This paper explores the feasibility of paramedic MR service providers in India. An effort has been made to compile experiences of paramedic MR service providers from developed as well as developing countries. The case of Bangladesh has been considered in particular because of its similarity to India with regard to socio-cultural systems, bureaucracy, concerns for population rise, health care system, women’s general status & health status. Based on these experiences, a feasibility exercise has been suggested for India. The cost-effectiveness in medical and social terms is important while considering this option. MR as a method of abortion in early phases of pregnancy clearly offers women, especially rural women, more choices for fertility control/reproductive health care. The short term as well long term benefits may outweigh the perceived risks involved through non-coercive and woman-oriented means. However, benefits of paramedic MR service providers will be realised only if a workable ‘evaluation and monitoring system’ is developed and implemented. Maintaining the quality of care becomes a prime responsibility of all those involved. Besides technical, financial and human power related factors, motivation & intention for conducting MR and the commitment to self-help approach will play a major role in MR training and its delivery.

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