Methods for Administration of Family Planning Technical Services

 

Date:  1 October 2001

Source: China Population Today, Vol. 18, No. 3, August 2001

Subject: Family Planning, Reproductive Health, Reproductive rights

Text:

Note:

[The State Council, the highest executive body in China, issued Methods for Administration of Family Planning Technical Services, a legally binding document that will go into effect from October 1, 2001.This comprehensive document provides wide-ranging safeguards for citizens’ rights to reproductive health, such as the right to informed choice and the right to obtaining appropriate family planning technical services.In addition, it also metes out penalties for administrative bodies and public-health personnel who violate the rules. Following is an unofficial translation of that document – Editor]

Chapter I. General provisions
Chapter II. Technical Services
Chapter III. Organizations and Staffing
Chapter IV. Supervision and Administration
Chapter V. Penalties
Chapter VI. Annexes

Chapter I. General provisions

Article 1. These Methods are formulated to strengthen administration of family planning technical services (FPTS), control the quantity of the population, improve the quality of the population and safeguard citizens’ right to reproductive health.

Article 2.These Methods shall apply to all institutions and individuals within the People’s Republic of China who engage in FPTS.

Article 3.
FPTS shall be administered with both state regulation and individual voluntarism.

Citizens shall enjoy the right to informed choice regarding methods of contraception. The state shall safeguard citizens’ right to obtaining appropriate FPTS.

The state shall provide free-of-charge contraceptive and birth-control technical services to rural residents, the expenses of which shall be borne by local government. The central government shall grant subsidies to the underdeveloped regions in the western part of the country.

Article 4. The State Council’s administrative department for family planning (State Family Planning Commission, or national family planning authorities) shall be responsible for managing FPTS on a national basis;  the Ministry of Public Health and other related departments shall, within their own jurisdiction, support the national family planning authorities in performing its duties managing FPTS.

Article 5. The FPTS network shall be composed of FPTS organizations and other medical and health organizations offering FPTS and shall be incorporated into the health planning.

The state shall improve the quality of FPTS and encourage the research, development, introduction and promotion of new technologies, drugs and devices in family planning. 

Chapter II. Technical Services

Article 6. FPTS includes family planning technical instructions, counseling and clinical medical services related to family planning.

Article 7. Family planning technical instructions and counseling shall include the following:

  • Publicity, education and counseling or reproductive health

  • Provision of contraceptives/devices and related instructions, counseling and follow-up visits

  • Provision of counseling and follow-up visits to those who have already performed contraceptive or birth control operations and reversal of vasoligation or tubal ligation

Article 8. FPTS institutions above the county level may, within their authorize jurisdiction, provide the following clinical medical services related to family planning:

  • Medical examinations for contraception and birth control

  • Diagnosis and treatment of complications arising from contraceptive/birth control operations or side effects caused by contraceptives/devices

  • Performance of contraceptive, birth control operations and reversal of vasoligation or tubal ligation

  • Implementation of other reproductive health programs related to childbirth, birth control and sterility, the details of which shall be jointly prescribed by both the national family planning authorities and the Ministry of Pubic Health.

Article 9. Couples who, due to birth of babies with disabilities, request birth of additional children shall apply for a medical certification by the family planning authorities at county level and, subject to their approval, apply for a further medical certification by higher municipal family planning authorities. Those who object to the medical verdict may apply for final appeal to the provincial (autonomous regional or municipal) family planning authorities. Specific rules for implementation shall be made by the national family planning authorities in collaboration with the Ministry of Public Health.

Article 10. FPTS and contraceptives/devices provided to citizens shall be safe and effective and comply with quality and technical standards set forth by the state.

Article 11. The national family planning authorities shall periodically formulate and publish catalogues for family planning technologies and contraceptives/devices and advise their applications and use.

Article 12. Organizations or individuals seeking to conduct international cooperation in the field of family planning shall secure prior approval from the national family planning authorities and place themselves under supervision of local governments’ family planning authorities above county level.

Article 13. Advertisements concerning family planning technology shall be approved by the provincial (autonomous regional or municipal) governments’ family planning authorities for content review

Article 14. Institutions offering PTS shall, when performing contraceptive, birth control operations, special examinations or special treatment, obtain permission from the patient and shall ensure safety or the patient.

Article 15. No organization or individual shall perform fetus gender identification not required by medical needs or selective abortion.


Chapter III.
Organizations and Staffing

Article 16. FPTS providers include FPTS agencies and medical or health institutions offering FPTS.

Article 17. Institutions offering FPTS shall comply with standards set forth by the national family planning authorities for the establishment of such institutions.

Article 18. The establishment of FPTS organizations shall be approved by local family planning authorities above the city level and be given a license on which the items of FPTS as approved shall be specified.

Article 19. Medical or health institutions offering FPTS shall obtain approval from local health authorities above the county level which shall specify on their license the approved items of FPTS and brief local family planning authorities.

Article 20. Townships where medical institutions are already operational shall not create new FPTS agencies; however, those medical institutions shall contain special sections devoted to FPTS; in townships where both medical and FPTS institutions are in operation, both institutions shall perform their FPTS respectively. Townships where no medical institutions are in service need to set up FPTS institutions in compliance with the provisions of Article 18 of these Methods.

Article 21. FPTS institutions providing prenatal diagnosis shall obtain permission from provincial (autonomous regional or municipal) governments’ family planning authorities and approval from public health authorities at the same level and report to the national family planning authorities for registration. 

FPTS institutions using auxiliary technology to treat infertility shall obtain approval from public health authorities above the provincial level and report to family planning authorities at the same level. Rules for administration of such alternative infertility treatment shall be developed by the State Council public health authorities in collaboration with State Council family planning authorities. Technical standards for alternative infertility treatment shall be set by the State Council public health authorities after soliciting opinions from State Council family planning authorities.

Article 22. License documents for FPTS institutions shall be verified once every three years by the original approval-granting authorities. 

Licenses for FPTS shall not be traded, lent, leased, altered or forged. 

FPTS agencies whose licenses have been lost shall apply within 30 days of loss to the original license-issuing body for a re-issue.

Article 23. FPTS institutions shall conduct their business in compliance with their approved scope of business and service items and with relevant laws, administrative regulations and medical technical standards and rescue/referral procedures set forth by the State Council public health authorities.

Article 24. Local family planning authorities above the country level shall perform regular inspections of FPTS work within their jurisdictions.

Article 25. The state shall institute a mechanism for managing the distribution of contraceptives/devices. Specific rules shall be made by the State Council drug administration authorities and State Council family planning authorities in collaboration with other authorities.

Article 26. FPTS personnel who, in compliance with these Methods, perform clinical services related to family planning shall, in compliance with the Law on Licensed Physicians and relevant regulations on practicing nurses, obtain licenses for practicing physicians, assistant physicians, rural physicians or nurses and practice in institutions set up in compliance with these Methods. Physicians and assistant physicians practicing in FPTS institutions shall, in compliance with provisions of the Law on Licensed Physicians, apply for registration to local public health authorities above the county level. Specific implementation rules shall be made by State Council family planning authorities and public health authorities.

Private medical entities shall not perform contraceptive or birth control operations.

Article 27. FPTS personnel shall perform their duties in compliance with the approved scope of business, items of services and kinds of operation. In addition, they shall observe all laws, regulations, rules, technical standards, codes of conduct and management rules related to their profession.

Chapter IV. Supervision and Administration

Article 28. The State Council family planning authorities shall be responsible for supervising and administering FPTS work nationwide. Local family planning authorities above the county level shall be responsible for supervising and administering FPTS work in their respective jurisdictions. 

Public health authorities above the county level shall, in accordance with these Methods, be responsible for supervising and administering medical and health organizations offering FPTS in their jurisdictions.

Article 29. The State shall establish a statistical system for FPTS and evaluation and reporting system for operational accidents, complications and side effects.

Methods for determining and administering operational complications shall be developed by State Council family planning authorities in collaboration with State Council public health authorities.

FPTS institutions which have operational accidents occurring at their premises, discovered complications arising from operations or side effects from use of contraceptives/devices shall report, within the timeframe prescribed by State Council family planning authorities, to both the family planning and public health authorities of the local government; for major accidents, serious complications and serious or newly recorded side effects in connection with an operation or use of contraceptives/devices, the institution shall report simultaneously to superior departments in charge of family planning and public health, all the way to the State Council level.

Article 30. State Council family planning authorities, in collaboration with State Council public health authorities, shall analyze accidents, complications and side effects that have been reported to them and let their findings known to relevant departments. State Council family planning authorities shall, in accordance with relevant regulations, publish those major accidents, serious complications or side effects in a timely manner. They may also authorize provincial (autonomous regional or municipal) governments’ family planning authorities to publish accidents, complications and side effects occurring in their jurisdictions in a timely fashion.


Chapter V.
Penalties

Article 31. Institutions or individuals outside FPTS agencies or medical and health institutions offering FPTS that, in violation of these Methods without approval, engage in FPTS without prior approval, shall be reprimanded and given a warning by family planning authorities above the county level; their illegal income and drugs and equipment shall be confiscated. Those with an illegal income of more than 5,000 RMB shall be penalized with a fine of between 2-5 times of their illegal income; those without illegal income r whose illegal income is less than 5,000 RMB shall be penalized with a fine of between 5,000-20,000 RMB; those that have caused serious consequences that constitute criminal acts shall be prosecuted with criminal charges.

Article 32. FPTS institutions that, in violation of these Methods, engage without prior approval in prenatal diagnosis and use alternative techniques to treat infertility shall be reprimanded and be given a warning by public health and family planning authorities above the county level; their illegal income and drugs and equipment shall be confiscated. Those with an illegal income of more than 5,000 RMB shall be penalized with a fine equivalent to 2-5 times their illegal income; those without illegal income or whose illegal income is less than 5,000 RMB shall be penalized with a fine between 5,000-20,000 RMB. Those who may have caused serious consequences shall be penalized with a revocation of their FPTS license.

Article 33. Those who, in violation of these Methods, fail to submit their FPTS license for verification and continue to conduct FPTS shall be given an injunction by the original license-issuing organization to obtain a re-issue within a specified period of time. Those who refuse to submit their license for verification shall be penalized with a revocation of their FPTS license. Those who, in violation of these Methods, fail to submit their FPTS license for verification and continue to conduct FPTS shall be given an injunction by the original license-issuing organization to obtain a re-issue within a specified period of time. Those who refuse to submit their license for verification shall be penalized with a revocation of their FPTS license.

Article 34. Those who, in violation of these Methods, trade, lend, lease, alter or forge their FPTS license shall be reprimanded by the original license-issuing organization. Their illegal income shall be confiscated; those whose illegal income is over 3,000 RMB shall be penalized with a fine equivalent to 2-5 times their illegal income; those without illegal income or whose income is less than 3,000 RMB shall be penalized with a fine between 3,000-5,000. Those who have caused serious consequences shall be penalized with a revocation of their license by their original license-issuing body.

Article 35. Institutions offering FPTS which, in violation of Articles 3 of Chapter 1, expand the purposes of FPTS by providing contraceptive and birth control services and charge fees thereof to rural residents, shall be reprimanded and ordered to return all the fees they have collected and be given a warning. Furthermore, they shall be penalized with a fine between 2-5 times the amount they charge. Those that have been found to have caused serious consequences shall be penalized with the demotion or dismissal of their chief executives and other managers who are deemed directly responsible for the blunders.

Article 36. FPTS institutions that, in violation of these Methods, expand the scope of their FPTS business without prior approval, shall be reprimanded and given a warning. Their illegal income shall be confiscated. Those whose illegal income is in excess of 5,000 RMB shall be given a fine equivalent to 2-5 times their illegal income. Those without illegal income or whose illegal income is less than 5,000 RMB shall be given a fine between 5,000-20,000 RMB. Those who have caused serious consequences shall be penalized with a revocation of their FPTS license by their original license-issuing body.

Article 37. FPTS agencies which, in violation of these Methods, employ unlicensed personnel to engage in FPTS clinical services shall be reprimanded by public health authorities above the county level; their illegal income shall be confiscated. Those whose illegal income is in excess of 3,000 RMB shall be penalized with a fine equivalent to 1-3 times their illegal income; those with no illegal income or whose illegal income is less than 3,000 RMB shall be penalized with a fine between 3,000-5,000 RMB; those who have caused serious consequences shall be penalized with a revocation of their FPTS license by their original license-issuing body.

Article 38. FPTS agencies that produce fake certificate documents and constitute criminals shall be penalized with prosecuted with criminal charges; those who have not yet constituted criminals shall be reprimanded and be given a warning by the original certificate-issuing body. Those who have caused serious consequences shall be penalized with a revocation of their FPTS license by the original license-issuing organization.

Article 39. Family planning authorities and public health authorities which, in violation of relevant regulations, permit unqualified FPTS institutions or medical/health institutions to conduct clinical medical services in relation to family planning or those which fail to exercise their supervisory roles, or those whose illegal acts are not dealt with, thereby leading to the occurrence of major FPTS accidents, shall be penalized with a demotion or even dismissal of the chief executive, managers directly involved and others who are directly responsible. Those whose acts constitute crimes shall be prosecuted with criminal charges.

Chapter VI. Annexes

Article 40. FPTS institutions that have already been in practice before the implementation of these Methods shall formulate policies toward their employees. Professionals who have been employed to provide FPTS shall, in accordance with the provisions of these Methods, process the application, registration, approval and certification documents within three months of the implementation of these Methods.

Article 41. Individuals who provide FPTS in rural FPTS agencies or rural medical/public health institutions may, subject to conformance with these Methods, obtain a license to practice FPTS. Those who fail to meet the conditions of these Methods shall proceed in accordance with relevant regulations of the State Council. 

Article 42. These Methods shall be effective from October 1, 2001.

 

 
  Go to Top  
Country Index Page China Population Database