The document discusses the declining sex ratio in India and some of the factors contributing to it. It notes that the census of 2001 revealed a sex ratio of 933 females per 1000 males, representing a deficit of around 3.5 crore women. The widespread use of sex-selective abortions has led to 60 lakh missing girls. While some states like Kerala have a favorable ratio, others like Haryana and Punjab have seen their child sex ratios decline sharply due to such practices. The PNDT Act was passed in 1994 to regulate sex determination tests but has not been effectively implemented.