The document discusses the declining female sex ratio in India and ways to address it. It notes that the implementation of the PCPNDT Act has not significantly improved the sex ratio. Reasons for female feticide and infanticide include societal norms like dowry, the desire for male children to carry on the family lineage, and safety concerns for girls. Simply punishing doctors and patients has not solved the problem and illegal sex determination continues. The document proposes allowing legal sex determination but requiring families to have equal numbers of male and female children. This could curb illegal abortions and the harassment of doctors while allowing families autonomy in planning children. Empowering women through education and safety is key to changing mindsets and saving the

2. UNDERSTANDING THE PATHOGENESIS OF DECLINING
FEMALE SEX RATIO AND DEVISING POSITIVE
IMPLEMENTABLE METHODS ACCEPTABLE TO
JUDICIARY ,GOVT , BUREAUCRACY ,
DOCTORS AND SOCIETY
“ TO STOP IT FROM FURTHER DECLINE “

3. Dr Archana Tandon
M.S (Obs and Gyne )
PRESIDENT AOGGIS
VICE PRESIDENT IMA MORADABAD
Member PCPNDT Committee FOGSI
• Parents who were educated and
made me stand on my feet
• In-laws who gave me immense
respect and welcomed my
parents to stay with me
• A Daughter who is well
educated and employed
• A family where daughters
and daughter in laws have lighted
their mother in laws and parents pyre .
Dr Archana Tandon 3

4.  HAS THERE BEEN MARKED IMPROVEMENT OF FEMALE SEX RATIO AFTER
IMPLEMENTATION OF PCPNDT LAW ?
 IF NOT WHAT ARE THE REASONS BEHIND --- UNDERSTANDING THE ISSUE
THROUGH REASONS OF FETICIDE AND INFANTICIDE ?
 HAS THE WRONG UNDERSTANDING AND IMPLEMENTATION OF LAW
CAUSED A NEGATIVE ATMOSPHERE IN THE SOCIETY ?
-- AGAINST DOCTORS and JEOPARDISED HEALTHCARE ?
-- AGAINST PARENTS WHO WANT DESPERATELY A MALE
CHILD BECAUSE OF SOCIETAL NORMS PREVALENT IN
INDIA ?
-- AGAINST GOVT AS THE PUBLIC , DOCTORS AND
BUREAUCRACY ARE IN A FIX
 TRYING TO SEARCH FOR POSITIVE IMPLEMENTABLE APPROACH SUITING
OUR SETTINGS AND SOCIETAL NORMS WITHOUT DOING
INJUSTICE TO EITHER SEX MALE OR FEMALE ,DOCTORS AND
PUBLIC

5. Dr Archana Tandon 5
Major Cause For Declining Female Sex Ratio is
• Female Feticide
• Female Infanticide
Major Cause For Declining Female Sex Ratio is
• Female Feticide
• Female Infanticide

6. Dr Archana Tandon 6
As Techniques for Feticide
developed Reasons for Infanticide
became Reasons for Feticide
As Techniques for Feticide developed
Reasons for Infanticide became
Reasons for Feticide

7. Dr Archana Tandon 7
LET US NOW CONTEMPLATE AS TO
Why the society does not want a female child ?
How these problems can be dealt with ?
How do we save a female foetus and female child ?
LET US NOW CONTEMPLATE AS TO
Why the society does not want a female child ?
How these problems can be dealt with ?
How do we save a female foetus and female child ?

8. • SOCIETAL FACTORS
• LAW AND ORDER SITUATION
Dr Archana Tandon 8
WHY THE SOCIETY DOES
NOT WANT
A FEMALE CHILD
WHY THE SOCIETY DOES
NOT WANT
A FEMALE CHILD
• SOCIETAL FACTORS
• LAW AND ORDER SITUATION

9. Dr Archana Tandon 9
In a study by Giriraj (42 families )
REASONS For -- Female infanticide and Foeticide
• 100% -- dowry and poverty
• 76.19 % -- safety for the girl
• 83.33 % -- male who carries the family lineage.
• Only 4.76 % of the respondents said that they were afraid of
the laws enacted by the government
Giriraj, R. (2004). Changing Attitudeto Female Infanticidein Salem. Journal Social Welfare, Vol. 50, No. 11 February 2004
pp.13-14 & 34-35.
In a study by Giriraj (42 families )
REASONS For -- Female infanticide and Foeticide
• 100% -- dowry and poverty
• 76.19 % -- safety for the girl
• 83.33 % -- male who carries the family lineage.
• Only 4.76 % of the respondents said that they were afraid
•of the
laws enacted by the government
Giriraj,R. (2004). Changing Attitude to Female Infanticidein Salem. Journal
Social Welfare, Vol. 50, No. 11 February 2004 pp.13-14 & 34-35.

10. STATISTICS SNAPSHOT
Dr Archana Tandon 10

11. REAL LIFE INCIDENTS
LET US NOW TRY TO UNDERSTAND
ANOTHER CASE
– NIRBHAYA’S CASE
Dr Archana Tandon 11

12. Dr Archana Tandon 12

13. Pay attention to these news clippings .....
Dr Archana Tandon 13

14. Dr Archana Tandon 14
A TRIAL TO STOP FETICIDE WAS TRIED
BY PNDT ACT ENACTMENT AFTER
THE ORDER FROM COURT
Which was enacted in 1994
Came into force in 1996

15. Dr Archana Tandon 15

16. https://files.acrobat.com/a/preview/bfcfcc98-be38-
42d2-a51c-1d76f940ff00
Dr Archana Tandon 16

17. Dr Archana Tandon 17
https://files.acrobat.com/a/preview/bfcfcc98-
be38-42d2-a51c-1d76f940ff00

18. Dr Archana Tandon 18

19. Dr Archana Tandon 19

20. WHO VIOLATES?
Dr Archana Tandon 20
Among the first two lie the real culprits . So 7 % of the total are the
real cases which are caught by using Decoy Pts .That means 93% are just
filed to complete target and are for documentation which is not solving
our purpose
https://www.nrhm.maharashtra.gov.in/PCPNDT/Cour
t_Cases__16-12-.2014.htm

21. Dr Archana Tandon
Dr Charu21
UPTIL NOW THE MAIN STRESS WAS ON
IMPLEMENTATION OF THE ACT IN ITS PRESENT
STATE AND A LOT OF REVENUE AND RESOURCES
WERE AND ARE STILL BEING USED FOR IT FROM
NATIONAL TO DISTRICT .

22. BUT THE RESULT IS NEGLIGIBLE AND THE
DECLINE CONTINUES
WHY ?

23. Dr Archana Tandon 23
BECAUSE THE REASONS FOR THE DEMAND FOR
FETICIDEWAS NOT UNDERSTOOD .
JUST AS INFANTICIDE CHANGED TO FETICIDE
DESPERATE PARENTS DISCOVERED WAYS TO GET
FETICIDEDONE

24. Dr Archana Tandon 24
PATIENTS WITHOUT RESOURCES
APPROACHED
UNREGISTEREDPLACES OF DAIS , QUACKS, PHARMACISTS
WITH UNREGISTEREDMACHINESAND UNLAWFUL ABORTION FACILITIES
ANDFETICIDE CONTINUED
WHILE TIME AND RESOURCES WERE BEING WASTED IN DOCUMENTATION

25. Dr Archana Tandon 25
Portable ultrasound
machines are being
used by unqualified as
night squads for these
clients .
THIS PORTABLE DEVICE

26. Dr Archana Tandon 26
FOR RICH -- Blood tests at 8 weeks ; In countries like US
Sex selection is legal in most of the world
Diagnosis (PGD, a potential expansion of IVF)
can be used for sex selection .
Fertility Tourism From the UK Australia , Canada , India and
China to the US for sex selection
1 . KrishanS. Nehra, Libraryof Congress. Sex Selection & Abortion:Canada
2 US clinic offers Britishcouples the chance to choose the sex of theirchildFrom The Times.August 22, 2009

27. Dr Archana Tandon 27
Situation
Illegal abortions increasing MMR and morbidity
Doctors are thinking of stopping doing obstetric
ultrasound altogether for the harassment
Leading to
Regressive Policies
Which will contribute to increasing
MMR

28. Dr Archana Tandon 28
Don’t you think we now need to change our
policy ?
Shouldn’t we now finish the
DEMAND OF FETICIDE TO DO AWAY
WITH THIS MARKET OF FETICIDE ?
Dr Kusum

29. Dr Archana Tandon 29
NATIONAL TO DISTRICT LEVEL
CSB TO AA
DOCUMENTATION AND
RECORDS
WHEN % OF SD only 7 %
MANY PENDING COURT CASES
FOR YEARS WITH LOSS OF
EMPLOYMENT FAMILIES
SUFFERING
TERROR AND DISSATISFACTION
AMONGST DOCTORS THE MOST
IMPORTANT SECTOR FOR A
STRONG NATION
LAW AND IMPLEMENTATION
HELPLINES BY SERVICE CLUBS TO
COUNSEL PARENTS WHO WANT
SD
EDUCATION , EMPLOYMENT ,
FREEDOM IN THEIR PERSONAL
LIVES
SOCIETAL NORMS OF
PROPERTY INHERITANCE , NAME
CHANGE , DOWRY , LIGHTING PYRE
SCHEMES
REHABILITATION OF WIDOWS , RAPE
VICTIMS AND ACID ATTACK VICTIMS
SCHEMES FOR EMPOWERMENT OF
WOMEN AND STRICT LAWS FOR
CONVICTION OF CULPRITS OF DOWRY
, RAPE ,MOLESTATION ,ACID ATTACKS
STING OPERATIONS TO CATCH THE CULPRITS
REQUESTING FOR SD
AND REFER THEM TO NGO’S FOR COUNCELLING
No
Improvement
In Falling
Sex Ratio
SOCIETAL REFORMS
SHOULD
The Govt
NOW
Work on

30. LET US TRY TO UNDERSTAND
ANOTHER POINT NOW
TRY TO UNDERSTAND
CLAUSE 23
OF PNDT LAW

31. 23. Offences and penalties.- (1) Any medical geneticist, gynaecologist, registered medical
practitioner or any person who owns a Genetic Counselling Centre, a Genetic Laboratory or
a Genetic Clinic or is employed in such a Centre, Laboratory or Clinic and renders his
professional or technical services to or at such a Centre, Laboratory or Clinic, whether on an
honorary basis or otherwise, and who contravenes any of the provisions of this Act or rules
made thereunder shall be punishable with imprisonment for a term which may extend to
three years and with fine which may extend to ten thousand rupees and on any subsequent
conviction, with imprisonment which may extend to five years and with fine which may
extend to fifty thousand rupees. (2) The name of the registered medical practitioner who
has been convicted by the court under subsection (1), shall be reported by the Appropriate
Authority to the respective State Medical Council for taking necessary action including the
removal of his name from the register of the Council for a period of two years for the first
offence and permanently for the subsequent offence. (3) Any person who seeks the aid of a
Genetic Counselling Centre, Genetic Laboratory or Genetic Clinic or of a medical
geneticist, gynaecologist or registered medical practitioner for conducting prenatal
diagnostic techniques on any pregnant woman (including such woman unless she was
compelled to undergo such diagnostic techniques) for purposes other than those specified
in clause (2) of section 4, shall, be punishable with imprisonment for a term which may
extend to three years and with fine which may extend to ten thousand rupees and on any
subsequent conviction with imprisonment which may extend to five years and with fine
which may extend to fifty thousand rupees.

32. SO IF WE TRY TO UNDERSTAND THIS CLAUSE IF “N” NUMBER OF
DOCTORS HAVE BEEN CONVICTED THEIR SHOULD BE “N “
NUMBER OF EITHER PATIENTS OR THEIR RELATIVES CONVICTED
--- BUT IT IS NOT SO ? WHY ?
SUPPOSE YOU START CONVICTING PATIENTS AND PUNISHING
THEM IF DOCTORS AND PEOPLE FROM SOCIETY REPORT THEN
TOO YOU ARE CREATING A NEGATIVE ATMOSPHERE BY
PREVENTING PEOPLE TO HAVE AN ISSUE OF THEIR CHOICE OR
FORCING THEM TO HAVE MANY DAUGHTERS TILL THEY
HAVE A SON FOR YOU CANNOT RESTRICT THE NUMBER OF
CHILDREN . THIS PUTS A LOAD ON AN OVERPOPULOUS
COUNTRY .

33. LET US NOW TRY TO UNDERSTAND THE PROBLEM THROUGH
ANOTHER ANGLE --
ARE NOT THE TWO SEXES EQUAL ?
WHAT IS WRONG IF A FAMILY WANTS A MALE CHILD ?
ISN”T A FAMILY WITH A MALE AND A FEMALE CHILD MORE BALANCED ?
WON’T SUCH A FAMILY HAVE MALES WITH A MORE UNDERSTANDING
ATTITUDE TOWARDS FEMALES ?
PEOPLE SAY DOCTORS TOLD PATIENTS AFTER THE INVENTION OF
ULTRASOUND THAT SEX DETERMINATION CAN BE DONE AND PEOPLE
STARTED GETTING IT DONE . WELL TRUE BUT THAT WAS WITH A GOOD
INTENTION THEN BPREVALENT DOWRY ISSUES .

34. WITH THE WORLD GOING FORWADS WE CANNOT GO BACKWARDS .
IT IS NOT THAT DOCTORS WILL TELL THE NET SAVVY PRESENT
GENERATION THAT GAMETES AND CLONING CAN BE USED TO HAVE
A MALE OR FEMALE CHILD .
WITH LIFI IN THE PIPE LINE KNOWLEDGE SPREADS FAST . IF NOT
AVAILABLE IN INDIA PEOPLE WILL GO TO BANGKOK ,DUBAI AND
AMERICA TO GET CHILDREN OF THEIR CHOICE .
THE WAY OUT NOW SEEMS ALLOW SEX DETERMINATION LEGALLY
ALLOW PEOPLE TO HAVE THE BABY OF THEIR CHOICE .BUT MAKE A
RULE ‘ ONE HAS TO HAVE AS MANY A FEMALE CHILDREN AS ONE
HAS MALE .

35. ADVANTAGES --
WITH ULTRASOUND AND IVF AND GENETIC ENGINEERING COMING UP
PEOPLE CAN PLAN TO HAVE HEALTHY CHILDREN OF THEIR CHOICE FOR
THOSE WHO CAN AFFORD
FOR THOSE WHO CANNOT AFFORD AND ARE NOT FEARFUL OF LAW AND
GET SD DONE AT ANY COST CAN HAVE EQUAL NUMBER OF MALE AND FEMALE
CHILD REN
THE ILLEGAL ABORTIONS WILL STOP DECREASING MATERNAL MORTALITY RATE
THE DOCTORS WILL GET THEIR DUE CREDIT WITH PATIENTS GETTING
WHAT THEY WANT
A HUGE AMOUNT OF EXPENSES WILL BE SAVED WHICH ARE SPENT ON
GOVT MACHINERY TO IMPLEMENT A PARTIALLY EFFECTIVE METHODOLOGY
WHICH IS CREATING NEGATIVITY IN THE SOCIETY .

36. Dr Archana Tandon 36
The government , media , judiciary and society should draw and believe in
such norms so that the
ANY CHILD IS WELCOMED
CELEBRATED, PROTECTED AND REVERED
AND A FAMILY IS FREE TO DESIGN THE STRUCTURE OF
THEIR FAMILY BY HAVING A BABY OF THEIR CHOICE
WITHOUT RESORTING TO ABORTING MALE OR FEMALE
FETUS BY PLANNING THE SEX OF THE CONCEIVED BABY

37. Dr Archana Tandon 37
Not authentic in court as only a statement of a doctor which I
received on my personal whatsapp but it sure shows the plight of
doctors Authenticity of it needs to be checked by documents of the
case .

38. Dr Archana Tandon 38

39. Dr Archana Tandon 39
Vaisnavi this cute and brave child is the daughter of a
radiologist from JODHPUR RAJASTHAN .. Dr Shashank
Khanna .. See the values he has instilled in his daughter .
This is what needs to be done to deal with the problem of
FEMALE FETICIDE ... WOMEN EMPOWERMENT ...
Education ,Employment and safety The heart of PCPNDT
is been snatched away .. It should only be used to catch the
culprits doing SD by sting operations and not for the
harassment of doctors doing ethical practice but to catch the
real culprits doing SD and punish them . THE daughters
should be so empowered by the system created by society
and system that the market of feticide perishes THIS POEM
HAS BEEN WRITTEN BY DR SHASHANK HIMSELF !!
AND he says Why should I be afraid of anyone .. The
system has snatched away my employment .. my family is
suffering ..My whole purpose of studying medicine has
gone to doldrums ... I LEAVE IT TO PUBLIC TO
UNDERSTAND THE PLIGHT OF GENUINE DOCTORS
WHO ARE PUNISHED FOR ERRORS OF
DOCUMENTATION AS THE MARKET IF SD IS
RUNNING FULL BLOWN ...
https://www.youtube.com/watch?v=EUqNcRmLIjk

40. Dr Archana Tandon 40
Saturday, 30 May 2015
REVERE THE GIRL CHILD
http://tandonarchana.blogspot.in/2015/05/pcpndt-wasthe-brain-child-
brought.html
Sunday, 31 May 2015
CHANGE THE MINDSET OF THE SOCIETY TO DECREASE THE MMR AND TO SAVE THE
GIRL CHILD
http://tandonarchana.blogspot.in/2015/05/change-mindset-of-society-to.html

42. क्या ही अच्छा हो अगर ये स्टिंग ऑपरेशन डॉक्टर और मरीज़ दोनों के लिए हो
क्योंकक तािी एक हाथ से नहीिं बजती । अगर िोगों में डर पैदा होगा तभी वो
डॉक्टर के पास नहीिं जाएिंगे और माककि ट खत्म होगा वनाि डॉक्टर बेचारा अगर नहीिं
करेगा तो मरीजों से पपटेगा या बन्दूक की नोक पर होगा या िॉ के तहत जेि
में होगा ।मरीज तो अपना काम यहााँ या पवदेश में करा ही िेगा । So the
attention should now shift to catching the pts requesting for it and using
NGO'S TO DEMOTIVATE THEM AND PROVIDE HELP TO THEM BY
COUNCELLING .. AND SOCIETAL NORMS SHOULD BE CHANGED SO
THAT GIRL CHILD IS REVERED .
ये तो समाज में एक गित
सन्देश जा रहा है .
डॉक्टर को एक सामसजक प्रथा
का सजम्मेदार ठहराना कहााँ तक
सही है .
यहााँ ये लिखखत होना चाहहए कक
वो मरीज जो डॉक्टर से लििंग
ननर्ािरण कराते
या पूछते पाए जाएाँगे उन्हें
पकड़ने के लिए डडटेसक्टवस
चाहहए और जो डॉक्टर ऐसे
मरीज पकड़वाएाँगे उन्हें इनाम
लमिेगा

45. Dr Archana Tandon 45

46. Dr Archana Tandon 46