Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act 1994

The Pre-Conception and Pre-Natal Diagnostic Techniques

(Prohibition of Sex Selection) Act 1994

 

 

Sex Ratio – India & Maharashtra

 

Year	Sex Ratio all age group			0-6 year age group Child Sex Ratio			Difference 2001-2011
	1991	2001	2011	1991	2001	2011
India	927	933	943	946	927	919	-08
Maharashtra	934	922	929	946	913	894	-19

 

As per Census 2011 reports child sex ratio for India is 919. It was 946 in year 1991 and 927 in year 2001.  It reduced by 8 points from year 2001 to year 2011.  States and Union Territories showing maximum decline are Jammu & Kashmir (-79 points), Tripura (-64 points), Dadaranagar Haveli (-53 points), Lakshadeep (-48 point). States and Union Territories showing improvement in child sex ratio are Punjab (48 points), Chandigarh (35 points), Haryana (15 points), Himachal Pradesh (13 points), and Andman Nikobar (11) Arunachal Pradesh (8 Point), Gujart (7 point).

The general sex ratio for Maharashtra shows a decline by 12 points in census 2001 as compared to census 1991; however there is a marginal improvement by 7 points in census 2011. Whereas child sex ratio (0-6 years) shows a decline by 33 points in census 2001 as compared to census 1991. It has further declined by 19 points in census 2011 compared to census 2001.

Maximum decline in child sex ratio is observed in Beed district (87 points) and minimum decline is observed in Gondia district (2 points).  There are only 4 districts in the entire State, which shows marginal increase in the child sex ratio.  These are Satara (17 points), Kolhapur (24 points), Sangli (16 points) and Chandrapur (14 points). All other districts show decline in child sex ratio. There are 3 districts which shows decline by more than 50 points.  These are Beed (87 points), Buldhana (53 points), and Washim (55 points). There are 7 districts which shows decline in child sex ratio between 30 to 50 points.

 

Generally sex ratio of 952 is the average expected sex ratio in the population. Considering this and comparing it with child sex ratio of 2011 Census, we may say that, 406566 female feticidesmayhave occurred in the state.

The Pre-Natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994 was enacted to provide for the regulation of the use of pre-natal diagnostic techniques for the purpose of detecting genetic or metabolic disorders or chromosomal abnormalities or certain congenital malformations or sex linked disorders and for the prevention of the misuse of such techniques for the purpose of pre-natal sex determination leading to female feticide and for matters connected therewith or incidental thereto.  For last few years there has been enormous increase in the no. of sonographycentre which have mushroomed in rural as well as Periurban areas are blamed for conducting unscrupulous activity of sex determination at nominal cost. This has lead to significant rise is the Sex selection throughout.

In most of Indian families the welcome of male child is done resulting in tremendous growth and popularity of centers doing sex determination followed by sex selective abortions.  Such abuse of techniques is crime against female sex, diminishing the dignity and honor of woman. It was thought appropriate to come out with a legislation which could regulate the use of, and to provide deterrent punishment for the violation of the provisions of the legislation.  This Act was assented by the President on 20^th September, 1994 and has been enforced with effect from 1^st January, 1996 vide G.S.R. 706, dated 20^th December, 1995.

This act was been amended in 2003 as The Pre Conception and Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Act.

• Aims and Objective: –

To stop sex selection and misuse of Pre Conception and Prenatal Diagnostic Techniques Act.

• Implementation strategies :-

1. Appointment of Appropriate Authorities:-
   1. Following Appropriate Authorities have been appointed for their respective areas

 

 

 

 

 

Sr. No	Names of Approprate Authority	By which notification	No. of Approprate Authority	Area
1	Civil Surgeons	16/03/2016	34	District
2	Medical Superintend each of Rural/Sub District /General / cottage  Hospitals	16/03/2016	450	Taluka
3	Medical Officers of Health of each Municipal Corporation	16/03/2016	27	Municipal Corporation
4	Municipal Ward office in the Municipal Corporation of Greater Mumbai	16/03/2016	24	Greater Mumbai Municipal Corporation
5	District Collectors	16/03/2016	34	District
6	Executive Health Officer Joint Executive Health Officer Deputy Executive Health officer Mumbai Municipal Corporation	16/03/2016	3	Greater Mumbai Municipal Corporation
7	Deputy Director, Health Service	16/03/2016	8	Concern Health in charge circle
8	Muncipal Commissioner	16/03/2016	27	Municipal Corporation
9	Medical Officers of Health, PimpriChinchwad Municipal Corporations	16/10/2023	1	PimpriChinchwad Municipal Corporations
10	Medical Superintendent Nashik Municipal Corporation	16/03/2016	1	Nashik Municipal CorporatioN
11	Deputy Medical Officer of Health Pune Municipal Corporation	06/10/2023	1	Pune Municipal Corporation
Total			610

 

2. The Additional Director, Health Services (Chairperson), Dr. Usha Dave (Member) and Shrimati Ashwini Saini, Deputy Secretary, Law & Judiciary Department Mantralaya Mumbai (Member), have been recently declared as State Appropriate Authority; vide Government Notification dated 01/04/2019. Meeting of State Appropriate Authority held on10/10/2019, 19/11/2019, 23/12/2020, 02/06/2021, 24/08/2021&, 06/04/2023

1. Appointment of State Appellate Authority:-

Hon. Commissioner, Health Services and Mission Director, NHM, Maharashtra has been appointed as State applate authority, PC&PNDT vide Gazette Notification dated 01.04.2019.

 

• Constitution of State Supervisory Board: State Supervisory Board has been constituted as per government notification 22.01.2021 & 25/3/2021 under provision Act, in section 16A under the chairmanship of Hon. Health Minister. This Board containce 22 Non-official and Official members Additional Director, Family Welfare is the Member Secretary. The meetings of this Board have been held on 11/03/2011, 05/05/2011, 24/05/2011, 07/06/2011, 24/6/2011, 08/09/2011, 12/3/2012, 5.7.2012 , 10/12/2012 , 3/5/2013, 3/10/2013, 13/02/2014, 30/06/2014, 31/03/2015 , 17/06/2015, 01/03/2016 27/09/2016, 21/03/2017,  22/08/2017 31/03/2018, 25/05/2021, &01/02/2022, Action is being taken on the minutes of the meeting.

 

1. Constitution of Advisory Committees.

• State Advisory Committee is reconstituted as per Government Notification dated 03/02/2021, The dates of meetings held of this committee are 16/03/2016, 09/06/2016, 30/11/2016, 11/06/2017, 31/10/2017, 25/06/2018, 17/09/2018, 02/01/2019 21/05/2019 , 18/03/2021,18/06/2021, 23/08/202,13/01/22,23/02/2023,25/05/2023, 30/11/2023———-
• District Advisory Committees are constituted as per provisions in the Act (vide notification dated 06/03/2004)
• Corporation Advisory Committees are constituted for corporation area jurisdiction (vide notification dated 29/09/2001),
• Proposal has been submitted to government for appointment of Taluka Advisory committee.

1. Constitution of Inspection and Monitoring Committee: –

State Inspection and Monitoring committee (SIMC) is constituted under the Chairmanship of RajyaMahilaAayog vide Government Resolution in Marathi dated 27th February, 2009. Committee was reconstituted vide Government Resolution in Marathi dated 03 July, 2018. This committee meeting was held on 28/08/2018

 

1. Constitution of Task force at district level :-

District Task force is constituted under chairmanship of the District Magistrate for implementation PCPNDT Act vide Government Resolution in Marathi No Prachini2011/CR256/FW-2 dated 13 October 2011. The meetings of this task force are being organized time to time.

 

• Hearing before State Appropriate Authority: –

There is provision as per section 19(2) one can appeal to State Appropriate Authority if he/she doesn’t satisfy himself by decision of District Appropriate Authority. So far 147 appeals have been filed to State Appropriate Authority and 147 heard decision communicated to appellant and respondent.

 

• Crash Inspection Programme for inspection of all Hospitals& Nursing Homes (Clinical Establishment) in state:-
• From 15/03/2017 to 31/05/2017 Crash drive Programme is being conducted for inspection of all Hospitals (Clinical Establishment) in state. Joint teams constituted (Police, Revenue, Health and Food and Drug Department) for Crash drive inspection.
• Till 31/05/2017, 37068 clinical establishments were inspected and in 6742 Hospitals where irregularities are observed as per Bombay Nursing Home Registration Act, Maharashtra Pollution Control Act, Fire Regulation, Medical Termination of Pregnancy Act , PCPNDT Act. Districts level Committee is constituted under the chairmanship of District collector for to take action against hospitals & doctor who are violate provision of above said Act.
• Reinspetion of 6742 clinics/hospital where irregularities obsersed was taken during 1 May 2018 to 30 June 2018. During This drive 6742 Centers were inspected.

1. Crash Inspection Programme for Sonography Centers and MTP Centers :-

• Crash Programme of inspection of Sonography centers and MTP Centers was taken in the state during 20 January 2022 to 05 March 2022. All district and sub district level appropriate authorities have been instructed to visit all sonography centers and MTP centers in their respective areas. They have also been instructed to seal the sonography machine and to lodge court case against the center if any violation of the Act is observed. In case of MTP centers they are instructed to suspend the license if violation of act is observed.
• Till up to 05 March 22 A total of 10372sonographycentres and 5927 MTP centres inspected during this inspection drive
• Special drive Programme of inspection of Sonography centers and MTP Centers was taken in the state during 5June 2024 to 25 June 2024. A total of 11586 sonographycentres and 6056 MTP centres inspected during this inspection drive.

 

 

Jurisdiction of District & Corporation Appropriate Authority:-

Civil surgeon for Rural &Municipal council area and medical officer of health for urban area is appointed as Approprate Authority.

 

Manpower:-

 

• PCNDT Cell at State level-

PCPNDT Cell establish at State level cell include Nodal officer, legal advisor, PCPNDT Consultant, Programme mangaer, Assistant Superidentant, Statistical Assitant, Statistical Investigator, Junior Clerk and Data entry operator,

• PCPNDT Cell at District Level-

PCPNDT Cell establish at Distrcit level cell include, Legal advisor

 

• Establishment of Toll Free PCPNDT Helpline Cell-
• Toll Free PCPNDT Helpline Cell establish at State level cell consist of Programme Manager
• amuchimulgimaha.in website is launched for grievance registration related illigle MTP and sex determination on 15th March 2024.

Various Schemes and Activities:-

Supportive Activities from RCH PIP:-

In RCH PIP 2024-26 following activities are implemented. A budget of Rs. 135.40 Lakhs is approved to implement following activities,

 

• Support for sting operation under PCPNDT Act.
• Provision for Witness support participated in PCPNDT court cases.
• Divsional level orientation workshops for District and Corporation Appropriate Authorities
• Award to informers of sonography centers practicing illegal sex determinations.
• Moblity support to District level

 

 

Publicity and Awareness:-

 

To create awareness among population various activities are being undertaken such as organization of rallies, distribution of pamphlets, posters, flipcharts, Fequently asked qusetion books, display of hoardings, workshops for members of FOGSI, NIMA, IAMA, seminars and training sessions for appropriate authorities and district judges, printing of booklets namely “ChakulyaMuklelya” containing districts maps showing sex ratio of each block book has been distributed in all district.Publicity during Ganesh &Durga puja festival pandalsis undertaken.

 

Other schemes for improving Women Status & to welcome of birth of Female child

• RashtriyaBalKosh (National Fund For children)
• Bicycle to School going girls
• Uniform for School going girls
• Free technical education to economic back ward class girls
• Free Hostels for girls
• Libraries for girls
• Scholarship for girls
• Military Schools for girls
• Free education for girls up to 12th standard.
• BeetibachoBetiPadao scheme

 

Current Status:-

Inspection of Centers registered under PC& PNDT Act: –

 

Total 11837 Sonography centers are registered under this Act up to Dec 2024.  Quarterly inspections of these centers are being carried out by district and corporation appropriate authorities.

 

 

Year 2019-20
State	April 19 to June 19		July 19 to Sept 19		Oct 19 to Dec 19		Jan 20 to March 20
	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out
Maharashtra	8981	8436(94%)	9072	7967(88%)	9508	8697(91%)	9573	6727(70%)
Year 2020-21
State	April 20 to June 20		July 20 to Sept 20		Oct 20 to Dec 20		Jan 21 to March 21
	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out
Maharashtra	9601	1673(17%)	9771	4457(46%)	9941	8083(81%)	10026	8063(80.42%)
Year 2021-22
State	April 21 to June 21		July 21 to Sept 21		Oct 21 to Dec 21		Jan 22 to March 22
	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out
Maharashtra	10093	7536(74.66%)	10156	8636(85%)	10346	9354 (90.41%)	10372	10372 (100%)

 

 

 

Year 2022-23
State	April 22 to June 22		July 22 to Sept 22		Oct 22 to Dec 22		Jan 23 to March 23
	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out
Maharashtra	10693	9378(87.88%)	10698	9946 (93%)	10819	10511 (97.15%)	11018	10776 (97.80%)

 

Year 2023-24
State	April 23to June 23		July 23 to Sept 23		Oct 23 to Dec 23		Jan 24 to March 24
	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out
Maharashtra	11353	10895 (95.96%)	11443	11174 (97.64%)	11466	11319 (98.72%)	11457	11265 (98.32%)

 

Year 2024-25
State	April 24 to June 24		July 24 to Sept 24		Oct 24 to Dec 24		Jan 25 to March 25
	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out	Center to be inspected	inspection carried out
Maharashtra	11649	11637 (99.89%)	11756	11634 (98.96%)	11837	11786 (99.57%)	–	–

 

Decoy Cases:-

 

82 Sting operation have been carried out.

Decoy Cases April 2024 to Feb. 2025
Sr. No.	District	Total No. of Decoy cases & Sting Operations	Successful	Unsuccessful
1	Gadchiroli	6	0	6
2	Cha. Sambhajinagar Municipal Corporation	2	2	0
3	Bhandara	2	0	2
4	Akola CS	3	0	3
5	Akola MC	1	0	1
6	Kolhapur	3	3	0
7	Washim	7	2	5
8	Buldhana	3	1	2
9	Satara	5	0	5
10	Yeotmal	1	0	1
11	Dhule CS	1	0	1
12	Dhule Municipal Corporation	1	0	1
13	Wardha	2	0	2
14	Sangli	2	0	2
15	Sangli  Municipal Corporation	2	0	2
16	Hingoli	7	0	7
17	Jalna	2	2	0
18	Parbhani	4	0	4
19	Malegaon Municipal Corporation	3	0	3
20	Ratnagiri	1	1	0
21	Chandrpur MC	1	0	1
22	Nandurbar	1	0	1
23	Sindhudurg	2	0	2
24	Nagpur cs	4	0	4
25	Nagpur MC	4	0	4
26	Jalgaon	1	0	1
27	Amravati	1	0	1
28	Nanded Corporation	4	0	4
29	Nanded	1	0	1
30	Dharashiv	5	0	5
	Total	82	11	71

 

 

Legal Action.

• Total 625 court cases are lodged in various criminal court against the violators of PCPNDT provisions.Details of these cases are tabulated as follows

 

Offence Type	Total No Of Cases	Total No Of Convictions	Total No Of Acquittals & Dismissal	Pending Cases	Withdrawn
Advertisement	36	2	13	21	0
Decoy Cases	46	12	26	8	0
Non Registration	57	20	17	20	0
Non-Maintenance of Record	451	86	262	100	3
Others	35	7	14	14	0
Total	625	127	332	163	3

 

• Out of 462 decided cases 332 Cases has Acquittal, 127 Cases has Conviction &3 Case Withdrawn

 

Major Achievement:-

• State has started Toll free no.18002334475 / 104 to register complaint & queries regarding PCPNDT Act. Up to February 2025, 1124 complaints have been registered on the Toll Free no. out of which 1102 complaints have been complied. 30202 Calls have been received for regarding PCPNDT and MTP, counseling have been done.
• amuchimulgimaha.in website is launched for grievance registration related illigle MTP and sex determination on 15th March 2024. Till February 2025 103 complaints received and 82 complaints resolved.
• Interstate Workshop for Bordering States of Maharashtra was organized on  7th February 2017
• Interstate Workshop for Bordering States of Maharashtra was organized on  18th May 2018

 

Online F-Form:-

• pcpndt.mahaonline.gov.in website launched for online A & F-Form
• It is mandatory for all sonography centers to fill up all “F” form Online.

State Medical Council Status:-

 

• Since June 2012, on recommendation of 219 doctors by State Appropriate Authority to 3 State Medical Council following action initiated against PCPNDT Act violators.
• Registration of 62 doctors have been suspended by Maharashtra Medical Council
• 10 Registrations have been suspended by Homeopathy council.
• 4 Registrations have been suspended by Council for Indian Medicine

 

Award to informers of sonography centers practicing illegal sex determinations

• Scheme objective: Identification and deterrent punishment to the violators of the PCPNDT Act.
• Scheme Nature: Under this scheme, it is proposed to pay a lump sum amount of Rs. 1, 00,000/- to the informer.
• After getting the information, Dist/corporation Appropriate Authority Visits/inspects the center.
• If something is wrong happening is noted the machine is sealed and the case is lodged in court. Then informer is given the award.
• If he desires, his name is kept confidential.
• Scheme benefits: – award is given to 03 informers in the year 2022-23 for giving information of sonography centers engaged in sex determinations and violating the provisions of the act.

 

Decisions Taken:

• Registration will be mandatory for manufacturer, dealer with State Appropriate Authority. Upto February 2025 total of 492 Manufacturers/dealers are registered with the State Appropriate Authority.
• Manufacturer dealers are instructed to give information about buy back machine, new machine should be provided to State Appropriate Authority.
• Sonography or imaging machine should be purchased from those who are registered with State Appropriate Authority.
• Displaying board on sealed sonography centers is mandatory

 

 

No. of Apropriate Authority Under PCPNDT Act
Sr. No.	District	Rural Area (AA)					Uraban (AA)		Total
		Collector	Civil Surgeon	Medical Superidentant			Commissioner	MOH
				RH	SDH	GH
1	Thane	1	1	5	2	2			11
2	Palghar	1	1	10	3	0			15
3	Raigad	1	1	8	5	0			15
4	BMC						1	1	2
5	Thane MC						1	1	2
6	Bhiwandi MC						1	1	2
7	Kalyan MC						1	1	2
8	MeeraBhayander MC						1	1	2
9	Navi Mumbai MC						1	1	2
10	Vasai Virar MC						1	1	2
11	Ulhasnagar MC						1	1	2
12	Panvel MC						1	1	2
	Thane Circle	3	3	23	10	2	9	9	59
12	Nashik	1	1	23	4	1			30
13	Dhule	1	1	6	2	0			10
14	Nandurbar	1	1	12	2	0			16
15	Jalgaon	1	1	18	3	0			23
16	Ahmednagar	1	1	23	2	0			27
17	Nashik MC						1	1	2
18	Malegaon						1	1	2
19	Jalgaon MC.						1	1	2
20	Dhule MC.						1	1	2
21	Ahmednagar MC.						1	1	2
	Nashik Circle	5	5	82	13	1	5	5	116
22	Pune	1	1	20	4	0			26
23	Solapur	1	1	13	3	0			18
24	Satara	1	1	15	2	0			19
25	Pune MC.						1	1	2
26	PCMC MC.						1	1	2
27	Solapur MC.						1	1	2
	Pune Circle	3	3	48	9	0	3	3	69
28	Kolhapur	1	1	16	4	0			22
29	Sangli	1	1	13	2	0			17
30	Sindhudurg	1	1	7	3	0			12
31	Ratnagiri	1	1	8	3	0			13
32	Kolhapur  MC.						1	1	2
33	Sangali MC.						1	1	2
	Kolhapur Circle	4	4	44	12	0	2	2	68
34	Aurangabad	1	1	10	3	0			15
35	Jalna	1	1	8	1	0			11
36	Parbhani	1	1	6	2	0			10
37	Hingoli	1	1	3	1	0			6
38	Parbhani MC						1	1	2
39	Aurangabad MC						1	1	2
	Aurangabad Cirlce	4	4	27	7	0	2	2	46
40	Latur	1	1	10	2	0			14
41	Osmanabad	1	1	6	3	0			11
42	Beed	1	1	10	3	0			15
43	Nanded	1	1	12	4	0			18
44	AKola   MC						1	1	2
45	Amarawati  MC						1	1	2
	LaturCirlce	4	4	38	12	0	2	2	62
46	Akola	1	1	5	1	0			8
47	Washim	1	1	7	0	0			9
48	Amarawati	1	1	9	4	0			15
49	Yavatmal	1	1	14	3	0			19
50	Buldana	1	1	12	2	1			17
51	AKola   MC						1	1	2
52	Amarawati  MC						1	1	2
	Akola Cirlce	5	5	47	10	1	2	2	72
53	Nagpur	1	1	9	2	0			13
54	Wardha	1	1	6	2	0			10
55	Bhandara	1	1	7	2	0			11
56	Gondia	1	1	10	1	0			13
57	Chandrapur	1	1	10	3	0			15
58	Gadchiroli	1	1	9	3	0			14
59	Chandrapur MC						1	1	2
60	Nagpur MC						1	1	2
Nagpur Circle		6	6	51	13	0	2	2	80
Maharashtra State		34	34	360	86	4	27	27	572

 

Other Apropriate Authorities
Deputy Director Health Services, Health Circle	8
Executive Officers in Mumbai MC	3
Medical Officers of  Health all wards in Mumbai MC	24
Medical Director in PCMC MC	1
Assistant Medical officer of Health in Pune MCs	1
Medical Superidentant in Nashik Municipal Corpoation	1
Total	38

 

Appeal to Appropriate Authority: Annexture 4

Total  148 appeals were registered under Rule 19(2) to State Appropriate authorities.

Unherad appael- 1

Hearings related to 147  matters are completed.

Orders were passed – 147

Dismissal –      101

Disposed off –  3

Allowed –         14

Partly   allowed-  8

Appeal return-10

Withdraw by Appellant – 10

Interim  Application rejected – 1

 

 

 

 

 

 

JMFC Court Cases From 01.01.2001 to 28.02.2025
Sr. No.	Office	Total No Of Cases	Total No Of Convictions	Total No Of Acquittals & Dismissal	Pending Cases	Withdrawn
1	CS Ahmednagar Civil Hospital	43	11	24	8	0
2	CS Akola Civil Hospital	2	0	2	0	0
3	CS Amaravati Civil Hospital	4	2	1	1	0
4	CS Aurangabad Civil Hospital	16	3	6	7	0
5	CS Beed Civil Hospital	27	9	11	7	0
6	CS Bhandara Civil Hospital	1	0	1	0	0
7	CS Buldhana Civil Hospital	17	3	12	2	0
8	CS Dhule Civil Hospital	6	0	6	0	0
9	CS Gondiya Civil Hospital	4	0	4	0	0
10	CS Hingoli Civil Hospital	10	1	5	4	0
11	CS Jalgaon Civil Hospital	36	3	32	1	0
12	CS Jalna Civil Hospital	21	2	5	13	1
13	CS Kolhapur Civil Hospital	9	3	3	3	0
14	CS Latur Civil Hospital	4	1	1	2	0
15	CS Nagpur Civil Hospital	6	2	2	2	0
16	CS Nanded Civil Hospital	5	3	1	1	0
17	CS Nandurbar Civil Hospital	3	2	0	1	0
18	CS Nashik Civil Hospital	13	3	3	7	0
19	CS Osmanabad Civil Hospital	11	9	1	1	0
20	CS Parbhani Civil Hospital	6	0	5	1	0
21	CS Pune Civil Hospital	16	2	9	4	1
22	CS Raigad Civil Hospital	15	6	9	0	0
23	CS Ratnagiri Civil Hospital	7	1	6	0	0
24	CS Sangli Civil Hospital	4	3	1	0	0
25	CS Satara Civil Hospital	17	4	11	2	0
26	CS Sindhudurga Civil Hospital	2	0	1	1	0
27	CS Solapur Civil Hospital	20	8	7	5	0
28	CS Thane Civil Hospital	4	1	2	1	0
29	CS Wardha Civil Hospital	7	1	5	1	0
30	CS Washim Civil Hospital	1	0	1	0	0
31	CS Yavatmal Civil Hospital	5	3	1	1	0
32	MOH Ahmednagar MC	1	0	0	1	0
33	MOH Akola MC	11	1	10	0	0
34	MOH Amravati MC	4	0	3	1	0
35	MOH Aurangabad MC	22	0	19	3	0
36	MOH Chandrapur MC	5	0	4	1	0
37	MOH Dhule MC	2	0	2	0	0
38	MOH Gr. Mumbai MC	37	4	28	4	1
39	MOH Jalgaon MC	20	0	13	7	0
40	MOH Kalyan Dombiwali MC	14	0	6	8	0
41	MOH Kolhapur MC	8	1	6	1	0
42	MOH Malegaon MC	1	1	0	0	0
43	MOH Meera Bhayandar MC	7	0	2	5	0
44	MOH Nagpur MC	7	0	0	7	0
45	MOH Nanded MC	18	0	14	4	0
46	MOH NashilK MC	14	3	0	11	0
47	MOH Navi Mumbai MC	21	6	14	1	0
48	MOH Parbhani MC	1	0	1	0	0
49	MOH Pimpri Chinchvad MC	9	2	3	4	0
50	MOH Pune MC	67	19	23	25	0
51	MOH Sangli-Miraj MC	1	1	0	0	0
52	MOH Solapur MC	7	2	3	2	0
53	MOH Thane MC	4	1	1	2	0
54	MOH Ulhasnagar MC	2	0	2	0	0
State Total		625	127	332	163	3

 

• MEDICAL TERMINATION OF PREGNANCY ACT (MTP)

 

 

The Medical Termination of pregnancy (MTP) Act was enacted in 1971 and amended in 2002& 2021. It provides the framework for safe and legal abortion services for MTPs in the country. The act allows termination of pregnancy up to 24 weeks gestation for a broad range of indication by approved medical practitioners. The MTP Act offers protection to a practitioner if she/he fulfils all the requirements of the AmmendedAct.

 

• Salient features of the MTP Act 1971:-

 

• Gestational limit for MTP In India: It was legal to terminate pregnancy up to 20 weeks till amendment 2021. But as per amendment 2021, it is legal to terminate pregnancy till 24 weeks.

 

• MTP Act 1971:-

 

According to the MTP Act, Pregnancy can be terminated only doctor is of the opinion that:-

• Continuation of pregnancy is a risk to the life of the pregnant women or it can cause grave injury to her physical or mental health.
• Substantial risk that the child, if born, would be seriously handicapped due to physical or mental abnormalities
• The pregnancy was caused by rape (presumed to constitute grave injury to mental health)
• Pregnancy caused due failure of contraceptive in married women or her husband (predumed to constitute grave injury to mental health)

 

• Who can perform MTP as per MTP Act 1971:-

 

• According to the MTP Act, in India, an obstetrician and gynecologist can provide MTP services up to 24 weeks of pregnancy as per ammendments 2021. He/she should be a registered medical practitioner who possess a recognized medical qualification as defined in the Indian Medical Council Act, 195, has her/his name should entered in a state medical register and has such experience or training in gynecologist and obstetrics prescribed the MTP rules. Post graduate/diploma in OBGY can also provide MTP Services.
• 6 months experience in obstetrics and gynecology.
• 1 year experience in a government maintained center with all the facilities. MBBS doctor can provide MTP services up 20 weeks of pregnancy. He/she should be registered medical practitioner and possess a recognized medical qualification as define in the Indian Medical Council 1956, has her/his name entered in a state medical register and has successfully completed the MTP training as per the Government of India norms. (The MTP Act does not permit ANMs, Staff Nurses, TBAs or other untrained personnel to conduct abortion procedures. However they can counsel, provide post abortion care and provide appropriate referral services for MTP and post abortion care.)

 

• Places where MTP can be done:-

 

A pregnancy can be terminated in a hospital established or maintained by the Government. The Government facilities are automatically approved for providing MTP, Thus no other approval is required to staff services.

OR

A place (nursing home/private clinic/NGO) approved by the Government or a District-Level committee constituted by the Government.

 

Pregnancy period limit Permitted to health institutions for MTP services.

Type of facility	Period of pregnancy for MTP
Medical Colleges, District Hospital and FRUs	Up to 24 weeks
CHCs, if there is a certified doctor for conducting MTPs and there is essential equipment and supplies for proving quality MTP services	Up to 12 weeks
PHCs, if there is a certified doctor for conducting MTPs and there is required essential equipment and supplies for providing quality MTP services	Up to 9 weeks
Private Clinic	As per the approval by DLC ·         Up to 24 weeks OR ·         Up to 20 weeks

 

 

 

• Consequences / penalty on violating the MTP Act 1971:-
• Any person terminating a pregnancy, who is not a registered medical practitioner, can be punished with rigorous imprisonment for a minimum of two years and a maximum of seven years. Anyone terminating a pregnancy at a place which is not approved, can be punished with rigorous imprisonment for a minimum of two years and a maximum of seven years
• The owner of a non- approved place, where termination of pregnancy is performed can also be punished with rigorous imprisonment for a minimum of two years and maximum of seven years.
• (If termination is performed by a registered medical practitioner in good faith to save a women’s life, it will not be treated as an offence even if it is done at a non approved site or by a registered medical practitioner who does not fulfils the legal requirements to perform MTP)
• Amendments to MTP Act in (2002-2003)
• Composition and tenure of District Level Committee
• Medical Method of Abortion & Site Approval
• Amendments done in MTP documents

 

• Constitution of District Level Committee (DLC)

1	Civil Surgeon, District Hospital, District	Chairperson
2	Head of Department, Surgeon/ Gynaecology/ Anesthetist	Member
3	District President, Indian Medical Association	Member
4	Nongovernmental OrganizationRepresentative	Member
5	Chairperson, Health Committee.	Member

 

• Amendments to MTP Act in (2013-2014)

Composition and tenure of Municipal Corpoation Level Committee in Maharashtra State

• Constitution of Municipal Corpoation Level Committee (CLC)

 

1	Medical Health Officer, MCoration	Chairperson
2	Head of Department, Surgeon/ Gynaecology/Anesthetist	Member
3	District President, Indian Medical Association	Member
4	Nongovernmental Organization   Representative	Member
5	Chairperson, Health Committee	Member

 

• Ammendments to MTP Act in (2021-22)
• Legal age of termination of pregnancy raised to 24 weeks from 20 weeks
• Upto 20 weeks-Opinion of one RMP required.
• 21 weeks to 24 weeks-Opinion of two RMP required.
• If termination of pregnancy needed after 24 weeks, then opinion of Permanent Medical Board is required.
• Various formats/ Annexure ( Form A, B, C – Form – I, II, III)
• Form A :- Application Form For Site Approval
• Form B :- Certificate of Approval
• Form C :- Consent Form
• Form D: – Report of Permanent Medical board for MTP >24 weeks.
• Form E :- Opinion of RMP (>20 weeks to 24 weeks)
• Form I :- RMP Opinion Formupto 20 weeks
• Form II :- MTP Reporting Form
• Form III:- Admission Register

 

• Other Steps Taken to enforce of MTP Act
• Training of CAC to Gov. Doctors.
• Letter to IMA & FOGSI to take strict action against violators of MTP Act.
• Letter given to commissioner food & Drugs, Maharashtra State
• Amendments in MTP Act proposed to GoI.

 

 

 

MTP Report

 

Data of  MTP Centers In Maharashtra
Sr. No	District	Total no of centers
		Govt.Health Institution	Private Health Institution	Total
1	Thane	3	53	56
2	Palghar	7	31	38
3	Raigad	53	79	132
4	Thane Corp	7	137	144
5	Bhiwandi Corp	0	31	31
6	Kalyan-Dombivali Corp	2	147	149
7	MeeraBhyander Corp	2	63	65
8	Navi Mumbai Corp	4	112	116
9	Vasai Virar Corp	3	107	110
10	Ulhasnagar Corp	2	30	32
11	Panvel MC	0	103	103
Circle Total		83	893	976
12	Nashik	27	134	161
13	Dhule	48	16	64
14	Nandurbar	11	28	39
15	Jalgaon	37	88	125
16	Ahmadnagar	24	121	145
17	Nasik Corp	8	133	141
18	Malegaon Corp	2	29	31
19	Dhule Corp	3	52	55
20	Jalgaon Corp	1	63	64
21	Ahmednagar Corp	1	65	66
Circle Total		162	729	891
22	Pune	25	256	281
23	Solapur	16	83	99
24	Satara	18	145	163
25	Pune Corp	21	410	431
26	PimpriChinchwad Corp	9	231	240
27	Solapur Corp	3	85	88
Circle Total		92	1210	1302
28	Kolhapur	96	66	162
29	Sangli	74	73	147
30	Sindhudurg	50	31	81
31	Ratnagiri	79	52	131
32	Kolhapur  Corp	4	78	82
33	SangliMiraj  Corp	3	66	69
Circle Total		306	366	672
34	Aurangabad	14	42	56
35	Jalna	12	41	53
36	Parbhani	8	9	17
37	Hingoli	2	17	19
38	Aurangabad  Corp	9	143	152
39	Parbhani  Corp	1	38	39
Circle Total		46	290	336
40	Latur  + Latur Corp	15	122	137
41	Osmanabad	35	54	89
42	Beed	17	91	108
43	Nanded	10	24	34
44	Nandedwaghala  Corp	3	87	90
Circle Total		80	378	458
45	Akola	7	11	18
46	Washim	8	25	33
47	Amravati	16	30	46
48	Yeotmal	17	63	80
49	Buldhana	17	33	50
50	Akola  Corp	2	89	91
51	Amravati  Corp	1	87	88
Circle Total		68	338	406
52	Nagpur	13	51	64
53	Wardha	11	34	45
54	Bhandara	10	43	53
55	Gondia	12	22	34
56	Chandrapur	14	22	36
57	Gadchiroli	4	7	11
58	Nagpur  Corp	7	232	239
59	Chandrapur  Corp	2	42	44
Circle Total		73	453	526
60	Brihanmumbai Corp	59	716	775
State Total		969	5373	6342

 

 

 

 

 

 

Beneficiary:

Women

Benefits:

To stop sex selection and misuse of Pre Conception and Prenatal Diagnostic Techniques Act