There’s no secret to reducing population growth: Women who are informed about and given access to contraception choices have fewer children. Yet India persists in a cruel strategy of bringing down birthrates through mass female sterilization. In poorer states with high birthrates, health workers are driven by threats and induced by incentives to cut any corners necessary to meet government targets.

In the 12 months ended in March 2013, 4.6 million Indians were sterilized. Between 2009 and 2012, India’s government paid compensation for 568 women who died as a result of the procedure. All told, 37 percent of all the female sterilizations performed in the world are done in India, many in unsanitary, assembly-line conditions.

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