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This chapter covers the Vietnamese case study. Son preference endured from the Confucian past to the Communist present. With access to reproductive technologies emerging after the Doi Moi reformation and a two-child population policy in place, sex-selective abortions gained increased popularity. Subsequently, a distinct rise in birth masculinization at national and regional levels can be observed.
Vietnam responded promptly to the situation by outlawing sex selection in with the Population Ordinance. However, the timeliness of the policy roll out suggests that the Ordinance triggered the onset of sex imbalances in Vietnam pointing to a perverse policy effect. Efforts to address sex selection have been continuously stepped up through various legal and policy changes, awareness-raising campaigns and advocacy.
Sex selection and son preference persist in Hai Duong and Vietnam at large. It remains to be seen whether a policy focused on awareness raising or tackling the motives of sex selection can outweigh strong medial interests to continue the practice.
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