Prenatal sex selection

Rear view of a mother and daughter standing on the beach
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Overview

Today, more than 117 million women across Asia are “missing”, and many others are missing in Eastern European and Caucasus countries as well – largely the result of gender-biased sex selection, a form of discrimination.

Since the 1990s, some areas have seen up to 25 per cent more male births than female births. The rise in sex selection is alarming as it reflects the persistent low status of women and girls. The resulting gender imbalance also has a damaging effect on societies. Instances of increased sexual violence and trafficking have already been linked to the phenomenon.

UNFPA is calling for renewed attention to the issue at a global level, and is accelerating efforts to develop programmes and policies that end all forms of discrimination, including gender-biased sex selection.

How do we know sex selection is taking place?

Gender-biased sex selection can be measured using sex ratio at birth, a comparison of the number of boys born versus the number of girls born in a given period. The biologically normal sex ratio at birth can range  from 102 to 106 males per 100 females. When many more boys are born than girls, it is a sign that sex selection is taking place. Ratios as high as 130 boys per 100 girls have been observed.

History of sex selection

Sex selection is not new. Census data from India, for example, show an imbalance in sex ratios among children in the early 20th century. Such disparities almost always reflect a preference for sons.

In the past, son preference may have resulted in the neglect or killing of female infants. However, since the early 1980s, ultrasounds and other technologies have enabled parents to detect the sex of a foetus during prenatal screenings. Those who prefer sons may arrange to abort female foetuses. This has accelerated sex-ratio imbalances at birth in parts of the world. It is estimated that, over the past generation, tens of millions of female foetuses have been aborted.

Countries with highly skewed sex ratios at birth, 2005 onwards
The boundaries on this map do not imply endorsement by the UN. Credit: Christophe Z. Guilmoto, Prof, IRD/CEPED, France, 2011.
Country
Boys born for
every 100 girls
Period
Data type
China (mainland)
118.1
2009
Census estimate
South Korea
106.7
2010
Birth registration
Viet Nam
111.2
2010
Annual demographic
and health survey
India
110.6
2006-08
Sample registration
Pakistan
109.9
2007
Pop. and demographic
survey
Azerbaijan
117.6
2009
Birth registration
Armenia
115.8
2008
Birth registration
Georgia
111.9
2006
Birth registration
Albania
111.5
2008
Birth registration
Montenegro
111.6
2005-09
Birth registration
Asian diasporas
(Europe and
N. America)
107-110
2000-09
Special studies

Causes and consequences

Son preference reflects discriminatory socio-economic practices and traditions. For example, in some places, sons alone inherit property, and they alone are expected to care for ageing parents, conduct funeral rites and carry on the family name. Meanwhile, daughters may be considered a burden, particularly if an expensive dowry is required for them to get married.

Such traditions place huge pressure on women to produce sons. Some women may even face abandonment or violence if they have daughters instead of sons. Studies have shown that unwanted girls may endure neglect or be deprived of opportunities – creating a further disincentive for mothers to have daughters, since they do not want to see their children suffer. Son preference ultimately affects women’s sexual and reproductive lives, with implications for their health and survival. For instance, forced and repeated abortions can have a detrimental impact on women’s health.

The consequences of sex selection are far-reaching. In China and India, men who would like to get married may not be able to, and there are signs that the upcoming “marriage squeeze” could have serious social consequences. Instances of increased sexual violence and human trafficking have been linked to this situation. And there has already been an increase in “cross-border brides” – women and girls migrating, or being trafficked, into areas where there are fewer women than men. These women may be unable to speak the local language, and may fall under intense pressure to produce male children.

Solution: Gender equality

Some countries in Asia and South Asia have outlawed the use of modern technologies for sex-selection purposes. However, such prohibitions are often difficult to enforce, and they could drive demand for these technologies underground.

Tackling the root cause of sex selection – gender inequality – may be more effective, and it yields benefits for all of society. Empowered women and girls contribute to the health and productivity of families and communities and improve prospects for future generations. Awareness of their value and contributions is essential to changing behaviours.

Strong political commitment and community-level action are also needed. Access to education and reproductive health services helps to empower women and improves their health, productivity and status. Other policies can also play a key role. Laws permitting daughters to inherit property, for example, can signal that men and women have equal rights.

UNFPA’s response

For more than 20 years, UNFPA has campaigned against the phenomenon, sounding the alarm over son preference and helping community networks advocate against gender-biased sex selection. UNFPA co-led efforts with the World Health Organization to develop and release the first-ever UN-wide policy statement on the issue in 2010.

The commitment of governments and civil society is fundamental to reversing the tide. In India, collaborations with the judiciary, health sector, law enforcement, media, researchers and community members – including religious organizations – have resulted in many good practices  worthy of sharing.

Data is also an essential tool for fighting sex ratio imbalance. For instance, UNFPA supported the collection and analysis of data on sex ratio at birth in Viet Nam, revealing skewed sex ratios, and then helped ensure the issue was put on the policy agenda. In Armenia, Albania and Azerbaijan, UNFPA is working with governments to support country-wide research on the issue. Public advocacy campaigns are also being rolled out to combat traditional attitudes towards girls.

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