Lok Sabha Question No. 1665 (UNSTARRED), answered on 2017-03-10
Subject: Mapping of Ultrasound Machines
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ANURAG SINGH THAKUR

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1665 TO BE ANSWERED ON 10 TH MARCH, 2017

## MAPPING OF ULTRASOUN D MACHINES

## 1665. SHRI ANURAG SINGH THAKUR:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the Government has decided to map all the ultrasound machines in the States i identify the unauthorised facilities, if so, the details thereof and if not, the reaso ns therefor;

(b) whether the Government has an estimate of the number of unauthorised ultrasound fa offering sexdetermination tests functioning in the country, if so, the details thereof, S UT wise;

- (c) whether the Government has ta ken any steps against them, if so, the details thereof; and
- (d)  the  steps  being  taken  by  the  Government  to  curb  sex - determination  tests,  prevent  female foeticide and to close down unauthorised sonography centres and the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( SMT.  ANUPRIYA PATEL )

- (a) : Yes.  As  per  directions  given  by  Hon'ble  Supreme  Court  in  Writ  Petition  (Civil) No. 349/2006 -Voluntary Health Association of Punjab Vs Union of India & Others vide Order dated 04.03.2013,  all States/UTs were directed to take steps for mapping of all registe -registered ultrasonography machines. The Ministry of Health and F amily Welfare has developed the Terms of Reference (TORs) and communicated the same to States/UTs. The Government is a rendering financial support under the National Health Mission (NHM) to the States and mapping of Ultrasound machines.
- (b)  to (d) : The Government  has  enacted  the  Pre - Conception  and  Pre - N atal  Diagnostic Techniques  (Prohibition  of  Sex  Selection)  Act,  1994, (PC&PNDT  Act) for  prohibition  of  sex selection before or after conception and for prevention of misuse of pre -concepti n a nd pre - natal diagnostic techniques for sex determination. As per the quarterly progress report (QPR) from States/ UTs, a total of 56079 facilities have been registered under the Act. A to court cases have been filed by the District Appr opriate Authorities for violating the provisions the PC&PNDT Act, out of which 294 cases have been filed against unregistered diagnostic and 1683 machines have been sealed/seized. A total of 388 convictions have been secure PC&PNDT Act, 1 994. Following the convictions, the medical licenses of 108 doctors have suspended by the various State Medical Councils. State wise details are at Annexure - I.

The  responsibility  of  implementation  of  the  PC  &  PNDT  Act  lies  with  State Governme nts.  The  Government  of  India  besides  enactment  of  the  Pre -conception  and  Pre - natal Diagnostic  Techniques  (Prohibition  of  Sex  Selection)  Act,  1994,  has  adopted  a  multi - pronged strategy entailing schemes and programmes for awareness generation and advocacy m easures to build a positive environment for the girl child through gender sensitive policies, pr legislation. The details of important measures taken by Government of India Annexure -II.

## Annexure - I

| State wise status o f implementation of the PC&PNDT Act as on December, 2016   | State wise status o f implementation of the PC&PNDT Act as on December, 2016   | State wise status o f implementation of the PC&PNDT Act as on December, 2016   | State wise status o f implementation of the PC&PNDT Act as on December, 2016   | State wise status o f implementation of the PC&PNDT Act as on December, 2016   | State wise status o f implementation of the PC&PNDT Act as on December, 2016   | State wise status o f implementation of the PC&PNDT Act as on December, 2016   |
|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|
| S. No.                                                                         | States/ UTs                                                                    | No. of bodies registered                                                       | No. of ongoing Court cases                                                     | No. of Machines Sealed                                                         | Convictions                                                                    | Medical licenses suspended                                                     |
| 1                                                                              | Andhra Pradesh                                                                 | 2664                                                                           | 12                                                                             | 13                                                                             | 0                                                                              | 0                                                                              |
| 2                                                                              | Arunachal Pradesh                                                              | 68                                                                             | 0                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
| 3                                                                              | Assam                                                                          | 764                                                                            | 5                                                                              | 3                                                                              | 0                                                                              | 0                                                                              |
| 4                                                                              | Bihar                                                                          | 2284                                                                           | 129                                                                            | 34                                                                             | 1                                                                              | 0                                                                              |
| 5                                                                              | Chhattisgarh                                                                   | 641                                                                            | 9                                                                              | 1                                                                              | 0                                                                              | 0                                                                              |
| 6                                                                              | Goa                                                                            | 159                                                                            | 1                                                                              | 1                                                                              | 0                                                                              | 0                                                                              |
| 7                                                                              | Gujarat                                                                        | 5392                                                                           | 0                                                                              | 0                                                                              | 17                                                                             | 1                                                                              |
| 8                                                                              | Haryana                                                                        | 1890                                                                           | 190                                                                            | 241                                                                            | 66                                                                             | 14                                                                             |
| 9                                                                              | Himachal Pradesh                                                               | 270                                                                            | 1                                                                              | -                                                                              | 1                                                                              | 0                                                                              |
| 10                                                                             | Jammu & Kashmir                                                                | 378                                                                            | 6                                                                              | 71                                                                             | 1                                                                              | 0                                                                              |
| 11                                                                             | Jharkhand                                                                      | 728                                                                            | 22                                                                             | 0                                                                              | 0                                                                              | 0                                                                              |
| 12                                                                             | Karnataka                                                                      | 4303                                                                           | 40                                                                             | 2                                                                              | 0                                                                              | 0                                                                              |
| 13                                                                             | Kerala                                                                         | 1737                                                                           | -                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
| 14                                                                             | Madhya Pradesh                                                                 | 1551                                                                           | 46                                                                             | 14                                                                             | 2                                                                              | 2                                                                              |
| 15                                                                             | Maharashtra                                                                    | 7625                                                                           | 572                                                                            | 462                                                                            | 84                                                                             | 68                                                                             |
| 16                                                                             | Manipur                                                                        | 107                                                                            | 0                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
| 17                                                                             | Meghalaya                                                                      | 41                                                                             | 0                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
| 18                                                                             | Mizoram                                                                        | 65                                                                             | 0                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
| 19                                                                             | Nagaland                                                                       | 49                                                                             | 0                                                                              | 0                                                                              | 0                                                                              | 0                                                                              |
| 20                                                                             | Odisha                                                                         | 907                                                                            | 63                                                                             | -                                                                              | 3                                                                              | 0                                                                              |
| 21                                                                             | Punjab                                                                         | 1489                                                                           | 157                                                                            | 32                                                                             | 31                                                                             | 1                                                                              |
| 22                                                                             | Rajasthan                                                                      | 2718                                                                           | 641                                                                            | 475                                                                            | 137                                                                            | 21                                                                             |
| 23                                                                             | Sikkim                                                                         | 19                                                                             | 0                                                                              | 1                                                                              | 0                                                                              | 0                                                                              |
| 24                                                                             | Tamil Nadu                                                                     | 6201                                                                           | 91                                                                             | -                                                                              | 18                                                                             | 0                                                                              |
| 25                                                                             | Telengana                                                                      | 3180                                                                           | 32                                                                             | 112                                                                            | 1                                                                              | 0                                                                              |
| 26                                                                             | Tripura                                                                        | 51                                                                             | -                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
| 27                                                                             | Uttarakhand                                                                    | 600                                                                            | 48                                                                             | 10                                                                             | 1                                                                              | 0                                                                              |
| 28                                                                             | Uttar Pradesh                                                                  | 5589                                                                           | 139                                                                            | 39                                                                             | 8                                                                              | 1                                                                              |
| 29                                                                             | West Bengal                                                                    | 2758                                                                           | 16                                                                             | 22                                                                             | 0                                                                              | 0                                                                              |
| 30                                                                             | A & N. Island                                                                  | 15                                                                             | -                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
| 31                                                                             | Chandigarh                                                                     | 130                                                                            | 1                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
| 32                                                                             | D. & N. Haveli                                                                 | 16                                                                             | -                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
| 33                                                                             | Daman & Diu                                                                    | 10                                                                             | -                                                                              | 0                                                                              | 0                                                                              | 0                                                                              |
| 34                                                                             | Delhi                                                                          | 1571                                                                           | 94                                                                             | 150                                                                            | 17                                                                             | 0                                                                              |
| 35                                                                             | Lakshadweep                                                                    | 9                                                                              | -                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
|                                                                                | Puducherry                                                                     | 100                                                                            | 1                                                                              | -                                                                              | 0                                                                              | 0                                                                              |
| 36                                                                             | TOTAL                                                                          | 56079                                                                          | 2316                                                                           | 1683                                                                           | 388                                                                            | 108                                                                            |

## Annexure - II

- The Government  has  intensified  effective  implementation  of  the  Pre - conception and Pre - natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994 amended various provisions of the Rules.
- The  Government  is  rendering  financial  support  to  the  States and  UTs  for operationalization of PNDT Cells, Capacity Building, Orientation & Sensitis Workshop, Information, Education and Communication campaigns and for strengthening structures for the implementation of the PC & PNDT Act under National Healt h Mission (NHM).
- A  National  review  under  the  chairmanship  of  Additional  Secretary  and  Miss Director, MoHFW was held on 21 st September, 2015 through video conference.
- A  National  Capacity  Building  Programme  for  State  Appropriate  Authorities  a State  N odal  Officers  was  organized  on  12 th &  13 th April,  2016  at  Manesar  in collaboration with United Nations Population Fund (UNFPA).
- A comprehensive Standard Operating Guidelines (SOGs) for District Appropria Authority has been prepared by Ministry of Health & Family Welfare for better clarity for implementation of the PC&PNDT Act.
- Program  review  at  the  state  level  has  been  intensified.    During  2015 - 16  five regional review workshops have been organized for Northern Eastern, Northe Eastern,  Western  and  Sou thern  States  in  Imphal,  Chandigarh,  Bhubaneswar  and Hyderabad  (two)  respectively.  During  2016 - 17  four  regional  review  workshops have been organized for Northern, Western, Eastern and North - Eastern  States  in Lucknow, Jaipur, Thiruvananthapuram and Kolkata.
- National campaign 'Beti Bachao, Beti Padhao' was launched in 161 gender critical districts  by  Ministry  of  Women  and  Child  Development  in  partnership  wi Ministry  of  Human  Resource  Development  and  Ministry  of  Health  &  Family Welfare.
- Directions given by the Hon'ble Supreme Court in the matter of WP(C) 349/2006 (Voluntary Health Association of Punjab vs. UOI & others), were communicated the States/ UTs for ensuring compliance.
- Inspections by the National Inspection and Monitoring Committee (NIMC) have been scaled up.  During 2015 - 16, 22 NIMC inspections have been undertaken in the States of Punjab, Puducherry, Tripura, Sikkim, Uttar Pradesh, Odisha, Mizoram, Andhra Pradesh, Haryana, Rajasthan, Maharashtra, Gujarat, Telangan a, Chhattisgarh,  Jharkhand,  Assam,  Uttarakhand,  Karnataka,  Tamilnadu,  Madhya Pradesh  and  West  Bengal.  During  2016 -17,  9  NIMC  inspections  have  been undertaken  in  the  States  of  Arunachal  Pradesh,  Jammu  &  Kashmir,  Himachal Pradesh, Rajasthan, Delhi, West Beng al, Karnataka, Uttar Pradesh and Tamilnadu till date.
- The Government has also set up a Nodal Agency to regulate and remove the -advertisements on internet relating to preconception and prenatal determina sex  or  sex  selection,  prohibited  under  the PC&PNDT  Act,  1994  as  per  the directions of Hon'ble Supreme Court vide order dated 16.11.2016 in Writ Petition (Civil) No. 341 of 2008.
- The orientation and sensitisation of judiciary has been conducted through Judicial Academy. A two day orientati on nd sensitisation of judiciary was organise by National Judicial Academy on 4th & 5th February 2017 in Bhopal.
- States have been advised to focus on Districts/Blocks/Villages with low Chil Ratio to ascertain the causes, plan appropriate behaviour change  communication campaigns and effectively implement provisions of the PC & PNDT Act.

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