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'Deep-seated' Bias for Male Child Persists Despite Improving Sex Ratio: Supreme Court

'Deep-seated' Bias for Male Child Persists Despite Improving Sex Ratio: Supreme Court

SC upholds PCPNDT Act proceedings against Maharashtra doctor, reaffirming that statistical improvement in sex ratio does not erase structural son preference

13 June 2026·Society & Social IssuesWomen, Child & Vulnerable Groups◆ High Yield·The Hindu·7 min read

What happened

When a court refuses to quash a criminal case, it is usually a procedural story — but when the Supreme Court uses that refusal to deliver a sociological verdict on son preference, it becomes a GS1 + GS2 + GS4 convergence point. UPSC has repeatedly tested the PCPNDT Act, sex ratio data, and the gap between law and social reality. This ruling forces you to think about why a 30-year-old statute still generates Supreme Court litigation — and what that tells you about the limits of legal intervention in cultural practice.

Sex Ratio at Birth: India vs Global Benchmarks (Females per 1,000 Males)

Sex Ratio at Birth — Comparative Overview (Females per 1,000 Males)
Biologically normal range: 943–952  |  Higher = more females born per 1,000 males
Bangladesh (2020)
970
Global Avg (UN 2022)
~950
Bio. Normal (min)
943
India SRB (2019–21)
913 ▲ from 907 (2015–17)
Haryana (2019–21)
~910
India CSR 0–6 (2011)
919 (lowest since Independence)
Scale anchored at 880 (left) to 980 (right) for visual proportion. CSR = Child Sex Ratio. SRB = Sex Ratio at Birth.

Sources: SRS 2019–21 (ORGI); Census of India 2011; UN World Population Prospects 2022; UNFPA State of World Population 2023

Smart Gravity Note

The PCPNDT Act, 1994 is a favourite prelims target.

Know its full name: Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act.

It was amended in 2003 to cover pre-conception techniques (like sperm sorting), not just prenatal diagnosis.

The Act establishes a three-tier regulatory structure: National Supervisory Board (chaired by Union Health Minister), State Supervisory Boards, and Appropriate Authorities at district level.

Violations attract imprisonment up to 3 years and fines up to ₹10,000 for first offence.

The Act places the burden of proof on the medical professional once a prima facie case is established.

The Supreme Court in Voluntary Health Association of Punjab v.

Union of India (2013) directed states to implement the Act strictly and linked its enforcement to Article 21 (right to life of the girl child). Sex Ratio at Birth (SRB) and Child Sex Ratio (CSR, 0–6 years) are distinct metrics — CSR from Census 2011 was 919, a historic low.

The PCPNDT Act's 2003 amendment extending coverage to pre-conception sex selection, its three-tier regulatory architecture, and the Supreme Court's 2013 enforcement directive are the three most exam-relevant facts here.

◎ In Simple Words

Imagine a law that says doctors are not allowed to tell parents whether their unborn baby is a boy or a girl, because some parents might choose to end the pregnancy if it is a girl. India has had this law since 1994. A doctor in Maharashtra was accused of breaking this law, and he asked the Supreme Court to drop the case against him. The Court said no, and also pointed out something important: even though slightly more girls are being born in India now compared to before, many families still secretly prefer having a boy. Just because the numbers look a little better does not mean the problem is solved — the bias runs very deep.

SOCIETY & SOCIAL ISSUES · Women, Child & Vulnerable Groups

Factual Pointers

Practice · 2 questions

1Practice Question

With reference to the Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act, 1994, which of the following statements is/are correct?

1. The Act was amended in 2003 to extend its scope to pre-conception sex selection techniques.

2. The National Supervisory Board under the Act is chaired by the Chief Justice of India.

3. The Act places the burden of proof on the accused medical professional once a prima facie violation is established.

Select the correct answer using the code below:

2Practice Question

Consider the following data points related to India's sex ratio:

1. Child Sex Ratio (0–6 years) as per Census 2011 was 919 girls per 1,000 boys.

2. Sex Ratio at Birth (SRB) as per Sample Registration System 2015–17 was 907 females per 1,000 males.

3. The biologically normal Sex Ratio at Birth ranges between 943 and 952 females per 1,000 males.

Which of the above statements is/are correct?

Mains Practice Questions

1

The Supreme Court has observed that a 'deep-seated' bias for the male child persists in India despite improving sex ratio statistics. Critically examine why legal instruments like the PCPNDT Act, 1994 have had limited success in eliminating son preference, and suggest a multi-pronged strategy to address the structural roots of gender-biased sex selection. (250 words, GS2/GS1)

2

Distinguish between Sex Ratio at Birth (SRB) and Child Sex Ratio (CSR) as demographic indicators. What do trends in these indicators since 1991 reveal about the nature and geography of gender discrimination in India? How should policy respond to the divergence between aggregate improvement and persistent regional distortions? (250 words, GS1)

3

'Criminalising the supply side of sex selection without reforming the demand side is like treating symptoms while ignoring the disease.' In the context of the PCPNDT Act and India's son preference problem, evaluate this statement and discuss the ethical responsibilities of medical professionals and civil servants in enforcing gender-just laws. (250 words, GS4)