TM www.magnumopus.in TM Sex selection in India does not take place in a legal vacuum. In fact, just a few years after the introduction of the new ultrasound and amniocentesis technologies, in 1983 the Indian Parliament banned the practice of sex determination in all public institutions. The prime legislation at the all-India level remains the Pre-Natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, the PNDT Act, passed in 1994 and later amended in 2003. UNFPA estimated that the practice of prenatal sex selection has resulted in approximately 6 lakhs girls being missed annually in India during the period 2001-07. This is roughly 1600 girls per day. No state/UT has female child sex ratio over 1000 in India. Only 8 out of 35 stats in India have positive child sex ratio during last 10 years. The reason for this dramatic shift stems from the introduction into India of methods of prenatal sex determination, such as amniocentesis and ultrasound technology. The emergence of sexidentification techniques heralded a new discriminatory regime in India, which is responsible today for the dramatic sex-ratio situation in many of its regions. www.magnumopus.in The law was primarily meant to address the issue of unwanted pregnancies, as part of a comprehensive family-planning strategy that encompassed many contraceptive options, as well. But the combination of new technologies for pre-natal sex determination and abortion proved to be a dramatic cocktail, which would quickly become an efficient sex-selection device. From the 1980s, sex-selective abortions became the primary method used to alter the sex composition of children. The PC & PNDT Act provides formidable tools to act against the misuse of technology TM PCPNDT Act •The Pre-conception and Pre-natal Diagnostic Techniques (PCPNDT) Act passed by the Indian Parliament came into force in 1994 for regulation and prevention of misuse of the diagnostic techniques. Subsequently, following a Supreme Court order on its proper implementation certain Amendments were made to the Act. This Act came into force in 1996. Act was amended in 2003 to include Pre conception techniques (PCPNDT Act). •Prohibition of sex-selection: No person or technology including a specialist or a team of specialists in the field of infertility, shall conduct or cause to be conducted or aid in conducting by himself or by any other person, sex selection on a woman or a man or on both or on any tissue, embryo, concepts, fluid or gametes derived from either or both of them. What's Going Wrong…???? •The enforcement of PCPNDT Act 2003, which prohibits sex determination tests of the fetus (leading to abortion if it's female), has been far from satisfactory. The main reasons being: •Poor supervision of genetic and ultrasound clinics •Unethical and illegal practices of the concerned doctors/ radiologists •Rampant misuse of technology •Fast increase in the number of ultrasound clinics over the years •Implementation of PCPNDT Act is far from expected •A center doesn't generate any of the records of illegal sex determination. No complainer and no evidences. Unfortunately like many other Acts, this act also faces implementation problems •No effective monitoring mechanism •Proper knowledge of the Law •No Standardization in practices, record keeping etc. •Problem of Under Reporting •Problem of False Reporting •Critical records are not reported •No proofs & evidences for the authorities to take action www.magnumopus.in TM Solution: Save The Baby Girl & Active Tracker Magnum Opus has invented a system comprising two phase solution Stage I - Online Portal (www.savethebabygirl.com) A web portal was developed titled "www.savethebabygirl.com, an online software solution that connects all genetic centers and collects the important data on daily basis as per the PCPNDT Act rules and formats. It is an electronic method of submission of data and reports to appropriate Government authorities. The software assures that no incomplete data is submitted by users. The government authorities can access this portal through secured login and can automatically generate various reports from time to time. The portal has all the features to carry out the analysis of the data and necessary pre formatted statistical analysis reports which can be leveraged for quick decision making, identifying the problem areas www.magnumopus.in TM Solution: Save The Baby Girl & Active Tracker Stage I - Online Portal (www.savethebabygirl.com) Online portal help the state by effectively implementing the PCPNDT Act, the solution covers all documentation facilities as per the Act. It generates all MIS reports that are required form time to time. The appropriate authority can monitor the state level, district level, and block level performance, various activities such as center applications, renewals, approvals, etc. It also has the facility of generation of reports of action taken, court cases, machine sealed etc. Stage I - Online Portal (www.savethebabygirl.com) Data Generation, Auto Processing & Analysis Center data, centers from rural and urban areas, centers machine and employees details, center renewal report etc. Periodical (monthly) data reports for F form, delivery, MTP,, rural, urban & district level data comparison, etc. Data auto analysis for suspected cases, F forms with 2 or more girl child, 35 years and above, abnormal delivery, MTP advised, abnormal sonography reports and many more A PCPNDT Compliance System for Genetic Centers •Secured log in •Daily submission of form F, delivery and MTP records •Auto generation of Monthly report •Can not submit incomplete F form, enabling them a PCPNDT compliant and no risk •Can depend on their support staff for documentation •Saves time and efforts and money on record keeping •No risk of sealing or action because of incomplete F form www.magnumopus.in Age wise patient analysis, 0-18 , 19-24, 25-34, 35 and above categories data analysis of F form, delivery, MTP Pregnancy related data analysis such as trimester wise data analysis, abnormal pregnancy reports etc. ANC tracking, area wise ANC tracking through mobile based SMS reporting, missing cases, and analysis for implementation TM Stage II: Active Tracker Only online portal was not enough as it is not solving the problem of under reporting and false reporting. Magnum Opus has invented a device called the Silent Observer and upgraded version now called as Active Tracker, which is externally connected to Sonography machine and captures videos images of on machine monitor continuously. Active Tracker is connected to USG machine through external cables Active Tracker receives the video signals from the USG machine and no interference with USG machine keeping the “insurance” of the USG machine intact. No inputs are given to USG machine Advanced Features Active Tracker shares a common power supply with USG machine that makes Active Tracker and USG machine switching on and off simultaneously. Active Tracker has inbuilt GPRS facility through which every machine is connected to savethebabygirl.com. Active Tracker has a storage capacity of 1TB and can be scaled up as per requirement Each and every machine can be monitored remotely and a can check for the ever machine on and off time The video data is NOT uploaded to any server but resides on the Active Tracker only To capture the data from the machine, appropriate authority has to visit center personally and through secured mechanism that data can be copied The data is stored in encrypted format www.magnumopus.in Send various alerts for any tampering, access of data, if machine is switched off for more than 24 hours etc. A full proof, tamper proof and highly secured Does not required any kind of sealing Remotely managing of every machine is possible TM Stage II: Silent Observer to Active Tracker The first version of the device called as Silent Observer has some drawbacks and it was affecting the objective of such device. Over the period, the R&D team of Magnum Opus has resolved all the issues and Active Tracker, the new device is more full proof and tamper proof. Active Tracker has solved all the issues raised in Silent Observer. Silent Observer has on and off button for switching on and off. It was a loop hole and can be misused by switching on the USG machine and not switching on the Silent Observer. Active Tracker does not have on and off button. The Active Tracker share common power supply and switches on and off automatically with USG machine. Silent Observer has storage capacity of 320 GB and was not scalable. 320 GB was not sufficient for recording 2 years of data as per law. Active Tracker has 1TB (1024 GB) data storage capacity and it can scaled to 2TB and even more depending on center operations Silent Observer needed to seal all the cables which was difficult to handle and possibility of leakage Active Tracker does require any sealing to machine except the common power supply Silent Observer does not have remote controlling mechanism. It does not have GPRS facility, hence every time one need to visit the center and check physically if machine is working or not Active Tracker has inbuilt GPRS facility integrated with online portal. One can easily check for status of machine from anywhere. Active Tracker also gives various alerts for better control and monitoring. www.magnumopus.in TM ANC TRACKING ANC USING STBG & ACTIVE TRACKER USG CENTRE Privacy? STBG The data is stored in the local machine on Active Tracker and NOT TRANSFERRED to any DISTRICT SERVER. TM Accessing data is possible only with secured laptop with data access software and secured log in. It is available only with district administration DISTRICT ADMINSTRATION TALUKA HEALTH OFFICER MEDICAL SUPRITENDENT Patient Privacy issues has been ruled by Hon. Bombay High Court stating that “Right to Life is more important that Right to Privacy” Medical Officer PHC ANM / MPW ASHA WORKER www.magnumopus.in Security? Silent Observer does had the loopholes but Active Tracker, the advanced version of full proof and all security measures have been taken care. TM Kolhapur District: Case Study Kolhapur District of Maharashtra is one of the richest district in India as per per capita income and well known for Goddess Mahalaxmi. Despite such background, as per 2001 census the Kolhapur sex ratio was 839 girls per 1000 boys. The District Magistrate and Collector , Laxmikant Deshmukh (IAS) initiated this drive and Magnum Opus invented & implemented the project. The pilot was launched on 15th Aug 2009. Kolhapur District has 252 registered genetic centers, 120 in Urban and 132 in Rural part. There are 270 USG machines across the District. From 1st Oct 2009 to 30th June 2010 Before installation of device From 1st July 2010 to 30th Sept 2011 After installation of device Monthly Average F form Before Implementation of device After Implementation of device Rural 5512 8441 Urban 5050 6570 District 10562 15011 Under Reporting 2929 1520 4449 Monthly Average Delivery Before Implementation of device After Implementation of device Under Reporting Male 99 217 Female 94 185 IUD 4 5 118 91 1 Monthly Average MTP reporting Before 12 weeks MTP After 12 weeks MTP Before Implementation of device 29 3 After Implementation of device 44 4 Under Reporting 15 1 The statistics clearly shows that there was Under Reporting of 4449 F forms, 210 Deliveries & 16 MTP cases every month. There is clear indicator of control over under reporting and false reporting. As per 2011 Census, Kolhapur sex ratio has increased to 845 from 839 of 2001 census. Laxmikant Deshmukh (IAS) District Collector, Kolhapur, Maharashtra Mob. 9325297509 Email: laxmikant05@yahoo.co.in TM Nasscom Foundation Award Manthan Award eIndia Award Maharashtra Foundation Award Times of India Social Impact Award www.magnumopus.in TM www.magnumopus.in TM Magnum Opus Magnum Opus is one of the leading companies in social innovations using Information Technology. Magnum Opus has been involved in various innovation in E-Governance and focused with the objective of using IT to enhance the system. Save The Baby Girl, Silent Observer, Active Tracker A system for curbing the female feticide and effectively implement PCPNDT Act E-Chavadi Comprehensive land records and accounting solution M-Supply Use of mobile and SMS in transparent distribution of civil supply ME-Governance Pioneer in ME-Governance concept (User of Mobile in EGovernance) Maharain Innovative use of Mobile and SMS for rainfall management system M-Disaster Management Innovative mobile application to be used during disaster management GPS System Innovative use of GPS System for kerosene supply, police patrolling vehicles www.magnumopus.in Giving it back to India TM TM www.magnumopus.in Magnum Opus IT Consulting Pvt. Ltd. Sai Palace, 1st Floor, Office no. 6-7, Near Lohiya Jain IT Park, Bhusari Colony, Kothrud, Pune 411 038 Phone: 020-41216958 Mobile: 7709000261 email: info@magnumopus.in Website: www.magnumopus.in Magnum Opus : Save The Baby Girl System, Patent Pending www.magnumopus.in