http://www.thehindu.com/opinion/lead/article1819313.ece?homepage=true

K. S. Jacob
India's sex ratio, among children aged 0-6 years, is 
alarming. The ratio has declined from 976 females (for every 1000 males)
 in 1961 to 914 in 2011. Every national census has documented a decline 
in the ratio, signalling a ubiquitous trend. Preliminary data from the 
2011 census have recorded many districts with sex ratios of less than 
850. The ratio in urban areas is significantly lower than those in rural
 parts of the country. Reports suggest evidence of violence and 
trafficking of poor women and forced polyandry in some regions with 
markedly skewed ratios. The overall steep and consistent decline in the 
ratio mandates serious review.Sex selection and technology:
 Medical technology (like amniocentesis and ultrasonography), employed 
in the prenatal period to diagnose genetic abnormalities, are being 
misused in India for detecting the sex of the unborn child and 
subsequently for sex-selection. Female foetuses, thus identified, are 
aborted.A large, nationally representative 
investigation of married women living in 1.1 million households 
documented markedly reduced sex ratios of 759 and 719 for second and 
third births when the preceding children were girls. By contrast, sex 
ratios for second or third births, if one or both of the previous 
children were boys, were 1102 and 1176 respectively. A systematic study 
in Haryana documented the inverse relationship between the number of 
ultrasound machines in an area and the decline in sex ratios. Studies 
have also documented correlations of low sex ratios at birth with higher
 education, social class and economic status. Many studies have 
concluded that prenatal sex determination, followed by abortion of 
female foetuses, is the most plausible explanation for the low sex ratio
 at birth in India.The steady decline in the sex 
ratio suggests that marked improvements in the economy and literacy 
rates do not seem to have had any impact on this index. In fact, the 
availability of new technology and its easy access for the urban, 
wealthy and the educated have worsened the trend and harmed the status 
of women in Indian society.Sex selection and statutes:
 A prolonged campaign by women's groups and civil society organisations 
all over the country, in the wake of the skewed child sex ratio in the 
1991 census, led to the enactment of the Pre-Natal Diagnostic Techniques
 Act in 1994. However, this statute was not effectively implemented, 
leading to further skewing of the sex ratios as recorded in the 2001 
census. Social and financial pressures for smaller families intensified 
the misuse of such technologies to ensure the birth of sons. Such misuse
 cut across barriers of caste, class, religion and geography. The Act 
was amended in 2003, to include the more recent pre-conception sex 
selection techniques within its ambit, with the aim of tightening 
regulation to provide more teeth to the law to prevent the practice. It 
mandated the regulation of sale of technology, the registration of 
diagnostic centres, the monitoring of medical personnel, procedures and 
protocols. It has procedures for complaints and appeals and regulation 
by local authorities.And yet, the problems of 
implementation are ubiquitous. Violations go unpunished with very few 
cases being booked and a zero conviction rate. The collusion between 
people, the medical fraternity and the administration has resulted in 
the worsening of the sex ratio and failure of the Act to make a 
difference.Patriarchy and prejudice: The 
social system of patriarchy, with males as the primary authority 
figures, is central to the organisation of much of Indian society. The 
system upholds the institutions of male rule and privilege and mandates 
female subordination. Patriarchy manifests itself in social, religious, 
legal, political and economic organisation of society. It continues to 
strongly influence Indian society, despite the Constitution's attempt to
 bring about an egalitarian social order.Patriarchal
 societies in most parts of India have translated their prejudice and 
bigotry into a compulsive preference for boys and discrimination against
 the girl child. They have also spawned practices such as female 
infanticide, dowry, bride-burning and sati. They have led to the neglect
 of nutrition, health care, education, and employment for girls. Women's
 work is also socially devalued with limited autonomy in 
decision-making. The intersections of caste, class and gender worsen the
 situation. Despite its social construction, patriarchal culture, 
reinforced by the major religions in the country, maintains its 
stranglehold on gender inequality. The prevalent patriarchal framework 
places an ideological bar on the discussion of alternative approaches to
 achieve gender justice.Ethical blindness: 
The declining sex ratio cannot be simply viewed as a medical or legal 
issue. It is embedded within the social construction of patriarchy and 
is reinforced by tradition, culture and religion. Female foeticide and 
infanticide are just the tip of the iceberg; there is a whole set of 
subtle and blatant discriminatory practices against girls and women 
under various pretexts. It is this large base of discrimination against 
women that supports the declining sex ratio.Many 
approach the problem superficially and focus on the declining sex ratio 
and its medical and legal solutions. But those who seriously engage with
 the issues have found that much unethical conduct that goes on, whether
 in one's social or work life, happens because people are fooling 
themselves. Men, the dominant figures, and older women, who have lost 
the battle and have joined hands to form the ruling coalition, overlook 
many transgressions because it is in their interest to maintain the 
patriarchal culture. With such focus on patriarchal goals, the ethical 
implications of important decisions fade away. Such ethical fading 
results in engaging in or condoning behaviour that one would condemn if 
one were consciously aware of it. It results in ethical lapses in our 
social world, which are pervasive and intractable.While
 viewing the girl child from only the narrow and bigoted, or financial 
perspectives, one fails to notice that many decisions have an ethical 
component. Consequently, one is able to behave unethically in relation 
to girls and women, while maintaining a positive self-image. Ethical 
fading also causes one to condone the unethical behaviour of others. 
Such “motivated blindness” tends to disregard issues that work against 
patriarchy. With the acceptance of patriarchal standards, based on 
religion or culture, even the most honest people have difficulty being 
objective. Those who overtly or covertly accept and defend patriarchy 
have a conflict of interest which biases their decisions against girls 
and women, in contexts both big and small. It is the everyday casual and
 hurtful misogyny — gendered language, sexist innuendo, stereotyping and
 jokes, small institutional inequities, sexualisation of society 
encouraged by advertising, media and capitalism that actually undergird 
violence of all types against women. Need for gender justice:
 Viewing the sex ratio as an individual or medical issue and suggesting 
medical or legal interventions to end the practice reflect poor 
understanding. While strict implementation of the law will help reduce 
female foeticide and infanticide, it will not eliminate the problems. 
Simply exhorting the general population and the medical profession to 
desist from such practice without attempting to change patriarchy will 
prove futile.The major barrier to mainstreaming 
gender justice and scaling up effective interventions is gender 
inequality based on socio-cultural issues. The systematic discrimination
 of girls and women needs to be tackled if interventions have to work. 
Although medical intervention (of sex determination and selective 
abortion of female foetuses) in the sex ratio stands out as causal, it 
is the more hazy but ubiquitous and dominant relationship between gender
 and patriarchy that has a major impact on the outcome. The failure to 
recognise this relationship and the refusal to tackle these issues 
result in the declining sex ratio. Debates on gender equality should not
 be reduced to talking about culture, tradition and religion. The 
prevalent patriarchal framework needs to be acknowledged as causal, 
interrogated and laid bare. Discussions on alternative approaches to 
achieving gender justice are mandatory.While women 
are guaranteed equality under the Constitution, legal protection has 
little effect in the face of the prevailing patriarchal culture. India 
needs to confront its gender bias openly. It would appear that nothing 
short of a social revolution would bring about an improvement in the 
health and status of women in the country. Irony and hypocrisy are the 
two words that come to mind when patriarchal societies talk about 
justice for their women. Surely, the disappearance of millions of girls 
in India is reason enough to question the acceptance of patriarchy and 
search for an egalitarian social order.(Professor K.S. Jacob is on the faculty 
of the Christian Medical College, Vellore.) 
Keywords: child sex ratio, sex determination, gender discriminatio

Ranjani's comments (posted- whether will be accepted i do not know)

I am in total agreement of the author with the statement that "Studies have 
also documented correlations of low sex ratios at birth with higher education, 
social class and economic status". 

Where a nuanced understanding is required is whether the decline in CSR amongst 
poorer groups is due to sex selection/female foeticide or increase in gaps 
between female and male IMR and CMR or a combination of both.

Further the links between neo liberal models of development and decline in CSR 
have to be made. As i return from a workshop organised by women's earth 
alliance and Gorakhpur environment action groups were poor women farmers came 
from UP, Bihar, West Bengal and uttarkhand, it was apparent that agriculture 
land was being converted, male migration was increasing, and dowry was 
increasing and used by poor households with sons for poverty reduction as well 
as demanding scooters, autos for livelihood- the advertisements for which they 
had seen on TV. In fact dowry was extended, that it after marriage as well a 
young women who had produced a son was returned, with the demand for auto 

We need to unpack what is happening in which class, caste, religion, 
etthnicity, state, and district.  In my opinion a combination of sex selection, 
female feticide and neglect is happening- linked not only to absence of gender 
justice, but economic and social justice- and the market driven economy. Trend 
data from Tamil nadu supports increase in gender gaps in imr and cmr, while at 
the same there is sex selection/female feticide happening. Growth and justice 
do not go hand and hand          

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