pcpndtppt.pptx

Indian PNDT Act

1. CHAPTER – 1 – INTRODUCTION CHAPTER – 2 - DEFINITIONS CHAPTER – 3 - REGISTRATION CHAPTER – 4 - PROHIBITIONS CHAPTER – 5 – INSTRUMENTAITIES CHAP T E R – 6 - MAIN T AINEN C E O F RE C ORDS CHAPTER – 7 – SEARCH & SEIZURE

2. PRE- CONCEPTION & PRE- NATAL DI A GNOSTIC TECHNIQUE S A C T , 1994 A N " A CT " IS A WRITTEN ORDIN A NC E OF PARLIAMENT N A TION A L SEX R A TI O – 933/1000 (2001 CENSUS) 940/1000 ( 2 011 CENSUS)

3. A n A C T t o p rov i de for th e PROHIBITIO N of sex selection, before or after conception, and for REGU L A TIO N o f p r e - nata l diagnostic techniques for the purposes of detecting abnormalities or metabolic disorders or chromosomal abnormalities or certain congenital malformations or sex-linked disorders and for the PREVENTION of their misuse for sex determination leading to female foeticide & for matters connected therewith or incidental thereto

4. The Pre-conception and Pre-natal Diagnostic Techniques ( Prohibition of Sex Selection ) Act. C ONCEPTUS means any product of conception at any stage of development from fertilization until birth including extra embryonic membranes . E MBRYO fertilization TO E IGHT WEEKS (fifty-six days). F OETUS means a human organism during the period of its development beginning on the F IFTY-SEVENTH day following fertilization ending at the birth.

5. P ROCEDURES(TECHNIQUE) P LACES P ERSONS

6. Ultrasonography Foetoscopy Amniotic fluid Chorionic villi Blood Any tissue/Fluid

7. GEN E TI C COUNSEL L ING CEN T RE GENETIC CLINIC – CONDUCT PND procedures – includes USG imaging machine carried in a vehicle GENETIC LABOR A T ORY - CONDUCT ANALYSIS - PLACE

8. Gynaecologist Medical Geneticist Paediatrician Registered Medical Practitioner Laboratory technician Radiologist Sonologist or Imaging Specialist - Sonologist, Imaging Specialist, Radiologist or Registered M e dical P r actitioner h a ving P os t Gradu a t e degree or diploma or six months training or one year experience in sonography or image scanning.

9. Log book – High quality images. Level 1 training – 200 cases [95 Obstetric 105 Non-obstetric] Objective structured assessment of Technical skills [OSATS] General skills 1 st trimester Menorrhagia Post menopausal bleed General abdomen Exam

10. A PPLIC A TIO N MADE T O C H IEF M E DICAL OFFICE R O F T HE DISTRICT . REGISTER, AT LEAST 3 MONTHS IN A DVANCE. DUPLICATE IN FORM A A FFIDAVIT A CKNOWLEDGEMENT SLIP A PPLIC A TIO N FE E IN T HE FOR M O F A DD 2 5,000 si n c e 2 012 FO R G C C/ G C/ GL & U L TRA S OUN D CLIN I C 35,000 since 2012 FOR ANY PLACE PROVIDING A COMBIN A TIO N T H E R EOF

11. Certificate of registration shall be given in duplicate and in the form as prescribed in FORM B. The grant of certificate of registration shall be communicated < 90 days from the date of receipt of application for registration. Doctors using USG machines need to have their names entered in the PC-PNDT certificate or on a separate sheet that must be displayed along with the PC-PNDT registration certificate.

12. VALID FOR A PERIOD OF FIVE YEARS SINCE ITS ISSUANCE. Non-transferable Change of ownership – Old certificate is surrendered New owner- apply for fresh application. One center can have multiple USG machines, but the manufacturer’s name and the makes and models of the machines should be noted in the PC-PNDT registration certificate (all ultrasound machines available at that center should be registered on the certificate or on a separate attached sheet). No doctor other than the one registered in that particular center may use the machine installed there. Any changes in the center (e.g., change in machine or place of use) should be intimated to the AA 30 days in advance . Any change of the doctor operating the machine should be intimated to the AA within 30 days .

13. FORM C < 90 days DELL 2017-05-08 17:17:47 -------------------------------------------- rejection of application for registration

14. SHOW CAUSE NOTICE APPEAL: <30 DAYS APPRO P RI A T E AUTHORIT Y – DISTRICT/SUBDISTRICT/STATE/UT LEVEL. APPEAL DISPOSED < 60 DAYS

15. FOR FRESH APPLICATION - 30 DAYS BEFORE THE DATE OF EXPIRY. R E NE W A L - DUP L IC A T E - FOR M A APPROPRIATE AUTHORITY - ACKNOWLEDGEMENT SLIP PR O VI D E D A T T HE B O T T O M O F FOR M A O N T HE V E RY SA M E D A Y IF PER S ONAL L Y DE L IV E R E D , O T H E R W I SE O N T HE N E XT DAY BY POST. R E GIS T R A TIO N FEE S O F HAL F O F WH A T W A S IN I TIA L L Y V ALI D FO R A PE R IOD O F 5 Y E AR S . EARLIER CERTIFICATES WILL HAVE TO BE SURRENDERED I M M E DI A TE L Y T O T HE APPROP R I A T E AUTHORITY

16. Every genetic counselling centre or genetic clinic or genetic laboratory is required to DISPLAY prominently a notice in ENGLISH and in the LOCAL LANGUAGE or languages that “conduct of sex-determination tests/disclosure of sex of the foetus is prohibited”.

17. CHR O MO S OMA L ABNOR M ALITIES CONGENI T A L ANOMAL I ES GENETIC METABOLIC DISEASES HAEMOGLOBINOPATHIES SE X -LIN K E D GENETIC DISEASES

18. FURTH E R P ER M ISSI B LE [ “ 4 A ’ s ” ] – A GE O F T HE PR E GNANT WO M A N IS AB O VE 3 5 YEARS A B ORTIO N s - PR E GNANT WO M A N H AS UNDERGONE 2 OR MORE SPONTANEOUS ABORTIONS OR FOETAL LOSS A GENTS - PR E GNANT WO M A N HA S BEE N EXPOS E D T O POTENTIALLY TERATOGENIC AGENTS SUCH AS DRUGS, RADIATION, INFECTION OR CHEMICALS AM E NTI A - T HE PR E GNANT WO M A N O R HE R SPO U SE HAS A FAMILY HISTORY OF MENTAL RETARDATION OR P H YSICA L D EFOR M ITI E S S U C H AS , S P AST I CIT Y O R ANY OTHER GENETIC DISEASE

19. Written consent Give a declaration on each report on Ultrasonography/image scanning that he/she has neither detected nor disclosed the sex of foetus.

20. Imprisonment for a term which may extend to 3 years & with a fine which may extend to 10,000 rupees. Subsequent conviction, with imprisonment which may extend to 5 years and w i t h fine w h ich may extend t o 5 0, 00 rupe e s. Suspension of the registration if charges are framed by the court and till the case is disposed. Removal of name from the register of the council on conviction for the period of 5 years for th e first offen c e. PERMA N EN T L Y for th e s ub se qu ent offen c e. HONORARY/ NAMESAKE basis to a ultrasound clinic, he is equally responsible. ADVERTISEMENT of any sort is banned and is punishable under the Act with a fine of up to Rs.1 Lakh and/or imprisonment for 5 years.

21. POLICY MAKING BODY CENTRAL SUPERVISORY BOARD Minister in charge of the Ministry of Department of Family Welfare , who is the Chairman. Ten members appointed by the Central Government, two each from amongst- 1. Eminent medical geneticists 2. Eminent gynaecologists and obstetrician 3. Eminent paediatricians 4. Eminent social scientists 5. Representatives of women welfare organizations . Mandatory for the Board to meet at least once in 6 months

22. S TA T E SU P ERVISOR Y B O ARD Ten members to be appointed by the State Government out of which two each 1. Eminent social scientists and legal experts 2. Eminent women activists from non- governmental organizations or otherwise 3. Eminent gynaecologists and obstetricians 4. Eminent paediatricians or medical geneticists 5. Eminent radiologists or sonologists

23. A D VISE t h e Centra l G o vernment o n policy mat t ers relat i n g to use of pre-natal diagnostic techniques, sex selection techniques and against their misuse To review and monitor implementation of the ACT and the rules made thereunder and to recommend to the Central Government changes in both. To create public AWARENESS against the practice of pre- conception sex selection and pre-natal determination of sex of foetus leading to female foeticide To lay down code of conduct to be observed by persons working at GCC, GL & Genetic Clinics. Oversee the performance of various bodies ( APPROPRIATE AUTHORITY ) constituted under the Act & take appropriate steps to ensure its proper and effective implementation

24. AP P ROPRI A T E AUTH O RIT I ES District level, the CHIEF MEDICAL OFFICERS or THE CIVIL SURGEONS To grant, suspend or cancel the registration To enforce the standards for genetic counselling centre, genetic clinic and genetic laboratory. To investigate complaints of breach of provisions of the Act and the Rules To take the complaints to the court. To take appropriate legal action & also to initiate independent investigations in such matter To create public awareness against the practice of sex selection or pre-natal determination of sex. To supervise the implementation of the provisions of the Act and rules To recommend to the CSB and State Boards modifications. To take action on the recommendations of the Advisory Committee made after investigation.

25. All records (including images) of all the patients are to be maintained for a minimum of 2 years . If any legal case against the Centre is pending then the concerned records should be maintained till the same case is disposed of. There should be a board , prominently displayed, with the message in English and the local language that ‘sex selection and detection is not done in this Centre and is punishable under the PC-PNDT Act’. This should be displayed in the waiting area and the USG room. A copy of the PC-PNDT Act should be maintained in the center and needs to be displayed in the waiting room/reception area as well as in the USG room.

26. A monthly report should be submitted to the AA regularly, before the 5th of every month. A copy of the same, with the signature of the AA acknowledging receipt, must be preserved. The monthly report to be submitted by the doctor comprises information like patients referred for obstetrics sonography , number of patients referred for medical termination of pregnancy (MTP), weeks of pregnancy when MTP was conducted (less than 12 weeks and more than 12 weeks) Referral forms to be preserved with form F

27. Enter freely into the place of search. Examine and inspect all documents. Search at all reasonable times. Seize and seal any document, record, material object or equipment . The machines of the facility that are seized and sealed may be released if such organization pays penalty equal to five times of the registration fee t o th e App r o p riate Authorit y concerne d and gives an undertaking that it shall not undertake detection of sex of foetus.

28. There are IX .

29. Ther e are VII. SEC T IONS AR E A S FOL L OWS 1 – PNDT ACT OF 1994 & AMENDMENT IN 2002 2 – PNDT RULES OF 1996 & FORMS 3 – PN D T A D V I SORY CO M M I T T E E RU L E S 19 9 6 4- CIVIL WRIT PETITION – SUPREME COURT OF INDIA 5 -

30. FORM A (To be submitted in Duplicate with supporting documents as enclosures) FORM OF A PPLICATION FOR REGISTRATION O R RENE W A L O F REGISTR A TI O N O F A GENETIC COUNSELL I N G CENTRE/GENETIC LABORATORY/GENETIC CLINIC/ULTRASOUND CLINIC/IMAGING CENTRE. A CKNOWLEDGEMENT

31. FORM B ORIGINAL/DUPLICATE FOR DISPLAY CERTIFICATE OF REGISTRATION

32. FORM C FORM FOR REJECTION OF APPLICATION FOR G R ANT / RENE W A L O F REG I ST R A T I ON FORM D FOR M FO R M AINTENANC E O F REC O RDS B Y THE GEN E T I C C O UNS E LLING CENTRE FORM E FORM FOR MAINTENANCE OF RECORDS BY GENETIC LABORATORY FORM F FORM FOR MAINTENANCE OF RECORDS IN CASE O F A PREGNAN T WOMAN BY GEN E T I C CLI N IC/U L T R ASO U N D CLI N IC/I M A GI N G CENT R E

33. FORM G FORM OF CONSENT (For invasive techniques) FORM H FORM FOR MAINTENANCE OF PERMANENT RECORD OF APPLICATIONS FOR GRANT/REJECTION OF REGISTRATION UNDER THE PRE-NATAL DIAGNOSTIC TECHNIQUES (REGULATION AND PREVENTION OF MISUSE) ACT, 1994

34. HO W M A N Y CHAPTER S D O E S TH E PN D T A C T H A V E ? AN S – SEVEN (VII) HO W M A N Y AN N EXUR E S D O E S THE PN D T A C T H A V E ? AN S – NI N E ( IX) HO W MANY APPENDICE S DO E S THE PN D T A C T H A V E ? AN S – FIV E (V)

35. WHICH SECTION IN THE APPENDIX HAS ALL THE FORMS? ANS- 2 WH A T IS A N A C T ? Act is a legal document (in written form ) passed by a legislator to regulate certain area of social behavior. LAW is generally a system of rules of behavior covering all sources of law (including acts). Do MRI & CT machines need to be registered? Yes , they need to be registered and all changes to be notified to the AA

36. HO W MANY TIM E S D O Y O U SIGN O N THE FORM F? TW O TI M ES

37. Portable machines are prohibited – except Used within premises it is registered for providing services to indoor patients. As a part of mobile medical unit which provides a bouquet of other health and medical services. Centres with portable machines – fix it by using wall mounting/tables

38. E-advertisement relating to preconception and prenatal sex determination. Punishable with 3 years imprisonment with fine upto 10,000/-

39. Centre registered – if new CT and MRI are introduced – submit details of the new equipment to the appropriate authority – no need to apply for fresh registration/fees. Exclusivel y C T and MRI – N O T registered – NEED to apply for fresh registration . C T , MRI o r B sca n – WILL REQUIRE t o fill FORM F – when investigation is done on pregnant woman – FOR ABDOMEN SCAN ONLY

40. Centre registered – if new echocardiography are introduced – submit details of the new equipment to the appropriate authority – no need to apply for fresh registration/fees. Exclusively Echocardiography– NOT registered – NEED to apply for fresh registration . Echocardi o graph y – WILL REQUIRE t o fill FORM F – when investigation is done on pregnant woman – FOR ABDOMEN SCAN ONLY aka Fetal ECHO.

41. CHAPTER – 1 – INTRODUCTION CHAPTER – 2 - DEFINITIONS CHAPTER – 3 - REGISTRATION CHAPTER – 4 - PROHIBITIONS CHAPTER – 5 – INSTRUMENTAITIES CHAP T E R – 6 - MAIN T AINEN C E O F RE C ORDS CHAPTER – 7 – SEARCH & SEIZURE

42. Thank You