Introduction
The phenomenon of ‘missing women,’ first articulated by Amartya Sen in the early 1990s, highlights a disturbing imbalance in gender demographics, particularly in parts of Asia and North Africa, where the number of women is significantly lower than expected due to systemic gender bias (Sen, 1992). This essay, situated within the context of International Planning and Development, critically examines the problem of missing women, focusing on gender ratios at birth and excess female mortality rates. It explores the underlying causes, including cultural preferences for sons and structural inequalities, and evaluates the extent to which these factors contribute to skewed demographics. Drawing on academic literature, the discussion addresses the interplay of societal norms, technological advancements, and policy interventions, while considering their implications for development planning. The essay is structured to first outline the conceptual framework of missing women, then analyse key contributing factors such as sex-selective practices and neglect, before concluding with reflections on policy needs and future challenges.
Conceptualising the Problem of Missing Women
The term ‘missing women’ refers to the deficit of females in certain populations, a disparity attributed to gender discrimination that manifests both prenatally and postnatally (Sen, 1992). Sen’s seminal work estimated that over 100 million women were ‘missing’ globally due to unequal access to resources, health care, and survival opportunities. This deficit arises not solely from biological differences in sex ratios at birth, which naturally favour a slight male excess, but from societal practices that devalue female lives (Coale, 1991). In the field of International Planning and Development, understanding this issue is critical, as it reflects broader inequalities that impede sustainable progress. Indeed, the persistence of such demographic imbalances underscores the need for targeted interventions to address systemic gender bias.
While biological factors suggest a sex ratio at birth (SRB) of roughly 105 males to 100 females, deviations far beyond this range in countries like India and China indicate artificial interference (Hesketh and Xing, 2006). These imbalances are often exacerbated by deeply entrenched cultural norms that prioritise male offspring for economic and social reasons. For instance, in many traditional societies, sons are seen as providers of old-age security, whereas daughters are perceived as economic liabilities. This cultural underpinning forms a critical lens through which the issue of missing women must be examined, as it reveals how societal values shape demographic outcomes.
Factors Contributing to Gender Ratio Imbalances at Birth
One of the most significant contributors to the problem of missing women is the practice of sex-selective abortions, facilitated by the advent of medical technologies such as ultrasound since the late 20th century. These technologies allow families to determine the sex of a foetus early in pregnancy, often leading to the termination of female pregnancies in societies with a strong preference for sons (Bongaarts, 2013). In regions with restrictive family planning policies or cultural pressures for smaller families, the desire to ensure a male child intensifies, resulting in highly skewed SRBs. For example, some studies report ratios as high as 120 males to 100 females in specific areas, far exceeding natural expectations (Guilmoto, 2012). Such trends pose significant challenges for development planners, as they contribute to long-term social imbalances, including potential increases in gender-based violence and trafficking.
Moreover, the decision to engage in sex selection is often influenced by economic considerations and patriarchal structures. Families may perceive sons as more likely to contribute to household income, while daughters may require significant investments, such as dowries in some cultures. This economic rationale, combined with societal pressures, arguably drives many to prioritise male offspring, perpetuating the cycle of gender discrimination (Pande and Astone, 2007). Although laws in several countries prohibit sex-selective abortions, enforcement remains weak, and illegal practices persist, often under unsafe conditions that further endanger women’s health (UNFPA, 2012). This highlights a critical gap between policy intent and implementation, a recurring issue in development contexts.
Excess Female Mortality and Postnatal Neglect
Beyond prenatal discrimination, excess female mortality through postnatal neglect constitutes another dimension of the missing women problem. In many societies, girls receive less access to nutrition, healthcare, and education compared to their male counterparts, leading to higher mortality rates among female children (Klasen, 1994). This passive form of discrimination, though less overt than sex-selective abortions, is no less detrimental. Research indicates that in certain regions, female infants and young girls are more likely to die from preventable causes due to inadequate care and resource allocation within families (Miller, 1981). Such trends are particularly pronounced in low-income settings, where resource scarcity exacerbates gender disparities.
Furthermore, the neglect of girls often reflects broader systemic issues, including limited maternal education and entrenched gender norms that devalue female contributions. Development planners must therefore consider how structural inequalities intersect with cultural practices to produce these outcomes. For instance, improving female access to education could enhance their perceived value within families, potentially reducing mortality rates (Smith et al., 2011). However, achieving such change requires addressing deep-rooted societal attitudes, a complex challenge that demands both policy innovation and community engagement.
Policy Responses and Development Implications
Addressing the issue of missing women necessitates a multifaceted approach that combines legal reforms, awareness campaigns, and socioeconomic development. Several countries have implemented bans on sex-selective abortions, alongside incentives for families to support daughters, such as conditional cash transfers for girls’ education (Sekher and Hatti, 2010). While these measures represent progress, their effectiveness is often undermined by inadequate enforcement and persistent cultural biases. In the context of International Planning and Development, policies must be tailored to local contexts, ensuring they address specific cultural and economic drivers of gender discrimination.
Additionally, international organisations such as the United Nations have emphasised the importance of gender equality as a cornerstone of sustainable development, advocating for interventions that empower women and girls (UNFPA, 2012). Enhancing women’s access to education and economic opportunities could shift societal perceptions, reducing both prenatal and postnatal discrimination. However, such transformations require sustained investment and political will, areas where development planning often faces constraints. The long-term implications of failing to address the missing women problem are profound, including potential demographic crises and hindered national development due to unbalanced populations (Guilmoto, 2012).
Conclusion
In conclusion, the problem of missing women, as articulated by Sen (1992) and elaborated by subsequent scholars, remains a critical issue in International Planning and Development. This essay has explored how cultural preferences for sons, facilitated by technologies like ultrasound, contribute to skewed gender ratios at birth through practices such as sex-selective abortions. It has also examined the role of postnatal neglect in driving excess female mortality, revealing the pervasive nature of gender discrimination. While policy interventions have sought to address these disparities, their limited success underscores the need for more robust enforcement and culturally sensitive approaches. Ultimately, tackling the missing women phenomenon requires a commitment to gender equality, underpinned by education and economic empowerment. For development planners, the challenge lies in translating these principles into actionable strategies that can reshape societal norms and ensure equitable survival opportunities for all genders. The persistence of this issue serves as a stark reminder of the broader inequalities that continue to hinder global development efforts.
References
- Bongaarts, J. (2013) The Implementation of Preferences for Male Offspring. Population and Development Review, 39(2), 185-208.
- Coale, A. J. (1991) Excess Female Mortality and the Balance of the Sexes in the Population: An Estimate of the Number of ‘Missing Females’. Population and Development Review, 17(3), 517-523.
- Guilmoto, C. Z. (2012) Skewed Sex Ratios at Birth and Future Marriage Squeeze in China and India, 2005–2100. Demography, 49(1), 77-100.
- Hesketh, T. and Xing, Z. W. (2006) Abnormal Sex Ratios in Human Populations: Causes and Consequences. Proceedings of the National Academy of Sciences, 103(36), 13271-13275.
- Klasen, S. (1994) ‘Missing Women’ Reconsidered. World Development, 22(7), 1061-1071.
- Miller, B. D. (1981) The Endangered Sex: Neglect of Female Children in Rural North India. Cornell University Press.
- Pande, R. P. and Astone, N. M. (2007) Explaining Son Preference in Rural India: The Independent Role of Structural versus Individual Factors. Population Research and Policy Review, 26(1), 1-29.
- Sekher, T. V. and Hatti, N. (2010) Disappearing Daughters and Intensification of Gender Bias: Evidence from Two Village Studies in South India. Sociological Bulletin, 59(1), 111-133.
- Sen, A. (1992) Missing Women. British Medical Journal, 304(6827), 587-588.
- Smith, L. C., Ramakrishnan, U., Ndiaye, A., Haddad, L. and Martorell, R. (2011) The Importance of Women’s Status for Child Nutrition in Developing Countries. International Food Policy Research Institute.
- UNFPA (2012) Sex Imbalances at Birth: Current Trends, Consequences and Policy Implications. United Nations Population Fund.

