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Much research has explored high levels of son preference in India, finding that parents often report a desire for more sons than daughters. While scholars have noted that a nontrivial portion of respondents claim to have no sex preference, little is known about (1) the characteristics of this group and (2) how such parental preferences relate to child outcomes. We use data from a representative study of rural South Indian households (n = 7,891 adults) to address these gaps. Descriptive results show that a sizable portion of respondents – one in four – indicated that, at the start of their marriage, they had no preference for the number of daughters or sons they wanted. Further, multinomial regression results show that those who reported no sex preference at the time of marriage were more likely to be female, older, and less likely to be sterilized than those who reported equal or son preference, with additional distinctions across educational attainment and religion. Turning to child-level outcomes, we examined whether parents’ sex preferences related to adolescent mental health through ordinary least squares (OLS) regression models (n = 1,245 adolescents). Adolescents whose mothers stated no sex preference reported significantly fewer anxiety and depressive symptoms than their peers. Fathers’ sex preferences were not significantly related to adolescent mental health. These findings suggest that a lack of sex preference may hold meaningful and positive implications for adolescent mental health. Further, although son preference is a widespread phenomenon, singular attention on those with son preference may mask important nuances among Indian families.

Exploration of District Level Household Survey 4 data show that among the selected states, Karnataka, West Bengal, Meghalaya, Tripura, Telengana, Arunachal Pradesh and Andhra Pradesh show higher rates of school dropout of girls compared to the all India level. Using multilevel probit technique, the study shows that the incidence of school dropout of girls decreases if the first born of the parents is male and mother is more educated than father while it increases with lower asset endowment, land-holding and high spousal age-gap between parents. Further it is high among the Muslim religion and schedule caste category.

The purpose of this study is to investigate the association between the marriage among blood relatives and resulting adverse pregnancy outcomes.

This study uses data from India Human Development Survey in 2005. The methods of analyses include bivariate, trivariate estimates and Cox proportional hazard regression model.

The results reveal that the occurrence of consanguineous marriages is more predominant in southern India and among socioeconomically disadvantageous groups. Moreover, women in consanguineous unions are more likely to have adverse pregnancy outcomes including stillbirths (RR=1.59, p‐value<0.01), abortions (RR=3.03, p‐value<0.01), miscarriages (RR=1.94, p‐value<0.01) and spontaneous miscarriages (RR=1.70, p‐value<0.01). Consanguineous marriages continue to be a critical predictor of adverse pregnancy outcomes in India.

In order to avoid loss of pregnancy and related reproductive health problems in India, it is imperative to create awareness regarding the adverse effects of consanguineous marriages, focusing on the regions with high prevalence.

This unique study comprehensively examines the occurrence of consanguineous marriages and their association with adverse pregnancy outcomes by using advanced statistical analyses and nationally representative data.

Indian families are undergoing a transition due to a combination of factors such as rapid urbanization, economic development, educational advancements and major global connect. The shift from traditional joint families to urban nuclear families, changing pattern of the size of families, transformed gender roles in the domestic sphere, rising educational and career aspirations and increased occupational choices, new technological and economic contributions collectively contribute to a new landscape for Indian families. While these changes bring about new forms and structures of modern Indian families, they also reflect the resilience of the conventional value system of Indian families in adapting to the demands of a rapidly changing world. This chapter outlines the changing dynamics of Indian families in the 21st century. Changes in marriages and their influence on family making have been discussed with a special focus on inter-caste and intra-caste marriages and modern families. In urban India, age at marriage is also discussed in the background of formation of families. This chapter provides a discussion on changed gender roles and hierarchies within families. This chapter also highlights separation and divorce which led to single-parent families and broken families in Indian society.

The issue of dropout looms large in the context of school education in India despite various flagship programs that have been initiated in school education. According to U-DISE report (2019–2020), girls drop out more than boys at the upper primary level. An analysis of the dropout problem demands probing deeper into intrahousehold dynamics that involves bargaining at the household level on investment decision. These decisions are often influenced by the social context in which the girl child in the family faces discrimination which gets reflected in terms of dropout of girl children. Apart from the issue of gender, birth order also determines which child is more likely to drop out. Using NSSO data (2017–2018), we observe that not all children of a household are equally susceptible to the dropout problem. Moreover, the eldest sibling is found to be more susceptible to the dropout problem and dropout rate goes down with the other younger siblings in the same household. First-born girl children drop out more than their male counterparts showing gender bias. The chapter concludes that the factors pushing a child to drop out become more effective for the eldest sibling. The major reason is the family structure of India as the eldest sibling is expected to be more responsible and look after other younger siblings. Consequently, a certain number of the younger siblings try to follow the elder siblings and discontinue going to school.

India has a distinct family hierarchy and a vertical collectivistic culture. Indian traditional cultural norms discourage young adults from having romantic or sexual relationships before marriage. Romantic liaisons and marriages are fiercely opposed outside the caste and social network. Despite this cultural practice, research in the last decade demonstrated that more young adults in India engage in premarital romantic relationships and prefer a marriage of choice. However, they strongly wish their parents to approve of their partner and arrange their marriage. This increasing trend of love-cum-arranged marriages could be considered how Indian culture adapts to the demands of modernization strongly impelled by globalization. This chapter discusses the dynamics of change in the romantic and marital agency among young adults in India. First, the authors provide a brief historical introduction to the Indian marital system. Then, the authors discuss the changing cultural dimensions that promote marital choice and independence in partner selection (e.g., filial piety). Further, the authors provide an overview of the trends in premarital romantic relationships in India. In addition, the authors discuss the distress and conflict in Indian families due to the increasing premarital romantic and sexual relationships among Indian youth, as evidenced by eloped marriages, forced marriages, and honor killings.

The purpose of this paper is to explore the importance of spousal support toward a working woman’s career progression. As women continue to bear the brunt of shouldering more domestic responsibilities than men, this research focuses on their extensive need for spousal support. The work attempts to examine how working women perceive the roles their spouses play in sharing home and childcare responsibilities vis-à-vis supporting them in pursuing a career. The compartmentalization of gender roles and how it influences division of labor between husband and wife have also been explored.

The study used a qualitative approach based on analysis of multiple cases regarding women academicians. In-depth narratives based on rich interview data presented an inquiry into spousal support working women received. The impact of spousal support on the career trajectories of women was also explored.

Results show that spousal support is an important dimension toward the success of a woman’s career. Findings also suggest that gender role is an essential dynamic that determines the pattern of dominance between couples. Gender role ideology between the husband and wife was a key determinant of husbands’ support toward his working wife.

The present research, unlike previous studies, explores how women perceive the presence/absence of a husband’s support in a little studied group of female workers.

The purpose of this paper is to investigate the pattern of living arrangements among the older population and perception about old age support in the Indian adult population.

This study used India Human Development Survey (IHDS), 2004‐2005 data for empirical analyses. Bivariate and multivariate models are used as statistical analyses for this study. This study is an evidence‐based interpretation of living arrangements among older persons and perception about future living arrangement and financial assistance among current adult people.

It was found that 17 percent of older population lived with their spouse only; only 2 percent lived singly, and the rest of 85 percent elderly were living in co‐residence with children. A majority of women respondents are expecting their sons to live with them, to take care and provide financial and emotional support in their old age. This indicates that the family will continue to be a significant social institution for the care and support for the older population in India.

This study is the first of its kind, which, in addition, to living arrangement patterns of the older population, provides some insight about the expectations of the current adult generation about living and financial preferences in old age.

This study aims to analyse the structure of the Indian vaccine supply chain (SC) during the Covid-19 crisis and explore the underlying challenges at each stage in the network. It also brings out the difference in performance of various constituent states.

This study relied on both primary and secondary data for the analyses. For the primary data, the study gathered experts’ opinions to validate the authors’ inferences. For the secondary data, it relies on government data provided in websites.

Based on the quartile analysis and cluster analysis of the secondary data, the authors find that the constituent states responded differently during the first and second waves. This was due to the differences in SC characteristics attributed to varied demographics and administrative efficiency.

This paper’s analyses is primarily limited to secondary information and inferences are based on them. The study has important implications for implementing the large-scale vaccination drives by government and constituent states for better coordination and last-mile delivery.

The contribution is unique in studying the performance of constituent states using statistical techniques, with secondary data from authentic sources. It is also unique in combining this observation with validation from experts.

This paper aims to explore the challenges and benefits arising from the involvement of Panchayati Raj Institutions (PRIs) in the provisioning of primary healthcare in a decentralised health system of India.

A qualitative study design was used in this study. Data were collected through semi-structured interviews from 89 respondents selected from nine primary health centres across the district. A thematic analytical framework approach was used to analyse the data.

The research results indicate that there are several challenges resulting from PRIs involvement, including prioritisation of service providers and users, coercive unethical work and lack of communication. However, there are some benefits associated with the involvement of the PRIs in service provisioning, including improved availability and regularity of healthcare providers at the health centres.

The implications of the findings suggest that the PRIs play an important role in healthcare provisioning; however, their involvement is ineffective due to their partial capabilities and approach, which creates a non-conducive environment.

Health issues are among the most important human concerns, and recognising and addressing the grassroot challenges help to locate, and overcome the challenges that hinder the smooth healthcare provisioning process.

National Rural Health Mission has recognised the PRIs as a platform to promote decentralised health planning and for achieving its goals in India. The PRIs are significantly involved in planning, monitoring and provisioning of primary healthcare services at grassroot level. This paper addresses the challenges and benefits that emerged due to their involvement.