Technically speaking: How the Gates Foundation governs ‘women’s health’ in India

In global health, the 'technical' is viewed as scientifically and ethically superior due to the emphasis on quantitative methods, supported by international aid and philanthropy. This perceived objectivity and selflessness obscure numerous strategic decisions and practices through which donor-funded programmes shape the standards of women's health. I argue that this unexamined belief in the technical approach is a key reason why 'Reproductive, Maternal, Neonatal, and Child Health' (RMNCH) remains dominant despite its conceptual limitations and uneven progress. An in-depth study of RMNCH projects in Uttar Pradesh funded by the Gates Foundation shows how technical interventions align with local social norms and political dynamics, creating an ideal-type female participant. In sum, this shapes the meaning and scope of women's health.