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Women and Development in South Asia
Dr Preet Rustagi

I. Introduction
Women as a category and South Asia as a region for analysis brings up the issue of heterogeneity vs. homogeneity (Stromquist, 1998; Agarwal, 1996; HDSA, 2000). South Asian women and their status is being assessed in this paper to highlight the similarities in the conditions faced by women across the region, despite the diversities stemming from class, religion, culture and locality. This assessment is undertaken on the basis of a select set of quantitative indicators regarding their work, survival, health, education and political participation. The issues considered here to highlight the gender inequalities that constrain women from their legitimate claims to participate in and benefit from development in South Asian countries are limited by the availability of data1, quantifiability and comparability across countries.

South Asia comprises seven different sovereign nations2, with diverse socio-cultural and ethnic populations, a range of religious faiths, legal frames, economic and political forces, all of which impact upon the lives of women in the region. Within these diversities, the region stands together on a number of counts and the women of South Asia too, face similar conditions on various fronts. South Asia is a highly populated, agriculture dependent, poor income region, often identified as the most deprived region in the world (HDSA, 1997). The region is also recognised as a 'patriarchal belt' (Caldwell, 1982), where women are subordinated to men in a kin-ordered social structure (Mathema, 1998), have low status, little or no access to property and land3 (Bardhan, 1986) and suffer from non-recognition of their work which is largely unpaid.

Socio-cultural practices, based on a strong patriarchal ideology prevalent in the region, curtail women's mobility and prevent them from utilising opportunities to enhance capabilities. Not all the spheres of gender discrimination are quantifiable, but even within the limited arenas of labour markets, socio-cultural influences on education, nutrition, health and political participation, women in most of the South Asian countries face unequal treatment. Since our emphasis here is to deal with the aspects of gender inequalities based on quantitative indicators, certain equal, if not more critical, dimensions, such as violence against women or the influence of legal institutions, are not dealt with.

Aggregation of the situation of women in South Asia is feasible in quantitative terms only in certain spheres, as in the case of sex ratios, education, child mortality, fertility rates and so on. In other dimensions such as work participation, political participation and violence, for instance, the definitional categorisation, level of data availability, and its periodicity, are all very varied across the different South Asian countries and therefore, an average taken for the region as a whole can be questionable if attempted. In such cases, individual country level analysis is undertaken.

Since 1975, coinciding with various international efforts, most of the South Asian countries have also intensified their respective country level endeavours to assess the status of women, comprehend the nature of gender inequalities and introduce institutional mechanisms to enable movement towards equality. By the end of the twentieth century, gender equality and empowerment have become accepted norms in any discussion on development. The gender-neutral approaches hitherto adopted have been questioned by the recognition of the asymmetrical impact of development and poverty on women and men. Gender inequality is a global phenomenon, with variations only in terms of degrees of discrimination and biases against women (UNDP, 1995).

Equality refers to equal opportunities in terms of access to sources of livelihood, health, and education, as well as to social, economic and political participation without discrimination. Gender inequalities stem from relations of power and authority, class-religion-caste-ethnic hierarchies and socio-cultural traditions, customs and norms (Kabeer, 1994; Carr, et al., 1996). Empowerment is the process of transforming these structures and institutions, thereby ensuring equality.

Over the years, in a number of well being indicators, South Asian women are seen to be better off today than they were a few decades ago- their survival in terms of life expectancy has been improving; more women are educated and working; many of them have entered politics at least at the local governance levels and there is an increasing recognition of the need to address women's issues specifically, to understand gender relations and work towards equality and empowerment for women. Despite these improvements, the aggregate picture of women's development reflected in the quantitative indicators in any of these spheres, reveals that the journey has only begun and there are many more processes that require transformation4.

Following this introduction, section II focuses upon the issues relating to women's work, its non-recognition and the nature of economic participation of the South Asian countries. Predominance of male preference and the gender biases in nutrition, and health care which impact the survival of girls and women, are dealt with in section III. The overwhelming emphasis on women's reproductive roles to the utter neglect of their other health concerns and its impact on their well-being is discussed in the fourth section.

The educational poverty in most of South Asia, especially the gender biases prevalent and the influence of socio-cultural constructs of women on their access to and enhancement of capabilities is dealt with in the fifth section. The sixth section provides for the role of women in South Asian politics. The inroads made by the positive interventionist efforts of reservation for women and the need for it is highlighted. Finally, some concluding remarks are made to emphasise the need for working towards changing mindsets and perceptions that influence the institutional structures and their functioning, towards elimination of gender inequalities in the region.

II. Women's Work
Women in South Asia- a predominantly agricultural and tradition-bound region- participate in economic activities and contribute their labour actively. Yet, due to the nature of their work- which is intertwined with household activities at times and is often unpaid- and the flawed definition of economic activity, their economic participation remains statistically invisible.

The role played by women in the care sector, predominantly their reproductive work (bearing, rearing, nurturing children and household maintenance), falls outside the national accounting systems followed by different countries. While these activities are crucial for household members' well-being and effective participation in different spheres- economic, social and political, they continue to remain non-economic activities. By virtue of women performing these roles which are statistically not counted as economic and hence not monetarily valued, women's roles and their contribution are assigned a lower status.

Women's contribution in activities that are recognised by definition as economic activities also remains unrecognised and non-enumerated. This is due to cultural and traditional values which constrain recognition of women's economic participation. In the South Asian countries, the historical gender roles, spaces and stereotypes of the 'public' male breadwinner (provider) and 'private' female care-giver are espoused even under changing situations. This is due to the association of household status with women's non-work that has been perpetuated by the circumstances of women having to offer their labour in the paid market work spheres under extreme economic stress and poverty.

Despite the conceptual, methodological and definitional flaws, statistics on women's work from the respective national data sources reveal nearly one-third participation of women in the labour-force. Maldives and Pakistan are the two countries where the female percentage of labour-force is relatively low, while in Bangladesh and Nepal the share of women labour-force is higher compared to other countries in the region (see Table 1).

The region as a whole has been witnessing rising levels of women's economic participation over the years. The factors that have aided or influenced these trends differ from country to country. Nevertheless, the characteristics of women's labour, in terms of the nature of tasks undertaken and the wages earned, remain by and large unchanged. The majority of women are undertaking manual, non-mechanised, low or unpaid tasks. Even among those entering the paid labour market, women face gender discrimination in access to jobs, and gender inequalities in pay and job security.

An overwhelming majority of economically active women in Nepal and India work in agriculture (see Table 2). In Sri Lanka, where agriculture is the main life supporting sector for rural populations, women are involved extensively in the plantation sector (Weerahewa and Ariyawardana, 2003). Rural women in South Asia participate in crop farming, animal husbandry and a host of off-farm activities. A substantial amount of time is spent by South Asian women in looking after livestock- from rearing to protecting animals, finding and collecting fodder and water, collecting eggs, milking, ensuring the health of animals, poultry, etc.

Table 1: Sectoral Distribution of Labourforce in South Asia
Country   Percentage Labour Force in Percentage of
Female Workers
  Agriculture Industry Services 32
India 62 11 27 27
Pakistan 47 20 33 42
Bangladesh 59 13 28 40
Nepal 93 1 6 40
Sri Lanka 49 21 30 36
Bhutan 92 3 3 32
Maldives 25 32 43 22
  Source: HDSA, 1997, 2000.

By and large, among the secondary sector activities of industry, manufacturing and so on, women's enumeration is low as seen in Table 2. Sri Lanka and Bangladesh have a relatively higher share of women's employment in the secondary sector. Sri Lanka began its phase of trade liberalisation and export oriented growth as early as 1977. The nature of these industries and the additional labour demand generated therein facilitated entry of women workers. Bangladesh has recently embarked on industry-led growth policies specially in such areas as garments. While this thrust has led to South Asia becoming one of the world's largest exporters of textiles (with India, Sri Lanka and Bangladesh), the work and pay conditions are no better than sweatshops (see Unni, 2001).

Table 2: Sectoral Employment in South Asia by Sex (Percentage)
Country Sex* Agriculture Industry Service
Bangladesh
(1996)
Male
Female
53.9
41.7
19.2
27.8
26.8
30.5
India
(1994)
Male
Female
58.3
78.0
16.5
10.9
25.2
11.1
Nepal
(1996)
Male
Female
78.9
93.7
4.9
1.4
13.2
4.5
Pakistan
(1997)
Male
Female
40.7
66.4
20.2
10.6
39.0
23.2
Sri lanka
(1995)
Male
Female
35.4
41.5
28.2
30.8
36.4
27.7
  *For each country male figures are percentages of male labourforce and female figures are
percentages of female labourforce.
Source: Respective labour force surveys of the countries; cited in HDSA, 2000.

The majority of South Asian women work in the informal sector or as unpaid family helpers. Among the economically active women workers in India, 96 per cent are in the unorganised sector. In Nepal, 75.3 per cent are self-employed and 28 per cent are unpaid family members. In Pakistan, 65 per cent of the female labour-force that is officially enumerated is in the informal sector. The percentage of women earning a living in the informal sector in Bangladesh in 1995-96 was 75 per cent (HDSA 2000). Women workers are in demand for their docility, lower probability of organising or fighting for better wages and work conditions. The patriarchal norms that are prevalent make it easier to manage women as workers.

Women's participation, although increasing in South Asia, still accounts for the smallest percentage of formal sector employment. Even here women occupy the lower rungs of clerical and low-skilled occupations. The lower levels of literacy and skill/training among women in South Asia are often blamed for their placement in the lower echelons.

Women are often occupied in community, social and personal services. In India, 57 per cent of women in formal sector fall in this employment category, while the share is 59 per cent in Bangladesh (see Table 2). Despite Sri Lankan women being more professionally qualified, their higher labour market participation does not show signs of breaking the proverbial 'glass-ceiling' and many of them are unemployed (Jayaweera and Sanmugam, 2002; Aturupane, 1996; Alailima. 1998). To encourage women's participation, some of the South Asian countries have introduced policies of reservation in government jobs. In Bangladesh, 10-15 per cent and in Pakistan, 20 per cent government jobs are reserved for women.

However, the extension of women's work spheres into paid categories without an adjustment or radical change in the sharing of household responsibilities is an added stress on them. Unless women have control over their earnings and the power to decide how they spend their incomes, the benefits in terms of empowerment will remain limited. Some studies have found that working women tend to spend their resources more judiciously on children's nutrition and household concerns as opposed to their male counterparts who are often noted to be frivolous by using their incomes on commodities of personal gratification (Hoddinott, 1992; Kabeer, 1994).

At the same time it is important to note that women's work status certainly provides them the opportunity to wield relatively more space within household structures, especially when their income becomes important for the family and the fulfillment of their needs are dependent on it. Even in terms of mobility that is otherwise restricted for women in patriarchal societies, employment provides the desirable opportunity to interact with others and operate in 'public' domains, traits which can be substantially empowering in certain contexts. The recognition of women's economic 'worth' can also help in improving the survival of girls.

III. Survival Issues
The strong presence of traditional values and perceptions in South Asia, wherein the role and status of women are assigned lower significance, reflects in the demographic balance as well. As opposed to the global sex ratio of 106 women per 100 men, South Asia is one of the few regions (other than China and parts of the Arab world) where the proportion of women to men is lower- only 94 women per 100 men in the population.

Relatively balanced sex ratios are recorded for Sri Lanka and Nepal while Pakistan, India and Maldives have a lower proportion of females in their populations (see Table 3). In India, where the sex ratios have been declining especially among the younger age cohorts, practices of female infanticide and foeticide to prevent the birth of girls have been noted in some parts of the country (see George, et al., 1992; Agnihotri, 2000 among many others). The introduction and ease of access to pre-natal screening methods such as ultrasonography and amniocentesus technologies that can help detect the sex of the foetus are being used to selectively abort female foetuses.

Table 3: Survival Indicators for South Asia
Gross Domestic
Product per capita
Country/Region Sex Ratio
(Females per
100 males)
Female Life
Expectancy at
Birth
Female Child
Mortality
Rate
Female to
Male Child
Mortality
Rate
4798 Maldives 93 66 80 1.51
3180 Sri Lanka 102 76 20 0.91
2840 India 94 64 97 1.18
1833 Bhutan 98 64 94 0.96
1610 Bangladesh 95 61
116 1.09
1310 Nepal 100 59 124 1.13
1890 Pakistan 92 60 104 0.96
2730 South Asia 94 - - 1.14
  Source: HDSA 2000; HDR 2003; for col.4 and 5 UNFPA, 1999.

Analyses of the causes leading to such demographic imbalances, ever since these trends were observed in South Asian countries, have exposed the strong son preference traits. The trend of declining sex ratios witnessed despite reduction in mortality rates has led researchers to examine other variables such as sex ratios at birth, gender differentials in nutrition and extent of gender variations in mortality rates among populations belonging to different age cohorts. Linkages have been examined in many of the South Asian countries between fertility rates, contraceptive use, abortion and sex preference even in Nepal and Bangladesh where the imbalance is not so pronounced (Arnold, 2001; Karki, 1992; Leone, et al., 2003; Bairagi, 2001 among others).

The reasons for son preference stem from patrilineal and religious structures that lay emphasis on the role and significance of male offsprings. Property transfers, ritual functions, the family heir who carries the name of the household etc., leads to the desire of having one or more sons in every household. In the context of declining fertility rates and smaller family size becoming desirable, the pressure to give birth to a male offspring further worsens the condition of women's health and their status.

Frequent child bearing and the exposure of women's bodies to a host of tests take a toll on their health. Since women are held responsible for childbirth, failure to produce a male child becomes a cause for violence, abuse and torture against them. Even when girls are born, they are discriminated against in a number of ways (UN, 1998; Miller, 1981; UN Secretariat, 1988). Neglect and lack of adequate care in feeding girls, looking after their nutrition and health, are noted in a number of studies revealing the gender discriminatory practices in South Asia. These are mostly an outcome of the lower status assigned to women (Basu, 1992).

Improvements in life expectancy and reduction of mortality rates are noted in all the South Asian countries over the quarter century 1975 to 2000 (HDR 2003). Yet, as compared to male child mortality rates, the female child mortality rates are higher revealing excess female mortality among under-5 age groups. The female to male ratio is above 1 in four countries - Maldives, India, Nepal and Bangladesh. By far the best performance among the survival indicators is witnessed in the case of Sri Lanka (see Table 3).

Consideration of three survival dimensions using sex ratios, child mortality and life expectancy display discrepancies in ordering of different countries. Nepal has a more balanced sex ratio, but the worst life expectancy and child mortality rates among females.

The survival indicators seem to have a stronger association with the income levels of the countries, especially the life expectancy and infant mortality levels. However, the sex ratios and gender disparity in mortality do not display a similar correlation, highlighting the influence of gender ideologies which discriminate against girls, irrespective of income development levels of the countries.

IV. Health Concerns
The overall lower status of women in South Asia influences their health status too. Lack of access to resources, poor decision making power or control, low recognition of their work i.e., low economic worth, and their social position as subservient to males or other household members, places their health requirements at a low priority. In fact, often these health needs are not realised or articulated by the women themselves. Their low self-esteem and their socialisation into 'non-entities' prevent them from such articulation.

The emphasis laid on women's marriage reiterates the stress on their reproductive roles, undermining all other spheres of human development. In South Asian countries, marriages are traditionally carried out at early ages with little choice/option given to women. The governments of most South Asian countries are actively working towards preventing child marriages and pushing the minimum age at marriage up for girls. Bangladesh, India and Bhutan have stipulated the legal minimum age at marriage at 18 years, yet many marriages do occur before girls attain the legal minimum age. (HDSA, 2000).

Early marriage along with young age pregnancies compounded by poor health and economic poverty puts undue stress on women's bodies (Hartmann and Standing, 1989). A majority of South Asian pregnant women suffer from anaemia (see Table 4). The total fertility rate (TFR) has been declining over the last three decades, but still continues to be quite high in Maldives, Pakistan, Bhutan and Nepal. The most significant decline in TFR is witnessed for Bangladesh, India and Sri Lanka (see Table 4).

Table 4: Some Health Indicators for South Asia
Country/Region Total Fertility Rate % of Pregnant
Women with
Anaemia
Birth Attended
by Skilled
Personnel
Health Expenditure
as % of GDP
  1970-75 2000-2005     Public Private
Maldives 7.0 5.3 62 70 6.3 1.3
Sri Lanka 4.1 2.0 60 97 1.8 1.9
India 5.4 3.0 72 43 0.9 4.0
Bhutan 5.9 5.0 73 15 3.7 0.4
Bangladesh 6.2 3.5 58
12 1.5 2.6
Nepal 5.8 4.3 75 11 1.6 3.6
Pakistan 6.3 5.1 45 20 0.9 3.2
South Asia 5.6 3.3 - 36 - -
  Source: HDR 2003; HDSA 2000.

Maternal mortality rates are quite high in the region (HDSA, 2000). The probability