India has the distinction of being the first country in the developing world to initiate a family planning programme-it later came to be called the Family Welfare Programme (FWP)-with a view to bring down the country's fertility level and contain population growth.

Sterilization is the most popular method of contraception in India. The 1992-93 National Family Health Survey found that of the 36.2 percent of eligible couples using any modern method, most (30.7 percent) had been sterilized and only 5.5 percent were using temporary methods (IIPS 1995).

The notion of quality in the public health system is becoming increasingly an issue for policymakers and planners in India. The Eighth Five-Year Plan identified the poor quality of family welfare services as one of the factors

In recent years there has been a growing concern in many countries, including India, that public health and family planning programs have placed insufficient emphasis on the quality of their services (Ickis 1992; Khan et al. 1994; Mensch 1993; Miller et al. 1991).

Sterilization for men and women is the most commonly used contraceptive method both in India at large and in Uttar Pradesh.

We use data from the 1981 and 1991 censuses of India to examine (a) sex ratios among infants aged under 2, (b) child mortality (q5) by sex, and (c) estimated period sex ratios at birth (SRB) calculated by reverse survival methods, to see whether bias against female children pers