Decline in female child births, Maharashtra tells officials to strictly implement PC-PNDT Act The fifth NFHS report shows female to male child ratio among newborns in Maharashtra had dropped by 11 points compared to the previous report that had come out in 2015-16. Updated: December 22, 2020 2:34:32 pm The state government believes that a 111-point drop over a five-year period could not be explained as a normal variation. A few days after the National Family Health Survey (NFHS) showed a significant decline in Maharashtra’s sex ratio, the state government has asked district health officials to ensure a more rigorous implementation of the Pre-Conception and Pre-Natal Diagnostic Techniques Act (PC-PNDT) which prohibits sex-determination tests with the objective of preventing female foeticide.