How did 100,000,000 women go missing?

by: canadian gal

Sat Jun 06, 2009 at 14:33:01 PM EDT

Obama's speech in Cairo this week was brilliant and the warmth with which he was received was a wonder to behold. However some were disappointed with the length and breadth in which the President touched on human rights and specifically women's rights. Responding to Obama's reference to the hijab in his speech, Peter Doau asks:

Is that a joke?

With women being stoned, raped, abused, battered, mutilated, and slaughtered on a daily basis across the globe, violence that is so often perpetrated in the name of religion, the most our president can speak about is protecting their right to wear the hijab? I would have been much more heartened if the preponderance of the speech had been about how in the 21st century, we CANNOT tolerate the pervasive abuse of our mothers and sisters and daughters.

canadian gal :: How did 100,000,000 women go missing?
To be fair, later in the speech Obama did delve further into this:

The sixth issue that I want to address is women's rights.

I know there is debate about this issue. I reject the view of some in the West that a woman who chooses to cover her hair is somehow less equal, but I do believe that a woman who is denied an education is denied equality. And it is no coincidence that countries where women are well-educated are far more likely to be prosperous.

Now let me be clear: issues of women's equality are by no means simply an issue for Islam. In Turkey, Pakistan, Bangladesh and Indonesia, we have seen Muslim-majority countries elect a woman to lead. Meanwhile, the struggle for women's equality continues in many aspects of American life, and in countries around the world.

Our daughters can contribute just as much to society as our sons, and our common prosperity will be advanced by allowing all humanity - men and women - to reach their full potential. I do not believe that women must make the same choices as men in order to be equal, and I respect those women who choose to live their lives in traditional roles. But it should be their choice. That is why the United States will partner with any Muslim-majority country to support expanded literacy for girls, and to help young women pursue employment through micro-financing that people live their dreams.

Which brings us to a sad and startling picture of gender discrimination in the developing world. Researchers Siwan Anderson (University of Britsh Columbia)  and Debraj Ray (New York University) recently co-authored a paper titled, Missing Women: Age and Disease.  In it, they postulate that the ratio of women to men in developing regions and in some cultures is suspiciously below the global average.

The term "missing women" was coined in 1990, by Indian economist Amartya Sen, in the The New York Review of Books where he calculated that in parts of Asia and Africa 100 million women who should be alive are not because of unequal access to medical care, food and social services. Sen postulated that these with these excess deaths: women were "missing" above and beyond natural mortality rates, compared to their male counterparts.

The fate of women is quite different in most of Asia and North Africa. In these places the failure to give women medical care similar to what men get and to provide them with comparable food and social services results in fewer women surviving than would be the case if they had equal care. In India, for example, except in the period immediately following birth, the death rate is higher for women than for men fairly consistently in all age groups until the late thirties. This relates to higher rates of disease from which women suffer, and ultimately to the relative neglect of females, especially in health care and medical attention.[2] Similar neglect of women vis-à-vis men can be seen also in many other parts of the world. The result is a lower proportion of women than would be the case if they had equal care--in most of Asia and North Africa, and to a lesser extent Latin America.

Sen went on to explain that in the world boys outnumber girls at birth, but in countries where women and men receive equal care, women have proved hardier and more resistant to disease, and thus live longer. In most of Asia and North Africa, however, he found that women die with startlingly higher frequency than in other parts of the world. Sen's research caused a sensation in academic circles when it was originally published in 1990.
Building on this data and focusing on figures from China, India and sub-Saharan Africa for the year 2000, what Anderson and Ray found out flew in the face of existing literature and commonly held beliefs about the missing women phenomenon.

"Previously, people had thought that they (the missing women) were all at the very early stages of life, prenatal or just after, so before four years old," Anderson says. "But what we found is that the majority are actually later." Female infanticide has been endemic in India and China for some time, which she says led researchers to assume that it was the source of all the missing women. But the truth is much more complicated.
Once the researchers broke down the numbers by age group, they found that the majority of excess female deaths came later in life: 66% in India, 55% in China and 83% in sub-Saharan Africa.
Using data gathered primarily from the World Bank, the United Nations and the World Health Organization, the researchers admits that getting the figures can be a huge challenge. In sub-Saharan Africa, for example, many deaths go undocumented, and in India, it is virtually impossible to know how many "unintentional" deaths are actually dowry killings, because they are not accurately reported to the authorities.
One of their colleagues in the economics department at the University of British Columbia says this finding is striking, and points the way for future research and advocacy.
"Why would there be excess mortality of, let's say, 45-year-old women versus 45-year-old men?" asks economics professor Kevin Milligan. "And what they find is ... they have the same set of diseases, they just seem to die more frequently. The explanation that seems most consistent with that is differential access to health care. And so that's a really striking finding."

While they believe that lack of health care is likely a big part of the problem, there also believe that there numerous cultural and social factors that play a factor and can be difficult to narrow down. In their "elementary accounting exercise", Anderson and Ray began to plot the causes of excess death in 2000 by age group, and produced some striking numbers.

- 600,000 missing women each year from HIV/AIDS in Sub-Saharan Africa.

- In China, suicide explains well over 100,000 missing women each year.

- In India 100,000 'fire-related' deaths each year

Dowry prices have not dropped off with improvements in education in India either. Instead, they have gotten worse, with educated brides and their families willing to pay even more for high-quality grooms. These dowry payments can be six times a family's annual wealth - an excruciating price, especially for poor villagers. The implications of this hefty sum trickle down to the first moments of a child's life. While conducting recent field work in India, villagers were asked about selective abortions and found them open about the fact that they use ultrasound to determine the baby's gender and help them decide whether or not to keep it.

"They see no other options, they really cannot afford to have a daughter."

Future research will delve deeper, seeking answers to questions such as: How often are men given mosquito nets to protect themselves from malaria, but not women? How many women die because they are not taken to the hospital when they are sick?

Most wouldn't argue that there is far more to gender equality than merely promoting education - inheritance rights, fair divorce settlements, freedom from family-imposed marriage, from culturally approved violence, from deeply held traditions of female subservience.

While Obama's speech was a start, clearly there is much work to do.

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Great diary CG. Very imformative. (2.00 / 7)
 I was really not aware of the extent of the problem of dowry deaths in India. I'm curious about what can be done  to change it. While economic sanctions might acomplish somthing in China and India I'm skeptical. I don't think they would be effective even if there was the political will to do so. And the conditions in Africa seem so overwhelming, the task seem's impossible.
I understand that micro-loans and the light of day are slowly helping the situation but it seems like a long road.  

after writing and researching this... (2.00 / 7)
in one of the articles i used, a particularly haunting piece came from one of the researchers:

When asked what can be done to combat such deep-seated inequality, Anderson pauses. Even when governments outlaw root causes, such as the Indian dowry system, violence persists, she says. "It's too embedded in the system in their world."

i really don't know.

"I spend my days and nights pondering the meaning of life, the state of the universe, and the Home Shopping Network." -- Donald Roller Wilson

[ Parent ]
education (2.00 / 1)
and micro-financing actually do address some of these issues. Not rape, not discrimination but women can be very resilient and take care of their daughters quite well if there is some income they control, so they need to earn it.  You can start with laws and enforcement, but in the meantime girls won't be educated and there will be that backlash that always happens when women make political gains. But if you start with education and financial independence, women can gain political rights for themselves.  The problem is vast, but Barack's emphasis is most practical for making real changes for real women, starting with now. And who can argue against such goals?  The men (and sons) would also benefit from women being allowed to start their own businesses.  

What, me worry?

[ Parent ]
Someone started this discussion (2.00 / 9)
in the 1990s.  Her name was Hillary Clinton.  Some people listened. Sadly, many were too intent on their own hatred of the Clintons, of women in general....they refused to hear.  Her words meant a lot to many of us.  That fact that this speech was ignored by many and that over a decade later we are still considering an American president's speech "a start" speaks volumes.  


It is a violation of human rights when babies are denied food, or drowned, or suffocated, or their spines broken, simply because they are born girls.

   It is a violation of human rights when women and girls are sold into the slavery of prostitution for human greed -- and the kinds of reasons that are used to justify this practice should no longer be tolerated.

   It is a violation of human rights when women are doused with gasoline, set on fire, and burned to death because their marriage dowries are deemed too small.

   It is a violation of human rights when individual women are raped in their own communities and when thousands of women are subjected to rape as a tactic or prize of war.

   It is a violation of human rights when a leading cause of death worldwide among women ages 14 to 44 is the violence they are subjected to in their own homes by their own relatives.

   It is a violation of human rights when young girls are brutalized by the painful and degrading practice of genital mutilation.

   It is a violation of human rights when women are denied the right to plan their own families, and that includes being forced to have abortions or being sterilized against their will.

When do we get beyond "starting the conversation?"

"You can have wealth concentrated in the hands of a few, or democracy. But you cannot have both."
- Louis Brandeis

The only word I would add to her statement (2.00 / 6)
is "Amen."

It really is a prayer.

[ Parent ]
That is a staggering number. (2.00 / 4)
Two WWIIs.

17 Holocausts.

I think Obama could only do so much in one speech, and the Sixth Thing comment said perhaps as much was appropriate in that context.

what can be done to combat such deep-seated inequality,

Indeed.  One step at a time, I suppose.  One step at a time, no matter how small.

John Askren - "Never get into a pissing match with a skunk."

it is a staggering number. (2.00 / 4)
what's amazing is that sen's study first came out in.... 1990. the word needs to be spread about this - i actually posted my first diary at kos earlier.

"I spend my days and nights pondering the meaning of life, the state of the universe, and the Home Shopping Network." -- Donald Roller Wilson

[ Parent ]
I will add one answer to the "what can be done?" question: (2.00 / 2)

"First World" the planet.  Ignorance and poverty are the roots and greenhouses for most of these problems.  We need education, jobs and Modern Living (with all that means) in all of the world.

God bless all of our agrarian, short-lived, dirt-farming ancestors and their Simple And Honest Ways (sure, whatever), but the problems of the First World pale to triviality compared to the Third.  One of my favorite conversations on topic was with an Ethopian cabbie in Las Vegas during a very short ride when I told him many of my friends thought the US should leave the rest of the world to do as it chooses and not be so pushy with what it thought was the best way to live.  He carried the rest of the convesation:

Fuck them!  What the fuck do they know about living in the Third World?!  You either have money or you have nothing and live like a slave and you do anything to survive, nobody wants to live like that!  Everybody over there wants to live like everyone over here already does!  Why do you think I came all the fucking way over here and worked for years to bring my fucking family over, too?!?

And on... :~)  I can picture him now, the fire-breathing answer to every latte-sipping moral relativist.  Man, he was pissed!

John Askren - "Never get into a pissing match with a skunk."

[ Parent ]
I hate to admit it, (2.00 / 4)
but I had no idea it was anywhere near this bad. I knew about femicide and health care discrimination. I also knew that women had it much tougher in the under-developed world, much like women used to have it in the Western world. But this bad? No wonder Hillary is so passionate about women's issues.

There are obviously some people working on these issues. However, this shouldn't be left to the politicians. What can individuals like ourselves do to help besides donate to micro-finance programs?  

This is not a recession. It's a robbery.

work on on-line education (2.00 / 2)
the world is getting wired up, and we can connect with people in most countries. I've done an on-line project answering questions about my field, and I've heard from women in third world countries.  If you have some expertise that can be taught on line, offer your services.  And investing in mirco-finance isn't nothing, it's something big.  

What, me worry?

[ Parent ]
I rec'ed the diary because the status of women is a major issue (2.00 / 6)
for me, but I do not think that the President should have used Cairo, to address China, India, or Sub-Saharan Africa.

Not the venue.  

Unfortunately, the data presented are sets of apples mixed with oranges.

In some parts of Africa - only old women are alive and well in villages, caring for multiple grandchildren.  HIV-AIDS, plus labor migration are the two major variables there.

"If you're in a coalition and you're comfortable, you know it's not a broad enough coalition"

Bernice Johnson Reagon

agreed on all fronts. (2.00 / 3)

"I spend my days and nights pondering the meaning of life, the state of the universe, and the Home Shopping Network." -- Donald Roller Wilson

[ Parent ]
I wanted to continue the discussion (2.00 / 4)
that were in comments on DKos, not there this morning.

I think part of my problem was the structure of the article.
because the lead in is Obama's speech in Cairo, followed by Daou, it diverts attention to the real topic which is the theory of the authors of the study.

There are two separate issues here.  Tying the work of the economists to Daou's rant does this:

Obama speaks in Cairo.
Daou says women should have been the topic.  
100 million women are missing.  
Conclusion - Obama is somehow responsible for 100 million missing women. That's how it reads (maybe I'm reading too deeply).

I commented last night, on DKos that Daou has used women - world wide to be the vehicle that he has used to unleash yet another tirade against Obama.  Perhaps had you mentioned Daou's history before wading into his quote, it would have given a bit more balance.

Okay - now to the second segment.  

Nowhere was there a discussion of other theories, put forth about the data and the conclusions extrapolated from the data.

The article roams from China, to India, to North Africa, to Sub-Saharan Africa - all over the place.

As a social scientist bells went off in my head.

I will read the report in its entirety.  I will then read the responses from other public health scientists in the field to the report. I am familiar with data on women's health and mortality on the African continent, and the wide range of differences, depending on which ethnic group is under review, what political system is in place, the impact of colonialism in removing women from positions of political power within societies ...a whole range of complex issues.

I am not as familiar with the literature on India, though from what I have read (and I admit that it is minimal) there are large differences between how women are valued in northern areas where wheat is under production, and areas of the south where women are a viable workforce in a rice economy.

I have always resisted broad brush theory.  "Missing Women" in some ways, though a dramatic catch-phrase, tends to obscure  what it is attempting to highlight.  

I feel as strongly as you do, and obviously there are many of us who feel the same, that a woman's lot is more often than not (around the world), affected by paternalism, societal sexism, and second class status.  

But the way this is painted, it negates those very women who in the context of their own societies are moving forward for change.  

Yes there is rape.  Yes there are stonings.  Yes there are deaths.  But there are also vibrant women's cooperatives, women's agricultural and business collectives, women teachers, doctors ...

too broad a brush was used here.  

Thanks for listening.

"If you're in a coalition and you're comfortable, you know it's not a broad enough coalition"

Bernice Johnson Reagon

well... (2.00 / 2)
im not sure i would agree with the way you've characterized the structure. daou is one of many that were unhappy with how obama dealt with (or didn't) human rights/women's right issues in his speech. i just happened to use his criticism since he was particularly pointed in his language.

the issue of the report states that the 'missing' women problem largely come from areas which clearly value them less. im not sure how i understand how this is entirely on point with the cairo speech.

i do agree that it probably wasn't the time or place for obama to begin lecturing on any topic but at the same time, glossing over is not productive either and by mentioning the hijab this is how it came across. in the end i guess obama went as far as he could but that doesn't mean it isn't relevant.

"I spend my days and nights pondering the meaning of life, the state of the universe, and the Home Shopping Network." -- Donald Roller Wilson

[ Parent ]
I also hesitated to do anything other than recommend this diary.... (2.00 / 3)
....because I also agree that the liberation, emancipation and equality of women is - globally - perhaps the most important indicator of Amartya Sen like development. Gender is one of the key categories of exploitation, as the powerful always pick on the more vulnerable. But I'd also add tribe, class, race and age as factors. Ultimately, without at all contradicting the points you make, the underlying principle seems to be fear of the 'other' under abusive regimes of power, family, cultural, religious.

My personal experience of women in Kerala and among the Kenyan Kikuyu provides a different non-European take on their important roles there in education, business and social cohesion. When it comes to Western societies there's a different anomaly: though under represented in politics, and underpaid in their professions, women have a longer life expectancy, and few deaths through stress related illnesses.

Sen's calculations on the 'missing millions' is still predicated on their being a more 'natural wastage' of men; this has been through child mortality and early death (not sure if he excludes war and murder).

Finally, today's Observer reports how women are exceeding men at all levels at UK Universities these days, having for the last few decades exceeded boys at school. My biggest fear, for my own kids, and for British society in general, is the unemployed unvalued and estranged young excluded men in our midst. They are far more like to be victims of crime than actually commit it. Their life expectancy (as in Russia) is actually going down.

Just some additional thoughts, to fill out some of these nuances.  

The p***artist formerly known as 'Brit'

[ Parent ]
Oops (2.00 / 3)
"fewer deaths through stress related illnesses.."

The p***artist formerly known as 'Brit'

[ Parent ]

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