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2024 Supreme(Online)(KER) 25978

HIGH COURT OF KERALA
Devan Ramachandran, J
DR. LAXMY RAJMOHAN – Appellant
Versus
STATE OF KERALA – Respondent
WP(C) NO. 39109 OF 2023



Advocates:
For the Appellants/Petitioners: SHYAM PADMAN, C.M.ANDREWS, BOBY M.SEKHAR, LAYA MARY JOSEPH, HARISH ABRAHAM, NICHU WILLINGTON, ASHWATHI SHYAM, SWATHY SUDHIR RAM MOHAN
For the Respondents: SRI GRASHIOUS KURIAKOSE, SMT VIDYA KURIAKOSE, SMT SINDHUMOL T.P., SRI.J.G.SYAMNATH

The court upheld the requirement for Gynecologists to examine victims of vaginal penetrative sexual assault, emphasizing the need for comprehensive medical and legal support for victims while allowing them to voice specific grievances to the government.

Headnote:(A) Protection of Children from Sexual Offences Act, 2012 - Section 27 - Code of Criminal Procedure, 1973 - Section 164A - Medico-legal examination of victims of sexual offences - Petitioners, Gynecologists, challenge amendments to protocol requiring examination of vaginal penetrative sexual assault victims to be performed only by Gynecologists, asserting unintended burdens and illegality. Court emphasized the importance of comprehensive support and rapid treatment for victims, while suggesting Gynecologists may address specific grievances with authorities. (Paras 3, 10, 16, 18)

(B) Medical Ethics - Responsibilities of registered medical practitioners in sexual assault cases - The insistence on Gynecologists for immediate examination is both a practical and ethical consideration for victims' best interests. (Paras 9, 14)

Facts of the case:
The petitioners, all Gynecologists, argued that the protocol amendments unfairly imposed burdens on them and lacked a legal foundation. They highlighted that the national protocols do not restrict examinations to Gynecologists alone.

Findings of Court:
The court maintained that while the amendments are laudable, there may be a need for refinements to avoid undue burden on Gynecologists in individual cases. Victims require both legal and medical support efficiently.

Issues: The main issues were whether only Gynecologists should perform examinations of sexual assault victims and the legality of the amendments to the protocol.

Ratio Decidendi: The court found no illegality in the amendments, emphasizing that qualified practitioners, particularly Gynecologists, are necessary for comprehensive care of victims. The state’s goal of efficient medical support aligns with the amendments.

Result: Writ petition ordered without acceding to the petitioners' challenge; Gynecologists allowed to present specific grievances to the government.

Table of Content
1. introduction of case by petitioners. (Para 1 , 2)
2. petitioners argue against the amendment to the protocol. (Para 3 , 4)
3. government's defense of the amended protocol. (Para 5)
4. court's analysis emphasizes victim's perspective. (Para 6 , 7)
5. state's rationale for requiring gynecologists. (Para 8 , 9 , 10)
6. concerns about rigid enforcement of the requirement. (Para 11 , 12)
7. court's recognition of the need for potential adjustments. (Para 13 , 14 , 15)
8. government's openness to discussion with gynecologists. (Para 16 , 17)
9. court allows petitioners to address grievances. (Para 18 , 19)

JUDGMENT

The petitioners are Gynecologists working in various Government Hospital in different districts, in the State of Kerala. 2. The petitioners impugn the “Kerala Medico-legal Protocol for Examination of Survivor of Sexual Offences, 2019”, as is now sought to be amended through Ext.P7 , asserting that, if the same is implemented, they would be put to unnecessary burden and prejudice.

3. Sri.Shyam Padman, learned Senior Counsel, instructed by Smt.Laya Mary Joseph – learned counsel appearing for the petitioners, submitted that, as is evident from Ext.P7 , an unnecessary rigour has been placed on Gynecologists, by mandating that the examination of a woman/girl survivor of vaginal penetrative sexual assault should be undertaken only by such specialist because, this will distract them from other more pressing demands of their expertise and will subject them to unnecessary burden, of being required to follow the forensic protocols, even where treatment is not necessary. The learned Senior Counsel submitted that, going by Section 27 of the Protection of Children from Sexual Offences Act, 2012 (‘POCSO Act’ for short) and Section 164A of Code of Criminal Procedure, 1973 , there is no statutory mandate that only a Gynecologist should examine a woman or a girl survivor of sexual assault; and hence that the proposed amendments are illegal and unlawful, if not, the product of a improper exercise of mind, and hence liable to be set aside.

4. Learned Senior Counsel then pointed out that, going by the National Protocols that are still in force – as luculent from Ext.P2, there is no stipulation therein on a Gynecologist alone to examine a sexual assault victim and that it provides that any Registered Medical Practitioner can do so, provided that, in the case of a woman or a girl victim, every possible effort should be made to find a female doctor. Sri.Shyam Padman thus argued that the proposed amendments are totally unnecessary and that it is an exercise in confutative course because, as is manifest from Ext.P7 Government Order, they have been brought in at the instance of certain other doctors, who are not Gynecologists, who had earlier approached the Kerala Administrative Tribunal and obtained Ext.P6 order. He argued that Ext.P6 order was one delivered without hearing his client; and that, in any event, this is not a service matter, which should have seized the attention of the said Tribunal. He thus prayed that Ext.P7 , to the extent impugned, be set aside.

5. Sri.Grashious Kuriakose, learned Additional Director General of Prosecutions, instructed by Smt.Vidya Kuriakose - learned Government Pleader appearing for the official respondents, submitted that the petitioners have either approached this Court under a misconsumption or maliciously because, going by the proposed Protocols, it is only the examination of a woman/girl survivor of vaginal penetrative sexual assault, which has been mandated to be done by a Gynecologist at the first instance. He explained that this is because, it is not merely the examination and the collection of evidence which is important, but also the assessment of the best treatment to be made available to the victim, rather than driving such person from doctor to doctor for such purpose. He then explained that, in fact, going by the Protocols of the year 2015, the responsibility of examining, reporting

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