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WATERING THE NEIGHBOUR'S GARDEN: THE GROWING - CICRED

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SEX RATIO AT BIRTH AND EXCESS FEMALE CHILD MORTALITY IN INDIA…<br />

the possibility that parents may realise their desire to have fewer girls<br />

than boys by discriminating particularly heavily against some of their<br />

daughters. The evidence of strong son preference is now correspondingly<br />

matched by persuasive evidence of both prenatal and postnatal<br />

female discrimination.<br />

2. Context and methodology<br />

The region comprising the northern and western states of India,<br />

where evidence of stronger son preference is well documented, has the<br />

history of most imbalanced sex ratio. The corresponding link between<br />

adverse female/male child mortality differentials and the recent sharp<br />

rise in child sex ratios, related to foetal mortality, constitutes the main<br />

focus of this analysis. Set in this context, this chapter assesses the<br />

evidence of trends and regional patterns in sex bias against female<br />

children. It explores the dynamics of gender bias in terms of two<br />

proximate determinants of sex ratio, namely, sex ratio at birth and<br />

excess female child mortality.<br />

Evidence on the following three aspects of sex ratio determinants<br />

are examined in this chapter:<br />

First, the trends and regional patterns in sex ratio at birth and the<br />

last birth (SRLB) are examined. We also make use of directly related<br />

and complementary evidence on the use of ultrasound and amniocentesis<br />

as well as stopping rule behaviour.<br />

Second, given that overall excess female child mortality averages<br />

60 to 65 percent in the northern and northern central regions, the<br />

extent of excess female child mortality compared to boys of respective<br />

rank is explored. The evidence of female neglect in child health as the<br />

corresponding link to excess female child mortality is presented.<br />

Third, the analysis questions whether, given the cultural constraints<br />

of patriarchy, development factors such as women’s education<br />

and household economic status tend to exacerbate the rise in sex ratio<br />

at birth or, alternately, reduce gender differences in health care and<br />

child mortality. In effect, development factors might operate in the<br />

opposite direction with gender inequalities contributing to development<br />

failures in general (Drèze and Sen, 2002).<br />

The two rounds of National Family Health Survey data (NFHS-1<br />

and 2, 1992-93 and 1998-99) are used, both to compare and assess<br />

changing trends and regional patterns. The birth histories obtained<br />

from women’s questionnaire of both rounds are used in the analysis of<br />

sex ratio at birth and excess female child mortality. NFHS-1 lists<br />

51

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