BackgroundIn India, community based studies and media reports indicate a surge in the number of young women undergoing hysterectomy in the past few years. This has led to suspicion on the misuse of procedure, and intense debates on its potential ill health-effects on young women. However, there are no population-based studies that provide insights into hysterectomy prevalence and its determinants at the national level.Data and methodsThis study used data from India’s District Level Household Survey that involved a sample of 3, 16,361 married women in the age group of 15–49 years spread across 21 States and Union Territories of India. Bivariate and multivariate regression analysis was performed to estimate hysterectomy prevalence and identify its predictors.ResultsThe study estimated hysterectomy prevalence of 17 per 1000 ever married women. The number of women undergoing hysterectomy ranged from 2 to 63/1000 across different states. A little more than one-third of women who had undergone hysterectomy were under the age of 40 years. The proportion of women below 40 years of age who had had hysterectomy was much higher in southern states of Andhra Pradesh (42%) and Telangana (47%). The likelihood of hysterectomy was higher among women belonging to households with health insurance (OR: 1.88, CI: 1.77–2.00) and women who were sterilized (OR 1.55; CI 1.45–1.67) than uninsured and unsterilized women, and lower among women with education level of matriculation and above (OR 0.47; CI 0.42–0.50) than those with no and/or low education.ConclusionsA sizable proportion of young women undergoing hysterectomy in India may have severe ill-health effects on their physical, reproductive and socio-psycho health. As women with low or no education are also more prone to hysterectomy, providing more information and education to them on the possible after-effects of hysterectomy and alternative options will enable them to make more informed choices.

This paper argues for the need to integrate migration in future food policy research and practice and, in doing so, examines the role of internal migration as a livelihood strategy in influencing food security among rural households. Migration has become a key component of livelihood strategies for an increasing number of rural households across the developing world. Importantly, there is emerging consensus among academics and policy makers on migration's potentially positive effects in reducing poverty and promoting sustainable human development. Concurrently, the significance of the catch-cry 'food security for all' as an important development objective has been growing, particularly since the 2007-08 global food crisis. However, academic and policy discussions on these two issues have tended to proceed largely in silos, with little attention devoted to the relationship they bear with each other. Using primary survey data collected from 392 rural households from a district in western Bihar in India, this paper seeks to fill this gap in relational dynamics. It first reviews plausible reasons for this disconnect between migration and food security in the wider developing countries' context, and then draws on a primary survey of rural Indian households to provide empirical household-level insights on the linkages between people's movements and households' capacity to secure food. In particular, the paper focuses on the often-overlooked role of migrants' remittances for food security of rural households at points of origin. The findings show that, by equipping households with improved purchasing power and enabling investment in agriculture, remittances contribute positively to household food security.

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This paper assesses the food security implications of the out-migration of men for rural households headed by women. Recent transformations in the socioeconomic landscape of the Global South involve an increasing number of rural households shifting towards urban-nonfarm, migrationbased livelihoods. In many rural societies, social and cultural norms restricting women's mobility means migration is usually undertaken by men, leading to a phenomenon of leftbehind women. The absence of men requires women to assume the role of household heads. This often triggers fundamental changes in intrahousehold gender power relations. However, little is known about the effects of these changes on household food security outcomes. Drawing on primary field research in western Bihar in India, this article attempts to highlight interconnections between migration, women left behind and household food security and, in doing so, makes two key contributions. First, with a focus on gender social roles, the paper shows that the two oftcited impacts of migration of men-'improved autonomy' and 'increased responsibility' for left-behind women-provide conceptual pathways to understand migration-genderfood security linkages. Second, it provides evidence on how changes in women's roles under conditions of such migration intersect with household food security. The findings indicate a gender-based disadvantage in food security outcomes faced by household headed by women, offsetting even the potentially positive influence of improved female autonomy. The paper argues for the need to address socioeconomic mechanisms underpinning gender-based vulnerabilities to food security.