
Hurray for climate change activism.Tens of millions of pounds of UK aid money have been spent on a programme that has forcibly sterilised Indian women and men, the Observer has learned. Many have died as a result of botched operations, while others have been left bleeding and in agony. A number of pregnant women selected for sterilisation suffered miscarriages and lost their babies.
The UK agreed to give India £166m to fund the programme, despite allegations that the money would be used to sterilise the poor in an attempt to curb the country's burgeoning population of 1.2 billion people.
Sterilisation has been mired in controversy for years. With officials and doctors paid a bonus for every operation, poor and little-educated men and women in rural areas are routinely rounded up and sterilised without having a chance to object. Activists say some are told they are going to health camps for operations that will improve their general wellbeing and only discover the truth after going under the knife.
Despite the controversy, an Indian government report shows that sterilisation remains the most common method of family planning used in its Reproductive and Child Health Programme Phase II, launched in 2005 with £166m of UK funding. According to the DfID, the UK is committed to the project until next year and has spent £34m in 2011-12. Most of the money – £162m – has been paid out, but no special conditions have been placed on the funding.
Funding varies from state to state, but in Bihar private clinics receive 1,500 rupees for every sterilisation, with a bonus of 500 rupees a patient if they carry out more than 30 operations on a particular day. NGO workers who convince people to have the operations receive 150 rupees a person, while doctors get 75 rupees for each patient.
A 2009 Indian government report said that nearly half a million sterilisations had been carried out the previous year but warned of problems with quality control and financial management.

