Overall Status of Implementation of the PCPNDT Act

Overall Status of Implementation of the PCPNDT Act Community Naveen Jain, IAS Secretary & MD, NHM Chairperson, State Appropriate Authority, PCPNDT 1 Medical, Health & Family Welfare Department, Rajasthan

INDEX � Sex Ratio in India & Rajasthan-CSR. � PCPNDT Act & Relevant Rules. � "Daughters are Precious" Campaign. � Efforts of Rajasthan Government. � Mukhbir and Decoy Operations. � Learnings from Real cases � Impact of all the exercises on SRB � How daughters are killed? � What we are doing to save our girls? 2

Discuss with audience Why we discriminate against Girls? Why we don’t want a girl child? v. Safety v. Religious reasons v. Sons for old age support v. Family name 3

On the Independence Day Hon’ble PM. Narendra Modi said “Save the Girl Child” "Request to the doctors not to kill the girl growing in the womb. Advise to the mothers, Sisters, Fathers not to sacrifice daughters in the hope of son ". Daughters are Precious Campaign launched on 23/9/2016 by Hon’ble Minister of State for Health, Go. I & State Health Minister of Rajasthan 4

Community mobilization for reducing demand – Daughters are Precious Campaign Seminars in Colleges More than 150, 000 Youth in 320 colleges/schools were reached through campaign 5

Daughters are Precious at Various Districts of Rajasthan 6

School Awareness Drive 7

Daughters are Precious 8

�What is sex selection? Practice of determining the sex of an unborn foetus and eliminating it if found to be female. sex selection is also referred to as pre-natal elimination of girls. What is female foeticide? • • 9 It is defined as aborting a female foetus after sex determination test. Ultrasonography helps determine abnormalities in the fetus, but it is misused to find out sex of the foetus and abortion is done if it is a girl.

Root Cause of Sex determination q Poverty q Lack of Education q Low status of women and girls in a male dominated society q The culture of son preference q Monitoring of foetus sex determination q Obsession for Son. q Fear of dowry by many poor class families. q Girls are considered as financial obligation by many parents. q Advancement in technology , nowadays parent determines the sex of a child before birth. q Some of the doctors do this heinous act to fulfill their money desire. 10

PCPNDTIntroduction Pre-natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act enacted in 1994; came into force in 1996 Act amended in 2003: � Renamed as the Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 � Now includes prohibition of sex selection before and after conception � Also regulates use of pre-conception techniques for sex selection diagnostic � Central legislation; however, implementation completely rests with the States through decentralised implementing mechanisms (Appropriate Authorities) at the state/ district / sub-district level 11

How the Act works? � PROHIBITON: �Sex selection before or after conception and misuse of pre -natal diagnostic techniques for determination of the sex of the foetus �Advertisements in relation to such techniques for detection or determination of sex � REGISTRATION: �Facilities providing pre-conception and pre-natal diagnostics capable of determining the sex of the foetus � MAINTENANCE & PRESERVATION OF RECORDS: �Prescribes formats including Form F � SEARCH, SEIZURE & SEALING POWERS: 12 �Appropriate Authorities empowered with the

Strength of the Act of 1994 �Cognizable �FIR registration- Arrest without warrant �Non-bailable �Police can’t grant bail �Non-compoundable �No negotiation 13

Who all are liable? � Unit in-charge / owner � Persons who perform the tests � Mediator abetting pregnant woman’s access � Husband / relatives of the pregnant woman � The pregnant woman herself is considered innocent under the Act, unless proved otherwise � Persons / units advertising about sex selection in any form 14

The Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 Pre-natal Diagnostic Techniques includes �Ultra-sonography, � Foetoscopy, �Taking samples of amniotic fluid, embryo, blood or any tissue or fluid of pregnant women before or after conception, �Testing samples in Genetic Laboratory to detect genetic disorders, abnormalities or sex-linked diseases 15

The Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 Imposes restrictions on: �Clinics, medical personnel and sale of machines üOnly registered genetic clinics can use prenatal diagnostic techniques üBy qualified medical practitioner üProhibition of sex-selection üProhibition on sale of ultrasound machine to unregistered laboratories, clinics & persons 16

The Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 �PNDT can be used for detection of abnormalities: ØChromosomal Abnormalities ØGenetic Metabolic Diseases ØHaemoglobinopathies ØSex-linked genetic diseases ØCongenital abnormalities ØAny other abnormalities 17

Sonography Machine 18 Authorized Not Authorized

Trend in Child sex ratio in Rajasthan 1971 -2011 Major Fall of 38 Points Due to Non Implemention of Act, Fall of 21 Points PCPNDT ACT Implemented in 1994 19

Status of Sex-Ratio and Child Sex Ratio in Rajasthan (A comparison during 1991; 2001; 2011) 1991 - 2001 2011 Year 1991 2001 2011 Sex Ratio 910 921 926 +11 +5 Child Sex Ratio (0 -6 years) 916 909 888 -7 -21 20

Child Sex Ratio (0 -6 years) 2001 2011 Rajasthan - 909 21 Less than 850 - 899 Rajasthan - 888 900 to 949 950 And Above

AAMIR KHAN CLIP FROM SATYAMEV JAYATE 22

What Government is doing? How Rajasthan is different in India? � 104 & 108 helpline for complaints � IMPACT software � Active tracker on Sonography machines � GPS on new machines � PBI � Mukhbir network and then Decoy operations � Separate courts for hearing such cases in all districts � Beti Bachao Prakoshtha and “Daughters are Precious” campaign � Regular inspections by Appropriate Authorities at State/ 23 District/ Sub Division

Beti Janam Badhai Sandesh & Mukhyamantri Rajshree Yojna Congratulatory message, signed by the Hon’ble Chief Minister is given to every mother who comes to government institutions for delivery and delivers a girl child 24

104 & 108 Toll Free Service �Any one can file complaint against sex determination/ selection on Integrated Ambulance Services 104 & 108 Toll free services � It is very easy to access � Efforts have been undertaken to create awareness about it among the public � Hamaribeti. nic. in 25 Dial an Ambulance

IMPACT Software Integrated Monitoring System for PCPNDT Act 26 Website Address - http: //pcpndt. raj. nic. in

IMPACT Software The website was launched on 1 st Oct, 2012. The website address is http: //pcpndt. raj. nic. in. The system is designed and developed by the National Informatics Centre – Rajasthan. More than 1554+ sonography centres are registered online. More than one crore Form-F have been submitted online till date (since launch date). More than 8000 online Form-F are being submitted by centers on daily basis. - 30 lakh sonography p. a. 27 More than 2666+ Tracking devices have been installed.

Tracking Device § It is installed with Sonography § § 28 machine in a tamper-proof manner. It has common power supply with Sonography machine. It captures the screen of Sonography machine and records it in compressed and encrypted form. It is able to store data for the period of 2 years. It sends the status through GPRS/ SMS signal. g kin c a r T e ic Dev

Mukhbir Yojna �Under the scheme, State Govt. has declared Award of Rs. 2, 50, 000/- to the “Mukhbir” for giving authentic information of sex selection. �In 2016 25 decoy operations were conducted under this scheme. (Total 93 Decoy Operations conducted in the State including 39 Decoy Operations in 2017. ) �Under this scheme 40% of the award amount is given to Informant, other 40% of the award amount is given to Pregnant lady and rest 20% 29 is given to the attendant of the pregnant lady

Award Distributed in Ratio 40: 20 50, 000 100, 00 Pregnant 0 Lady Informer 100, 00 0 30

Till Date total 182 people have been awarded under this scheme. Amount Awarded S. No Team No. 's 1. Mukhbir 68 21, 74, 20 0 2. Assistant 57 9, 31, 000 3. Note: In 9 cases Mukhbir and Sahiyogi were same. Pregnant 57 16, 49, 20 Lady 0 4. Total Decoy Operations 182 47, 54, 40 0 Progress So Far from the beginning of the scheme since 2009 31 Total no of Decoy Operations 95 Total interstate decoy operations 26

PCPNDT Bureau of Investigation First and only of such kind in India 32

Indian Penal Code, 1860 � 33

Section 315 IPC Act done with intent to prevent child being born alive or to cause it to die after birth-Whoever before the birth of any child does any act with the intention of thereby preventing that child from being born alive or causing it to die after its birth, and does by such act prevent that child from being born alive , or cause it to die after its birth , shall , if such act be not caused in good faith for the purpose of saving the life of the mother, be punished with imprisonment of either description for a term which may extend to ten years, or with fine, or with both. 34

Inter state Decoy operation Section 178 CRPC Place of inquiry or traila) When it is uncertain in which of several local areas an offence was committed, or b) Where an offense is committed partly in one local area and partly in another, or c) Where an offence is a continuing one, and continues to be committed in more local areas than one, or d) Where it consists of several acts done in different local areas, it may be inquired into or tried by a court having jurisdiction over any of such local areas. 35

Action taken by Appropriate Authorities in the State (Till April 2017) Sonography centres Registrations sinception of the Act (Govt. – 222+ Pvt. – 2601) 2823 Inspections 11980 Suspension / Cancellation 196/431 Seal and Seizures 499 Complaints have been filed in the court 656 Convictions against Sonography Centres including Dealers/ Suppliers of machines 36 203

Some recent convictions S. No. Title Name Court Conviction Date ACJM Udaipur 1 years INR 5000 Fine 22/09/17 ACJM Jaipur 3 years 21/02/2017 ADJ Jaipur 6 Month & 5000 Fine Each 07. 09. 2017 1. State Vs Rajendra Kachhawa Rajendra Kacchawa 2 State Vs Arjun Lal 3 State Vs. Dulet Hospital, Jaipur Dr. Charan Singh & Manju Dulet 4 State Vs Chandraval Hospital, Abu Road, Sirohi Dr. Satyadev Mehta & Dr. Ramesh ACJM Sirohi 2 year & 1000 fine 26. 10. 16 5 State Vs. Prem Niketan Chandrakala Hospital, Jaipur Parnami & Dr. Hemant Mishra ACJM Jaipur 1 Year & 10000 Fine 14. 09. 16 37

57 decoy in last 365 days 1 operation per 7 days 38

Our speed…. increasing year by year 40 250000/ 1/04/2017 35 30 25 20 200000/ 15 100000/30/7/2012 10 5 0 39 41 3 8 3 2 5 03/03/2015 3 25 5 2009 2010 2011 2012 2013 2014 2015 2016 2017

Quick Glance. . . Year No of Decoy Operations Total No of Arrested person/Doctors No of Arrested Doctors 2009 3 3 3 2010 8 8 8 2011 3 3 3 2012 2 2013 5 14 3 2014 3 6 2 2015 5 12 2 2016 25 71 13 2017 41 107 17 Total 95 228(152 Intrastate & 76 Interstate) 57(36 Intrastate & 21 Interstate) 40

Inter-State Decoy Operations Uttar Pradesh-9 Delhi-1 Madhya Pradesh-3 41 Gujarat-7 Haryana-3 Punjab-3

Uttar Pradesh 42

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Sex Determination Resulted as. . . 44

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Father Son 48

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Gujarat 50

Haryana Action 51

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MADHYA PRADESH Action 53

PUNJAB ACTION 05/08/2017 54

Delhi 91 th DECOY OPERATION 10/10/2017 55 @ DELHI

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International women's Day dedicated to unborn Girl Child by PCPNDT Dept Rajasthan Getting Bail is not so easier 57

Abortion Train 58

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Decoy Operation-8 th August 2017 60

Decoy operation 13/08/2017 61

Decoy Operation Dated-31/08/17 62

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92 nd Decoy Operation 64

93 rd Decoy Operation 65

94 th Decoy Operation 66

95 th Decoy Operation 67

Educational Video Growth of foetus and Cruel ways of abortion 68

Finally Some good news? ? What is the good news? ? PCTS Data In the last 3 calendar years 2014, 2015 & 2016 based on 43+Lacs birth now our Sex Ratio at Birth (SRB) increasing continuously. . . . It was 927 in 2014 and its 939 in 2016 Year 2014 2015 2016 Sex Ratio at Birth 927 930 939 Increase of 52 Points If the trend is continued for next 5 years, CSR will become around 940 for the state (in comparison of 888 as per 69 Census 2011)

CSR Vs. SRB Positive outcomes 70

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HT News…. 73

Various States Exposure Visit 1. Uttar Pradesh Team Visited and Started Working. 2. Jharkhand & Himachal Team Visited and will start working. 3. Orissa team visited. 74

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SKOCH AWARDS 76

Using Social Media 77

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PRASOON JOSHI VIDEO 79

Contact US-@ Our Official Facebook ID Pcpndt Rajasthan Official Page-@ Daughters are Precious Official Email-@ daughtersarepreciou s@gmail. com 80

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Department progress in PCPNDT & Female Foeticide 85