Pcpndt act


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Pcpndt act

  1. 1. PCPNDT ACT 1
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  3. 3. Scope of presentation• Introduction• Prenatal diagnostic techniques• Legal Initiatives• Pre-conception and pre-natal diagnostic techniques(prohibition of sex selection) act,1994• The pre-natal diagnostic techniques (regulation and prevention of misuse) rules, 1996• Ammendments in act 3
  4. 4. • Implementation of PCPNDT Act in Nagpur• Referances 4
  5. 5. World Scenario 5
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  17. 17. Child Sex Ratio and Development-The linkages• Child Sex Ratio is an important indicator to measure the extent of prevailing equity between men and women• Changes reflect underlying socioeconomic & cultural patterns 17
  18. 18. Socio Cultural factorsd 18
  19. 19. True salvation -last rites BeliefOld age Lineage &security Myth Conviction inheritance Perception 19 Bread winners
  20. 20. Spend Rs 5000 today and save Rs 5 lakh tomorrow…”“We don’t killcats, dogs asoften as femalechildren” 20
  21. 21. Son Preference & Daughter AversionReasons for missing girls Small families but not without sonsAccording to NFHS-2 survey, in Delhi, for an average idealfamily size of 2.4, the desired number of sons is 1.2, daughters0.9, and either sex 0.3According to NFHS-3 ( 2006) survey, in Punjab: Married womenwith two living son: only 8.8 percent wanted additional childrenwhile those with two living daughters nearly 60 percent wantedadditional childrenFamilies say,“We do not dislike daughters. But, we need at least one son!”
  22. 22. Legal Initiative• 1978: government issued a directive banning the misuse of amniocentesis in Government Hospitals and Laboratories• 1988: Law to prevent sex determination tests was passed in Maharashtra “Maharashtra Regulation of Prenatal Diagnostic Technique Act 1988”• 20th September1994: PNDT Act : This act came into force in 1996 22
  23. 23. Who does it ?According to one micro-study conducted in some hospitalsof Delhi: Sex Ratio at Birth by sex of the previous children* Sex Ratio at birth Birth Order Sex of previous child (girls to 1000 boys) 2nd order One male child 959 One female child 542 3rd order One male and one 558 female child Two female children 219 * This information is from a study done by Christian Medical Association of India. It takes into account 11267 births for the year 2000-2001 collected from one of the public hospital in Delhi
  24. 24. What was the need for such an Act?• The PNDTAct 1994and its subsequent amendment in 2003 as the PC & PNDTAct(Prohibition of Sex Selection) Act were not brought into force because common people were resorting to sex selection,but because the medical fraternity made it possible and easy for them to do so• Abandoning their moral responsibility to the tenets of our profession, a few doctors,took advantage of the discriminatory social practice of son-preference and daughter- aversion 24
  25. 25. Act Provides – Permits – after registrationUse & regulation of Diagnostic Techniques- Genetic disorders- Metabolic disorders- Chromosomal malformation- Congenital disorders- Sex linked disorderPrevention of Misuse- Sex selection before conception- Prenatal Sex Determination 25- Female Foeticide
  26. 26. Act - Prohibits• the pre conception – post conception / selection / determination of sex• Communicating Sex• prohibits the advertisement in any manner• provides – punishment for violation 26
  27. 27. Indications of Prenatal Diagnostic Technique1) Chromosomal abnormalities2) Genetic Metabolic Diseases3) Hemoglobinopathies4) Sex linked genetic disease5) Congenital anomalies6) Any other abnormalities / or disease as may be specified by the Central Supervisory Board.Reasons – record in writing 27
  28. 28. Sex Selection 28
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  30. 30. An example of the implications ofdeclining sex ratio 30
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  32. 32. An offence under this law isCognizable – A police officer may arrest theoffender without warrant-Non-bailable – Getting bail is not the right of theaccused. The courts have discretion to grant bailNon-compoundable - Parties to the case cannotsettle the case out of court and decide not toprosecute.( Sec 27 ) 32
  33. 33. InstitutionsGenetic Counseling Centre- any hospital/ nursing home/ any place whatever nameClinic- prenatal diagnostic proceduresLaboratory- Conducting analysis or tests of samples received from genetic clinic for prenatal diagnostic test. 33
  34. 34. Ultrasound Clinics & Imaging Centers IncludedVehicles / Mobile ultrasound machineincludedHealth Melas / Non functional Machines atclinics includedRegistered Medical Practitioner- Recognized medical qualification Indian Medical Council Act 1956 + Name registered in State Medical Register 34
  35. 35. Registration• Registration time up to 90 days• Start work after registration• No clinic shall be registered unless AA is satisfied about the equipment or standard prescribed• AA after satisfying itself, with regards to advise of Advisory Committee• Rejection by reason recorded in writing• Renewal every after five years 35
  36. 36. • Certificate of registration is non transferable• Change of ownership, management or ceasing to functions – surrender the certificate• New owner shall apply afresh• Validity – 5 years 36
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  38. 38. Board (Central Supervisory Board)• Minister in charge, Ministry of health & Family Welfare – Chairman Ex- officio• Secretary – Vice Chairman Ex- Officio• 2 Women Member – 1 Minister of Child Development Ex Officio + Minister represent of Law & Justice Ex Officio DGHS (Ex-officio)• 2 Members (Each) (i) Eminent medical geneticist (ii) Eminent gynecologists & obstetrician 3 years (iii) Eminent pediatricians 38
  39. 39. (iv) Eminent social scientists & (v) Representative of woman welfare organization • 3 Woman Member of Parliament • 2 shall be elected by House of people • 1 by council of states • 4 members of Central Government approved by – 1 years• An officer – not below rank of Joint Secretary or equivalent of Central Government – Member Secretary Ex-Officio 39
  40. 40. Functions of the Board1) To advice the Government on policy matters relating to use of prenatal diagnostic techniques.2) To review the implementation of the Act and the Rules made there under and recommend changes in the said Act and Rules to Central Government.3) To create public awareness.4) To lay down code of conduct to be observed by persons working at Genetic Counseling Centre, Genetic Laboratory & Genetic Clinic.5) Any other function as may be specified under the Act. 40
  41. 41. Code of Conduct• Display board.• Availability of copy of the act- waiting area/ sonography room.• Display original certificate- waiting area/ sonography room.• Use of authorized machine.• Filling F form completely & signature of concerned sonologist.• Authorized person performing sonography.• Submission of report in time. 41
  42. 42. Observations• Unregistered centre carry out technique/procedure.• Unauthorized person carry out technique/ procedure.• F form not filled up completely.• F form signed by person other than the one actually performing the technique/procedure.• F form signed by owner instead of concerned person. 42
  43. 43. Cont….• Notice board not displayed.• Copy of the act not available.• Registration Certificate not displayed.• Photocopy of certificates displayed at unregistered place.• Monthly reports not submitted to AA• Unregistered nursing homes. (other than maternity homes) 43
  44. 44. To say “No” to requests for performingsex selection, sex detection andgender-specific MTPs and todiscourage colleagues from doing so. 44
  45. 45. Common Reactions of Doctors This is a draconian law ? We have to maintain too much records, it is not possible because of our busy schedule. Too much records: We have similar reactions for other laws, e.g. Income Tax, MTP, birth registration, nursing home act, etc. We have to abide by rules, records and reports, as made mandatory by Law. Appropriate Authorities unnecessarily harass us. 45
  46. 46. Sex Ratio at BirthNo. of girls to boys 952 960 935 940 917 917 917 920 909 901 900 877 880 855 860 847 840 820 800 780 India Rajasthan Punjab Haryana Himachal Pradesh NFHS-I NFHS-II