With rapid social transition, gender imbalance has become one of the most significant issues of China's social management, raising many problems and challenges. Innovation in social management urgently needs the new perspective of a holistic governance framework. Based on the latest trends in gender imbalance, this paper reviews China's strategic policy responses and actions on the governance of the male-skewed sex ratio at birth. It then focuses on the "care for girls" campaign to analyse the current public policy system, and proposes a social management framework to address the gender imbalance