Monday 14 August 2017

MODERN MEDICAL PRACTICES IN INDIA: A CONTINUITY OF THE PAST GENDER INEQUALITY

“By a young girl, by a young woman, or even by an aged one, nothing must be done independent, 
even in her own house”.
“Her father protects (her) in childhood, her husband protects (her) in youth, and her sons protect (her) in old age; a woman is never fit for independence.”  Manu, 200 BC
                                                                                                     Kalidash Brahma
Throughout the history of humankind in India with some exception to the early Vedic period, women are not treated equally with their male counterparts. They were being treated inferior to men and as such marginalized in every sphere of their life. They were bind by diverse of social norms like Sati System, dowry,  dedication of girl child in the river Ganges, restriction on widow remarriage etc. Several social reform movements were launched in India in order to eradicate those social evils in the society which brought slight changes in the orthodoxy of the society. But it appears that the movement was not complete for many of those issues and practices are still in existence in the modern India. Moreover, the modern medical practices in India have added a strong blow to the existing wound. The main objective of the present paper is to understand the following queries:
1. Whether the various social reform movements launched during the 19th century against various social evils (particularly gender inequality) were successful?
       2. Does the modern medical practices in India a continuance of the past gender inequality?
     In doing so, the paper will highlight the symbols of gender inequality in Indian society and relate it with the modern medical practices.
SATI SYSTEM:

One of the most serious challenges of Indian society was the problem of ‘widow immolation’ or ‘Sati’, where Hindu widows climbed the funeral pyres of their husbands; an ancient tradition, prevalent in Bengal, Rajasthan and the South Indian kingdom of Vijayanagar. Sati was never a religious obligation, but a belief. It was believed that by burning herself on the funeral pyre of her husband widow can remove the sins of her husband. She was believed to ascend to the heaven on committing Sati. Strong social pressures of the patriarchal Hindus society on the widow and the status of widows were also factors which helped the growth of the sati system.

WIDOW-REMARRIAGE
Restriction on widow remarriage was another social malady of Hindu society. The status of widows in India was deplorable that they were not allowed to participate in any religious and social functions and as such their life was worse than death. This left them no other option than Sati. Prohibition of widow remarriage was strictly followed amongst the upper caste Hindu society. Any attempts on the part of British to make laws to facilitate remarriage of widows were vehemently opposed by the conservative Hindus. And if I am not wrong, the restrictions on widow-remarriage still alive in our mentality and our society.

CHILD MARRIAGE
Then comes the problem of child marriage. In those days Small kids and in some cases even ignorant and innocent infants were married by their parent. It was a custom in the Hindu society. In this regard Gandhiji said, ‘I do not think it (marriage)  meant to me anything more than the prospect of good clothes to wear, drum beating, marriage processions, rich dinners and a strange girl to play with’. As a result, they had to face lots of problems like health, economic, social adjustment and what not.[1]

FEMALE INFANTICIDE:
A girl in the family was considered as a burden by parents. Since a girl child would be going to her husband’s home after her marriage, the parents there is no need to waste their resources on her upbringing. Besides, the practice of dowry and the huge wedding expenses caused a lot of hardship to the parents. These in the long run, led to the practice of killing the girl child in India particularly in its north and northwestern part. In addition to it, customs like dedication of girl child into the river Ganges was practiced as a disguised form of female infanticide.  It was a superstitious belief that by doing so they could have boons from god and thereby cherished.

POLYGAMY:
 Polygamy was practiced in ancient, medieval and modern India. The practice was prevalent in both Hindu as well as Muslim society e.g. King Dasarata (Kausalya, Sumitra and Kaikeyi) and Akbara. As a result of this practice women were regarded as a puppet for their (male) physical thirst or as a living instrument to fulfill their daily needs. They could not get the due share of being someone’s wife or life partner.  Rather, they have to face so many of the problems like-loneliness, frustration and sometime even mental torture from senior wives of her husband.

Besides problems like torture of women by in-lows after husband’s death was also very much rampant which was also responsible for volunteer sati system. Likewise in the Muslim society, we find some elements of gender inequality. In the Muslim society, as mentioned in the Holy Quran, women are not given equal weightage as a witness. They are given only a half weightage. Here is a reference,

‘O believer, when you contract a debt one upon another for a stated term, write it down……And call in two witness, men; or, if they be not men, then one man and two women, such witness as you approve of, lest one of the two (women) err, then other will remind in her’( Quran 2: 282 in exegesis).[2] In other word, women are more prone to error and therefore, needs a second woman to remind her.[3]
To be short and precise, women in India were not treated equally with their male counterparts. They were treated as inferior and subordinate to their male counterparts. As a result, different customs and superstitious practices were emerged leading to degradation of the status of women. This ultimately resulted into several social reform movements by different social organizations like Brahmo Samaj (1828), Arya Samaj (1875), Rama Krishna Mission (1897), Theosophical Society (1875) and Mohammeden Literary Society (1863). The prominent leaders of those organizations were Raja Rammohan Roy, Keshab Chandra Sen (Brahmo Samaj), Swami Dayananda Saraswathi (Arya Samaj), Mrs. Annie Besant (Theosophical Society), Rama Krishna Paramahamsa and Swami Vivekananda (Rama Krishna Mission).

CONSEQUENCES OF THE REFORM MOVEMENTS
       As a consequence of those movements-
Ø  Sati was first abolished in Calcutta in 1798.
Ø   A ban was imposed on sati in 1829 in the British territories in India.
Ø  Hindu Widows Remarriage Act XV of 1856 was passed.
Ø  Child Marriage Restraint Act, 1929.
Ø  In 1795, infanticide was declared to be murder by Bengal Regulation XXI.
Ø  Native Marriage Act of 1872 was passed, which abolished early marriages, made polygamy an offence, sanctioned widow remarriages and inter-caste marriages.
Ø  In 1901, the Government of Baroda passed the Infant Marriage Prevention Act.

However, development in the field of science and technology particularly the medical science has left the efforts incomplete. It has become a matter of great concern for the present human society. ‘Numerous scholars have observed that the latest advances in modern medical sciences – the tests like Amniocentesis and Ultra-sonography which were originally designed for detection of congenital abnormalities of the foetus, are being misused for knowing the sex of the foetus with the intention of aborting it if it happens to be that of a female’.[4] These new medical technologies have brought the problems like female foeticide, sex selective killing, abortions etc which resulted into the decline of female sex ratio. However, Pre-conception and Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 prohibits practice of sex determination before and after conception. The practice is a punishable offence with an imprisonment of up to 3 years and fine up to ten thousands which may extend to five years and with fine which may extend to fifty thousand rupees (In case the physician is employed in any Centre where determination of sex is practiced). In case the physician is a registered medical practitioner his name may be removed from the register of the state Medical Council for a period of five years for the first offence and permanently for the subsequent offence. Even any individual seeking for sex determination for the purposes other than those specified in subsection (2) of section 4, (of the act) (for the purposes of detection of any of the following abnormalities, namely:  Chromosomal abnormalities, Genetic metabolic diseases, Haemoglobinopathies, Sex-linked genetic diseases, Congenital anomalies and any other abnormalities or diseases as may be specified by the Central Supervisory Board) shall be punishable with imprisonment for a term which may extend to three years and with fine which may extend to fifty thousand rupees for the first offence and for any subsequent offence with imprisonment which may extend to five years and with fine which may extend to one Lakh rupees. But the trend of abortion case is alarming in India. Robert Johnston in his study has estimated to 763,126, 129,709, 163,205, 58,528 and 69,501 abortion cases in Indian during the year 2003-04, 2004-05, 2005-06, 2006-07 and 2007-08  respectively[5]. The table given in the following indicates that the female sex ratio is declining in every decade with some exception to the last two decades. At present there are 940 female in India against every 1000 male.[6]  However, during the same period India has experience the lowest the child sex ratio (914) since Independence[7]. It deserves to be a theme of systematic and serious discussion.  With 618 female populations against every 1000 male population Daman & Diu stands at the bottom. It is followed by Dadra & Nagar Haveli with 775 female populations.

TABLE-1: DECADEL SEX RATIO IN INDIA:
Year
Female (per 1000 male)
1901
972
1911
964
1921
955
1931
950
1941
945
1951
946
1961
941
1971
930
1981
934
1991
927
2001
933
2011
940*

Source: Various Census Report of India and Census Report of India, 2011 (Prov.)*
ETHICAL ISSUES:
Moreover, the modern medical practices like sex determination, abortion (excluding exceptional cases), foeticide (particularly female foeticide) etc. leading to decline of sex ration needs a considerable retrospection. The practice of sex determination and abortion is directly or indirectly contravening to the provisions of various National and International Human Rights Conventions. It is contravening to the provisions of legislation.  Besides, it is against our humanity and ethics as well. However, the supporters of the issue of foeticide and abortion have considerable success in making abortion a legal right in many developed nations. They argue that the baby in form up to 14 days cannot possibly be conscious of their pain and pleasure. Besides, it cannot be understood if the baby is going to be a male or a female. Therefore, it is not a complete human and as such can be destroyed.[8] They also argue that the fetus is totally dependent on mother for its survival and as such it has no right to life independent of her wish. At the same time they also argue that the mother should have complete freedom in her body. She should have the right choose to accept or not accept the baby. But the opponents argue the practice of abortion with help of following premises.
First Premise: It is wrong to kill a human being.
Second Premise: A human foetus is an innocent human being.
Conclusion: Therefore, it is wrong to kill a human fetus.[9]

They challenge the argument that fetus has no right to life for it is completely dependent on her mother. If the right to life is not secured because of being dependent on other what would be their arguments concerning the life of those who are dependent on their children because of being old or handicapped. Perhaps, they will not have reply for this particular question.

Now my question is that shall we wait for that debate to complete? And then starts working according to the conclusion.  Who knows how many generations it will take to come to the conclusion. For the sake of ourselves and humankind I feel the time has come to ask ourselves:

Is it ethically right to kill a life before it’s born?
Is it ethically right to kill a foetus because it is not fit enough?
Is it ethically right to destroy a life because the life in form is a female?
Is it ethically sound to kill a life because it is an unwanted?

Without any doubt I feel a normal person will say ‘No’. If this is the case, why cannot we act accordingly? Let us proceed with a promise that we will not encourage the practice of sex determination, foeticide and abortion which leads to the problem of declining women population.

******

REFERENCES:
           
1.       M K Gandhi, ‘The story of my experiments with truth’ translated by Mahadev Desai, Navajivan Publishing House, Ahmedabad-380014.
2.       Sneh Lata Tandon and Renu Sharma, ‘Female Foeticide and Infanticide in India: An Analysis of Crimes against Girl Children’, International Journal of Criminal Justice Sciences Vol 1 Issue 1 January 2006.
3.       Robert Johnston, India abortions and live births by state and territory, 1971-2008http://www.johnstonsarchive.net/policy/abortion/india/ab-indias.html
4.       Various Census of India including Census of India, 2011 (Provisional).


 End Notes:


[1] M K Gandhi, ‘The story of my experiments with truth’ translated by Mahadev Desai, Navajivan Publishing House, Ahmedabad-380014, p-5.
[2]   Quoted in Mahammad Fadel’s, ‘Two Women, One Man: Knowledge, Power, and Gender in Medieval Sunni Legal Thought’, International Journal of Middle East Studies, Cambridge University Press, Vol. 29, No. 2. (May,  1997), p-187.
[3] Ibid.
[4] Sneh Lata Tandon and Renu Sharma, ‘Female Foeticide and Infanticide in India: An Analysis of Crimes against Girl Children’, International Journal of Criminal Justice Sciences Vol 1 Issue 1 January 2006.
[5] Robert Johnston, India abortions and live births by state and territory, 1971-2008http://www.johnstonsarchive.net/policy/abortion/india/ab-indias.html
[6] Census of India, 2011 (Provisional).
[7]  Ibid.
[8] Peter Singer, ‘Practical Ethics’, Cambridge University Press, 2010(Reprint), p-137.
[9] Ibid, p-138.