Every year, as millions of women marry, they dream of starting a family, of having their homes filled with tiny cries and the happy laughter of gurgling babies. In India however, pregnancy is too often followed by the question of
whether the unborn child is a girl or a boy.

An outline is given of progress made in understanding the causes of maternal mortality since the Safe Motherhood Initiative was launched a decade ago. It remains vital to analyze. why women are dying from pregnancy-related conditions and to identify the weak links in the chain of care.

The high female infant mortality rates (Miller, 1985), the practice of female infanticide (Krishnaswamy, 1988), the neglect of female children with regard to access to health services, nutrition (Sen and Sengupta 1983) and education (Mankekar, 1985), and the sexual abuse of girls (Bhalerao, 1985)

In these words, Ayurved, the ancient Indian medical science, describes "safe motherhood" Thus, "Motherhood is the basis of family life which, in turn, is the backbone of all the orders of society. Hence, family life remains protected if the woman is safe and protected."

Every minute of every day a woman dies as a result of pregnancy or childbirth. The loss per annum of 500,000 women is mind boggling. A maternal death is the outcome of a chain of events and disadvantages throughout a woman's life.

The knowledge road to health has many pitfalls -and women in less developed countries and particularly those who are poor, illiterate and unemployed, face crucial tradeoffs when they attempt to fulfil their biological, social and other needs.

Sexual abuse of children is an issue shrouded in ignorance and denial in our country. One of the chief reasons for this conspiracy of silence is the high value, almost idealization, of the family.

India has an extensive network of hospitals and health centres with a large field staff in the government sector, which has been providing primary health care. Of late this infrastructure has been effective in delivering immunization services to the community.

Every society has its own traditional beliefs and practices related to health care. Beliefs in supernatural powers, i.e.

A society is judged by the way it treats its women and children. So is a judicial system. Nothing is more horrifying than the sexual abuse of a child: nothing more reprehensible than a judicial system that subsequently victimises the victim, police behaviour that adds terror to agony.