During my seminar Monday I was introduced to the very interesting and thought provoking topic of sex-selection in India. I wanted to talk about it in the blog because whenever people ask me what I'm studying at Oxford I tell them Medical Anthropology and they proceed to ask, What exactly is that? So instead of trying to define the field of medical anthropology and butcher it tremendously I will simply give you an intricate example of what medical anthropology is and the importance of this knowledge to public health among other things. On Monday we were spoken to by Dr. Maya Unnithan of Sussex University on her specific field work and study of fetal sex-selection in India. This refers to a growing trend in Indian society to abort the female fetus upon ultrasound information confirming its sex. This has been found to occur mostly in middle class educated individuals as well as in lower class demographics and across multiple urban regions of India. The motivations as observed by Dr. Unnithan are myriad and complicated but certain driving forces include the social distinction given to fertile women especially when pregnant, the knowledge of a poor quality of life for the child once born, pragmatism of economics associated with the investment of a child, and the need for a male child to be born in order to pass wealth and heritage. Each of these motivations are incredibly intricate upon deeper discussion. Within the women there is little moral guilt or remorse associated with the abortion because this is a cultural norm that has cultivated in the society. Many women feel that the quality of life available to the child is so hard and difficult for women that they are doing the right thing by aborting. Further, the pragmatism of the issue is seconded by the thought of how parents of a daughter will pay the dowry necessary for their child to marry into a family. These are all cultural constructs that complicate a medical issue. Looking to the doctor's perspective, many physicians see their actions as in the best interest of the child. They feel that it is better to end the suffering now then have a child die of neglect down the road or worse have the mother go to a back alley abortion clinic risking her own life to end the pregnancy. Furthermore, the government of India seeking to enter the global scene must sign various human rights agreements to be considered on the same level of development as other global nations. However, they also see the population control issues of China and implicitly know that the cultural abortion practices in their country are in a way controlling the enormous growth of the country. I have attempted terribly to skim the surface of a difficult and complex issue that is taking place in India. However, I do feel that it is a perfect description of the importance that medical anthropology plays in this world. Understanding health in a population is inextricably linked with the interplay of culture, society, religion, politics, and ecology. If you are really interested in learning a little bit more about this topic you should google scholar Dr. Unnithan's essay entitled:
Female selective abortion - beyond 'culture': family making and gender inequality in a globalising India
My description of this issue does no justice to her descriptions of field work so if your interested please read.
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