NATIONAL LEGAL RESEARCH DESK
The National Inspection and Monitoring Committee (NIMC) team, constituted under the PC & PNDT Act, 1994, undertook surprise inspections of clinics/ facilities offering ultrasound diagnostic services in Nayagarh and Bhubaneswar districts of Odisha from 19-20th Jan 2012. The inspection team comprised members from Union Ministry of Health & Family Welfare, civil society. Appropriate Authorities from the State and the respective districts also accompanied the team during the field visit. The team visited a total of six facilities in Nayagarh and Bhubaneswar districts and undertook verification of equipment and examination of records valid under the PC & PNDT Act. The team sealed 5 clinics along with 5 ultrasound machines for violations under the PC & PNDT Act, 1994.
The details are as mentioned below:
1. Rashmi Diagnostics, Main Road Nayagarh- The clinic along with one ultrasound machine was sealed by the Appropriate Authority. Ultrasound scans in the clinic were being conducted by the proprietor, a BHMS doctor who is not authorized to perform the scans as per the PNDT Act. The authorized radiologist registered with the clinic was found unwell and mentally unfit. The clinic was also not maintaining prescribed records properly for e.g blank F-Forms, referral slips.
2. Nayagarh District hospital –The hospital was inspected and relevant records were examined and found in order by the team.
3. Hi– Tech Diagnostic Centre: The clinic along with one ultrasound machine was sealed by the designated Appropriate Authority. NIMC observed that three unqualified doctors were performing ultrasound scans in the clinic. 122 forms were found unsigned by the performing doctors and some forms were without signed declaration from the pregnant lady. Referral slips were not maintained properly and inconsistencies/ gaps were also found in the records of OPD register and form Fs.
4. Maa Shakti Hospital: The ultrasound clinic of the hospital along with one ultrasound machine was sealed by the Appropriate Authority. The ultrasound machine was found operated by serving Government doctor and was not registered with the hospital to conduct the scans. Large scale underreporting was suspected in the hospital as the number of form Fs maintained were found very less as compared to the case load of the Hospital.
5. Life Express Diagnostic Centre: The clinic along with one ultrasound machine was sealed by the designated Appropriate Authority. It was found that the clinic had recruited five doctors for ultrasound services since 2007, without the authorization of Appropriate Authorities. Form Fs were also found unsigned by the performing doctor.
6. Sanjeevani Medicare Hospital: The ultrasound diagnostic unit of the hospital along with one ultrasound machine was sealed by the designated Appropriate Authority. Form Fs were inadequately maintained, without entries related to previous children or address of the patient, and 42 out of the examined form Fs were found unsigned by the performing doctor. Two unauthorized sonologists were found undertaking ultrasound scans in the hospital besides the registered doctor.
The Central Supervisory Board under the chairmanship of Union Minister of Health & FW, Shri Ghulam Nabi Azad in its meeting held on 4th June, 2011 had decided to empower the National Inspection and Monitoring Committee (NIMC) to ensure effective action against clinics/facilities found prima facie guilty of violating the provisions of the Act.