Janani Suraksha Yojana
              (JSY)




State Institute of Health & Family Welfare,
                    Jaipur
JSY

• A safe motherhood intervention, replacing
  the “National Maternity Benefit Scheme”,
  under NRHM
• 100 % centrally...
JSY: Vision



Ø To promote Institutional Deliveries
Ø To reduce overall
      • Maternal Mortality Ratio
      • Infant M...
JSY: Strategy
•   Early registration
•   Identification of complicated cases
•   3 ANC & PNC visits
•   Organizing referra...
JSY: Key features
States/UTs classified as:
Ø Low performance States (LPS)
   • States covered- 10
      • 8 EAG states
  ...
JSY: Key features
Ø Assistance for Caesarean Section –
  Rs.1500/-
Ø Compensation payment for
  Tubectomy/Laparoscopy
Ø Di...
Role of ASHA
•   Identify pregnant woman
•   Facilitate registration
•   Assist in obtaining BPL certification
•   Provide...
JSY: Key features
Ø Tracking Pregnancy
Ø Micro birth plan: Informing mother about
     • Inform dates of 3 ANC & TT Inject...
• Cash assistance also given for deliveries at
  accredited pvt. Institutions, but the beneficiary
  has to pay the total ...
JSY: Eligibility for cash assistance
LPS States   All    pregnant      women       delivering      in
             Governm...
Scale of assistance for ID

Catego Rural Area                    Total Urban Area                Total
ry

       Mother’ ...
Cash Payments under JSY
Ø To expectant mother
     • All payments in one installment (except BPL)
     • Responsibility of...
JSY: Special approach for LPS

• Age restriction removed
• Restricting benefits of JSY up to 2 births
  removed. In other ...
JSY: ID performance
                (in Lakhs)
         Year                       India         Rajasthan
              0...
Number of JSY beneficiaries
                    (in Lakhs)

                    Year                         India Rajasth...
Role of DACs
• Create database of ASHA
• Liaise with district level stakeholders for
  mobilizing support
• Supervision an...
Role of DACs
• Compilation of monthly report with the help of
  Data Assistant of DPMU.
• Dissemination of guidelines rela...
Role of DPM

• Develop annual plan - ASHA selection &
  training
• Annual targets for CHC-PHC
• Adoption and implementatio...
Thank You


For more details log on to
www. sihfwrajasthan.com
             or
 contact : Director-SIHFW
            on

 ...
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JSY

  1. 1. Janani Suraksha Yojana (JSY) State Institute of Health & Family Welfare, Jaipur
  2. 2. JSY • A safe motherhood intervention, replacing the “National Maternity Benefit Scheme”, under NRHM • 100 % centrally sponsored • Integrates cash assistance with delivery & post-delivery care. SIHFW: an ISO9001: 2008 certified institution 2
  3. 3. JSY: Vision Ø To promote Institutional Deliveries Ø To reduce overall • Maternal Mortality Ratio • Infant Mortality Rate SIHFW: an ISO9001: 2008 certified institution 3
  4. 4. JSY: Strategy • Early registration • Identification of complicated cases • 3 ANC & PNC visits • Organizing referral services and transport • Convergence with ICDS - involving AWW • Transparent & timely disbursement of cash • 24 X 7 delivery services at PHC • Making FRUs functional • Building partnership SIHFW: an ISO9001: 2008 certified institution 4
  5. 5. JSY: Key features States/UTs classified as: Ø Low performance States (LPS) • States covered- 10 • 8 EAG states • Assam • J& K Ø High Performance States (HPS) Ø Cash assistance linked to ID Ø Incentive to ASHA SIHFW: an ISO9001: 2008 certified institution 5
  6. 6. JSY: Key features Ø Assistance for Caesarean Section – Rs.1500/- Ø Compensation payment for Tubectomy/Laparoscopy Ø Disbursement of cash assistance Ø Partnership with private sector Ø Provision to meet administrative expenses SIHFW: an ISO9001: 2008 certified institution 6
  7. 7. Role of ASHA • Identify pregnant woman • Facilitate registration • Assist in obtaining BPL certification • Provide/help for 3 ANC • Counsel for ID • Organize delivery care • Counsel for initiation of breast feeding • Assist immunization of new born • Motivator of family planning SIHFW: an ISO9001: 2008 certified institution 7
  8. 8. JSY: Key features Ø Tracking Pregnancy Ø Micro birth plan: Informing mother about • Inform dates of 3 ANC & TT Injection (s) and ensure these are provided, • Identify the health centre for all referral, • Identify the Place of Delivery, • Inform expected date of delivery. Ø Cash assistance Ø Assistance for Home delivery Ø Private institutions accredited Ø Monitoring & Feedback mechanism SIHFW: an ISO9001: 2008 certified institution 8
  9. 9. • Cash assistance also given for deliveries at accredited pvt. Institutions, but the beneficiary has to pay the total cost • No incentive for ASHA for accompanying to pvt. Institution • For home delivery cash assistance is 500/- in rural areas and in urban areas only BPL card holders are give the amount SIHFW: an ISO9001: 2008 certified institution 9
  10. 10. JSY: Eligibility for cash assistance LPS States All pregnant women delivering in Government health centres like Sub-centre, PHC/CHC/ FRU / general wards of District and state Hospitals or accredited private institutions HPS States BPL pregnant women, aged 19 years and above LPS & HPS All SC and ST women delivering in a government health centre like Sub-centre, PHC/CHC/ FRU / general ward of District and state Hospitals or accredited private institutions SIHFW: an ISO9001: 2008 certified institution 10
  11. 11. Scale of assistance for ID Catego Rural Area Total Urban Area Total ry Mother’ ASHA’s Rs. Mother’ ASHA’s Rs. s Package s Package Packag Packag e e LPS 1400 600 2000 1000 200 1200 HPS 700 700 600 600 SIHFW: an ISO9001: 2008 certified institution 11
  12. 12. Cash Payments under JSY Ø To expectant mother • All payments in one installment (except BPL) • Responsibility of disbursement-ANM / ASHA Ø To ASHA or equivalent worker • In 2 installments • Advance • Balance in 2 installments • 50% on discharge of JSY beneficiary • 50% after one month - (PNC, BCG, New born registration Ø Cause of delay to be dealt seriously Ø Display of names of JSY beneficiaries SIHFW: an ISO9001: 2008 certified institution 12
  13. 13. JSY: Special approach for LPS • Age restriction removed • Restricting benefits of JSY up to 2 births removed. In other words, the benefits of the scheme are extended to all pregnant women in LPS states irrespective of birth orders. • No need for any marriage or BPL certification provided woman delivers in Government or accredited private health institution. SIHFW: an ISO9001: 2008 certified institution 13
  14. 14. JSY: ID performance (in Lakhs) Year India Rajasthan 05-06 38.68 5.37 06-07 46.67 7.23 07-08 64.12 10.19 08-09 62.86 11.36 6.79 09-10 39.32 (30th Nov.’09) 45.5% Source: NFHS III (DLHS 3, 2007-08 SIHFW: an ISO9001: 2008 certified institution 14
  15. 15. Number of JSY beneficiaries (in Lakhs) Year India Rajasthan 05-06 1.74 0.05 06-07 15.36 3.88 07-08 45.75 7.75 08-09 59.15 9.17 09-10 (30th Nov.’09) 37.72 5.84 Source: NFHS III SIHFW: an ISO9001: 2008 certified institution 15
  16. 16. Role of DACs • Create database of ASHA • Liaise with district level stakeholders for mobilizing support • Supervision and monitoring of the ASHAs, NGOs and Block ASHA facilitators and PHC ASHA Supervisors. • Attend ASHA meetings at block and PHC. • Prepare annual training plan of ASHA for different rounds. SIHFW: an ISO9001: 2008 certified institution 16
  17. 17. Role of DACs • Compilation of monthly report with the help of Data Assistant of DPMU. • Dissemination of guidelines related to ASHA to all functionaries at different levels. • Follow up with Block ASHA facilitators/ BPMs on the progress of assigned job. • Monitor timely payments of ASHAs • Monitor physical and financial progress of the component. • Field visits SIHFW: an ISO9001: 2008 certified institution 17
  18. 18. Role of DPM • Develop annual plan - ASHA selection & training • Annual targets for CHC-PHC • Adoption and implementation of plan & fund flow • Support DAC in developing plans. • Monitor physical & financial progress of the component. SIHFW: an ISO9001: 2008 certified institution 18
  19. 19. Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in

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