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India - Supreme Court Underscores the Need of Uniform Guidelines for Sterilization Procedures

Ramakant Rai v. Union of India, W.P (C) No 209 of 2003, Supreme Court of India; Interim Order on March 1, 2005; Case disposed on December 6, 2007

This case before the Supreme Court of India involved the support of ESCR-Net Members, Human Rights Law Network and Center for Reproductive Rights, and focused on government practices regarding female sterilization, which lacked counseling or informed consent and included unhygienic and un-anesthetized operating conditions, as well as the sterilization of minors. The Court cited patients’ reproductive, women’s, and health rights as articulated in international instruments ratified by India, including the Alma Alta Declaration, CEDAW, the ICPD Program of Action, and the Beijing Platform for Action, as well as relevant articles of the Indian Constitution. The Court ordered all States in India to establish “an approved panel of doctors…to carry on sterilization procedures,” “prepare and circulate a checklist” with information on the patient, “circulate uniform copies of the proforma of consent,” “set up a Quality Assurance Committee,” “maintain overall statistics,” “hold an inquiry into every case of breach of the Union of India guidelines…[and] take punitive action against them,” and “bring into effect an insurance policy.” The Union of India was directed to, within four weeks, outline “uniform standards to be followed by the State Governments,” including norms of compensation.

Ultimately issuing directives for the entire country and citing international standards, this case is especially relevant as the Court underscored the need for uniform guidelines in the performance of sterilization procedures, including requirements of informed consent, punitive action for violations, and compensation for victims

For more information, please access the case summary, the decision and other related documents at http://www.escr-net.org/node/365195