CENTRE FOR ENQUIRY INTO HEALTH AND

ALLIED THEMES (CEHAT) AND ORS.

UNION OF INDIA AND ORS.

SEPTEMBER IO, 2003

[M.B. SHAH AND ASHOK BHAN, JJ.]

Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act, I 994:

Female infanticide-Sex selection/sex determination-Pre-natal Diagnostic Techniques-Contravention of the provisions of PNDT Act- Various directions isued to Central Government and States!UTs for proper implementation of the provisions of the PNDT Act-Pre-natal Diagnostic

Techniques (Regulation and Prevention of Misuse) Act, 1994 (Old).

The petitioners had filed the present . writ petition before this Court praying inter alia that as the Pre-natal Diagnostic Techniques contravene the provisions of the Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 (PNDT), the E Central Government and the State Governments be directed to implement the provisions of the PNDT Act.

This Court issued directions for the proper implementation of the PNDT Act to the following authorities. :

(a) Central Government.

(b) Central Supervisory Board.

(c) State Governments/UT Administrations.

(d) Appropriate Authorities.

However, to a large extent the PNDT Act was not implemented by the Central Government or the State Governments. Certain States/

UTs did not even file their affidavits.

A Disposing of the petition, the Court directed :

(a) For effective implementation of the Act, information should be published by way of advertisements as well as on electronic media.

This process should be continued until there is awareness in public that B there should not be any discrimination between male and female child.

(b) Quarterly reports by the appropriate authority, which are submitted to the Supervisory Board should be consolidated and published annually for information of the public at large.

(c) Appropriate authorities shall maintain the records of all the meetings of the Advisory Committees.

(d) The national monitoring and Inspection Committee constituted by the Central Government for conducting period inspection shall D continue to function until the Act is effectively implemented.

(e) As provided under Rule 17(3) of the Pre-conception and Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Rules, 1974, public would have access to the records maintained by different bodies constituted under the Act.

(f) Central Supervisory Board would ensure that the following States appoint the State Supervisory Board as per the requirement of Section 16A :

1. Delhi 2. Himachal Pradesh 3. Tamil Nadu 4. Tripura 5. Uttar Pradesh.

(g) As per the requirement of Section 17(3), the Central Supervisory Board would ensure that the following States appoint the multi- G member appropriate authorities :

1. Jharkhand 2. Maharashtra 3. Tripura 4. Tamil Nadu 5. Uttar Pradesh. (605-E-H, 606-A-Dl

CIVIL ORIGINAL JURISDICTION : Writ Petition (C) No. 301 of

H 2000.

CENTRE FOR ENQUIRY INTO HEAL TH AND ALLIED THEMES (CEHAT) v. U.0.L [SHAH, l.] 595

Under Article 32 of the Constitution of India.

Attorney General for India (NP), Raju Ramachandran, Additional Solicitor General, P. Ghosh, Sanjay Parikh, Ashmita Basu, S.Santanam Swaminadhan, A.N. Singh, P. Roy, Rauf Rahim, Rajeev Mehta, Krishan Mahajan, Ms. Sunita Sharma, Ms. Anil Katiyar, D.S. Mahra, Ms. Hemantika B Wahi, Ms. Aruna Gupta, Radha Shyam Jena, Ashok Mathur, Rajesh Pathak, Altaf H. Nayak, Advocate General for J & K, Anis Suhrawardy, J.S. Attri, V.N. Raghupathy, A.K. Shukla, Ms. Bharati Upadhyaya, Ranji Thomas, Bhawani Shankar Gadnis, Shiv Sagar Tiwari, Akshay Gadnis, Ms.

Smitha Inna, San jay R. Hegde, R.K. Rathore, Addi. Advocate General, Ms. c Naresh Bakshi, R. S. Suri, Rajeev Sharma, Mrs. V.D. Khanna, U.U. Lalit,

S.S. Shinde, Mukesh K. Giri, Khwairakpam Nobin Singh, B. V. Niren, Guntur Prabhakar, Gopal Singh, Ms. Vimla Sinha, Ms. Vani Singh, Anil Shrivastav, Jyoti Dutt, Ranjan Mukherjee, A.S. Punjdir, P.N. Ramalingam, Tara Chandra Sharma, Ms. Neelam Sharma, S.K. Agnihotri, Sakesh Kumar, B.B. Singh, Kumar Rajesh Singh, R.C. Verma, Mukesh Verma, D Manish Shanker, V.G. Pragasam, Prakash Shrivastava, G.S. Chatterjee, Ms. Rachana Srivastava, Bhargava V. Desai, Sanjeev Kumar Singh, Pradeep Mallik, Chander Shekhar Ashri, Mohit K. Bhandari, Ms. Manjula Gupta, Ms. Indra Sawhney, V. Ramasubramanian, B.V. Deepak, Dinesh Kumar Garg, Arvind Kumar Tewari, Jasbir Malik, S.K. Sabharwal, Ms. E Kamini Jaiswal, Neeraj Kumar Jain, Aditya Kr. Choudhary, Ms. Kavita, Wadia, A. Mariarputham, Ms. Aruna Mathur, K.R. Sasiprabhu, Jay Savla, Ms. Krishna Sarma, Ms. Asha G. Nair, V.K. Sidatharan, Ms. U. Hazarika, Ms. Kamshankar, and Ms. Sunita Hazarika for the Appearing parties.

The Judgment of the Court was delivered by

SHAH, J. : It is an admitted fact that in Indian Society, discrimination against girl child still prevails, may be because of prevailing uncontrolled dowry system despite the Dowry Prohibition Act, as there is no change in

the mind-set or also because of insufficient education and/or tradition of G women being confined to household activities.

Sex selection/sex determination further adds to this adversity. It is also known that number of persons condemn discrimination against women in all its forms, and agree to pursue, by appropriate means, a policy of eliminating discrimination against women, still however, we are not in a position to change mental H

A set-up which favours a male child against a female. Advance technology is increasingly used for removal of foetus (may or may not be seen as commission of murder) but it certainly affects the sex ratio. The misuse of modem science and technology by preventing the birth of girl child by sex determination before birth and thereafter abortion is evident from the B 2001 Census figures which reveal greater decline in sex ratio in the 0-6

age group in States like Haryana, Punjab, Maharashtra and Gujarat, which are economically better off.

Despite this, it is unfortunate that law which aims at preventing such practice is not implemented and, therefore, Non-Governmental Organisations C are required to approach this Court for implementation of the Pre-natal

Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994 renamed after amendment as "The Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act" (hereinafter referred to as 'the PNDT Act') which is the normal function of the Executive.

D In this petition, it was inter alia prayed that as the Pre-natal Diagnostic Techniques contravene the provisions of the PNDT Act, the Central Government and the State Governments be directed to implement the provisions of the PNDT Act (a) by appointing appropriate authorities E at State and District levels and the Advisory Committees; (b) the Central

ovemment be directed to ensure that Central Supervisory Board meets every 6 months as provided under the PNDT Act; and (c) for banning of all advertisements of pre-natal sex selection including all other sex determination techniques which can be abused to selectively produce only boys either before or during pregnancy.

After filing of this petition, notices were issued and thereafter various orders from time to time were passed to see that the Act is effectively implemented.

A) On 4th May 2001, following order was passed:-

"It is unfortunate that for one reason or the other, the practice of female infanticide still prevails despite the fact that gentle touch of a daughter and her voice has soothing effect on the parents.

One of the reasons may be the marriage problems faced by the parents coupled with the dowry demand by the so-called educated

CENTRE FOR ENQUIRY INTO HEAL TH AND ALLIED THEMES (CEHATl v, U.0.1. [SHAH, I.] 597

and/or rich persons who are well placed in the society.

The A traditional system offemale infanticide whereby female baby was done away with after birth by poisoning or letting her choke on husk continues in a different form by taking advantage of advance medical techniques. Unfortunately, developed medical science is misused to get rid of a girl child before birth. Knowing full well B that it is immoral and unethical as well as it may amount to an offence, foetus of a girl child is aborted by qualified and unqualified doctors or compounders. This has affected overall sex ratio in various States where female infanticide is prevailing without any hindrance.

For controlling the situation, the Parliament in its wisdom enacted the Pre-natal Diagonstic Techniques (Regulation and Prevention of Misuse) Act, 1994 (hereinafter referred to as "the PNDT Act"). The Preamble, inter a/ia, provides that the object

of the Act is to prevent the misuse of such techniques for the D purpose of pre-natal sex determination leading to female foeticide and for matters connected therewith or incidental thereto. The Act came into force from !st January, 1996.

It is apparent that to a large extent, the PNDT Act is not E implemented by the Central Government or by the State Governments. Hence, the petitioners are required to approach this Court under Article 32 of the Constitution of India. One of the petitioners is the Centre for Enquiry Into Health and Allied Themes (CEHA T) which is a research centre of Anusandhan Trust based in Pune and Mumbai. Second petitioner is Mahila Sarvangeen F Utkarsh Manda] (MASUM) based in Pune and Maharashtra and the third petitioner is Dr. Sahu M. Georges who is having experience and technical knowledge in the field. After filing of this petition, this Court issued notices to the concerned parties on 9.5.2000. It took nearly one year for the various States to file their G affidavits in reply/written submissions. Primafacie it appears that despite the PNDT Act being enacted by the Parliament five years back, neither the State Governments nor the Central Government has taken appropriate actions/or its implementation. Hence, after considering the respective submissions made at the time of H

hearing of this matter, as suggested by the learned Attorney General for India, Mr. Soli J. Sorabjee following directions are issued on the basis of various provisions for the proper implementation of the PNDT Act :

I. Directions to the Central Government

The Central Government is directed to create public awareness against the practice of pre-natal determination of sex and female foeticide through appropriate releases I programmes in the electronic media. This shall also be done by Central Supervisory Board ("CSB" for short) as provided under Section l 6(iii) of the PNDT Act.

The Central Government is directed to implement with all vigor and zeal the PNDT Act and the Rules framed in 1996.

Rule 15 provides that the intervening period between two meetings of the Advisory Committees constituted under subsection ( 5) of Section 17 of the PNDT Act to advise the appropriate authority shall not exceed 60 days. It would be seen that this Rule is strictly adhered to.

E II. Directions to the Central Supervisory Board (CSB)

Meetings of the CSB will be held at least once in six months. [Re. Proviso to Section 9(1)) The constitution of the CSB is provided under Section 7. It empowers the Central Government to appoint ten members under Section 7(2)(e) which includes eminent medical practitioners including eminent social scientists and representatives of women welfare organizations. We hope that this power will be exercised so as to include those persons who can genuinely spare some time for implementation of the Act.

The CSB shall review and monitor the implementation of the Act. [Re. Section 16(ii)].

The CSB shall issue directions to all State/UT. Appropriate H Authorities to furnish quarterly returns to the CSB giving a

CENTRE FOR ENQUIRY INTO HEALTH AND ALLIED THEMES (CEHAT) v. U.0.1. [SHAH,!.] 599

report on the implementation and working of the Act. A These returns should inter alia contain specific information about :

(i) Survey of bodies specified in section 3 of the Act.

(ii) Registration of bodies specified in section 3 of the Act. B

(iii) Action taken against non-registered bodies operating in violation of section 3 of the Act, inclusive of search and seizure of records.

(iv) Complaints received by the Appropriate Authorities under the Act and action taken pursuant thereto.

(v) Number and nature of awareness campaigns conducted and results flowing therefrom.

The CSB shall examine the necessity to amend the Act keeping in mind emerging technologies and difficulties encountered in implementation of the Act and to make recommendations to the Central Government. [Re. Section 16]

The CSB shall lay down a code of conduct under section l 6(iv) of the Act to be observed by persons working in bodies specified therein and to ensure its publication so that public at large can know about it.

The CSB will require medical professional bodies/associations to create awareness against the practice of pre-natal determination of sex and female foeticide and to ensure implementation of the Act.

III. Directions to State Governments/UT Administrations

All State Governments/UT Administrations are directed to appoint by notification, fully empowered Appropriate Authorities at district and sub-district levels and also Advisory Committees to aid and advise the Appropriate Authority in H

discharge of its functions (Re. Section 17(5)].

For the Advisory Committee also, it is hoped that members of the said Committee as provided under section 17(6)(d) should be such persons who can devote some time for the work assigned to them.

All State Governments/UT Administrations are directed to publish a list of the Appropriate Authorities in the print and electronic media in its respective State/UT.

All State Governments/UT Administrations are directed to C create public awareness against the practice of pre-natal determination of sex and female foeticide through advertisement in the print and electronic media by hoarding and other appropriate means.

D 4.

All State Governments/UT Administrations are directed to ensure that all State/UT appropriate Authorities furnish quarterly returns to the CSB giving a report on the implementation and working of the Act.

These returns should inter alia contain specific information about :

E (i) Survey of bodies specified in section 3 of the Act.

(ii) Registration of bodies specified in section 3 of the Act.

(iii) Action taken against non-registered bodies operating in violation of section 3 of the Act, inclusive of search and seizure of records.

(iv) Complaints received by the Appropriate Authorities under the Act and action taken pursuant thereto.

(v) Number and nature of awareness campaigns conducted and results flowing therefrom.

IV. Directions to Appropriate Authorities

I .

Appropriate Authorities are directed to take prompt action H against any person or body who issues or causes to be issued

CENTRE FOR ENQUIRY INTO HEAL TH AND ALLIED THEMES (CEHAT) v. U .0.1. [SHAH, J.) 60 J

any advertisement in violation of section 22 of the Act.

Appropriate Authorities are directed to take prompt action against all bodies specified in section 3 of the Act as also against persons who are operating without a valid certificate of registration under the Act.

All State/lJT Appropriate Authorities are directed to furnish quarterly returns to the CSB giving a report on the implementation and working of the Act.

These returns should inter alia contain specific information about: -

(i) Survey of bodies specified in section 3 of the Act.

(ii) Registration of bodies specified in section 3 of the Act including bodies using ultrasound machines.

(iii) Action taken against non-registered bodies operating in D violation of section 3 of the Act, inclusive of search and seizure of records.

(iv) Complaints received by the Appropriate Authorities under the Act and action taken pursuant thereto.

(v) Number and nature of awareness campaigns conducted and results flowing therefrom.

The CSB and the Stte Governments/Union Territories are directed to report to this Court on or before 30th July 200 I. List F the matter on 6.8.2001 for further directions at the bottom of the list."

B] Inspite of the above order, certain States/UTs did not file their affidavits. Matter was adjourned from time to time and on 19th September, G 200 I, following order was passed :

"Heard the learned counsel for the parties and considered the affidavits filed on behalf of various States.

From the said affidavits, it appears that the directions issued by this Court are H

not complied with.

At the outset, we may state that there is total slackness by the Administration in implementing the Act.

Some learned counsel pointed out that even though the Genetic Counselling Centre, Genetic Laboratories or Genetic Clinics are not registered, no action is taken as provided under Section 23 of the Act, but only a warning is issued. In our view, those Centres which are not registered are required to be prosecuted by the Authorities under the provisions of the Act and there is no question of issue of warning and to permit them to continue their illegal activities.

It is to be stated that the Appropriate Authorities or any officer of the Central or the State Government authorised in this behalf is required to file complaint under Section 28 of the Act for prosecuting the offenders.

Further wherever at District Level, appropriate authorities are appointed, they must carry out the necessary survey of Clinics and take appropriate action in case of non-registration or noncompliance of the statutory provisions including the Rules.

Appropriate authorities are not only empowered to take criminal action, but to search and seize documents, records, objects etc. of unregistered bodies under Section 30 of the Act.

It has been pointed out that the States/Union Territories have not submitted quarterly returns to the Central Supervisory Board on implementation of the Pre-Natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994 (hereinafter referred to as "the Act"). Hence it is directed that the quarterly returns to Central Supervisory Board should be submitted giving the following information :

(a) Survey of Centres, Laboratories/Clinics,

(b) Registration of these bodies,

( c) Action taken against unregistered bodies,

• ....

_.,

CENTRE FOR ENQUIRY INTO HEAL TH AND ALLIED THEMES (CEHAT) v. U.0.1. (SHAH,!.] 603

( d) Search and Seizure, A

(e) Number of awareness campaigns, and

(f) Results of campaigns"

C] On 7th November, 2001, learned counsel forthe Union of India B stated that the Central Government has decided to take concrete steps for the implementation of the Act and suggested to set up National Inspection and Monitoring Committee for the implementation of the Act. It was ordered accordingly.

D] On I Ith December, 200 I, it was pointed out that certain State C Governments have not disclosed the names of the members of the Advisory Committee. Consequently, the State Governments were directed to publish the names of advisory committee in various districts so that if there is any complaint, any citizen can approach them. The Court further observed

s: D

"For implementation of the Act and the rules, it appears that it would be desirable ifthe Central Government frames appropriate rules with regard to sale of ultrasound machines to various clinics and issue directions not to sell machines to unregistered clinics. E Learned counsel Mr. Mahajan appearing for Union of India submitted that appropriate action would be taken in this direction as early as possible."

On March 31, 2003, it was pointed out that in conformity with the various directions issued by this Court, the Act has been amended F and titled as "The Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act". It was submitted that people are not aware of the new amendment and, therefore, following reliefs were sought :

a) direct the Union of India, State Governments I UTs and the G authorities constituted under the PNDT Act to prohibit sex selection techniques and its advertisement throughout the country;

b) direct that the appropriate authorities shall also include H

"vehicles" with ultra sound machines etc., in their quarterly reports hereinafter as defined under Section 2( d);

c) any person or institution selling Ultra Sound machine should provide infonnation to the appropriate State Authority in furtherance of Section 3-B of the Amended Act;

d) direct that State Supervisory Boards be constituted in accordance with the amended Section l 6A in order to carry out the functions enumerated therein;

e) direct appropriate authorities to initiate suo moto legal action under the amended Section I 7(iv)( e );

t) direct that the Central Supervisory Board shall publish half yearly consolidated reports based on the quarterly reports obtained from the State bodies.

These reports should specifically contain infonnation on:

Survey of bodies and the number of bodies registered.

Functioning of the regulatory bodies providing the number and dates of meetings held.

Action taken against non-registered bodies inclusive of search and seizure of records.

Complaints received and action taken pursuant thereto.

Nature and number of awareness programmes.

Direct that the Central Supervisory Board shall carry out all the additional functions as given under the amended Section 16 of the Act, in particular, to oversee the perfonnance of various bodies constituted under the Act and take appropriate steps to ensure its proper and effective implementation.

As against this, Mr. Mahajan learned counsel appearing for the Union of India submits that on the basis of the aforesaid -

CENTRE FOR ENQUIRY INTO HEALTH AND ALLIED THEMES (CEHAT) v. U.O.l. [SHAH, J.] 605

amendment, appropriate action has already been taken by Union A of India for implementation and almost all State Governments/ UTs are informed to implement the said Act and the Rules and the State Governments/UTs are directed to submit their quarterly report to the Central Supervisory Board.

Considering the amendment in the Act, in our view, it is the duty of the Union Government as well as the State Governments/ UTs to implement the same as early as possible."

F] At the time of hearing, learned counsel for the pet1t10ners submitted that appropriate directions including the steps which are required C to be taken on the basis of PNDT Act and the suggestion as given in the written submission be issued.

On this aspect, learned counsel for the parties were heard.

In view of the various directions issued by this Court, as quoted above, no further directions are required except that the directions issued by this Court on 4th May, 2001, 7th November, 2001, !Ith December, 2001 and 3 lst March, 2003 should be complied with.

The Central Government/State Governments/UTs are further directed that :

(a) For effective implementation of the Act, information should be published by way of advertisements as well as on electronic media. This process should be continued till there is awareness in public that there should not be any

discrimination between male and female child.

(b) Quarterly reports by the appropriate authority, which are submitted to the Supervisory Board should be consolidated and published annually for information of the public at large.

( c) Appropriate authorities shall maintain the records of all the G meetings of the Advisory Committees.

(d) The National Monitoring and Inspection Committee constituted by the Central Government for conducting periodic inspection shall continue to function till the Act is effectively H

implemented.

The reports of this Committee be placed before the Central Supervisory Board and State Supervisory Board for any further action.

(e) As provided under Rule 17(3), public would have access to the records maintained by different bodies constituted under the Act.

(t) Central Supervisory Board would ensure that the following States appoint the State Supervisory Board as per the requirement of Section 16A.

Delhi 4.

Tripura 2.

Himachal Pradesh 3. Tamil Nadu 5.

Uttar Pradesh.

(g) As per requirement of Section 17(3)(a), the Central Supervisory Board would ensure that the following States appoint the multi-member appropriate authorities:

Jharkhand 2.

Maharashtra 3.

Tripura 4.

Tamil Nadu 5.

Uttar Pradesh

E It will be open to the parties to approach this Court in case of any difficulty in implementing the aforesaid directions.

The Writ Petition is disposed of accordingly.

In view of the aforesaid order, pending "IAs have become infructuous F and are disposed of accordingly.

v.s.s.

Petition disposed of.