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WATERING THE NEIGHBOUR'S GARDEN: THE GROWING - CICRED

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1. Introduction<br />

Factors Influencing the Use of<br />

Prenatal Diagnostic Techniques and<br />

Sex Ratio at Birth in India<br />

P. N. Mari BHAT, A. J. Francis ZAVIER 1<br />

The Indian subcontinent is one of the few regions in the world<br />

where there are more males than females in the population. Before the<br />

landmark study of Pravin Visaria on the sex ratio of India’s population,<br />

several hypotheses were in circulation to account for this unusual<br />

occurrence. Visaria (1971) persuasively argued that excess female<br />

mortality is the main reason for this anomaly and laid at rest other<br />

competing explanations. But India’s sex ratio (males per females) has<br />

shown a more or less steady increase since 1901, even though the data<br />

from India’s Sample Registration System suggest narrowing of the sex<br />

differentials in mortality in recent years. The latest census in 2001 has<br />

recorded a significant increase in the sex ratio of children age 0-6 while<br />

registering a decline in the overall male-female ratio from the previous<br />

census in 1991. Many attribute the increase in the child sex ratio to a<br />

possible rise in the sex ratio at birth (SRB) owing to the increasing<br />

incidence of female foeticide in regions where son preference remains<br />

strong (Das Gupta and Bhat, 1997; Sudha and Rajan, 1999; Arnold,<br />

Kishor and Roy, 2002). But it has also been pointed out that there<br />

could be other factors at work such as changing pattern of age misstatements<br />

by sex, and increase in the SRB because of improvements in<br />

health status and midwifery practices and from the decline in the proportion<br />

of higher-order births (Bhat, 2002).<br />

1 We wish to acknowledge with gratitude the assistance of K.C. Das in drawing the<br />

maps included in the chapter. Comments from Fred Arnold, Marcus Feldman and<br />

participants of the seminar on “Female Deficit in Asia: Trends and Perspectives”<br />

held at Singapore on 5-7 December 2005 were helpful in revising the paper.

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