1) Female foeticide and sex selection has led to over 1 crore missing girls in India in the last 2 decades according to government data. The child sex ratio has declined significantly from 927 girls per 1000 boys in 2001 to 880 in 2005. 2) Factors driving this include son preference, easy access to technology like ultrasound machines, and involvement of medical professionals in sex determination. States with higher density of ultrasound machines see much lower child sex ratios. 3) The Indian Medical Association is committed to working proactively to reverse the declining child sex ratio. It aims to sensitize doctors, collaborate with authorities, and set up monitoring cells to curb violations of the Pre-Conception and Pre-N

1. :Doctor’s can make
a difference
STOP
Dr. Sharda Jain
Director :-
Founder Chairman PCH OBST/ Gynae Dpt.
Sec General : Delhi Gynaecology Forum

2. Elimination of Girls in India

3. 1 crore Girls were
Eliminated in last
2 decades
GOI-2007

4. INDIA is
Losing A Million
Girls annually
to Sex Selection
(GOI-2007)
IMA feels number is much more

5. Census Total Rural Urban
1981 962 963 931
1991 945 948 935
2001 927 934 903
SRB/
2003-05*
880 882 872
Source: Census of India
*Sample Registration System
Child Sex RatioChild Sex Ratio

6. Note: SRB calculated as Females/1000
males
International=952
Comparative Trends in SRBComparative Trends in SRB
911
880
912
926
900
933 935
898
833
885
780
800
820
840
860
880
900
920
940
960
China S.Korea I ndia(Three-years moving
av.-SRS)
SRB
1982 1989 2000 2003

7. BIGGEST SHAME
“Problem of elite and
educated”
It is shameful
that extreme consumerism
traps even the most educated
and elite
A.P.J. Abdul Kalam
Past President of India

8. Access to technology:
• Density of USG machines and child sex
ratios are significantly correlated
(Maharashtra ) indicating technology
driven nature of problem
r: - o.679 (Highly significant Negative
correlation)
• Variety of providers including qualified
medical professionals running USG
clinics
Son Preference & Daughter AversionSon Preference & Daughter Aversion
Source : A Study of Ultrasound Sonography Centres in Maharashtra by
Gokhale Institute of Politics and Economics, Pune

9. According to one micro-study conducted in some
hospitals of Delhi:
Birth Order Sex of previous child
Sex Ratio at birth
(girls to 1000 boys)
2nd
order One male child 959
One female child 542
3rd
order One male and one
female child
558
Two female children 219
* This information is from a study done by Christian Medical Association of India. It takes into account 11267
births for the year 2000-2001 collected from one of the public hospital in Delhi
Sex Ratio at Birth by sex of the previous children*
Who does it ?Who does it ?

10. Ratios are balanced when
• Parents have medium levels of education
(high school education)
• Women are not only educated but also
employed outside home
• When the difference between the incomes
of the spouses is marginal
Son Preference & Daughter AversionSon Preference & Daughter Aversion

11. STING OPERATIONS &
Follow up
Rajasthan Suspended - 41 doctors
Rajasthan Medical council – debarred -7
U.P
Delhi Cases are pending in courts
Gujarat ( PC – PNDT Act)
Bihar
Punjab
M.P
MOHFW, 2007
Exposed 100 doctors

12. IMA IS CONCERNED
Non maintenance of records
• Incomplete records – No address of patient
,No signature, No reason of scanning.
• Non registration of ultrasound centre
• Delay in renewal of ultrasound centre
• Not submitting the properly filled form F in
time.
Only in 5%, cases are booked for verbally
telling the sex of child.
95% cases registered against doctors
under PC-PNDT Act are due to

13. Violation Under the Act
Type of Violation Number
Dec.2006
Non-registration 199
Non-maintenance of
records
109
Communication of sex of
fetus
52
Advt. about sex selection 25
Other violations 37
All 422 MOHFW,2007

14. What can be done
?

15. PROACTIVE ROLE
• IMA
• MEDICAL FRATERNITY

16. IMA’S Resolution
(Dec 2006 at Patna)
IMA expresses its concern over the declining
male to female child sex ratio in the country
and its adverse consequences on the
society. Pre-natal sex determination needs to
be strongly condemned. Members of the
Association are advised to desist from such
illegal, unethical and unsocial practice of
prenatal sex determination. IMA is committed
to work on this issue proactively for reversal
of declining child sex ratio and ensuring a
gender balanced and healthy society.

17. IMA resolves that National, State
and District branches:-
• Will constitute Monitoring Cell for curbing female
foeticide at all levels of IMA with representative of
ultrasonologists, gynaecologists & other volunteer
related specialities or their organisations.
• Will continue to sensitize its doctors at different
forums on this issue especially on gender, legal,
ethical and rights dimensions being compromised
by perpetuation of this heinous crime.
• Will initiate voluntary monitoring on legitimate use
of sonography techniques by registered centers in
preventing misuse of technology.

18. IMA resolves that National, State
and District branches:- Cont…
• Will collaborate & co-operate with Appropriate
Authorities for effective implementation of PC-
PNDT Act.
• Will engage with civil society groups/members
by constitution of “Doctors forum Against Sex
Selection” (DASS) to create awareness
regarding PC-PNDT Act and restoring dwindling
and decreasing female child ratio.
National IMA will provide necessary guidance
to the branches to act on implementation of
this resolution.

19. Interventions proposed
by IMA
• SENSITIZATION AND CAPACITY
BUILDING of doctors to become PC-
PNDT compliant.
• AWARENESS BUILDING on the issue
through IMA publications (IMA News
and JIMA)

20. Activities proposed in 2008
SENSITIZATION AND CAPACITY BUILDING.
- Identification of national faculty
- 4 regional workshops
(East, North ,West and Central regions)
Involving IMA , FOGSI, IRIA office bearers
and selected faculty from Medical Colleges
- 50 District level workshops

21. Objectives of Regional/District
Level Workshops
• Provide a PLATFORM to discuss the issue of
sex selection.
• Sensitize on ROLE OF DOCTORS in
addressing this issue of sex selection.
• Identifying VISITING FACULTY AND
VOLUNTEER MONITORS to make IMA branch
PC-PNDT compliant.
• Motivate medical fraternity to form DOCTORS
FORUM AGAINST SEX SELECTION in each
district

22. Doctor’s Forum
Against Female Foeticide
(Doctors, Govt functionaries, NGOs & Civil society)
OUR LAST HOPE to make it a PUBLIC MOVEMENT

23. National meet of religious leader, 2001- May

24. PUBLIC
RALLIES

25. More and More
POLITICIANS
to be roped in for
Championing the cause of FF

26. IMA-EDB Signature Campaign Initiative

27. Samuhik Marriages
e.g Patels in Gujarat

28. Thank
You

29. ADDRESS
35 , Defence Enclave, Opp. Preet Vihar
Petrol Pump, Metro pillar no. 88, Vikas
Marg , Delhi – 110092
CONTACT US
011-22414049, 42401339
WEBSITE :
www.lifecarecentre.in
www.drshardajain.com
www.lifecareivf.com
E-MAIL ID
Sharda.lifecare@gmail.com
Lifecarecentre21@gmail.com
info@lifecareivf.com
&