Compulsory Sterilization

Compulsory sterilization, also known as forced or coerced sterilization, programs are government policies which force people to undergo surgical or other sterilization. The reasons governments implement sterilization programs vary in purpose and intent.[1] In the first half of the 20th century, several such programs were instituted in countries around the world, usually as part of eugenics programs intended to prevent the reproduction of members of the population considered to be carriers of defective genetic traits.[2]

Other bases for compulsory sterilization have included general population growth management, sex discrimination, “sex-normalizing” surgeries of intersex persons, limiting the spread of HIV,[1] and reducing the population of ethnic groups. The last is counted as an act of genocide under the Statute of Rome. Some countries require transgender people to undergo sterilization before gaining legal recognition of their gender, a practice that Juan E. Méndez, the United Nations Special Rapporteur on torture and other cruel, inhuman or degrading treatment or punishment cites as a violation of the Yogyakarta Principles.[3]

Affected populations

Governmental family planning programs emerged in the late nineteenth century and have continued to progress through the twenty-first century. During this time, feminists began advocating for reproductive choice, but eugenicists and hygienists were advocating for low income and disabled peoples to be sterilized or have their fertility tightly regulated in order to clean or perfect nations.[4][5] The second half of the twentieth century saw national governments uptake of neo-Malthusian ideology that directly linked population growth to increased (and uncontrollable) poverty, which during the embrace of capitalism, meant that countries were unable to economically develop due to this poverty. Any type of birth control can count as a method of population control if once administered women have no control over its use. These contraceptive methods include sterilization, Depo-Provera, Norplant, and IUDs. Much of these governmental population control programs were focused on using sterilization as the main avenue to reduce high birth rates, even though public acknowledgement that sterilization made an impact on the population levels of the developing world is still widely lacking.[6] Early population programs of the twentieth century were marked as part of the eugenics movement, with Nazi Germany providing the most well-known example of sterilization of disabled people, paired with encouraging white Germans who fit the “Aryan race” phenotype to rapidly reproduce.[7] In the 1970s, population control programs focused on the “third world” to help curtail over population of poverty areas that were beginning to “develop” (Duden 1992).

In May 2014, the World Health Organization, OHCHR, UN Women, UNAIDS, UNDP, UNFPA and UNICEF issued a joint statement on Eliminating forced, coercive and otherwise involuntary sterilization, An interagency statement. The report references the involuntary sterilization of a number of specific population groups. They include:

  • Women, especially in relation to coercive population control policies, and particularly including women living with HIV, indigenous and ethnic minority girls and women. Indigenous and ethnic minority women often face “wrongful stereotyping based on gender, race and ethnicity”.
    • Funding of welfare mothers by HEW (Health, Education, and Welfare) covers roughy 90% of cost and doctors are likely to concur with the compulsory sterilization of welfare mothers.[8] Threats to cease welfare occur when women are hesitant to consent.[8]
  • Disabled people, often perceived as asexual. Women with intellectual disabilities are “often treated as if they have no control, or should have no control, over their sexual and reproductive choices”. Other rationales include menstrual management for “women who have or are perceived to have difficulties coping with or managing menses, or whose health conditions (such as epilepsy) or behaviour are negatively affected by menses.”
  • Intersex persons, who “are often subjected to cosmetic and other non-medically indicated surgeries performed on their reproductive organs, without their informed consent or that of their parents, and without taking into consideration the views of the children involved”, often as a “sex-normalizing” treatment.
  • Transgender persons, “as a prerequisite to receiving gender-affirmative treatment and gender-marker changes”.

The report recommends a range of guiding principles for medical treatment, including ensuring patient autonomy in decision-making, ensuring non-discrimination, accountability and access to remedies.[1]

As a part of human population planning

Human population planning is the practice of artificially altering the rate of growth of a human population. Historically, human population planning has been implemented by limiting the population’s birth rate, usually by government mandate, and has been undertaken as a response to factors including high or increasing levels of poverty, environmental concerns, religious reasons, and overpopulation. While population planning can involve measures that improve people’s lives by giving them greater control of their reproduction, some programs have exposed them to exploitation.[9]

In the 1977 textbook Ecoscience: Population, Resources, Environment, the authors discuss a variety of means to address human overpopulation, including the possibility of compulsory sterilization.[10] A government might utilize sortition to select those to be sterilized in order to avoid accusations of bias or having any other adverse agenda. In Ecoscience, in the chapter entitled “The Human Predicament: Finding A Way Out”, the authors speculate about pharmaceuticals that might be developed to sterilize people. Fox News has speculated about pharmaceuticals designed to permanently sterilize the gestating human fetus in utero.[11]

By country

International law

The Istanbul Convention prohibits forced sterilization (Article 39).[12] Widespread or systematic forced sterilization has been recognized as a Crime against Humanity by the Rome Statute of the International Criminal Court in the explanatory memorandum. This memorandum defines the jurisdiction of the International Criminal Court.[13][14] Rebecca Lee wrote in the Berkeley Journal of International Law that, as of 2015, twenty-one Council of Europe member states require proof of sterilization in order to change one’s legal sex categorization. Lee wrote that requiring sterilization is a human rights violation and LGBT specific international treaties may need to be developed in order to protect LGBT human rights.[15]


Bangladesh has a long running government operated civilian exploitative sterilization program as a part of its population control policy, where poor women and men are mainly targeted. The government offers 2000 Bangladeshi Taka (US$24) for the woman who are persuaded to undergo tubal ligation and for the man who are persuaded to undergo vasectomy. Women are also offered a sari (a garment worn by women in Indian subcontinent) and men are offered a lungi (a garment for men) to wear for undergoing sterilization. The referrer, who persuades the woman or man to undergo sterilization gets 300 Bangladeshi Taka (US$3.60).[16]

In 1965, the targeted number of sterilizations per month was 600–1000 in contrast to the insertion of 25,000 IUDs, which was increased in 1978 to about 50,000 sterilizations per month on average.[17] A 50% rise in the amount paid to men coincided with a doubling of the number of vasectomies between 1980 and 1981.[18]

Diagram of the human male reproductive anatomy and the location of the surgical procedure for a vasectomy

One study done in 1977, when incentives were only equivalent to US$1.10 (at that time), indicated that between 40% and 60% of the men chose vasectomy because of the payment, who otherwise did not have any serious urge to get sterilized.[19]

The “Bangladesh Association for Voluntary Sterilization”, alone performed 67,000 tubal ligations and vasectomies in its 25 clinics in 1982. The rate of sterilization increased 25 percent each year.[20]

On 16 December 1982, Bangladesh’s military ruler Lieutenant General Hussain Muhammad Ershad launched a two-year mass sterilization program for Bangladeshi women and men. About 3,000 women and men were planned to be sterilized on 16 December 1982 (the opening day). Ershad’s government trained 1,200 doctors and 25,000 field workers who must conduct two tubal ligations and two vasectomies each month to earn their salaries. And the government wanted to persuade 1.4 million people, both women and men to undergo sterilization within two years.[21] One population control expert called it ‘the largest sterilization program in the world’.[22] By January 1983, 40,000 government field workers were employed in Bangladesh’s 65,000 villages to persuade women and men to undergo sterilization and to promote usage of birth-control across the country.[20]

Food subsidies under the group feeding program (VGF) were given to only those women with certificates showing that they had undergone tubal ligation.[23]

In the 1977 study, a one-year follow-up of 585 men sterilized at vasectomy camps in Shibpur and Shalna in rural Bangladesh showed that almost half of the men were dissatisfied with their vasectomies.

58% of the men said their ability to work had decreased in the last year. 2–7% of the men said their sexual performance decreases. 30.6% of the Shibpur and 18.9% of the Shalna men experienced severe pain during the vasectomy. The men also said they had not received all of the incentives they had been promised.[19]

According to another study on 5042 women and 264 men who underwent sterilization, complications such as painful urination, shaking chills, fever for at least two days, frequent urination, bleeding from the incision, sore with pus, stitches or skin breaking open, weakness and dizziness arose after the sterilization.

The person’s sex, the sponsor and workload in the sterilization center, and the dose of sedatives administered to women were significantly associated with specific postoperative complaints. Five women died during the study, resulting in a death-to-case rate of 9.9/10,000 tubectomies (tubal ligations); four deaths were due to respiratory arrest caused by overuse of sedatives. The death-to-case rate of 9.9/10,000 tubectomies (tubal ligation) in this study is similar to the 10.0 deaths/10,000 cases estimated on the basis of a 1979 follow-up study in an Indian female sterilization camp. The presence of a complaint before the operation was generally a good predictor of postoperative complaints. Centers performing fewer than 200 procedures were associated with more complaints.[24]

According to another study based on 20 sterilization-attributable deaths in Dacca (now Dhaka) and Rajshahi Divisions in Bangladesh, from January 1, 1979 to March 31, 1980, overall, the sterilization-attributable death-to-case rate was 21.3 deaths/100,000 sterilizations. The death rate for vasectomy was 1.6 times higher than that for tubal ligation. Anesthesia overdosage was the leading cause of death following tubal ligation along with tetanus (24%), where intraperitoneal hemorrhage (14%), and infection other than tetanus (5%) was other leading causes of death.

Two women (10%) died from pulmonary embolism after tubal ligation; one (5%) died from each of the following: anaphylaxis from anti-tetanus serum, heat stroke, small bowel obstruction, and aspiration of vomitus. All seven men died from scrotal infections after vasectomy.[25]

According to a second epidemiologic investigation of deaths attributable to sterilization in Bangladesh, where all deaths resulting from sterilizations performed nationwide between September 16, 1980, and April 15, 1981, were investigated and analyzed, nineteen deaths from tubal ligation were attributed to 153,032 sterilizations (both tubal ligation and vasectomy), for an overall death-to-case rate of 12.4 deaths per 100,000 sterilizations. This rate was lower than that (21.3) for sterilizations performed in Dacca (now Dhaka) and Rajshahi Divisions from January 1, 1979, to March 31, 1980, although this difference was not statistically significant. Anesthesia overdosage, tetanus, and hemorrhage (bleeding) were the leading causes of death.[26]

There are reports that often when a woman had to undergo a gastrointestinal surgery, doctors took this opportunity to sterilize her without her knowledge.[27] According to Bangladesh governmental website “National Emergency Service”, the 2000 Bangladeshi Taka (US$24) and the sari/lungi given to the persons undergoing sterilizations are their “compensations“. Where Bangladesh government also assures the poor people that it will cover all medical expenses if complications arise after the sterilization.[28]

For the women who are persuaded to have IUD inserted into uterus, the government also offers 150 Bangladeshi Taka (US$1.80) after the procedure and 80+80+80=240 Bangladeshi Taka (0.96+0.96+0.96=2.88 USD) in three followups, where the referrer gets 50 Bangladeshi Taka (US$0.60). And for the women who are persuaded to have etonogestrel birth control implant placed under the skin in upper arm, the government offers 150 Bangladeshi Taka (US$1.80) after the procedure and 70+70+70=210 Bangladeshi Taka (0.84+0.84+0.84=2.52 USD) in three followups, where the referrer gets 60 Bangladeshi Taka (US$0.72).[16]

These civilian exploitative sterilization programs are funded by the countries from northern Europe and the United States.[27] World bank is also known to have sponsored these civilian exploitative sterilization programs in Bangladesh. Historically, World Bank is known to have pressured 3rd World governments to implement population control programs.[29]

Bangladesh is the 8th largest country in the world by population, having a population of 163,466,000 as of 12 November 2017, despite being ranked 94th by total area having an area of 147,570 km².[30] Bangladesh has the highest population density in the world among the countries having at least 10 million population. The capital Dhaka is the 4th most densely populated city in the world, which ranked as the world’s 2nd most unlivable city, just behind Damascus, Syria according to the annual “Liveability Ranking” 2015 by the Economist Intelligence Unit (EIU).[31][32]

Bangladesh is planning to introduce sterilization program in its overcrowded Rohingya refugee camps, where nearly a million refugees are fighting for space, after efforts to encourage birth control failed. Since 25 August 2017, more than 600,000 Rohingya Muslims have been fled from Rakhine state, Myanmar to neighboring Bangladesh, which is a Muslim majority country, following a military crackdown against Rohingya Muslims in Rakhine state, Myanmar. Sabura, a Rohingya mother of seven, said her husband believed the couple could support a large family.

“I spoke to my husband about birth control measures. But he is not convinced. He was given two condoms but he did not use them,” she said.

“My husband said we need more children as we have land and property (in Rakhine). We don’t have to worry to feed them,” she said.

District family planning authorities have managed to distribute just 549 packets of condoms among the refugees, amid reports they are reluctant to use them. They have asked the government to approve a plan to provide vasectomies for men and tubectomies (tubal ligation) for women in the camps.

One volunteer, Farhana Sultana, said the women she spoke to believed birth control was a sin and others saw it as against the tenets of Islam.

Bangladeshi officials say about 20,000 Rohingya refugee women are pregnant and 600 have given birth since arriving in the country, but this may not be accurate as many births take place without formal medical help.

Every month 250 Bangladeshi people undergo sterilization routinely under government’s sterilization program in the border town of Cox’s Bazar, where the Rohingya refugee Muslims have taken shelter.[33][34]


During the 1970s-80s, the U.S. government sponsored family planning campaigns in Brazil, although sterilization was illegal at the time there.[35] Dalsgaard[36] examined sterilization practices in Brazil; analyzing the choices of women who opt for this type of reproductive healthcare in order to prevent future pregnancies and so they can accurately plan their families. While many women choose this form of contraception, there are many societal factors that impact this decision, such as poor economic circumstances, low rates of employment, and Catholic religious mandates that stipulate sterilization as less harmful than abortion.[37]


Two Canadian provinces (Alberta and British Columbia) performed compulsory sterilization programs in the 20th century with eugenic aims. Canadian compulsory sterilization operated via the same overall mechanisms of institutionalization, judgment, and surgery as the American system. However, one notable difference is in the treatment of non-insane criminals. Canadian legislation never allowed for punitive sterilization of inmates.

The Sexual Sterilization Act of Alberta was enacted in 1928 and repealed in 1972. In 1995, Leilani Muir sued the Province of Alberta for forcing her to be sterilized against her will and without her permission in 1959. Since Muir’s case, the Alberta government has apologized for the forced sterilization of over 2,800 people. Nearly 850 Albertans who were sterilized under the Sexual Sterilization Act were awarded C$142 million in damages.[38][39]

As recently as 2017, a number of Indigenous women were not permitted to see their newborn babies unless they agreed to sterilization. Over 60 women are involved in a lawsuit in this case.[40][41]


In 1978, Chinese authorities became concerned with the possibility of a baby boom that the country could not handle, and they initialized the one-child policy. In order to effectively deal with the complex issues surrounding childbirth, the Chinese government placed great emphasis on family planning. Because this was such an important matter, the government thought it needed to be standardized, and so to this end laws were introduced in 2002.[42] These laws uphold the basic tenets of what was previously put into practice, outlining the rights of the individuals and outlining what the Chinese government can and cannot do to enforce policy.

However, recently accusations have been raised from groups such as Amnesty International, who have claimed that practices of compulsory sterilization have been occurring for people who have already reached their one child quota. These practices run contrary to the stated principles of the law, and seem to differ on a local level. An especially egregious example, according to Amnesty International, has been occurring in Puning City, Guangdong Province. The sterilization drive in this city was in accordance with regulations outlined by the government in the Population and Family Planning Law of 2002. This drive, also known as the Iron Fist Campaign, also is said to have used coercive methods in order to ensure that close to 10,000 women were sterilized, including detaining elderly family members. It is unclear whether support of the increase of the now 90% Han Chinese majority here plays a role[42]

The Chinese government appears to be aware of these discrepancies in policy implementation on a local level. For example, The National Population and Family Planning Commission put forth in a statement that, “Some persons concerned in a few counties and townships of Linyi did commit practices that violated law and infringed upon legitimate rights and interests of citizens while conducting family planning work.” This statement comes in reference to some charges of forced sterilization and abortions in Linyi city of Shandong Province.[43] However, it remains unclear to what extent the government has prosecuted or disciplined the officials in charge of family planning in the country.

The policy requires a “social compensation fee” for those who have more than the legal number of children. According to Forbes editor Heng Shao, critics claims this fee is a toll on the poor but not the rich.[44] There are cases registered in the Chinese legal system (cf. Si Bu Tuo Zhe Renmin) which could prove infractions in the field.


The time period of 1964-1970 started Colombia’s population policy development, including the foundation of PROFAMILIA and through the Ministry of Health the family planning program promoted the use of IUDs, the Pill, and sterilization as the main avenues for contraception. By 2005, Colombia had one of the world’s highest contraceptive usage rates at 76.9 percent, with female sterilization being the highest percentage of use at just over 30 percent (second highest is the IUD at around 12 percent and the Pill around 10 percent[45] (Measham and Lopez-Escobar 2007). In Colombia during the 1980s, sterilization was the second most popular choice of pregnancy prevention (after the Pill), and public healthcare organizations and funders (USAID, AVSC, IPPF) supported sterilization as a way to decrease abortions rates. While not directly forced into sterilization, women of lower socio-economic standing had significantly less options to afford family planning care as sterilizations were subsidized.[35]


Until June 11, 2014, sterilization was requisite for legal sex change in Denmark.[46]


One of the first acts by Adolf Hitler after the Reichstag Fire Decree and the Enabling Act of 1933 gave him de facto legal dictatorship over the German state was to pass the Law for the Prevention of Hereditarily Diseased Offspring (Gesetz zur Verhütung erbkranken Nachwuchses) in July 1933.[47][48] The law was signed by Hitler himself, and over 200 eugenic courts were created specifically as a result of this law. Under it, all doctors in the Third Reich were required to report any patients of theirs who were deemed intellectually disabled, characterized mentally ill (including schizophrenia and manic depression), epileptic, blind, deaf, or physically deformed, and a steep monetary penalty was imposed for any patients who were not properly reported. Individuals suffering from alcoholism or Huntington’s Disease could also be sterilized. The individual’s case was then presented in front of a court of Nazi officials and public health officers who would review their medical records, take testimony from friends and colleagues, and eventually decide whether or not to order a sterilization operation performed on the individual, using force if necessary. Though not explicitly covered by the law, 400 mixed-race “Rhineland Bastards” were also sterilized beginning in 1937.[49][50] The sterilization program went on until the war started, with about 600,000 people sterilized.[51]

By the end of World War II, over 400,000 individuals were sterilised under the German law and its revisions, most within its first four years of being enacted. When the issue of compulsory sterilisation was brought up at the Nuremberg trials after the war, many Nazis defended their actions on the matter by indicating that it was the United States itself from whom they had taken inspiration. The Nazis had many other eugenics-inspired racial policies, including their “euthanasia” programme in which around 70,000 people institutionalised or suffering from birth defects were killed.[52]


Guatemala is one country that resisted family planning programs, largely due to lack of governmental support, including civil war strife, and strong opposition from both the Catholic Church and Evangelical Christians until 2000, and as such, has the lowest prevalence of contraceptive usage in Latin America. In the 1980s, the archbishop of the country accused USAID of mass sterilizations of women without consent, but a President Reagan backed commission found the allegations to be false.[53]


Historic state marker located on the east lawn of the Indiana State Library in Indianapolis / Photo: Indiana Historical Bureau

India’s state of emergency between 1975 and 1977 included a family planning initiative that began in April 1976 through which the government hoped to lower India’s ever increasing population. This program used propagandas and monetary incentives to, some may construe, inveigle citizens to get sterilized.[54] People who agreed to get sterilized would receive land, housing, and money or loans.[55] Because of this program, thousands of men received vasectomies, but due to much opposition and protest, the country switched to targeting women through coercion, with holding welfare or ration card benefits, or bribed them with food and money.[56] Son of the Prime Minister at the time (Indira Gandhi), Sanjay Gandhi was largely blamed for what turned out to be a failed program.[57] A strong backlash against any initiative associated with family planning followed the highly controversial program, the backlash of which continues into the 21st century.[58] Sterilization policies are still enforced targeting mostly indigenous and lower classed women being taken to “sterilization camps;” the most recent abuse coming to light in the death of 15 women in Chhattisgarh in 2014.[56]


In the late 2000s, reports in the Israeli media claimed that injections of long-acting contraceptive Depo-Provera had been forced on hundreds of Ethiopian-Jewish immigrants both in transit camps in Ethiopia and after their arrival in Israel. In 2009, feminist NGO Haifa Women’s Coalition published a first survey on the story, which was followed up by Israeli Educational Television a few years later. Ethiopian-Jewish women said they were intimidated or tricked into taking the shot every three months, sometimes presented to them as vaccine. In 2016 Israel’s State Comptroller concluded his inquiry into the affair by claiming that injections of Depo-Provera had not been forced on the women; however, the Comptroller had refused to hear complainants’ testimony.


In the first part of the Shōwa era, Japanese governments promoted increasing the number of healthy Japanese, while simultaneously decreasing the number of people deemed to have mental retardation, disability, genetic disease and other conditions that led to inferiority in the Japanese gene pool.[59][60]

The Leprosy Prevention laws of 1907, 1931 and 1953, permitted the segregation of patients in sanitariums where forced abortions and sterilization were common and authorized punishment of patients “disturbing peace”.[61] Under the colonial Korean Leprosy prevention ordinance, Korean patients were also subjected to hard labor.[62]

The Race Eugenic Protection Law was submitted from 1934 to 1938 to the Diet. After four amendments, this draft was promulgated as a National Eugenic Law in 1940 by the Konoe government.[59] According to Matsubara Yoko, from 1940 to 1945, sterilization was done to 454 Japanese persons under this law. Appx. 800,000 people were surgically processed until 1995.[63]

According to the Eugenic Protection Law (1948), sterilization could be enforced on criminals “with genetic predisposition to commit crime”, patients with genetic diseases including mild ones such as total color-blindness, hemophilia, albinism and ichthyosis, and mental affections such as schizophrenia, manic-depression possibly deemed occurrent in their opposition and epilepsy, the sickness of Caesar.[64] The mental sicknesses were added in 1952.

In early 2019, Japan’s Supreme Court upheld a requirement that transgender people must have their reproductive organs removed.[65][66]


In Peru, President Alberto Fujimori (in office from 1990 to 2000) has been accused of genocide and crimes against humanity as a result of the Programa Nacional de Población, a sterilization program put in place by his administration.[67] During his presidency, Fujimori put in place a program of forced sterilizations against indigenous people (mainly the Quechuas and the Aymaras), in the name of a “public health plan”, presented on July 28, 1995. The plan was principally financed using funds from USAID (36 million dollars), the Nippon Foundation, and later, the United Nations Population Fund (UNFPA).[68] On September 9, 1995, Fujimori presented a Bill that would revise the “General Law of Population”, in order to allow sterilization. Several contraceptive methods were also legalized, all measures that were strongly opposed by the Roman Catholic Church, as well as the Catholic organization Opus Dei. In February 1996, the World Health Organization (WHO) itself congratulated Fujimori on his success in controlling demographic growth.[68]

On February 25, 1998, a representative for USAID testified before the U.S. government’s House Committee on International Relations, to address controversy surrounding Peru’s program. He indicated that the government of Peru was making important changes to the program, in order to:

  • Discontinue their campaigns in tubal ligations and vasectomies.
  • Make clear to health workers that there are no provider targets for voluntary surgical contraception or any other method of contraception.
  • Implement a comprehensive monitoring program to ensure compliance with family planning norms and informed consent procedures.
  • Welcome Ombudsman Office investigations of complaints received and respond to any additional complaints that are submitted as a result of the public request for any additional concerns.
  • Implement a 72-hour “waiting period” for people who choose tubal ligation or vasectomy. This waiting period will occur between the second counseling session and surgery.
  • Require health facilities to be certified as appropriate for performing surgical contraception as a means to ensure that no operations are done in makeshift or substandard facilities.[69]

In September 2001, Minister of Health Luis Solari launched a special commission into the activities of the voluntary surgical contraception, initiating a parliamentary commission tasked with inquiring into the “irregularities” of the program, and to put it on an acceptable footing. In July 2002, its final report ordered by the Minister of Health revealed that between 1995 and 2000, 331,600 women were sterilized, while 25,590 men submitted to vasectomies.[68] The plan, which had the objective of diminishing the number of births in areas of poverty within Peru, was essentially directed at the indigenous people living in deprived areas (areas often involved in internal conflicts with the Peruvian government, as with the Shining Path guerilla group). Deputy Dora Núñez Dávila made the accusation in September 2003 that 400,000 indigenous people were sterilized during the 1990s. Documents proved that President Fujimori was informed, each month, of the number of sterilizations done, by his former Ministers of Health, Eduardo Yong Motta (1994–96), Marino Costa Bauer (1996–1999) and Alejandro Aguinaga (1999–2000).[68] A study by sociologist Giulia Tamayo León [es]Nada Personal (in English: Nothing Personal), showed that doctors were required to meet quotas. According to Le Monde diplomatique, “tubal ligation festivals” were organized through program publicity campaigns, held in the pueblos jóvenes (in English: shantytowns). In 1996 there were, according to official statistics, 81,762 tubal ligations performed on women, with a peak being reached the following year, with 109,689 ligatures, then only 25,995 in 1998.[67]

On October 21, 2011, Peru’s Attorney General José Bardales decided to reopen an investigation into the cases, which had been halted in 2009 under the statute of limitations, after the Inter-American Commission on Human Rights ruled that President Fujimori’s sterilization program involved crimes against humanity, which are not time-limited.[70] It is unclear as to any progress in matter of the execution (debido ejecución sumaria) of the suspect in the course of any proof of their relevant accusations in the legal sphere of the constituted people in vindication of the rights of the people of South America. It may carry a parallel to any suspect cases for international investigation in any other continent, and be in the sphere of medical genocide.

South Africa

In South Africa, there have been multiple reports of HIV-positive women sterilized without their informed consent and sometimes without their knowledge.[71]


The eugenistic legislation was enacted in 1934 and was formally abolished in 1976. According to the 2000 governmental report, 21,000 were estimated to have been forcibly sterilized, 6,000 were coerced into a ‘voluntary’ sterilization while the nature of a further 4,000 cases could not be determined.[72] The Swedish state subsequently paid out damages to victims who contacted the authorities and asked for compensation. Of those sterilized 93% were women.[73]


In October 1999, Margrith von Felten suggested to the National Council of Switzerland in the form of a general proposal to adopt legal regulations that would enable reparation for persons sterilized against their will. According to the proposal, reparation was to be provided to persons who had undergone the intervention without their consent or who had consented to sterilization under coercion. According to Margrith von Felten:

Switzerland refused, however, to vote a reparations Act.

United States

A map from a 1929 Swedish royal commission report displays the U.S. states that had implemented sterilization legislation by then

The United States during the Progressive era, ca. 1890 to 1920, was the first country to concertedly undertake compulsory sterilization programs for the purpose of eugenics.[74] Thomas C. Leonard, professor at Princeton University, describes American eugenics and sterilization as ultimately rooted in economic arguments and further as a central element of Progressivism alongside wage controls, restricted immigration, and the introduction of pension programs.[75] The heads of the programs were avid proponents of eugenics and frequently argued for their programs which achieved some success nationwide mainly in the first half of the 20th Century.

Eugenics had two essential components. First, its advocates accepted as axiomatic that a range of mental and physical handicaps—blindness, deafness, and many forms of mental illness—were largely, if not entirely, hereditary in cause. Second, they assumed that these scientific hypotheses could be used as the basis of social engineering across several policy areas, including family planning, education, and immigration. The most direct policy implications of eugenic thought were that “mental defectives” should not produce children, since they would only replicate these deficiencies, and that such individuals from other countries should be kept out of the polity.[76] The principal targets of the American sterilization programs were the intellectually disabled and the mentally ill, but also targeted under many state laws were the deaf, the blind, people with epilepsy, and the physically deformed. While the claim was that the focus was mainly the mentally ill and disabled, the definition of this during that time was much different than today’s. At this time, there were many women that were sent to institutions under the guise of being “feeble-minded” because they were promiscuous or became pregnant while unmarried.

Some sterilizations took place in prisons and other penal institutions, targeting criminality, but they were in the relative minority.[77] In the end, over 65,000 individuals were sterilized in 33 states under state compulsory sterilization programs in the United States, in all likelihood without the perspectives of ethnic minorities.[78]

The first state to introduce a compulsory sterilization bill was Michigan, in 1897, but the proposed law failed to pass. Eight years later Pennsylvania’s state legislators passed a sterilization bill that was vetoed by the governor. Indiana became the first state to enact sterilization legislation in 1907,[79] followed closely by California and Washington in 1909. Several other states followed, but such legislation remained controversial enough to be defeated in some cases, as in Wyoming in 1934.[80] Sterilization rates across the country were relatively low, with the sole exception of California, until the 1927 U.S. Supreme Court decision in Buck v. Bell which legitimized the forced sterilization of patients at a Virginia home for the intellectually disabled.[81] In the wake of that decision, over 62,000 people in the United States, most of them women, were sterilized.[82] The number of sterilizations performed per year increased until another Supreme Court case, Skinner v. Oklahoma, 1942, complicated the legal situation by ruling against sterilization of criminals if the equal protection clause of the constitution was violated. That is, if sterilization was to be performed, then it could not exempt white-collar criminals.[83]

After World War II, public opinion towards eugenics and sterilization programs became more negative in the light of the connection with the genocidal policies of Nazi Germany, though a significant number of sterilizations continued in a few states through the 1970s. Between 1970-76, Indian Health Services sterilized between 25-42 percent of women of reproductive age who came in seeking healthcare services. In addition, the U.S. launched campaigns of sterilization against black women in the South and Latina women in the Southwest in order to break the chain of welfare dependency and curb the population rise of non-white citizens.[84][5] The Oregon Board of Eugenics, later renamed the Board of Social Protection, existed until 1983,[85] with the last forcible sterilization occurring in 1981.[86] The U.S. commonwealth Puerto Rico had a sterilization program as well. Some states continued to have sterilization laws on the books for much longer after that, though they were rarely if ever used. California sterilized more than any other state by a wide margin, and was responsible for over a third of all sterilization operations. Information about the California sterilization program was produced into book form and widely disseminated by eugenicists E.S. Gosney and Paul B. Popenoe, which was said by the government of Adolf Hitler to be of key importance in proving that large-scale compulsory sterilization programs were feasible.[87] In recent years, the governors of many states have made public apologies for their past programs beginning with Virginia and followed by Oregon[85] and California. Few have offered to compensate those sterilized, however, citing that few are likely still living (and would of course have no affected offspring) and that inadequate records remain by which to verify them. At least one compensation case, Poe v. Lynchburg Training School & Hospital (1981), was filed in the courts on the grounds that the sterilization law was unconstitutional. It was rejected because the law was no longer in effect at the time of the filing. However, the petitioners were granted some compensation because the stipulations of the law itself, which required informing the patients about their operations, had not been carried out in many cases. [88] The 27 states where sterilization laws remained on the books (though not all were still in use) in 1956 were: Arizona, California, Connecticut, Delaware, Georgia, Idaho, Indiana, Iowa, Kansas, Maine, Michigan, Minnesota, Mississippi, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Oklahoma, Oregon, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington,[89] West Virginia and Wisconsin.[90] Some states still have forced sterilization laws in effect, such as Washington state.[89]

As of January 2011, discussions were underway regarding compensation for the victims of forced sterilization under the authorization of the Eugenics Board of North Carolina. Governor Bev Perdue formed the NC Justice for Sterilization Victims Foundation in 2010 in order “to provide justice and compensate victims who were forcibly sterilized by the State of North Carolina”.[91] In 2013 North Carolina announced that it would spend $10 million beginning in June 2015 to compensate men and women who were sterilized in the state’s eugenics program; North Carolina sterilized 7,600 people from 1929 to 1974 who were deemed socially or mentally unfit.[92]

The Congress of Obstetricians and Gynecologists (ACOG) believes that mental disability is not a reason to deny sterilization. The opinion of ACOG is that “the physician must consult with the patient’s family, agents, and other caregivers” if sterilization is desired for a mentally limited patient.[93] In 2003, Douglas Diekema wrote in Volume 9 of the journal Mental Retardation and Developmental Disabilities Research Reviews that “involuntary sterilization ought not be performed on mentally retarded persons who retain the capacity for reproductive decision-making, the ability to raise a child, or the capacity to provide valid consent to marriage.”[94] The Journal of Medical Ethics claimed, in a 1999 article, that doctors are regularly confronted with request to sterilize mentally limited people who cannot give consent for themselves. The article recommend that sterilization should only occur when there is a “situation of necessity” and the “benefits of sterilization outweigh the drawbacks.”[95] The American Journal of Bioethics published an article, in 2010, that concluded the interventions used in the Ashley treatment may benefit future patients.[96] These interventions, at the request of the parents and guidance from the physicians, included a hysterectomy and surgical removal of the breast buds of the mentally and physically disabled child.[97]

The inability to pay for the cost of raising children has been a reason courts have ordered coercive or compulsory sterilization. In June 2014, a Virginia judge ruled that a man on probation for child endangerment must be able to pay for his seven children before having more children; the man agreed to get a vasectomy as part of his plea deal.[98] In 2013, an Ohio judge ordered a man owing nearly $100,000 in unpaid child support to “make all reasonable efforts to avoid impregnating a woman” as a condition of his probation.[99] Kevin Maillard wrote that conditioning the right to reproduction on meeting child support obligations amounts to “constructive sterilization” for men unlikely to make the payments.[100]

148 female prisoners in two California institutions were sterilized between 2006 and 2010 in a supposedly voluntary program, but it was determined that the prisoners did not give consent to the procedures.[101] In September 2014, California enacted Bill SB 1135 that bans sterilization in correctional facilities, unless the procedure shall be required in a medical emergency to preserve inmate’s life.[102]

Discussions have yet to begin regarding compensation for victims of forced sterilization in other states.

Puerto Rico

A political map of Puerto Rico

Puerto Rican physician, Dr. Lanauze Rolón, founded the League for Birth Control in Ponce, Puerto Rico in 1925, but the League was quickly squashed by opposition from the Catholic church.[103][104] A similar League was founded seven years later, in 1932, in San Juan, Puerto Rico and continued in operation for two years before opposition and lack of support forced its closure.[103][104] Yet another effort at establishing birth control clinics was made in 1934 by the Federal Emergency Relief Administration in a relief response to the conditions of the Great Depression.[104] As a part of this effort, 68 birth control clinics were opened on the island.[104] The next mass opening of clinics occurred in January 1937 when American Dr. Clarence Gamble, in association with a group of wealthy and influential Puerto Ricans, organized the Maternal and Infant Health Association and opened 22 birth control clinics.[104]

The Governor of Puerto Rico, Menendez Ramos, enacted Law 116,[105] which went into effect on May 13, 1937.[106] It was a birth control and eugenic sterilization law that allowed the dissemination of information regarding birth control methods as well as legalized the practice of birth control.[103][104] The government cited a growing population of the poor and unemployed as motivators for the law. Abortion remained heavily restricted. By 1965, approximately 34 percent of women of childbearing age had been sterilized, two thirds of whom were still in their early twenties The law was repealed on June 8, 1960.[103]


Unemployment and widespread poverty would continue to grow in Puerto Rico in the 40s, threatening both U.S. private investment in Puerto Rico and acting as a deterrent for future investment.[103] In an attempt to attract additional U.S. private investment in Puerto Rico, another round of liberalizing trade policies were implemented and referred to as “Operation Bootstrap.”[103] Despite these policies and their relative success, unemployment and poverty in Puerto Rico remained high, high enough to prompt an increase in emigration from Puerto Rico to the United States between 1950 and 1955.[103] The issues of immigration, Puerto Rican poverty, and threats to U.S. private investment made population control concerns a prime political and social issue for the United States.[103]

The 50s also saw the production of social science research supporting sterilization procedures in Puerto Rico.[103] Princeton’s Office of Population Research, in collaboration with the Social Research Department at the University of Puerto Rico, conducted interviews with couples regarding sterilization and other birth control.[103] Their studies concluded that there was a significant need and desire for permanent birth control among Puerto Ricans.[103] In response, Puerto Rico’s governor and Commissioner of health opened 160 private, temporary birth control clinics with the specific purpose of sterilization.[103]

Also during this era, private birth control clinics were established in Puerto Rico with funds provided by wealthy Americans.[103][104] Joseph Sunnen, a wealthy American Republican and industrialist, established the Sunnen Foundation in 1957.[103][104] The foundation funded new birth control clinics under the title “La Asociación Puertorriqueña el Biensestar de la Familia” and spent hundreds of thousands of dollars in an experimental project to determine if a formulaic program could be used to control population growth in Puerto Rico and beyond.[103]

Sterilization procedures and coercion

From beginning of the 1900s, U.S. and Puerto Rican governments espoused rhetoric connecting the poverty of Puerto Rico with overpopulation and the “hyper-fertility” of Puerto Ricans.[107] Such rhetoric combined with eugenics ideology of reducing “population growth among a particular class or ethnic group because they are considered…a social burden,” was the philosophical basis for the 1937 birth control legislation enacted in Puerto Rico.[107][108] A Puerto Rican Eugenics Board, modeled after a similar board in the United States, was created as part of the bill, and officially ordered ninety-seven involuntary sterilizations.[108]

The legalization of sterilization was followed by a steady increase in the popularity of the procedure, both among the Puerto Rican population and among physicians working in Puerto Rico.[108][109] Though sterilization could be performed on men and women, women were most likely to undergo the procedure.[103][104][108][109] Sterilization was most frequently recommended by physicians because of a pervasive belief that Puerto Ricans and the poor were not intelligent enough to use other forms of contraception.[108][109] Physicians and hospitals alike also implemented hospital policy to encourage sterilization, with some hospitals refusing to admit healthy pregnant women for delivery unless they consented to be sterilized.[108][109] This has been best documented at Presbyterian Hospital, where the unofficial policy for a time was to refuse admittance for delivery to women who already had three living children unless she consented to sterilization.[108][109] There is additional evidence that true informed consent was not obtained from patients before they underwent sterilization, if consent was solicited at all.[109]

By 1949 a survey of Puerto Rican women found that 21% of women interviewed had been sterilized, with sterilizations being performed in 18% of all hospital births statewide as a routine post-partum procedure, with the sterilization operation performed before women left the hospitals after giving birth.[103] As for the birth control clinics founded by Sunnen, the Puerto Rican Family Planning Association reported that around 8,000 women and 3,000 men had been sterilized in Sunnen’s privately funded clinics.[103] At one point, the levels of sterilization in Puerto Rico were so high that they alarmed the Joint Committee for Hospital Accreditation, who then demanded that Puerto Rican hospitals limit sterilizations to ten percent of all hospital deliveries in order to receive accreditation.[103] The high popularity of sterilization continued into the 60s and 70s, during which the Puerto Rican government made the procedures available for free and reduced fees.[108] The effects of the sterilization and contraception campaigns of the 1900s in Puerto Rico are still felt in Puerto Rican cultural history today.[107]

Controversy and opposing viewpoints

There has been much debate and scholarly analysis concerning the legitimacy of choice given to Puerto Rican women with regards to sterilization, reproduction, and birth control, as well as with the ethics of economically motivated mass sterilization programs.

Some scholars, such as Bonnie Mass[103] and Iris Lopez,[107] have argued that the history and popularity of mass sterilization in Puerto Rico represents a government-led eugenics initiative for population control.,[103][107][109][110] They cite the private and government funding of sterilization, coercive practices, and the eugenics ideology of Puerto Rican and American governments and physicians as evidence of a mass sterilization campaign.[107][109][110]

On the other side of the debate, scholars like Laura Briggs[108] have argued that evidence does not substantiate claims of a mass sterilization program.[108] She further argues that reducing the popularity of sterilization in Puerto Rico to a state initiative ignores the legacy of Puerto Rican feminist activism in favor or birth control legalization and the individual agency of Puerto Rican women in making decisions about family planning.[108]


When the United States took census of Puerto Rico in 1899, the birth rate was 40 births per one thousand people.[104] By 1961, the birth rate had dropped to 30.8 per thousand.[103] In 1955, 16.5% of Puerto Rican women of childbearing age had been sterilized, this jumped to 34% in 1965.[103]

In 1969, sociologist Harriet Presser analyzed the 1965 Master Sample Survey of Health and Welfare in Puerto Rico.[111] She specifically analyzed data from the survey for women ages 20 to 49 who had at least one birth, resulting in an overall sample size of 1,071 women.[111] She found that over 34% of women aged 20–49 had been sterilized in Puerto Rico in 1965.[111]

Presser’s analysis also found that 46.7% of women who reported they were sterilized were between the ages of 34 and 39.[111] Of the sample of women sterilized, 46.6% had been married 15 to 19 years, 43.9% had been married for 10 to 14 years, and 42.7% had been married for 20 to 24 years.[111] Nearly 50% of women sterilized had three or four births.[111] Over 1/3 of women who reported being sterilized were sterilized in their twenties, with the average age of sterilization being 26.[111]

A survey by a team of Americans in 1975 confirmed Presser’s assessment that nearly 1/3 of Puerto Rican women of childbearing age had been sterilized.[103] As of 1977, Puerto Rico had the highest proportion of childbearing-aged persons sterilized in the world.[103] In 1993, ethnographic work done in New York by anthropologist Iris Lopez[107] showed that the history of sterilization continued to effect the lives of Puerto Rican women even after they immigrated to the United States and lived there for generations.[107] The history of the popularity of sterilization in Puerto Rico meant that Puerto Rican women living in America had high rates of female family members who had undergone sterilization, and it remained a highly popular form of birth control among Puerto Rican women living in New York.[107]


“Civil Society Organizations such as Balance, Promocion para el Desarrollo y Juventud, A.C., have received in the last years numerous testimonies of women living with HIV in which they inform that misinformation about the virus transmission has frequently lead to compulsory sterilization. Although there is enough evidence regarding the effectiveness of interventions aimed to reduce mother-to-child transmission risks, there are records of HIV-positive women forced to undergo sterilization or have agreed to be sterilized without adequate and sufficient information about their options.”[112]

“A report made in El Salvador, Honduras, Mexico, and Nicaragua concluded that women living with HIV, and whose health providers knew about it at the time of pregnancy, were six times more likely to experience forced or coerced sterilization in those countries. In addition, most of these women reported that health providers told them that living with HIV cancelled their right to choose the number and spacing of the children they want to have as well as the right to choose the contraceptive method of their choice; provided misleading information about the consequences for their health and that of their children and denied them access to treatments that reduce mother-to-child HIV transmission in order to coerce them into sterilization.[113]

This happens even when the health norm NOM 005-SSA2-1993 states that family planning is “the right of everyone to decide freely, responsibly and in an informed way the number and spacing of their children and to obtain specialized information and proper services” and that “the exercise of this right is independent of gender, age, and social or legal status of persons”.[112]


According to reports, as of 2012, forced and coerced sterilization are current Government policy in Uzbekistan for women with two or three children as a means of forcing population control and to improve maternal mortality rates.[114][115][116][117][118] In November 2007, a report by the United Nations Committee Against Torture reported that “the large number of cases of forced sterilization and removal of reproductive organs of women at reproductive age after their first or second pregnancy indicate that the Uzbek government is trying to control the birth rate in the country” and noted that such actions were not against the national Criminal Code[119] in response to which the Uzbek delegation to the associated conference was “puzzled by the suggestion of forced sterilization, and could not see how this could be enforced.”[120]

Reports of forced sterilizations, hysterectomies and IUD insertions first emerged in 2005,[114][115][116][121] although it is reported that the practice originated in the late 1990s,[122] with reports of a secret decree dating from 2000.[121] The current policy was allegedly instituted by Islam Karimov under Presidential Decree PP-1096, “on additional measures to protect the health of the mother and child, the formation of a healthy generation”[123] which came into force in 2009.[124] In 2005 Deputy Health Minister Assomidin Ismoilov confirmed that doctors in Uzbekistan were being held responsible for increased birth rates.[121]

Based on a report by journalist Natalia Antelava, doctors reported that the Ministry of Health told doctors they must perform surgical sterilizations on women. One doctor reported, “It’s ruling number 1098 and it says that after two children, in some areas after three, a woman should be sterilized.”, in a loss of the former surface decency of Central Asian mores in regard of female chastity.[125] In 2010, the Ministry of Health passed a decree stating all clinics in Uzbekistan should have sterilization equipment ready for use. The same report also states that sterilization is to be done on a voluntary basis with the informed consent of the patient.[125] In the 2010 Human Rights Report of Uzbekistan, there were many reports of forced sterilization of women along with allegations of the government pressuring doctors to sterilize women in order to control the population.[126] Doctors also reported to Antelava that there are quotas they must reach every month on how many women they need to sterilize. These orders are passed on to them through their bosses and, allegedly, from the government.[125]

On May 15, 2012, during a meeting with the Russian president Vladimir Putin in Moscow the Uzbek president Islam Karimov said: “we are doing everything in our hands to make sure that the population growth rate [in Uzbekistan] does not exceed 1.2–1.3”[127] The Uzbek version of RFE/RL reported that with this statement Karimov indirectly admitted that forced sterilization of women is indeed taking place in Uzbekistan.[127] The main Uzbek television channel, O’zbekiston, cut out Karimov’s statement about the population growth rate while broadcasting his conversation with Putin.[127] It is unclear if there is any genocidal conspiracy in regard of the Mongol type involved, in connection with genetic drain of this type through lack of their reproduction.

Despite international agreement concerning the inhumanity and illegality of forced sterilization, it has been suggested that the Government of Uzbekistan continues to pursue such programs.[114]

Other countries

Eugenics programs including forced sterilization existed in most Northern European countries, as well as other more or less Protestant countries. Other countries that had notably active sterilisation programmes include Denmark, Norway, Finland,[128] Estonia, Switzerland, Iceland, and some countries in Latin America (including Panama).

In the United Kingdom, Home Secretary Winston Churchill was a noted advocate, and his successor Reginald McKenna introduced a bill that included forced sterilisation. Writer G. K. Chesterton led a successful effort to defeat that clause of the 1913 Mental Deficiency Act.[129]

In 2015, the Court of Protection of the United Kingdom ruled that a woman with six children and an IQ of 70 should be sterilized for her own safety because another pregnancy would have been a “significantly life-threatening event” for her and the fetus.[130]


  1. Eliminating forced, coercive and otherwise involuntary sterilization: An interagency statementArchived 2015-07-11 at the Wayback MachineWorld Health Organization, May 2014.
  2. Webster University, Forced Sterilization. Retrieved on August 30, 2014. “Women and Global Human Rights”Archived from the original on 2015-09-07. Retrieved 2016-10-29.
  3. “Report of the Special Rapporteur on Torture and other cruel, inhuman or degrading treatment or punishment (A/HRC/22/53)”(PDF). para. 78. Archived(PDF) from the original on 2016-08-24. Retrieved 2013-10-28.
  4. Correa, Sonia (1994). Population and Reproductive Rights: Feminists Perspectives from the South. London: Zed Books Ltd.
  5. Solinger, Rickie (2005). Pregnancy and Power: A Short History of Reproductive Politics in America. New York: New York University Press.
  6. Lopez, Iris (2008). Matters of Choice: Puerto Rican Women’s Struggle for Reproductive Freedom. New Brunswick: Rutgers University Press.
  7. Rylko-Bauer, Barbara (2014). A Polish Doctor in the Nazi Camps: My Mother’s Memories of Imprisonment, Immigration, and a Life Remade. University of Oklahoma.
  8. Baxandall, Rosalyn; Gordon, Linda (2000). Dear Sisters. New York, NY: Basic Books. pp. 151–152. ISBN978-0-465-01707-2.
  9. “Interact Worldwide Downloads”. Interact Worldwide. Archived from the original on November 15, 2011.
  10. Egnor, Michael (August 14, 2009). “The Inconvenient Truth About Population Control, Part 2; Science Czar John Holdren’s Endorsement of Involuntary Sterilization”evolutionnews.orgArchived from the original on October 5, 2016. Retrieved October 3, 2016.
  11. “The Human Predicament:Finding a Way Out”(PDF)Archivedfrom the original on 2016-11-10. Retrieved 2016-10-06.
  12. “Council of Europe Convention on preventing and combating violence against women and domestic violence”Archived from the original on 2017-05-31. Retrieved 2017-08-07.
  13. As quoted by Guy Horton in Dying Alive – A Legal Assessment of Human Rights Violations in BurmaArchived 2016-01-13 at the Wayback Machine April 2005, co-Funded by The Netherlands Ministry for Development Co-Operation. See section “12.52 Crimes against humanity”, Page 201. He references RSICC/C, Vol. 1 p. 360
  14. “Rome Statute of the International Criminal Court”. Archived from the original on 2013-10-19. Retrieved 2012-07-13.
  15. “Forced Sterilization and Mandatory Divorce: How a Majority of Council of Europe Member States’ Laws Regarding Gender Identity Violate the Internationally and Regionally Established Human Rights of Trans* People”33 (1 Article 9). Berkeley Journal of International Law. 2015. Archived from the original on August 8, 2016. Retrieved June 13, 2016Unfortunately, this is not an anomaly: this is the lived experience of trans*people in dozens of countries throughout the world, including the twenty- one Council of Europe (COE) Member States that currently require proof of sterilization to change one’s legal sex categorization. […] It would be advisable for LGBTQ activists to seriously consider developing LGBTQ-specific international and regional human rights treaties.
  16. “পরিবার পরিকল্পনা | উত্তরখান ইউনিয়ন | উত্তরখান ইউনিয়ন” from the original on 2017-11-12. Retrieved 2017-11-11.
  17. AR, Khan; I, Swenson (1978). “Acceptability of male sterilization in Bangladesh: its problems and perspectives”Bangladesh Development Studies6 (2). Archived from the original on 2017-11-13.
  18. L, Liskin; JM, Pile; WF, Quillan (1983). “Vasectomy—safe and simple”Population Reports. Series D: Sterilization Male (4). Archived from the original on 2017-11-12.
  19. Khan, Atiqur Rahman; Swenson, Ingrid E.; Rahman, Azizur (1979-01-01). “A Follow-up of Vasectomy Clients in Rural Bangladesh”. International Journal of Gynecology & Obstetrics17 (1): 11–14. doi:10.1002/j.1879-3479.1979.tb00108.xISSN1879-3479PMID39831.
  20. Claiborne, William (1983-01-28). “Bangladesh’s Midwives Promote Birth Control”Washington PostISSN0190-8286Archived from the original on 2017-11-12. Retrieved 2017-11-12.
  21. “The Bangladesh government plans a mass voluntary sterilization of…”UPIArchived from the original on 2017-11-13. Retrieved 2017-11-11.
  22. “Impoverished Bangladesh plans sterilization program”UPIArchived from the original on 2017-11-12. Retrieved 2017-11-11.
  23. Miles and Shiva 1993
  24. Rosenberg, M. J.; Rochat, R. W.; Akbar, J.; Gould, P.; Khan, A. R.; Measham, A.; Jabeen, S. (August 1982). “Sterilization in Bangladesh: mortality, morbidity, and risk factors”. International Journal of Gynaecology and Obstetrics20 (4): 283–291. doi:10.1016/0020-7292(82)90057-1ISSN0020-7292PMID6127262.
  25. Grimes, D. A.; Peterson, H. B.; Rosenberg, M. J.; Fishburne, J. I.; Rochat, R. W.; Khan, A. R.; Islam, R. (April 1982). “Sterilization-attributable deaths in bangladesh”. International Journal of Gynaecology and Obstetrics20 (2): 149–154. ISSN0020-7292PMID6125437.
  26. Grimes, D. A.; Satterthwaite, A. P.; Rochat, R. W.; Akhter, N. (November 1982). “Deaths from contraceptive sterilization in bangladesh: rates, causes, and prevention”. Obstetrics and Gynecology60 (5): 635–640. ISSN0029-7844PMID7145254.
  27. “BANGLADESH Healthcare in Bangladesh: only sterilization and vasectomies are free”www.asianews.itArchivedfrom the original on 2017-11-12. Retrieved 2017-11-12.
  28. “স্থায়ী জন্মনিয়ন্ত্রণ পদ্ধতির সেবা” from the original on 2018-01-04. Retrieved 2017-11-12.
  29. Hartmann, B. (June 1991). “[Children and bankers in Bangladesh]”. Temas de Poblacion1 (2): 51–55. PMID12284143.
  30. “Bangladesh Bureau of Statistics”. 2011-09-04. Archived from the original on 2011-09-04. Retrieved 2017-11-12.
  31. solutions, EIU digital. “Global Liveability Ranking 2015 – The Economist Intelligence Unit”www.eiu.comArchived from the original on 2017-08-10. Retrieved 2017-11-12.
  32. “Dhaka 2nd least liveable city in the world”The Daily Star. 2015-08-19. Archived from the original on 2017-09-05. Retrieved 2017-11-12.
  33. France-Presse, Agence (2017-10-28). “Bangladesh to offer sterilisation to Rohingya in refugee camps”The GuardianISSN0261-3077Archived from the original on 2017-11-04. Retrieved 2017-11-12.
  34. “Bangladesh ‘plans to offer to sterilise Rohingya Muslims’ as refugee population grows”The Independent. 2017-10-29. Archived from the original on 2017-11-13. Retrieved 2017-11-12.
  35. Hartmann, Betsy (2016). Reproductive Rights and Wrongs: The Global Politics of Population Control. Chicago: Haymarket Books.
  36. Dalsgaard, Anne Line (2004). Matters of Life and Longing: Female Sterilisation in Northeast Brazil. Museum Tusculanum Press.
  37. Correa and Petchesky, Sonia; Rosalind (1994). Reproductive and Sexual Rights: A Feminist Perspective. United Kingdom: Routledge. pp. 134–147.
  38. Canadian Broadcasting Corporation (CBC) (November 9, 1999). “Alberta Apologizes for Forced Sterilization”CBC NewsArchivedfrom the original on November 23, 2012. Retrieved June 19, 2013.
  39. Victims of sterilization finally get day in court. Lawrence Journal-World. December 23, 1996.
  40. “Indigenous women kept from seeing their newborn babies until agreeing to sterilization, says lawyer | CBC Radio”.
  41. Human rights groups call on Canada to end coerced sterilization of indigenous women The Guardian, 2018
  42. “Thousands at risk of forced sterilization in China”Amnesty International. April 22, 2010. Archived from the original on March 14, 2012. Retrieved April 9, 2012.
  43. “China acts on forced abortion”. BBC. September 20, 2005. Archived from the original on February 10, 2009. Retrieved April 9,2012.
  44. Enforcement of One-Child Policy Targets ‘The Rich and Famous’ in Zhangzhou, China, Forbes, September 20, 2013. “Enforcement of One-Child Policy Targets ‘The Rich and Famous’ in Zhangzhou, China”Archived from the original on 2017-09-09. Retrieved 2017-09-29.
  45. Measham and Lopez-Escobar, Anthony, Guillermo (2007). Against the Odds: Colombia’s Role in the Family Planning Revolution. World Bank Publisher. pp. 121–135.
  46. “OVERBLIK: Transkønnedes kamp mod lovgivningen” Danish). 22 May 2018. Retrieved 9 August 2018.
  47. Eugenics Courts Named in Reich. The Montreal Gazette. January 3, 1934.
  48. Berlin Eugenics Court Gives Sterilization Data. The Montreal Gazette. June 20, 1934.
  49. Robert Proctor, Racial hygiene: Medicine under the Nazis(Cambridge, MA: Harvard University Press, 1988), and Gisela Bock, “Nazi sterilization and reproductive policies” in Dieter Kuntz, ed., Deadly medicine: creating the master race (Washington, D.C.: United States Holocaust Memorial Museum, 2004).
  50. Wallace R. Deuel Describes German People Under Hitler. The Pittsburgh Press. Date February 11 1942
  51. “The connection between American eugenics and Nazi Germany, James Watson :: DNA Learning Center”Archived from the original on 2014-02-21. Retrieved 2014-02-05. |”The connection between American eugenics and Nazi Germany” James Watson speaks about Nazi eugenics
  52. Ian KershawHitler: A Profile in Power, Chapter VI, first section (London, 1991, rev. 2001)
  53. Santiso-Galvez and Bertrand, Roberto; Jane T. (2007). Guatemala: The Pioneering Days of the Family Planning Movement. World Bank Publications. pp. 137–154.
  54. “A generation of lost manhood”Archived from the original on 2016-01-07.
  55. Relying on Hard and Soft Sells India Pushes Sterilization, New York Times, June 22, 2011.
  56. Wilson, Kalpana (2017-04-01). “In the name of reproductive rights: race, neoliberalism and the embodied violence of population policies”New Formations91 (91): 50–68. doi:10.3898/newf:91.03.2017ISSN0950-2378.
  57. “The Indira enigma”Frontline. May 11, 2001. Archived from the original on November 10, 2006. Retrieved July 28, 2006.
  58. “Male involvement and contraceptive methods for men”Frontline. September 1996. Archived from the original on August 11, 2006. Retrieved July 28, 2006.
  59. “国民優生法” [The Eugenic Protection Law]. Archived from the original on 2014-02-05. The 107th law that Japanese Government promulgated in 1940 (国民優生法) 第二条 本法ニ於テ優生手術ト称スルハ生殖ヲ不能ナラシムル手術又ハ処置ニシテ命令ヲ以テ定ムルモノヲ謂フ
  60. Kimura, Rihito (1991). “Jurisprudence in Genetics”. In Srám, R. J.; Bulyzhenkov, V.; Prilipko, L.; et al. (eds.). Ethical Issues of Molecular Genetics in Psychiatry. Springer-Verlag. pp. 157–166. Archivedfrom the original on 2015-11-07.
  61. “Hansen’s sanitarium were houses of horrors”The Japan Times. 2005-01-28. Archived from the original on 2011-06-06. , Sato, Hajime (February 2002). “Abolition of leprosy isolation policy in Japan: policy termination through leadership”. Policy Studies Journal30 (1): 29–46. doi:10.1111/j.1541-0072.2002.tb02126.x.
  62. “Korean Hansens patients seek redress”The Japan Times. 2004-02-26. Archived from the original on 2012-06-05.
  63. 「優生問題を考える(四)──国民優生法と優生保護法Archived 2006-12-30 at the Wayback Machine Matsubara Yoko – Research of Eugenics problem (Professor of Ritsumeikan University, researcher of Gender-blind and Eugenics.)
  64. “SOSHIREN / 資料・法律−優生保護法”. Archivedfrom the original on 2012-02-09. Retrieved 2012-07-13.
  65. “Japan says transgender people must be sterilised”The Economist. 2019-03-14. ISSN0013-0613. Retrieved 2019-03-20.
  66. “Japan urged to lift sterilization requirement for transgender recognition”The Japan Times Online. 2019-03-20. ISSN0447-5763. Retrieved 2019-03-20.
  67. “Mass sterilization scandal shocks Peru”BBC News. July 24, 2002. Archived from the original on June 30, 2006. Retrieved April 30, 2006.
  68. Stérilisations forcées des Indiennes du PérouArchived2014-05-10 at the Wayback MachineLe Monde diplomatique, May 2004
  69. “USAID Testimony: House International Relations Committee, Subcommittee on International Operations and Human Rights, 2/25/98”. USAID. Archived from the original on September 6, 2009. Retrieved August 23, 2011.
  70. Thousands of Forced Sterilization Cases Reopened in PeruArchived 2014-04-26 at the Wayback Machine Impunity Watch, published November 14, 2011
  71. Essack, Zaynab; Strode, Ann (2012). “I feel like half a woman all the time’: The impacts of coerced and forced sterilisations on HIV-positive women in South Africa”. Agenda: Empowering Women for Gender Equity26 (12): 24–34. doi:10.1080/10130950.2012.708583ISSN1013-0950.
  72. Steriliseringsfrågan i Sverige 1935–1975Archived 2012-02-05 at the Wayback Machine, SOU 2000:20, in Swedish with an English summary.
  73. Tydén, Mattias (2002). Från politik till praktik: de svenska steriliseringslagarna 1935–1975. Stockholm studies in history, 0491-0842; 63 (in Swedish) (2., utvidgade uppl. ed.). Stockholm: Almqvist & Wiksell International. p. 59. ISBN978-91-22-01958-9.
  74. Iredale, Rachel (2000). “Eugenics And Its Relevance To Contemporary Health Care”. Nursing Ethics7 (3).
  75. Leonard, Thomas C. (2005). “Retrospectives: Eugenics and Economics in the Progressive Era”(PDF)Journal of Economic Perspectives19 (4): 207–224. doi:10.1257/089533005775196642Archived(PDF) from the original on 2016-12-18.
  76. Hansen, King, Randall, Desmond (Summer 2017). “Eugenic Ideas, Political Interests, and Policy Variance: Immigration and Sterilization Policy in Britain and the U.S”World Politics53: 237–263.
  77. Interview with Alexandra Minna Stern, Ph.D. of University of Michigan in Spanish newspaper El País published on 12 Julz 2013 [1]Archived 2013-07-15 at the Wayback Machine
  78. Kevles, Daniel (April 12, 1985). In the name of eugenics: Genetics and the uses of human heredity (1st ed.). New York: Knopf. ISBN978-0-394-50702-6.
  79. The Indiana Supreme Court overturned the law in 1921 in “Williams et al v. Smith, 131 NE 2 (Ind.), 1921”(PDF)Northeastern Reporter131: 2. Archived from the original(PDF) on 2008-10-01.
  80. McDaniel, Rodger (2013). Dying for Joe McCarthy’s Sins: The Suicide of Wyoming Senator Lester Hunt. Cody, Wyoming: WordsWorth. pp. 40ff. ISBN978-0983027591.
  81. “Buck v. Bell”Archived from the original on 2017-06-23. Retrieved 2017-06-27.
  82. Kluchin, Rebecca M (2011). Fit to be Tied: Sterilization and Reproductive Rights in America, 1950-1980ISBN9780813549996Archived from the original on 2016-06-10. Retrieved 2015-08-14.
  83. On the legal history of eugenic sterilization in the U.S., see Lombardo, Paul. “Eugenic Sterilization Laws”Eugenics ArchiveArchived from the original on 2017-07-01.
  84. Kluchin, Rebecca (2009). Fit to Be Tied: Sterilization and Reproductive Rights in America, 1950-1980. Rutgers: Rutgers University Press.
  85. Governor John Kitzhaber (December 2, 2002). “Proclamation of Human Rights Day, and apology for Oregon’s forced sterilization of institutionalized patients”. Archived from the original on May 28, 2014. Retrieved February 16, 2012.
  86. Julie Sullivan. (2002). “State will admit sterilization past“, Portland Oregonian, November 15, 2002. (Mirrored in Eugene Register-Guard, November 16, 2002, at Google News.)
  87. On California sterilizations and their connection to the Nazi program, see: Stefan Kühl, The Nazi connection: Eugenics, American racism, and German National Socialism (New York: Oxford University Press, 1994); Alexandra Stern, Eugenic nation: faults and frontiers of better breeding in modern America (Berkeley: University of California Press, 2005); and Wendy Kline, Building a better race: gender, sexuality, and eugenics from the turn of the century to the baby boom (Berkeley: University of California Press, 2001).
  88. “Poe v. Lynchburg Training School and Hospital, 518 F. Supp. 789 (W.D. Va. 1981)”Justia US LawArchived from the original on 2015-09-29.
  89. “RCW 9.92.100: Prevention of procreation”.
  90. “Note that this is not a comprehensive list of states which had sterilization laws on the books at any given time (some states had their laws overturned in courts very early on) nor an indication of when states’ laws were active (some ceased to be used much earlier)”. Archived from the original on 2012-04-17. Retrieved 2012-07-13.
  91. “Office for Justice for Sterilization Victims”. North Carolina Department of Administration. Archived from the original on 2014-04-02.
  92. “North Carolina offers $10 million for victims of forced-sterilization program”. July 27, 2013. Archived from the original on August 1, 2013. Retrieved August 3, 2013.
  93. “ACOG Committee Opinion No. 371: Sterilization of Women, Including Those with Mental Disabilities”. Obstetrics & Gynecology110(1): 217–220. 2007. doi:10.1097/01.AOG.0000263915.70071.29PMID17601925.
  94. Involuntary sterilization of persons with mental retardation: An ethical analysis, Mental Retardation and Developmental Disabilities Research Reviews, Volume 9, Issue 1, pages 21–26, 2003. Diekema, Douglas S. (2003). “Involuntary sterilization of persons with mental retardation: An ethical analysis”. Mental Retardation and Developmental Disabilities Research Reviews9 (1): 21–26. doi:10.1002/mrdd.10053PMID12587134.
  95. Denekens, JP; Nys, H; Stuer, H (1999). “Sterilization of incompetent mentally handicapped persons: a model for decision making”Journal of Medical Ethics25 (3): 237–241. doi:10.1136/jme.25.3.237PMC479215PMID10390678.
  96. Ashley Revisited: A Response to the Critics, American Journal of Bioethics, Volume 10, Issue 1, January 2010. “Ashley Revisited: A Response to the Critics |”Archived from the original on 2012-08-07. Retrieved 2013-03-27.
  97. The Ashley Treatment, March 2007. “The “Ashley Treatment”, Towards a Better Quality of Life for “Pillow Angels(PDF)Archived(PDF) from the original on 2015-02-16. Retrieved 2014-10-16.
  98. VA Man Agrees to Get Vasectomy as Part of Plea Deal, Fox News Insider, June 24, 2014. “VA Man Agrees to Get Vasectomy as Part of Plea Deal”. 2014-06-24. Archived from the original on 2014-10-20. Retrieved 2014-10-16.
  99. Stop Having Kids!’: Judge Orders Man Owing $100K in Child Support Payments to Quit Procreating”. Fox News Insider. February 5, 2013. Archived from the original on 2014-10-20. Retrieved 2014-10-16.
  100. Maillard, Kevin (2013). “Serial Paternity”(PDF)Mich. St. L. Rev1369Archived(PDF) from the original on January 5, 2017. Retrieved October 29, 2016By conditioning reproduction on an event unlikely to happen, this amounts to constructive sterilization—an indirect prohibition on reproduction.
  101. “Sterilization Abuse in State Prisons” News 07/23/2013 author Alex SternArchived 2014-04-21 at the Wayback Machine
  102. “SB 1135”. CA Gov. Archived from the original on 2 October 2014. Retrieved 17 September 2014.
  103. Mass, Bonnie (January 1, 1977). “Puerto Rico: a Case Study of Population Control”. Latin American Perspectives4 (4): 66–79. doi:10.1177/0094582×7700400405.
  104. Thimmesch, Nick (May 1968). “Puerto Rico and Birth Control”. Journal of Marriage and Family30 (2): 252–262. doi:10.2307/349251JSTOR349251.
  105. “Forced Sterilization in Puerto Rico ” Family Planning”stanford.eduArchived from the original on 2017-07-21. Retrieved 2017-07-25.
  106. “Puerto Rico Revisited ” Family Planning”stanford.eduArchived from the original on 2016-12-08. Retrieved 2017-07-25.
  107. Lopez, Iris (1993). “Agency And Constraint: Sterilization And Reproductive Freedom Among Puerto Rican Women In New York City”. Urban Anthropology and Studies of Cultural Systems and World Economic Development22 (3).
  108. Briggs, Laura (2002). Reproducing Empire: Race, Sex, Science, and U.S. Imperialism in Puerto Rico. Berkeley and Los Angeles, California: University of California Press. ISBN978-0-520-22255-7.
  109. Ramirez de Arellano, Annette B.; Seipp, Conrad (1983). Colonialism, Catholicism, and Contraception: A History of Birth Control in Puerto Rico. The University of North Carolina Press. ISBN978-0-8078-1544-1.
  110. Gutierrez, Elena R.; Fuentes, Liza (2009–2010). “Population Control by Sterilization: The Cases of Puerto Rican and Mexican-Origin Women in the United States”. Latino(a) Research Review7 (3).
  111. Presser, Harriet B. (November 1969). “The Role of Sterilization in Controlling Puerto Rican Fertility”. Population Studies23 (3): 343–361. doi:10.2307/2172875JSTOR2172875.
  112. El Estado como “aparato reproductor” de violencia contra las mujeres. Violencia contra las mujeres y tortura u otros malos tratos en ámbitos de salud sexual y reproductiva en América Latina y el Caribe. United Kingdom: Amnesty International Publications. 2016. p. 28.
  113. El Estado como “aparato reproductor” de violencia contra las mujeres. Violencia contra las mujeres y tortura u otros malos tratos en ámbitos de salud sexual y reproductiva en América Latina y el Caribe. United Kingdom: Amnesty International Publications. 2016. p. 27.
  114. BBC News: Uzbekistan’s policy of secretly sterilizing womenArchived 2015-04-05 at the Wayback MachineBBC, published 2012-04-12, accessed 2012-04-12
  115. Crossing Continents: Forced Sterilization in UzbekistanArchived 2016-09-03 at the Wayback MachineBBC, published 2012-04-12, accessed 2012-04-12
  116. Uzbeks Face Forced SterilizationArchived 2013-10-19 at the Wayback MachineThe Moscow Times published 2010-03-10, accessed 2012-04-12
  117. Antelava, Natalia (12 April 2012). “Uzbekistan’s policy of secretly sterilising women”BBC World ServiceArchived from the original on 2 March 2015.
  118. Antelava, Natalia (12 April 2012). “Uzbekistan’s policy of secretly sterilising women”BBC World ServiceArchived from the original on 5 April 2015.
  119. Shadow Report: UN Committee Against TortureArchived2014-11-09 at the Wayback MachineUnited Nations, authors Rapid Response Group and OMCT, published November 2007, accessed 2012-04-12
  120. Press Release: Committee Against Torture Hears Response of UzbekistanArchived 2009-01-13 at the Wayback MachineUnited Nations, published 2007-10-12, accessed 2012-04-12
  121. Birth Control by Decree in UzbekistanArchived 2013-10-19 at the Wayback MachineIWPR Institute for War & Peace Reporting, published 2005-11-18, accessed 2012-04-12
  122. Uzbek women accuse state of mass sterilizationsArchived2017-06-25 at the Wayback MachineThe Independent, published 2010-07-17, accessed 2012-04-12
  123. Uzbekistan: Presidential Decree on Birth Rate Leads to Increased Sterilization | EurasiaNet.orgArchived 2014-04-27 at the Wayback Machine published 2011-11-14, accessed 2012-04-12
  124. Our Kids: EU Parliamentarians Applaud MCH Project in UzbekistanArchived 2010-03-26 at the Wayback Machine, published 2010-10-28, accessed 2012-04-12
  125. Hackel, Joyce (April 12, 2012). “Doctors in Uzbekistan Say Government Forcibly Sterilizing Women”PRI’s The World. Archived from the original on January 19, 2014.
  126. “2010 Human Rights Report: Uzbekistan”2010 Country Reports on Human Rights PracticesUnited States Department of StateBureau of Democracy, Human Rights, and Labor. April 8, 2011.
  127. Akhborot” censors Karimov”RFE/RL‘s Uzbek Service. 17 May 2012. Archived from the original on 29 May 2012. Retrieved 17 May 2012.
  128. Gunnar Broberg and Nils Roll-Hansen, eds., Eugenics And the Welfare State: Sterilization Policy in Denmark, Sweden, Norway, and Finland (Michigan State University Press, 2005), it is unclear whether genocide investigations in regard of Hun descendant and pure Aryan types has been undertaken, and if concealment is attempted through the prevalence of cremation and allegation of psychiatric treatment facial mimicry of Mongolian types.
  129. Gilbert, Martin. Churchill and EugenicsArchived 2013-12-15 at the Wayback Machine
  130. James Gallagher (February 4, 2015). “Mother of six ‘can be sterilised’ – court ruling”BBCArchived from the original on February 8, 2015. Retrieved February 12, 2015.

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