of a weakening of the caste panchayats, and the new British administration gave men a choice of forum through which to enforce patriarchy.
They were also brought under the colonial state through criminal cases against them, such as those for prostitution and abortion. The colonial state was able to do this effectively because the patriarchal Indian community also had the same goals. Despite the inherently patriarchal nature of colonial laws, women also sought the system out for cases of adoption and rights over their parents’ property.
The essay also points to how cultural nationalism unified ‘Hindus’, placing a Brahmanical patriarchal notion of womanhood instead of caste and regional differences, raising important questions about the relationship among the colonial state, law, family, caste panchayats and gender in the nineteenth century.
Uma Chakravarti’s introduction to Fault Lines of History: The India Papers 2 uses a brief history of protest in the north-eastern states of India to illustrate the contract between the state, the army and the rule of law. Detailing the spread of AFSPA as a result and a feature of this contract, Chakravarti points to particular building blocks in the story of resistance in the area — the case of Manorama, Irom Sharmila’s hunger strike, the naked protest by imas in Manipur among others — and castigates mainstream state theorists’ neglect of AFSPA’s existence and growing application as a tool of oppressive state-building. She explains how the postcolonial state’s painting of AFSPA and militarisation, and the accompanying conflicts, as ‘states of exception’ is key to the contract, which is characterised by the tension between the rule of law and the state’s avowal of sovereign emergency.
The chapter provides a valuable cross-section of the volume, summarising each author’s argument while drawing connections between them and larger themes of impunity, militarisation, conflict, revolution, state (un)accountability, ‘security’ and feminist scholarship. She interweaves material on militarised regions in the north-east of India, Kashmir and Chhattisgarh with work on caste-based structures of violence built on and around Dalit bodies, as well as on stripping and parading of women’s bodies as ritual humiliation, to highlight the implications of an aberrant state wielding its impunity as a precise and wide-ranging weapon.
Writing in Dalit Women Speak Out, authors Irudayam, Mangubhai and Lee situate this essay within brahmanical patriarchal discourse of dishonour and blame, which stigmatizes Dalit women who are victim-survivors of violence. Their interviews with five hundred Dalit women investigate the nature and forms of violence faced by the women, and bring to light not only instances of violence within Dalit households, but also the overwhelming number of cases that relate to rapes by male members of dominant castes.
These personal narratives articulate the dilemmas that confront women when facing themselves and society after being subjected to violence. The fear generated following any type of violence, and the impunity with which much of the violence occurs, all contribute to changes in the victim-survivors’ social interactions and sense of belonging to their families and communities. The authors focus on both the immediate and long-term consequences of violence on women vis-à-vis their right to health, dignity, life and security. With the help of the study they demonstrate how short-term physical injuries have the capacity to inflict long-term mental suffering, which can exacerbate feelings of helplessness and fear of further violence. The lives of Dalit women become conditioned to violence rather than freedom, which can lead to the curtailment of women’s mobility in public spaces.
The 73rd Amendment (1992) to India’s constitution has not only given rural local governments (Panchayati Raj institutions) constitutional status, but has also ensured that marginalized sections of society such as backward classes and women have reservations in these bodies. The amendment has helped facilitate the entry of rural women in the public sphere. However, the visibility and presence of women in rural politics has been met with a lot of backlash. In this essay, Mayaram uses qualitative data from her fieldwork in Rajasthan to highlight the ‘new modes of violence’ that elected women representatives face.
The essay details the different forms of violence that elected women are subjected too, like physical violence, forced stripping, and verbal abuse. Dalit women face dual stigmatization on grounds of caste and gender. Mayaram’s essay demonstrates how caste politics, the police, and patriarchy form a nexus to protect the perpetrators.
According to Mayaram, there is an urgent need to recognize this backlash and the hindering impact it can have on women’s development. She believes that institutional reform is needed so that implementing agencies like the bureaucracy are sufficiently sensitized to women’s issues, and that structures of support should be created for elected women. Her essay is thus a testament to the fact that having ‘good’ legislation isn’t enough—ground realities have to be taken into account as well to ensure that policies can function effectively.
This essay discusses caste, gender and the state, and the relationship between the three in the context of militarization under Peshwa rule in eighteenth century Maharashtra. Analysing materials available in the Peshwa daftar, Uma Chakravarti illustrates the different ways in which the state played a decisive role in upholding the caste system and in installing social codes to legitimize women’s sexuality.
Chakravarti points out how the Peshwa state upheld Brahmanical social order by prohibiting ‘untouchables’ from approaching the temple of Vithoba (which also housed a shrine for Chokhamela, a saint belonging to the Mahar community who were historically considered ‘untouchable’, was associated with the regional Varkari movement), threatening punishment if they failed to conform. Chakravarti casts doubt on whether this traditional practice helped bridge the gap between the upper and lower castes by looking at the effects of the development of other religious practices with the consolidation of the Peshwai.
The institution of marriage and other codes that legitimized women’s sexuality, additionally, were major elements at play in the Peshwai’s organising of gender relations. Chakravarti explores ideological structures of enforced widowhood, the difference in punishment that women and men who committed adultery faced, and the role of the state in arranging marriage for girls between ages seven and ten. Connecting caste with women’s sexuality, the essay gestures towards Brahmanya’s investment in the undiluted purity of its women.
This essay addresses the role that religion plays in sociopolitical processes in Mizoram by attempting to gauge the impact that churches have had in mediating conflicts and brokering peace in the state since the 1960s. It also examines the role of women (and lack thereof) in peacebuilding processes and explores gendered critiques of the same.
As Sawmveli and Tellis write, churches in Mizoram are centralized bodies that hold immense power, thus enabling church leaders to aid Mizo ‘militants’ in negotiating with the Indian government as early as 1966, when insurgency first broke out. However, women did not have much of a decision-making role, neither within the clergy nor during negotiations. The lack of women’s participation can be explained, according to the authors, by the entrenched patriarchy and misogyny in Mizo society. In fact, interviews with Mizo women reveal that they acknowledge the crucial role the church played in mediation, but did not see their exclusion from the process as an issue.
The essay further states that since most political parties in the region are aligned with churches, patriarchy in politics overlaps with patriarchal church culture to marginalize women. However, they also discuss the many women’s organizations that have come up over the years to facilitate women’s entry into the public sphere. Women are also reclaiming traditional proverbs that were used to oppress and belittle them—the essay cites Lalrinawmi Ralte’s rewriting of a popular saying that devalues women as crab meat in the form of what she calls ‘Crab Theology’.
This essay looks at case studies of sexual violence against women combatants and sympathizers in Northeast India to examine the special vulnerability of this category of women to sexual violence. As Roshmi Goswami points out, at present there are over fifty armed groups in the region making a plethora of demands and situated at different stages in the continuum of conflict. The author argues that women have borne the brunt of this ongoing turmoil—whether they have been specifically targeted by security forces or rival militant groups. Sexual violence is deployed to torture, humiliate people or to punish and humiliate an enemy group or a community that is perceived to be the ‘other’.
The case studies include those of Thangjam Manorama, Snehalata Duara and Roshmi Bora. These cases bring out how issues of sexual violence often remain outside the purview of ‘peace negotiations’, and how the legal regime has provided impunity for armed forces. Goswami also dwells on how the relative or perceived agency of women combatants ends when the ‘militant’s uniform’ is given up. Ex-combatants are often deeply traumatized having experienced and seen violence at very close quarters, and are in need of long term gender-sensitive psychosocial counselling, which is hardly available in reintegration packages and schemes.
The author concludes by questioning the term ‘post-conflict reconstruction’, pointing out its problematic position: ‘reconstruction’ implies restoration to a former status quo that might not be beneficial to women. She states that for feminist peace activists, genuine conflict transformation necessarily brings the notions of justice and peace together, which would entail correcting inequalities and discrimination while ‘reconstructing’.
Kalpana Sharma's essay explores the multiple roles that women came to occupy in the riots that took place in Mumbai post the Babri Masjid demolition. As the news of this destruction – carried out on 6th December 1992 – was broadcast across the country, it triggered communal violence, resulting in two phases of riots between the Muslim and the Hindu communities. The essay looks at the people who were some of the most affected by the carnage in the city, the urban poor, and highlights how their specific spatial and economic locations had a great bearing on their lives in this period. By studying the chawl dwellers, the slum inhabitants, and the people who resided on the pavements and analysing how each group had varying responses to the riots, Sharma's study explores what degree of significance their religious identity held during this time.
Sharma argues in her essay that the role of the women during these riots was not defined by their gender identity alone, or even their religious affiliation, but also by their class and their location in the metropolis. Her essay is an attempt to understand why and how these factors held the importance that they did, as her study spans areas of Mumbai which were all affected directly by the chaos. She adopts and reinforces a perspective that is broad, in that it explores women's roles during the riots not only as victims, but also as active participants, ready to fight for survival, and as peacemakers who played key roles in bringing communities together in difficult times.
Feminist movements in India have, both pre- and post-Independence, seen the family and home as the nexus of organizing women’s lives. By the early 1980s, attempts to analyse this nexus had led to examining the codification of women’s rights in marriage and property. It is in this vein that this essay considers the history of the 1985 Shah Bano case and the feminist debates on personal law that it gave rise to.
The call for a common civil code that emerged from the case was extensively critiqued by feminists, liberals and secularists, as well as Muslim religious leaders. The essay traces how the sociopolitical context led to the quick descent of the issue into communal agitation, with a demand that Muslims be exempt from Section 125 of the Criminal Procedure Code that had been cited in granting Shah Bano maintenance from her husband. It describes how Hindu communalism had been acquiring legitimacy in the eyes of the state, and the contribution of this factor to the national fervour surrounding Shah Bano’s case.
Kumar then traces the opposition by various women’s groups to the 1986 Bill, which was introduced in parliament with an aim to exclude divorced Muslim women from the purview of the hotly debated Section 125. She explores the ‘bitter lessons’ that Indian feminists learnt from the public and state responses to Shah Bano’s case, which then posed certain questions that would become increasingly important to feminists in the years to follow. She concludes with questions of secularism–its definition and its practice–and of representation, both of which are brought to the forefront by Shah Bano’s case.
This piece was written after the abduction of the author's husband by ULFA terrorists in Majuli, Assam where they worked as social development workers in 1996–97. In this chapter, Ghose explores her experience of learning to cope with the aftermath. Moving from personal reflections to discussing universal aspects of such suffering, she throws light on the far-ranging impact of violence that often goes unacknowledged. She then captures the different stages that an individual undergoes in the period of suffering, and consequently looks at strategies of coping which are effective and can transcend harmful responses. By shifting the focus onto the individual's own reaction to violent events, Ghose is able to break down the mistakes that one is susceptible to making almost reflexively – mistakes that perpetuate a cycle of violence.
Written in the form of a prefaced monograph, the title of this piece is drawn from a short course that the author attended in Delhi, which gave her the fresh perspective and strength needed to make this reflective essay a reality. Ghose's insights on responding to events of violence or conflict are embedded in a critique of certain forms of protest as well as what she calls the commonly held 'victim attitude'.
For Ghose, strategies of coping become methods of achieving much more. In a world full of violence and rage where a vicious cycle of the two is kept alive, it becomes imperative to rise above feelings of aggression and victimisation that inevitably cause more harm than good.
Written by Farida Abdulla, this essay is a personal account of her experience in Kashmir—before, during and after the enforcement of centralized government rule over the area. Born and brought up in Kashmir, she reflects on the seething resentment of people treated like more border territory than citizens of the country.
Through the essay Adulla looks at ‘what’ instead of ‘why’; she does not delve into the historical context of the rule, but focuses on the effects of such a rule on the local population. By narrating two incidents strongly embedded in her mind, she attempts to show the complexity of the situation, and the pain and confusion of the people living there. Trapped between the government- sanctioned armed forces and the ideological militant resistors, Kashmiri people are often unable to distinguish between the two groups, and are in constant fear for their lives.
She raises questions about security and autonomy, especially in the case of women. While the struggle of women in India has been a long and arduous one, their status becomes even more unstable in a region fraught with suppression and violence. Female voices are either lost in the larger masculine struggle, or are subsumed in the singular narrative of rape and sexual abuse. Abdulla hopes for a safe space for people divided by religion and gender to resolve their conflicts and live in peace and dignity.
With the Indo-Naga peace negotiations going into their twentieth year and no concrete resolution in sight, the area stands witness to many dying hopes. In this chapter, Dolly Kikon takes an insider's view to re-contextualise incidents of violence in the conflict-ridden terrain of Nagaland. The essay is a product of on-field research and experiences as it analyses the social and legal consequences of sexual violence that exist in the area. It is a singular analysis of Naga society, in that it tracks the different spaces that a survivor of such violence must operate in as it delves into the power relations that characterise each one. It is in this context that the story of one such survivor, called Beth, emerges. Beth's account speaks about the emergence of a culture of impunity that is embedded in the social relationships of Naga society. By locating violence inside the home, the essay investigates these relationships as well as the processes through which such impunity has become an obstacle for women's rights and justice. The area of focus is the Naga woman and her experiences of occupying a space that is fraught with conflict and sexual abuse. This figure is studied as an often-neglected survivor of cultural violence, whose voice is constantly suppressed by the masculine gaze, be it of the insurgent elements or the state armed forces. The essay is replete with real-life experiences and accounts, as it studies the forms of masculinity and suppression that have become pervasive in conflict zones where over the years violence has become naturalised beyond belief.
This essay puts forward a study, conducted across four states, that brings out the challenges faced by seventeen Dalit women when availing health services in government and private medical institutions. These accounts are placed next to interrelated and essential elements of the right to health, allowing the reader to understand the different forms of medical negligence faced by these women.
The essay shows that both private and public health-care systems position Dalit women at the periphery for reasons of caste, class, and gender. The narratives cover cases where women approached medical institutions with their ailments and also situations where medical practitioners coerced them into family planning operations. The authors note that these narratives are a telling comment on the way government medical state treats Dalit women patients in contrast to non-Dalit patients. The manifestations of the negligence faced by the former group include long waiting periods, indifferent verbal responses, rude verbal responses and refusal of treatment.
The authors argue that the negligence has had consequences on other spheres of these women’s lives: economic, psychological, and personal (their identities as Dalits and women), and this make them more vulnerable to discrimination. The conclusion of the essay shows the reader medical negligence from a systemic angle, by examining the social and political positions of the medical personnel, their value systems, geographical settings and underlying power equations.
This essay traces the women’s movement in India in the mid-seventies and early eighties, when the issue of violence against women took prominence. Author Urvashi Butalia draws on numerous instances of violence, including among others the rape of Rameeza Bee in 1978, dowry-related violence, and the immolation of Roop Kanwar in 1987. She also looks at the women’s movement’s engagement during this time, which ranged from lobbying with the Law Commission to bring about changes to the rape law, to the efforts of Delhi-based groups like Mahila Dakshata Samiti and Stree Sangharsh against dowry.
In both the rape and dowry campaigns, as also in the campaign against sati, the primary target of women’s demands or grievances was the state, with the belief that the state had failed in its ‘duty’. The essay also traces how one kind of action flowed into another, giving rise to different challenges for the women’s movement.
Butalia also critically examines how inclusive or otherwise the women’s movement has been. She discusses how the broad category of ‘woman’, which many had assumed provided an overarching unifying identity, did not represent a homogeneous group whose broad identity held them together; they could even consent to strengthening the very structures of patriarchy that worked against them. The essay also dwells on how the rise of militant communalism and the polarization of identities along religious lines resulted in major changes and rethinking within the women’s movement in India.
Gazala Peer’s essay, written against the backdrop of militarization and the existing Armed Forces Special Powers Act in Jammu & Kashmir, explores obstacles faced by survivors of sexual violence in seeking redress when the perpetrators of this violence are members of the armed forces. Through cross-cultural comparisons, Peer describes the extent to which gendered sexual violence is used by nation states in war and conflict situations, and the culture of impunity that accompanies this violence – conditions that have existed, too, in Kashmir since the onset of armed struggle against the Indian state in the early 1990s. The essay establishes the role of Indian authorities in signaling impunity to their armed forces in Kashmir, and goes on to investigate the procedure and function of court martials as justice delivery systems for survivors of sexual violence.
Since AFSPA was imposed on Kashmir, the Indian government has not granted sanction for the prosecution of any armed personnel in any court of law. Although in principle the provision of prosecuting army personnel under court martial trials does exist, Peer questions whether these trials, taking place within the structure of the army itself, can ever be a substitute for trial in civil courts. To this end, Peer closely examines the context and process of the court martial, arguing that this system, in cases of sexual assault and violence perpetrated by its forces (which the army views as “breaches of discipline”), is disposed to be lenient toward the perpetrators, maintaining martial impunity.
Finally, to highlight the hostile and alienating nature of the court martial trial to survivors of sexual violence, and questioning the system’s ability to deliver any kind of justice at all, Peer walks the reader through the experience of four such survivors. Their testimonies and interviews raise serious questions on the basic norms of justice and fair trial vis-à-vis cases of sexual violence tried under AFSPA.
This essay puts forward a series of accounts centred around the different manifestations of sexual violence in the lives of Dalit women. Unlike in the legal world, in these accounts lines between methods of assault and degrees of injury emerge blurred, and many of them remain unreported or have otherwise not been disclosed by the survivors.
Exposing the vulnerability of Dalit women to both gender-based exploitation and caste-based violence, the essay investigates the threats that follow the women into their homes, their workplace, and the streets. It also looks at the ways in which the survivors’ voice is silenced, time and again, by the authority of the ruling caste. Covering the many different structures that enable and even perpetuate such violence, the essay focuses in particular on the jogini system that legitimises prostitution even as it creates a circle of exploitation and social discrimination. This leads to an analysis not only of the incidents and functions of sexual violence, but also of the consequences that have to be borne by the survivors alone.
The authors explore different kinds of exploitative structures to identify ways in which they hamper women's claims over their bodily integrity, dignity and privacy. They show how the upper-caste discourse of a Dalit woman's sexual availability, along with the impunity for sexual crimes committed against them, is dangerous on multiple levels. It is the study of the contributing factors to this discourse, coupled with the functions and social effects of this particular kind of sexual violence, that the essay concerns itself with.
The narrative of Chhattisgarh's indigenous population is one of violence, displacement, and as this essay will explore, several cases of sexual assault. The authors trace sexual violence and repression at the hands of the police, the Salwa Judum, and the state and central governments, all of which have enjoyed a great degree of impunity in the region.
The conflict between the state and the left-wing insurgent groups has created an environment of fear, and with it a number of impediments to the documentation of sexual violence in the affected areas. It is in this vein that the essay traces the stories of Soni Sori and Meena Xalxo as two out of many cases of torture and extrajudicial murder, most of which do not emerge into the dominant narrative. The essay also analyses the circumstances and effects of migration on the people that did manage to flee the conflict-ridden zones, as well as those who were forced to move to the Judum camps where living conditions were abysmal.
Guneet Ahuja and Parijata Bhardwaj are lawyers who have fought for the implementation of adivasi rights, and this piece relies on sources both 'official' and oral, which when taken together are telling of the extent of violence occurring in the region. The essay is a detailed analysis of what happens when authorities dismiss human lives as mere impediments to development, and state forces reject a distinction between civilians and warring groups. It concludes with a call to end excessive military campaigns against the state's own people and engage with the cause of the Maoist struggle, and, very significantly, to provide reparations and fundamental rights to those who have suffered for many, many long years.
'HIV and Women in the Northeast' explores the feminization of the HIV/AIDS epidemic in the northeastern states of India. Shyamala Shiveshwarkar illustrates the reason behind the growing epidemic in the Northeast—that the virus has been extending its reach with high-risk sub populations like injected drug users (IDUs) as well as making inroads with the general population—and focuses on how it is impacting women detrimentally. The region has seen the HIV/AIDS epidemic primarily driven by IDUs; states are combating the double dilemma of drugs and AIDS. Transmission of the virus from IDUs to spouses, sexual partners and children has also been established, which has led to statistical increases in sero-positivity. Given that the “Northeast” is a homogenizing misnomer, the author uses tracking mechanisms to outline how differences in socio-economic and anthropological dynamics contribute to different prevalence rates and changes in infected populations over time.
Shiveshwarkar establishes and elaborates on the critical linkages between drugs, violence, and gender inequalities at the individual, family, and societal levels to establish women’s increasing vulnerability to HIV/AIDS. She asserts that regardless of whether they are affected or infected, women are being forced to take on a greater share of the socio-economic and psychological burdens of stigma and discrimination, violence, caring for the sick and providing for their families. Many women, including young girls who are forced to drop out of school, are made to work to cover the medical expenses of sick spouses or to repay debts. The author takes care to outline the intersection of these vulnerabilities with the political insurgency in these states and explores the problems with existing treatment and care of HIV/AIDS—focusing primarily on its inadequacy and male-centricism, which severely limits women’s access to prevention and care
In her conclusion, Shiveshwarkar, insists on the need to recognize that accessibility is a web of socio-economic, cultural and physical geographical factors: for women, the presence of services alone is insufficient. The author argues that what is needed is holistic reform which includes addressing the drug problem in these states, demanding state-sponsored medical interventions and gender sensitive medical environments.
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