"In my village abortions do happen but women hide it, they are ashamed of it," says Palo Khoya. "They worry that people will say nasty things." Khoya is one of the four women pictured above (top right). They have come to a small abortion clinic in Khunti, in the eastern Indian state of Jharkhand.
Abortion is legal in India. The government has built clinics to serve poor rural women like Khoya. But there are simply not enough facilities. Jharkhand, home to 31.9 million people, has three. So Indian women often turn to a quack or a midwife or other dangerous options. As a result, an estimated two-thirds of India's abortions are unsafe. Each year, some 4,600 women die after a procedure; others suffer complications that haunt them for the rest of their lives.
NPR sent documentary photographer Poulomi Basu to spend time at the clinic in Khunti for a window into the world of legal and safe abortion in this remote part of India. Palo Khoya agreed to be photographed during her visit. It may be hard for a Westerner to understand why she was willing to be photographed at such intimate moments, in a country where people say nasty things about women who have abortions. Her doctor, Simi Mahesh, explains that there is a bond between doctor and patient: "They do trust me and that could be a reason." That trust would extend to the photographer who is working with the doctor. Also, Palo Khoya spends her life in a remote village, coping with day-to-day challenges. The internet is just not relevant.
Poulomi Basu is a documentary photographer based in New Delhi, India. She is part of the VII Photo Agency Mentor Program.