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Resource centre on India's rural distress
 
 

Doctors seek changes to sex test rules -GS Mudur

-The Telegraph

New Delhi: A panel of doctors has called for changes to the rules banning prenatal sex determination, warning they are depriving rural populations of easy access to the point-of-care ultrasound scans (pocus) needed to diagnose and treat critically ill patients.

Doctors associated with the Jan Swasthya Sahyog, which runs a rural hospital in Chhattisgarh, have recommended technology and better policing to improve access to the scans and curb their misuse for prenatal sex determination.

The regulations governing the Preconception and Prenatal Diagnostic Techniques Act require doctors who are not radiologists to undergo six months' training to use ultrasound machines. The Sahyog medics say the need to complete this six-month course has effectively prevented pocus from expanding into rural areas.

"We're not asking for any dilution of the ban on sex determination whatsoever," said Yogesh Jain, a paediatrician and founding member of the Sahyog. "But it needs to be recognised that the existing rules have strangulated access in rural areas to point-of-care ultrasound scans."

Jain and his colleagues, in a commentary published on Friday in the Indian Journal of Medical Ethics, said that improving access to ultrasound scans in rural areas while curbing their misuse for illegal prenatal sex selection was a "serious challenge".

Without pocus, doctors in government-run community health centres are forced to refer patients whom they could have themselves diagnosed and treated to private clinics with ultrasound scans or district hospitals, leading to delays in diagnosis and possibly additional costs.

Doctors say that pocus can be used to detect potentially life-threatening deep vein thrombosis, evaluate heart functions, look for fluid in the lungs, measure pressure in the cerebrospinal fluid and brain tissue, and diagnose traumatic injuries.

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