July 2006 Missing Girls in Vietnam: Is High Tech Sexism an Emerging Reality? By Gita Sabharwal and Than Thi Thien Huong1 Introduction 1. The note highlights a possible trend that Vietnam may face in the near future – that of missing girls2 – a phenomenon similar to China and India. At present gender inequalities in Vietnam manifests in many forms. Despite women being economically empowered they continue to be disadvantaged and discriminated. Analysis suggests a worrying trend of declining sex ratio for girls at birth, the emerging new face of gender inequality in Vietnam. This phenomenon is becoming statistically significant across urban Vietnam and for some provinces in the country. The decline seems to stem from the preference for son’s which is embedded within the patriarchal Confucian tradition. This preference combined with the availability of modern techniques to simply and cheaply determine the gender of the foetus seems to be resulting in sex-selective abortion. It is thereby contributing to a possible gender imbalance. The government needs to map and understand this phenomenon better in order to develop appropriate policy responses if it is to avoid the Chinese phenomenon of missing girls. The note is based on the census study (1999) and the annual Population Change and Labour Surveys (2001-2005) supported by analysis from the World Values Survey (2001). 2. The note provides an overview of the changing context in Vietnam and women’s situation within it. It highlights the many faces of gender inequalities in today’s Vietnam. It then examines the new phenomenon of missing girls and presents some early conclusions. Changing Context 3. Vietnam over the past decade has seen rapid yet comprehensive change. A fast growing economy is resulting in changes to the economic structures of society. More and more people are now employed in the manufacturing and services sector with the contribution of agriculture to GDP declining. Similarly the share of the labour force in the public sector has declined relative to the private sector with wage and self employment emerging as a viable option. With Vietnam’s economic integration into the world economy, the pace of change will further increase. 4. The broad based growth that Vietnam has seen over the past decade and more is contributing to rapid poverty reduction across all regions of the country. In 2004, though one in five households live in poverty, the per capita expenditure is steadily rising for all including the ethnic minorities. This has contributed to the economic well being of the population and is reflected in the 1 2 The views expressed in this paper are those of the authors and not of the organisation that they work for. Missing women refers to the deficit of women which arises from sex bias in relative care. 1 July 2006 high Human Development Index and the Gender Development Index3 relative to other countries at similar levels of development. Women in the Changing Political Economy of Vietnam 5. Women in Vietnam have historically been economically empowered. They have a long tradition of participating actively in the labour force. This is reflected in the high levels of women’s work participation rate, which are identical to men. Rates of underemployment also appear to be similar and declining for men and women. In fact, women in Vietnam are expected to be gainfully employed. According to the World Values Survey (2001) 97% believed that both husband and wife should contribute to household income and be productive members of society. 6. Despite women’s economic empowerment they continue to be disadvantaged and discriminated against in the economic and social spheres of life. This reflects Amartya Sen’s analysis about gender inequality not being one homogeneous phenomenon. Vietnam has different faces of gender inequalities some of which are deeply entrenched and with evidence of new forms of gender inequality emerging. Entrenched Gender Inequalities in the Society 7. Though women have taken advantage of the new opportunities generated by the process of transition and broad based growth, they have done so on disadvantageous terms. There are persistent inequalities in returns to labour between men and women. According to 2002 Vietnam Household Living Standard Survey (VHLSS), women’s average monthly wage is 85% of men’s. In agriculture the corresponding figure is 66% and in industry 78%. While gender inequalities in returns to labour reflect a combination of factors including differences in educational attainment, skills and work experience there is the angle of discrimination which is deeply entrenched and calls for further examination. 8. Analysis suggests that women are also discriminated against specifically while seeking employment in sectors believed to be men’s forte like information technology, oil and gas, chemical, etc. Similarly, sex segregation in the labour market is to some extent due to job recruitment and promotion practices. Government and the private sector reinforce these gender stereotypes. For example, an analysis of Lao Dong (Labour) newspaper advertisements in the first quarter of 2000 indicated that a fourth of the jobs advertised specified only male candidates. Similarly, a Ministry of Health advertisement states bluntly that women and men can apply for pharmacist jobs but that women must have “excellent” university degree while men needed only “average” or “higher level”. Such gender biased 3 Vietnam is ranked 108 on the HDI and 83 on the GDI in 2003. 2 July 2006 advertisements are a reflection of labour segregation and actively promote gender discrimination in the labour market4. 9. Women also work longer hours. Women’s work load analysis suggests in rural Vietnam, women put in six to eight hours more which typically involves domestic work and contributions to the care economy. In urban Vietnam, women put in 2.5 hours more than men performing household work. Men regard household work including cooking, taking care of children and the elderly or sick as women’s responsibility with a very small proportions of men willing to share domestic work. Thus the burden of hardship falls disproportionately on women. This is the other face of inequality in gender relations within the family. 10. Gender relations have not changed much over the past years. Traditional Confucian norms and belief continue to form the overarching framework which defines gender relationship within the household and the society at large in Vietnam. Patriarchal value system tends to sit along side economic well being and high levels of women’s literacy. This combined with technological access is resulting in new forms of gender inequality as evidenced by declining sex ratio. Emerging Face of Gender Inequality in Vietnam: Declining Sex Ratio 11. Vietnam along with many other Asian societies has a preference for boys over girls. Gender inequality thus manifests itself in the form of the parents wanting the newborn to be a boy. There was a time when this could be no more than a wish. However, with the availability of modern techniques to determine the sex of the foetus simply and cheaply, sex-selective abortion has become common in Vietnam. It is particularly prevalent in China and South Korea, but also in Singapore and Taiwan. It appears what Sen calls “high-tech sexism” is emerging as a statistically significant phenomenon in Vietnam as well. 12. Over the past years there is a noticeable and worrying change in the demography as the number of women to men (sex ratios5) has declined particularly across urban Vietnam and for some provinces. In 1999 the sex ratio at birth in urban Vietnam was 93 girls to every 100 boys given the normal ratio of 95 (refer Table I). This dipped to 86 in 2001 and seems to stabilise at 93 in 2004. The sex ratio in 2002 dramatically changes and swings up to 102 much within the standard sex ratio6. For the country as a whole the sex ratio declined from 95 in 1999 to 93 in 2004 slightly below the normal standard. For rural Vietnam, data suggests slight variations over the years and a drop to 94 in 2004, which is slightly below the normal standard. This is a reflection of some degree of gender instability and imbalance in Vietnam’s population as a whole and particularly so in urban areas. 4 Naila Kabeer et al 2005, Preparing for the Future: Forward Looking Strategies to Promote Gender Equity in Viet Nam. 5 6 Number of women to 100 men. This phenomenon needs to be studied as it could be a function of low quality survey and poor data. 3 July 2006 Table I: Sex Ratio at Birth Sex Ratio at 1999 2000 Birth 2001 2002 2003 2004 (Women to 100 Men) Country 95 93 90 95 92 93 Urban 93 91 86 102 93 93 Rural 95 94 91 94 91 94 Source: Census 1999, Vietnam Gender Statistics in the Early Years of 21st century and Population Change and Family Planning, 2003 and 2004. 13. There is wide variation in sex ratio across cities and provinces (refer Table II). This could give rise to distorted demographic pockets and high levels of gender imbalance. Analysis of the 1999 census shows that 6 out of the 61 provinces reported much lower than standard sex ratios at birth (7883). For example, An Giang reported the lowest sex ratios in Vietnam with 78 girls to every 100 boys followed by Kon Tum at 81 and Thai Binh province in the north at 83. Analysis based on the annual population change and labour survey suggests dramatic drops in girls to boys ranging from the lowest recorded ratio of 68 in Thanh Hoa in 2001 to 71 in 2004. Kon Tum is another interesting case in point. In 1999 it records a sex ratio of 81, which drops to 54 in 2001 and goes up to 75 in 2004. The annual figures show a very high degree of fluctuation. Their accuracy may be questionable as they are based on records of commune and district health clinics which may not necessarily be a complete record of all births. Research also shown that sex ratio at birth in urban areas or provincial centres is higher than for the province as a whole7. For example, Ha Dong town has a sex ratio of 83 while Ha Tay the province in which it is located has a sex ration of 91. It’s a similar picture in Thu Dau Mot (88) in Binh Duong province (92). Table II: Sex Ratio at Birth in Selected Provinces Provinces 1999 2001 2002 population census Thai Binh 83 - 2003 2004 - 88 Kon Tum 81 54 88 77 75 An Giang 78 - 66 70 80 Hai Duong 86 85 84 84 77 Thanh Hoa 86 68 76 76 71 Ha Tinh 87 82 81 82 82 Quang 85 83 78 80 7 Dung et al 2005. 4 July 2006 Ninh Source: Dung et al 2005. 14. Some analysis suggests that the availability of modern techniques to simply and cheaply8 determine the gender of the foetus is resulting in sexselective abortions becoming common in cities of Vietnam9. This factor is corroborated with the high abortion rates for urban areas. Although it is difficult to obtain consistent data on abortion, the rate is widely accepted as being high. Studies10 indicate that 46% of all pregnancies were terminated in 2002. The abortion rate among married women averages to 1.47 and goes up to 1.66 for women in urban areas for 2003. These figures could be an underestimate as they do not cover the abortions performed privately. Table III: Abortion Rates for Married Women aged 15-49 (mean numbers per woman) 2001 2002 2003 National 1.30 1.08 1.47 Urban 1.71 1.14 1.66 Rural 1.16 1.05 1.41 Source: MDG Report, 2005 Table 5.5 15. Comparing internationally, urban Vietnam presents a case to worry. Against the normal ratio of about 95 girls being born per 100 boys (which is what we observe in Europe and North America), Singapore and Taiwan have 92, South Korea 88 and China a mere 86 girls born to every 100 boys. The drop in urban Vietnam and particularly across some of the provinces looks particularly high and comparable to the levels in China or Korea. It is essential to understand the causes underpinning this decline while also testing the reliability of data. 16. This is cause for concern. These could be "early days," and as the ultrasound technology spreads more widely across the country, Vietnam’s sex ratio could decline further. This is quite possible despite the fact that the National Assembly has outlawed sex determination of the foetus (except when it is medically required) precisely to prevent its abuse for sex selective abortion. 17. From the data presented above we can draw some early conclusions. Firstly, declining sex ratio at birth appears to be more of an urban phenomenon largely due to easy availability of ultrasound technology in the cities and economic well being with increased disposable incomes. Secondly, as the technology spreads to the peripheries of the country, there is a possibility that families in rural Vietnam could also start to exercise the choice 8 A three dimensional ultrasound costs any where between 4 to 10 USD. Vietnam News dated 20th July, 2006, World Bank 2006 and ADB 2005. 10 World Bank 2006, WHO, 1999. 9 5 July 2006 of sex determination. This could result in further decline in the sex ratio for the country as a whole. Thirdly, declining sex ratio is not an inevitable result of the two child policy. Economic well being and access to technology combined with families wanting sons will inevitably result in sex selective abortions. Tackling the Emerging Face of Gender Inequality 18. Despite Vietnam’s rapid integration into the world economy, the assertion of older patriarchal norms, tradition and value system is resulting in declining sex ratio calls for urgent attention. There is a need to deepen understanding and monitor the changing trend in sex ratios disaggregated by provinces and districts. The preference for sons and the increase in sex selective abortions calls for intensive research. There are also appears to be a close link between women’s economic prospects and preference for boys. For this long term solutions should include affirmative actions for women and girls including women being given preference for public sector jobs and education and training opportunities to enter “male” occupations. The government needs to engage and develop appropriate policy responses to stem the decline in sex ratio and avoid the Chinese phenomenon of “missing girls” in Vietnam. 19. This face of gender inequality cannot be removed only through women’s empowerment. Women are an integral part of the cause as they in their various roles tend to believe and exhibit patriarchal values and norms as well. This calls for an informed comprehensive approach by policy makers to address patriarchal attitudes and promote gender equality by creating incentives for women and girls. Conclusion 20. With Vietnam’s integration into the global world and rapid improvements in economic well being, the assertion of traditional patriarchal norms and values is social phenomenon worth tracking. Declining sex ratio is becoming the new face of gender inequality. It’s hard to predict whether Vietnam will see a further decline in the sex ratio though evidence seems to suggest a movement in that direction. Vietnam could go the way of China with “missing girls” becoming an issue for the future. 6 July 2006 References ADB, 2005. Viet Nam Gender Situation Analysis. Amartya S, 2003. Many Faces of Gender Inequality. Amartya S, 2003. Missing Women Revisited. Chen Wei, 2005. Sex Ratio at Birth in Chin. Centre for Population and Development Studies, People’s University of China. Dung V.A., P.T.T Huong, N.N. Huyen and L.T. Son, 2005. Sex Ratios at Birth in Vietnam and Some Localities: Current Situation and Comments. GSO, Population Change and Family Planning Survey 2001, 2002, 2003, 2004 and 2005. 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