India and Gender Mortality: Large Differences
between North and South
India has one of the highest female mortality
rates in the world, with a sex ratio of 0.97. That is, there are
only 97 women alive for every 100 men, well below the 105 women
in North America and Europe. But these aggregate numbers hide the
inequality within India. For example, the southern state of Kerala
has a ratio of 1.04. The northern states have extremely low sex
ratios: Uttar Pradesh has 0.89 and Punjab’s is 0.87.

Amartya Sen studied this regional inequality
and found a distinct split based on geography. States in the Northern
and Western region of India have higher ratios of female mortality
than states in the South and East. In fact, he asserted that with
only a couple minor exceptions, every state in the North and East
has lower female ratios than every state in the South and West.
Sen noted “a social and cultural divide across India, splitting
the country” in half, with respect to female mortality and
gender bias before birth (Sen 2001).
The map (above) shows this geographical split. It
measures the ratio of girls to boys, reflecting not only the mortality
rates of early childhood, but also the sex bias before birth which
can result in sex-selective abortions.
Kerala: Success due to Progressive Social Programs
The southern state of Kerala has had the greatest
success. Its demographics are more typical of a middle-income country,
with a female-male ratio of 1.05, similar to Europe and North America.
Kerala is notable in India for its progressive social programs,
such as accessible health care, educational opportunities, land
reform and many others. This has resulted in increased opportunities
for women. The female literacy rate in Kerela is higher than the
rest of India. Women have more opportunities to work outside the
home. Property ownership and inheritance among women is higher too;
in some areas of Kerala, property ownership is usually passed through
women. These factors increase women’s agency, which improves
female mortality.
Economic Growth: No automatic key to success
By economics measurements, some states in the north
and west of India could be considered the most successful. Punjab
and Harayana are among the richest in the country; Gujarat and Maharashtra
are among those with the fastest economic growth. However, their
gender ratios were as low as states in the region with no or slow
economic growth. Therefore, economic resources, prosperity and GNP
growth do not appear to be major factors in reducing female mortality.
Higher income appears to improve overall mortality, but does not
improve the female ratio. In other words, overall mortality decreases,
but boys benefit more than girls.
The north and western states are varied in terms of
economic conditions and growth. However, Sen found that one common
characteristic among the states in this region is that they have
“given much more room to religion-based sectarian politics
than have the east or the south, where religion-center parties have
had very little success” (Sen 2001).
Some Factors Hard to Predict
It is difficult to predict how some factors will effect
female mortality rates. For example, Murthi studied access to health
care to see if resource scarcity exacerbates the gender bias, due
to boys receiving preferential access to resources over girls. Conversely,
when other factors contribute to improvements in the standard of
living, such as increases in parental literacy or growth in per-capita
income, it is not always clear whether the advantages they afford
are shared evenly within families, or if their benefits are distributed
mainly to the boy children.
However, Murthi found that increased female literary,
education and labor force participation increased women’s
empowerment and reduced gender mortality bias. He found that increased
literacy can have the most powerful influence and can affect change
more quickly than other social factors.
Case Study: Lessons in Development
As a case study, India shows that economic growth
is not a predicator of improved female mortality. Female literacy
and education can help empower women not only in their lives, but
in their opportunity to live. Female labor force participation and
property ownership can be key contributors, too. There is some debate
about the degree to which each factor contributes to the issue of
gender bias in mortality. However, there is agreement among scholars
that empowerment of women improves their agency and reduces gender
biased mortality.
References
Chasin, Barbara, Franke, Richard W., (1991) “The
Kerala Difference,” New York Review of Books, October 24,
1991.
Murthi, Mamta, et al, (1995) “Mortality Fertility
and Gender Bias in India: A District Level Analysis”, June
1995.
Sen, A. (2001), “Many
Faces of Gender Inequality”, The Frontline, October 27,
2001.
Sen, A. (1990). "More
Than 100 Million Women Are Missing" New York Review of
Books (12/20/90): 61-66.
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