Inspite of abortion being legal, India has a very high level of unsafe abortions and only about 1 in 6 is estimated to be legal and safe. Abortion estimate range from 8-11 million per year. Only Doctors with post-graduate medical degrees are permitted to conduct abortions well trained graduate doctors can perform only specific 1st trimester abortions. The special training required is not easily accessible in private sector.
However, owing to the vagaries of access of health care in India, more often unqualified practitioners provide unsafe and illegal abortions. The abortions cost an average Rs. 1500/- to 3000/- and can as well go until Rs. 7000/- depending upon area and patients condition. Herbal abortion remedies cost Rs. 40-50 rupees, but are totally ineffective. Lack of correct information and availability of services takes clients to unsafe providers and inappropriate drugs.
Jyothi Reproductive Health Care Centers have been set up by PHSI in identified districts. These centers have been modeled on the Marie Stopes Centers. The Centers across the world have internationally recognized quality control systems. The quality standards are adopted uniformly throughout catering to local conditions, whether in London or in a two-room center in India. These standards cover everything from the branding of PHSI services, to how the surgical tools are sterilized which results in the provision of “services which can be relied upon with high standards and quality’’. The center sites are carefully chosen, say near a major bus stop so that large number of people can access it. Affordability of services is the key. People like to pay some fee for services as it makes them think that they are obtaining value services. PHSI has priced the services after a careful overview of the local situation and a comparison of other similar services being provided by public and private providers. A subsidized treatment fund has been established, in each center, ensuring that even those who cannot afford to pay can as well access the services. PHSI Reproductive Health Centers are branded as ‘’JYOTHI’’. The Center’s provide the following primary services.