LET ME BLOOM

REVERE THE GIRL CHILD

DR ARCHANA TANDON MBBS MS

AN ANALYSISUNDERSTANDING 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 “

Dr Archana Tandon

M.S (Obs and Gyne )PRESIDENT AOGGIS

Member PCPNDT Committee FOGSI

• Parents who were post graduates and

made me stand on my feet

• In-laws who gave me immense respect and welcomed my

parents to stay with me

• Have a Daughter who has been well

educated and is employed

• Belong to a family where daughters

and daughter in laws have lighted their mother in laws and parents

• Parents who were post graduates and made me stand on my feet

• In-laws who gave me immense respect and welcomed my

parents to stay with me

• Have a Daughter who has been well educated and is employed

• Belong to a family where daughters and daughter in laws have lighted

their mother in laws and parents pyre .

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Major Cause For Declining Female Sex Ratio is • Female Feticide • Female Infanticide

Major Cause For Declining Female Sex Ratio is • Female Feticide • Female Infanticide

Why we will try to understand in forthcoming slides

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As Techniques for Feticide developed Reasons for Infanticide became Reasons for Feticide

As Techniques for Feticide developed

Reasons for Infanticide became Reasons for Feticide

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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 ?

• SOCIETAL FACTORS• LAW AND ORDER SITUATION

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WHY THE SOCIETY DOES NOT WANT A FEMALE CHILD

WHY THE SOCIETY DOES NOT WANT A FEMALE CHILD

• SOCIETAL FACTORS• LAW AND ORDER SITUATION

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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 Infanticide in 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 Infanticide in Salem. Journal Social Welfare, Vol. 50, No. 11 February 2004 pp.13-14 & 34-35.

A LOOK AT LAW AND ORDER SITUATION STATISTICS SNAPSHOT

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REAL LIFE INCIDENTS

LET US NOW TRY TO UNDERSTAND ANOTHER

CASE

– NIRBHAYA’S CASEDr Archana Tandon 17

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Pay attention to these news clippings .....

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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

In spite of the enactment of the act the decline continued and the following reasons were found after an analysis

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

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WHO VIOLATES?

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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/

Court_Cases__16-12-.2014.htm

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NOW LET US CONTEMPLATE • 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 AND POOR LAW AND ORDER SITUATION MAKES REARING A GIRL CHILD DIFFICULT ? -- AGAINST GOVT AS THE PUBLIC , DOCTORS AND BUREAUCRACY ARE IN A FIX • SO LET US TRY TO ADOPT TO A MORE POSITIVE IMPLEMENTABLE APPROACH SUITING OUR SETTINGS AND SOCIETAL NORMS WITHOUT DOING INJUSTICE TO EITHER SEX MALE OR FEMALE ,DOCTORS AND PUBLIC

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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 LEVEL..

BUT THE RESULT IS NEGLIGIBLE AND THE DECLINE CONTINUES

WHY ?

BUT THE RESULT IS NEGLIGIBLE AND THE DECLINE CONTINUES

WHY ?

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BECAUSE THE REASONS FOR THE DEMAND FOR FETICIDE WERE NOT UNDERSTOOD .

JUST AS INFANTICIDE CHANGED TO FETICIDE DESPERATE PARENTS DISCOVERED WAYS TO GET FETICIDE DONE AND WHEN QUALIFIED DOCTORS REFUSED THEY WENTTO UNQUALIFIED FURTHER INCREASING THE MMR

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PATIENTS WITHOUT RESOURCES APPROACHED

UNREGISTERED PLACES OF DAIS , QUACKS , PHARMACISTS

WITH UNREGISTERED MACHINES AND UNLAWFUL ABORTION FACILITIES

AND FETICIDE CONTINUED WHILE TIME AND RESOURCES WERE BEING

WASTED IN DOCUMENTATION

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Portable ultrasound machines are being used by unqualified as night squads for these clients .

THIS PORTABLE DEVICE

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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 selection1 . Krishan S. Nehra, Library of Congress. Sex Selection & Abortion: Canada2 US clinic offers British couples the chance to choose the sex of their childFrom The Times. August 22, 2009

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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

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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

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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 OF FEMALES AND FREEDOM IN

THEIR PERSONAL LIVES

CHANGING SOCIETAL NORMS AND ALLOWING PROPERTY INHERITANCE

LIGHTING PYRE AND STOPPING NAME CHANGE AND DOWRY ,

SCHEMES FORREHABILITATION 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 ImprovementIn Falling Sex Ratio

SOCIETAL REFORMS

SHOULDThe Govt NOWWork on

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

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 there under 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.

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 ?

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 FEMALE /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 AN INTENTION TO HELP PARENTS WITH 2-# DAUGHTERSBECAUSE THE THEN PREVALENT DOWRY ISSUES WERE FORCING FAMILIES TO COMMIT SUICIDE

IT WAS ONLY LATER THAT THE CORRUPT MINDS ADOPTED IT AS A BUSINESS .

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 WIFI FREELY AVAILABLE AND 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 .

IT IS A CRIME TO ABORT A FETUS NOT ONLY FEMALE BUT MALE FETUS TOO AND SO EDUCATE SOCIETY AND CREATE AWARENESS TO LOOK AT BOTH THE SEXES EQUALLY AND PROMOTE CONTRACEPTION RATHER THAN ABORTION.

LATEST NEWS ON THE ISSUE

Dr Archana Tandon 46The law has now become effective .

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Let us now try and understand . Is the Indian Culture and tradition so bad that wanting one male child in a family is bad ? Are we so weak that people can mould us to change our traditions and culture which were so rich ? We worshipped devis and it was in our culture that male child looked after parents in old age and we never sent parents to old age homes .Has education ruined us so much that children take higher education and leave their parents to be taken care by neighbours or old age homes ; just to avail greener pastures ?

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If female feticide is crime so is male feticide ...

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Some may say “What is bad if a family desires a male child if the same tradition is respected and followed and each family desires a male and female child for a balanced structure so that each male understands the value of female and each female the value of male .This will also help in reducing crimes against women .We only have to Respect , Revere ,Educate and EMPOWER the Girl child and not force birth of UNWANTED girl child . “

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“God has given us brain and with evolution brain is becoming dominant .If science has made us capable of building highways ,dams , satellites and metros with a designed structure and things that have a definite shape and procedures of utilisation ; with science at our rescue why can't we allow a family to have a designed structure” ..

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“ So if u allow abortions till 20 wks in MTP ACT why not allow people to design in such a way that they can have company of both male and female child .WHO DOESNT WANT A MALE AND FEMALE CHILD BOTH ? This will also help in population control “

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BUT I WOULD SUGGESTWhy torture women with repeated abortions ? IF FETICIDE IS A SIN ...PROMOTE CONTRACEPTION ...BAN ABORTION AND WITH ADVANCING TECHNOLOGY WITH GENETIC ENGINEERING IN PIPELINE IF WE CAN SOLVE THE ISSUE OF HEREDITARY DISORDERS AND METABOLIC DISORDERS WHY NOT ALLOW PEOPLE TO HAVE A BALANCED FAMILY ...That way females will be respected more and accepted in a respectful way ... EDUCATE AND EMPOWER GIRLS ...DON'T FORCE UNWANTED FEMALES ON PEOPLE BY LAW AND DEGRADE THEM ... CREATE AN ATMOSPHERE WHERE EACH CHILD IS EDUCATED ,EMPOWERED AND WELCOMED WHETHER MALE OR FEMALE ...

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We have to move from Save the girl child 》 Educate the girl child 》 Revere the girl child 》Welcoming a CHILD be it any sex 》 Raising a child into a better human beingLets move from Abortion to Contraception Abortion only for failure of contraception till 6-8 wks and till 24 wks in case of rape or cong or metabolic disorders or failure to diagnose in case of lact amen .Lets stop punishing doctors for a fault they are not responsible for and create awareness in society for the same and utilise the advancing technological developments for PROGRESS OF OUR SOCIETY AND COUNTRY WITH POSITIVE RESULTS THROUGH POSITIVE WAYS !!Create so much awareness and create such an environment that this market of sex determination perishes ..If no parent would want such a thing this market will perish ... SO WORK TO UPGRADE THE SOCIETAL VALUES AND PROTECTION PROVIDED TO GIRL CHILD ..CREATE A SOCIETY WHERE SHE IS PROTECTED EMPOWERED AND SAFE AND PARENTS WOULD WISH TO HAVE A FEMALE CHILD .THEN you wont have to go searching for sich culprits and punishong them .They will perish with the perishing market ..SO YOU WILL GET THE SOLUTION AUTOMATICALLYIts not a question of WHO IS DOING FETICIDE ? BUT WHY DOES SOCIETY GET FETICIDE DONE ? CURE THAT WHY AND YOU AUTOMATICALLY SOLVE THE PROBLEM .

TO SUM UP We have to move from Save the girl child > > Educate and Empower the girl child >> Revere the girl child >> Welcoming a CHILD be it any sex 》 Raising a child into a better human being LETS MOVE FROM Abortion to Contraception Abortion only for failure of contraception till 6-8 wks and till 24 wks in case of rape or cong or metabolic disorders or failure to diagnose in case of lact amen and after 8 wks only at govt hospitals .

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The government , media , judiciary and society should draw and believe in such norms  so that the ANY CHILD IS WELCOMED CELEBRATED, PROTECTED AND REVERED

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