Date: 2023-06-21Category: Not ApplicableState: Tamil NaduCountry: India
HEALTH AND FAMILY WELFARE DEPARTMENT - The Tamil Nadu State Human Immunodeficiency Virus and Acquired Immune Deficiency
Syndrome (Prevention and Control) Rules, 2023
**Executive Summary**
This document is the Tamil Nadu Government Gazette notification, dated June 21, 2023, announcing the Tamil Nadu State Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Rules, 2023. The rules are effective immediately. It establishes procedures for handling complaints, designation of an ombudsman and protection of identity in legal proceedings.
**Key Points / Main Content**
* **Title and Scope:**
* The rules are called "Tamil Nadu State Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Rules, 2023".
* **Definitions:**
* "Act" refers to the Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Act, 2017.
* "Complaint" refers to any information or grievance made orally or in writing to the Ombudsman.
* "Chief Ministerial Officer" means an officer in the Judicial Magistrate First Class Court.
* "Ombudsman" means an Officer appointed or designated by the Government of Tamil Nadu under Section 23 of the Act.
* **Diagnostic and Treatment Facilities:**
* Government Medical College Hospitals, District Headquarters Hospitals, and Government Hospitals shall provide free lab investigation facilities, free lifelong Anti-retroviral Therapy and Treatment for Prevention of Parent to Child HIV Transmission.
* Facilities include counselling services, baseline lab investigations, CD4 counting, viral load testing, and management of opportunistic infections.
* Government Medical College Hospitals, Government Hospitals, Block Primary Health Centres and Additional Primary Health Centres shall provide counselling, testing, HIV prevention, care, support, and treatment services.
* **Complaint Handling by Complaints Officer:**
* Complaints must be registered within three months of awareness of the violation.
* Complaints officers must decide on complaints promptly, and within seven working days.
* For issues regarding discrimination or access to healthcare, decisions must be made on the same day.
* The complaints officer provides a written decision within ten days and informs the complainant of actions taken and their right to approach the Ombudsman or legal recourse.
* **Designation and Inquiry by Ombudsman:**
* The State Government will designate an officer not below the rank of Assistant Collector/Sub-Collector/Revenue Divisional Officer and the Sub-Divisional Magistrate to be the Ombudsman.
* The Ombudsman will act objectively and independently when inquiring into complaints.
* The Ombudsman can pass interim orders, including directing admission, operations, or treatment in medical emergencies.
* The Ombudsman can order withdrawal/rectification of violations and counseling/social service for violators.
* The Ombudsman must report the number and nature of complaints received, actions taken, and orders passed to the Government every six months.
* **Record Keeping by Ombudsman:**
* The Ombudsman receives complaints made in person, by post, orally, telephonically, in writing through email or through his Official website:
* Each complaint is assigned a unique number in a register (Form B).
* Confidentiality of information is maintained.
* **Identity Protection in Legal Proceedings:**
* The Chief Ministerial Officer will direct all parties involved to file one copy of the document bearing the full name and identifying details of the parties concerned before the court, which shall be kept in a sealed cover and in safe custody.
* Protected person will be identified by a pseudonym.
* Periodical training to the staff who deals with confidentiality of the information.
**Impact Analysis**
**Tamil Nadu State Government**
* **Impact:** Needs to designate an officer as Ombudsman. Needs to provide periodical training to the staff who deals with confidentiality of the information.
* **Action Required:** Designate an officer as Ombudsman. Provide periodical training to the staff who deals with confidentiality of the information.
**Government Medical College Hospitals, District Headquarters Hospitals and Government Hospitals, Block Primary Health Centres and Additional Primary Health Centres**
* **Impact:** Required to provide specified diagnostic facilities, treatment, and services related to HIV/AIDS prevention and care.
* **Action Required:** Ensure the provision of free lab investigation facilities, free lifelong Anti-retroviral Therapy and Treatment for Prevention of Parent to Child HIV Transmission and specified additional services (counselling, baseline lab investigations, CD4 counting, viral load testing, and management of opportunistic infections), and services (counselling, testing, HIV prevention, care, support, and treatment services).
**Complaints Officers**
* **Impact:** They are responsible for registering and resolving complaints within specified timeframes.
* **Action Required:** Register complaints within three months of awareness of the violation. Resolve complaints within specified timeframes. Provide written decision within ten days and inform the complainant of actions taken and their right to approach the Ombudsman or legal recourse.
**Ombudsman**
* **Impact:** Responsible for inquiring into complaints, passing orders, and maintaining records related to HIV/AIDS prevention and control.
* **Action Required:** Act objectively and independently when inquiring into complaints. Issue and maintain records, follow the correct complaint process.
**Protected Persons (Individuals affected by HIV/AIDS)**
* **Impact:** Provided with a mechanism for redressal of grievances and protection of identity in legal proceedings.
* **Action Required:** Make complaints to the designated complaints officer or Ombudsman within the specified timelines (3 months, extendable by 3 months with justification). Cooperate with the Ombudsman's inquiry and any legal proceedings.
**Courts**
* **Impact:** Required to suppress the identity of protected persons in legal proceedings.
* **Action Required:** Follow guidelines for recording pseudonym and providing suppression of Identity in legal proceedings.
Key Entities Referenced
Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Act, 2017: Central law that provides the framework for the rules regarding HIV/AIDS prevention and control.
The Tamil Nadu State Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Rules, 2023: Rules enacted by the Government of Tamil Nadu to implement the Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and Control) Act, 2017 in the state.
Ombudsman: Officer designated by the Government of Tamil Nadu under Section 23 of the Act, responsible for inquiring into complaints related to HIV/AIDS discrimination.
Chief Ministerial Officer: An officer in the Judicial Magistrate First Class Court who directs all parties involved to suppress the identity in legal proceedings.
Health and Family Welfare Department: Department of the Tamil Nadu government responsible for issuing the rules and overseeing their implementation.