Haryana’s crackdown on illegal abortions: Drastic drop in sale of pregnancy termination kits shows it’s working

The state has 32 authorised wholesalers that sell MTP kits to registered MTP centres. Official data shows that between March 1 and 15, Haryana recorded the sale of 40,763 MTP kits, with a staggering 39,000 kits sold in the Sonipat district alone. The trend continued in early April, with 25,721 kits sold between April 1 and 15. However, the numbers declined drastically, with only 1,492 kits sold from April 16 to 28, and further dropping to just 470 between May 27 and June 9.

State Drug Controller Manmohan Taneja, speaking to The Indian Express, stated that wholesalers have been instructed to sell MTP kits only to authorised MTP centres and strictly on the recommendation of a registered medical practitioner. “We have mandated record-keeping for every tablet, and any violations will be dealt with strictly,” Taneja emphasised.

During a meeting of the State Task Force (STF) chaired by Haryana’s Additional Chief Secretary for Health, Sudhir Rajpal, on Tuesday, officials reported that 29 wholesalers recorded zero sales of MTP kits between June 3-9.

In April, Rajpal directed authorities to compile lists of MTP kit wholesalers and their stock, ensuring that sales are restricted exclusively to registered MTP centres. He also ordered inspections of centres conducting MTP procedures on pregnant women with two live girl children, warning that those found guilty of female feticide would face closure.

Rajpal further stressed the urgent need for action on show-cause notices issued to MTP centres, urging immediate license cancellations for gynaecologists found complicit in sex-selective abortions. To enforce the Pre-Conception and Pre-Natal Diagnostic Techniques (PC&PNDT) Act more stringently, the state has either revoked or seen the voluntary withdrawal of registrations for 300 out of 1,500 MTP centres.

Officials caution that terminating a pregnancy can be done surgically or with MTP kits, but self-administering these medications without medical supervision poses severe health risks. Illegal MTP kits, according to sources, are worsening sex-selective abortions in Haryana, exacerbating the already skewed sex ratio.

Taneja previously explained that an MTP kit consists of five tablets—one mifepristone and four misoprostol—both classified as Schedule-H drugs, meaning a valid prescription from a registered medical practitioner (RMP) is required for purchase. Kit packaging clearly warns: “To be used only under the direct supervision of a gynaecologist.”

Officials anticipate that the impact of recent initiatives will become evident by August-September, leading to an improvement in the sex ratio at birth. For the week of June 3-9 this year, the child sex ratio at birth was recorded at 943 girls per 1,000 boys.

During a State Task Force (STF) meeting on May 20, the sex ratio for the preceding week was noted at 922, while on April 10, it stood at 911 girls per 1,000 boys.

However, officials involved in the campaign emphasise that these figures reflect temporary fluctuations and suggest waiting a few more months to assess a meaningful and sustained change in the sex ratio at birth.