:*"Location in India" refers to the review of studies from India (presumably on people within the country and performed within the country) showing a greater rates of negative effects on marital relationships, general mental health and regretting the procedure. Feel free to find a better wording of it. 
 :*"having an unstable marriage" is indeed explained as "Two important precipitating factors are  
 the death of a child and divorce followed by a new rela- tionship in which the couple desires to bear children. While there is no secure way to protect against the first tragedy, several authors recommend that the presence of an unstable marital relationship should be a con- traindication to sterilization." Perhaps a similar clarification is appropriate in the article? 
 :*"disagreeing with partner", as I understand it, refers specifically to the decision to perform sterilization. 
 :And yes, bullet points format may be more appropriate here.