:Doctor’s can make

a difference

STOP

Dr. Sharda Jain

Director :-

Founder Chairman PCH OBST/ Gynae Dpt.

Sec General : Delhi Gynaecology Forum

Elimination of Girls in India

1 crore Girls were Eliminated in last

2 decades GOI-2007

INDIA isLosing A Million Girls annually

to Sex Selection (GOI-2007)

IMA feels number is much more

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

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 India(Three-years movingav.-SRS)

SR

B

1982 1989 2000 2003

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

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

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 ?

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

STING OPERATIONS &Follow up

Rajasthan Suspended - 41 doctors Rajasthan Medical council – debarred -7

U.PDelhi Cases are pending in courtsGujarat ( PC – PNDT Act) BiharPunjabM.P

MOHFW, 2007

Exposed 100 doctors

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

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

What can be done

?

PROACTIVE ROLE

• IMA

• MEDICAL FRATERNITY

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.

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.

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.

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)

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

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

Doctor’s Forum Against Female Foeticide (Doctors, Govt functionaries, NGOs & Civil society)

OUR LAST HOPE to make it a PUBLIC MOVEMENT

National meet of religious leader, 2001- May

PUBLIC RALLIES

More and More

POLITICIANS to be roped in for

Championing the cause of FF

IMA-EDB Signature Campaign Initiative

Samuhik Marriages

e.g Patels in Gujarat

Thank You

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.comLifecarecentre21@gmail.com

info@lifecareivf.com

&