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GEETANJALIGANGOLI*
Reproduction,Abortionand Women'sHealth*
* Research
Scholar,Departmentof History,Delhi University,Delhi.
The first few five year plans focused in male sterlisation along
with contraceptivesfor women. However,from the late 1970's there
was a shift in focus to female contraceptives.The political defeat
sufferedby the CongressI in 1977 was attributedin the most part to
the excesses in the forces sterilisationson men between 1975-7, that
is, the yearsof the National Emergency.I havefocusedon the political
implicationsof the sterilisationprogrammeelsewhere3,here it might
suffice to look at one specific aspect.
At one level,it is interestingto note that the politicalmanifestations
of coercivesterilisationsled to such a majorchangein state policy. In
spite of two decades of invasive and authoritarianmethods used
against women and a small, though extremely articulate feminist
healthmovement,it has not been possibleto tilt the balancein favour
of women. On the otherhand, duringthe emergency,the bruntof the
coercive sterilisations was borne by poor, illiterate, low caste or
Muslim women.4What this seems to convey is that even the most
powerlessamong men possiblyenjoya greaterdegreeof control over
state policy than women do. The population policies in the country
have shown a marked insensitivityto the lives and experiences of
women, concentratingmainlyon filling quotas.
As a study of the policy of the Maharashtrastate reveals, in the
mid 1990's, a policy for women'shealthfocuses on empowermentof
women to enable populationcontrol. To quote:
"TheGovernmentwill initiateand supportall effortsto promote
an awareness among the public that the family welfare and
population policies of the state will succeedonly if women are
empoweredto decideon the issuesrelatedto the healthof their
families. She should specifically be empowered to decide on
issues regarding the size of the family and the health
interventionsaffectingthe children."5
Empowermentfor women is not seen as an end in itself. It is
projectedas a meansto the ultimateend of populationpolicy.Another
anomaly of the populationprogrammeis that it concentratesalmost
exclusivelyon controllingthe fertilityof marriedwomen.To the extent
that, in India,familyplanningand populationpolicy are synonymous
terms.The sexualityandfertilityof singlewomen remainsambiguous.
Bynot addressingthe specificneedsof singlewomen, official rhetoric
marginalises their sexuality. The Maharashtra State Policy, for
instance, gives incentives to married women who put off having
children.6 Thus,it leavesout women outsidethe scopeof the recognised
and conventionalfamily system.
REPRODUCTION,ABORTIONAND WOMEN'SHEALTH 85
II
DEBATESAND ACTIVISMIN BOMBAY
SEXDETERMINATION:
In the early 1980's, a campaign began in various parts of the
country around the practice of sex determination leading to the
abortion of female foetuses. Prior to this, in 1976, the government
has issued a partial ban on sex determination,not allowing the tests
to be conducted in governmenthospitals. The issue was revived in
1982, when some nationalnewspaperspublisheda news item and an
advertisementof a privateclinic in Chandigarh,offeringthis service.
Protestswere launchedin differentparts of the country by women's
groups, people'ssciencegroupsand health activists.At this juncture,
the campaignfocused on essentiallytwo issues. One, the potentially
dangerouseffects of the test on the foetus and the woman's uterus.
Second,the high degreeof inaccuracyof the tests. The campaignlost
its momentum when it became apparent that the test could be
improvedto do away with these problems.26 It seems that the failure
of the first phase of the campaignto maintainits tempo owed much
to its inabilityto link the issueto genderinequalityand to concentrate
instead, on medical aspectsof the tests.
In November1985, activistsfromsomewomen'sgroupsand health
activists in Bombay formed the FASDAP.The forum linked the
campaignto largerquestions of women's oppression, the misuse of
science and technology against people, and issues of human rights
violation.2 The campaignhad two aims: to pass a law banning sex
determinationand to generatedebate around the issue. I will focus
on the latter in this section.
The campaign met with some resistance. As Forum Against
Oppressionof Women(henceforthFAOW),an activepartof FASDAP
recognised, this was a campaign unlike any other in the past. In
campaignsagainstrape,domesticviolenceand dowry,women'sgroups
were met with at least a token hearing.In the case of this campaign,
there was hostility.A booklet broughtout in 1990 looks back at the
campaign.
"Right from the start, it became evident that since the large
92 SOCIALSCIENTIST
The bill that was passedmay have been a partialvictory for activists,
but as the debatesreveal,the MLA'schoose to ignore or were unable
to comprehendthe questionsand issues raised.
The bill itself was full of loopholes. It includedin its scope all pre-
natal diagnostic test, restricted them only for testing foetal
abnormalaitiesin pregnantwomen medically established as "high
risk" groups.These includedwomen above the age of 35 years, with
a history of abortionor of mental retardationin the family.It made
it mandatoryfor the medicalpractionerconducingthe test to obtain
the consent of the woman undergoingthe test in the prescribedform
after explainingto her,the potential side effects of the procedure."
The bill providedfor the setting up of a monitoringgroup, called
the State AppropriateAuthority.The group was to be made up of
governmentemployees,representatives of voluntaryorganisationsand
doctors. The representativesof voluntaryorganisationsand doctors
were to be nominatedby the stategovernment.The state government,
thusenjoysuncheckedpowersunderthis clause.The StateAppropriate
Authorityis entrustedwith extensivepowers,includingjudicialpowers
to try out cases relatedto the violation of this Act.
The Act bannedthe use of medicaltechniquesfor the purposesof
sex determination.It made it mandatoryfor each genetic centre and
laboratory in the state to register itself under this Act. Prior to
registration, the State Appropriate Authority would conduct an
inquiry.The FASDAPcomplainedthat all theseprovisionscontributed
to increasein red tapism. They pointed out that many of the private
clinics who would apply for registrationhad in fact conductedthese
tests in the past. If they were given licences - which some of them
were - it would actuallylegitimiseunethicalpracticescarriedout by
them earlier.
Another anomaly of the Act is that none of the bodies appointed
underthis Act wereanswerableto the public.It restricteddirectaccess
of the public vis-a-vis violation of the law. Accordingto Section 21
(1) of the Act, the courtscan take cognizanceof an offence underthis
Act, only if a complaintis filed by "AppropriateAuthority,State or
local Vigilance Committee.""5 A privatecitizen can file a complaint
only to the AppropriateAuthority or the State or local Vigilance
Committee,who then takes it up. The committeesare providedwith
discretionarypowers and can in some cases, ignore the ordersof the
court. FASDAPpoints out that none of the bodies appointed under
the Act are in any way answerableto the public,violatingeverynorm
of democratic functioning.As FASDAPputs it, "No punishmentis
REPRODUCTION,ABORTIONAND WOMEN'SHEALTH 99
given to them for failing in their duty; this leaves people with little
recoursein the face of repeatednegligenceon the part of the state."53
To me, what seems most significantin the Act is the lack of clarity
about how the woman conducting the test is to be legally viewed.
While there is a clause that prescribesa punishmentfor the woman
under going the test, on the other hand, the Act presumesthat she
has been coerced into performingthe test. Section 19 (2) of the Act
states that:
"... Providedfurtherthat, the Court shall always presume,unless
otherwise proved, that a woman who seeks the aid of pre-natal
diagnosticprocedureson herself,has been compelledto do so by her
husbandor membersif his family...the woman shall be liable to pay
a fine of Rs. 50 for each such offence.""4
Though the fine payable by the woman is a token amount, to
punisha personpresumedto be coercedin to an actionseemsviolative
of naturaljustice. On the other hand, all women undergoingthe test
do so at the behest of their husbands and family members, which
denies them agency and responsibilityfor their actions.
With all these lacunae, the FASDAPwho had fought to get to get
the ban, was initially reluctant to support the act. However, they
decided to extend their support, as they felt that opposing the bill
would be counterproductive,as it would defeat the campaign.After
it was passed, the Act did not prove effective. None of the bodies
mentionedin the bill: the State AppropriateAuthorityand the State
VigilanceCommitteewas set up until 1989, a year after the bill was
passed. Inspiteof the clause that mandatedit, voluntarybodies were
inadequatelyrepresented,and FASDAPcompletely left out in the
composition of the bodies. One of the greatestmarkersof the failure
of the Act is that between 1988-1998, not a single case has been
registeredunder the Act, and the practice continues in the city of
Bombay.
IV
AN INEFFECTIVE
THE NATIONALBILL:REPLICATING LAW?
In 1994, the Pre-natal Diagnostic Techniques (Regulation and
Preventionof Misuse) Act was passedin Parliament.Between 1988-
1994, three states had followed the example set by Maharashtrato
pass laws banning sex determination tests. These were Punjab,
Haryanaand Rajasthan.
In February1987, a Centralcommitteeon sex determinationwas
set up by the central government headed by Rajiv Gandhi. The
committee submitted its report, on the basis of which a bill was
100 SOCIALSCIENTIST
NOTES
56. Dr.AmitSengupta,'Pre-natalDiagnosticTechniquesBill:LoopholesGalore',
The Lawyers,February1992, 16.
57. The Banningof Sex DeterminationTestsAct. Governmentof India, 1991.
58. Using Technology...op.cit.
59. Ibid.
60. Nivedita Menon, op.cit., 380.
61. Ibid.
62. Ibid, 381.
63. FASDAP,op.cit.