1. Presented By
Dr. Fredrick Stephen
P.G in Community Medicine

2. Introduction
 JSSK launched in June 1st 2011 in Mewat district in Haryana.
 Collaborative effort of NRHM and MoHFW
 Free services to all pregnant women & Sick neonates accessing public
health institutions.
 Cashless service to pregnant women including normal deliveries and
caesarean sections
 Treatment of sick newborn till 30 days .

3.  To be implemented in all Govt. hospitals across States and U.T
 Assured totally free maternity services up to 42 days and
newborn care up to 30 days to all beneficiaries in all Govt.
institutions.
 Irrespective of financial status e.g. BPL or not
 Entitled to receive free transport, drugs, consumables and Blood.

4. Free diet during the stay
3 days for normal delivery
7 days for caesarean section
•JSSK supplements cash initiative of JSY
• Bound to benefit 1 crore pregnant mothers and neonates
•Increase access of health care to 70 lakh mothers delivering at
home

5. Rationale for Launching
 67,000 women die every year due to Preg. Related causes
 13 lakh infants die within 1 year of birth
 9 lakh newborn die within first 4 weeks of birth
 Out of that 7 lakh neonates die within the first week

6. Current pace in decline of IMR , MMR not sufficient
to meet MDG and targets under NRHM.
•25% pregnant women Hesitate to access Health institutions
•Those who opt for institutional delivery don’t stay for more
than 48 hrs

7. Factors affecting Accessibility
High out of pocket (OOP) expenses on …
 User charges for OPD, diagnostic tests, blood etc
 Purchasing of medicines and other consumables
 Escalating Cost of caesarean operations
 Logistics
 Non availability of proper diet in most institutions

8. Goals of JSSK
 Provision of maternal and newborn care
 A continuum of care approach,
 Ensuring care during critical periods of delivery and
postnatal period
 Addresses the need of the mother and the newborn
 Ensure a seamless transition from home and village to
facility and back again.

9. Entitlement for Pregnant Women
•Free and zero expense delivery & cesarean section
• Free drugs and consumables
• Free essential and desirable diagnostics (Blood & urine tests, USG, etc)
during Ante Natal Care, Intra Natal Care and Post Natal care
• Free diet
• Free provision of blood
• Free transport – home to hospital, inter hospital and drop back to home
• Exemption of all kinds of user charges

10. Entitlement for Sick newborn till 30 days after birth
• Free and zero expense treatment
• Free drugs and consumables
• Free essential diagnostics (Blood & urine tests, USG, etc)
• Free provision of blood
• Free transport – home to hospital, inter hospital and drop back to
home
• Exemption of all kinds of user charges

11. The “3 Ds”
 Drugs and Consumables
 All essentials to be given free of cost during ANC, INC, PNC and up to 6
weeks.
 Neonates to be given priority treatment
• Diagnostics
 All investigations required prior to normal / caesarean delivery to be made
free of cost
 Applies to neonates also
• Diet
 Non availability of diet demotivates mothers from staying for at least 48 hrs

12.  Blood
 Required for Transfusion, Anemia ,PPH, C-section e.t.c
 Will be provided free of cost without user charges
• Exemption from user charges
 OPD, Admissions, Diagnostic tests, Blood
 Exploitation by private labs
• Referral Transport
 Alleviates the pressure to leave the health facility earlier than desirable
 Obviates OOP expenses

13. Implementing the New Initiative
1. Actions at state level
2. Actions at District Level
3. Dissemination of Entitlements in Public Domain
4. Ensure Drugs and Consumables
5. Strengthen Diagnostics
6. Ensure Provision of diet
7. Ensure availability of Blood
8. Exemption from all Kinds of User Charges
9. Referral Transport
10. Grievance Redressal
11. Funds
12. Monitoring and Follow up

18. V) Strengthen Diagnostics
 Ensure lab and diagnostic facilities at all govt healthcare points
 Ensure regular pregnancy test, HB and urine routine at SC level
 Rational posting of lab techs
 Emergency investigations available round the clock in FRU onwards.
 Uninterrupted supply of lab reagents
 Local heads empowered to procure reagents in stock outs.
VI) Ensure Provision of Diet
 Cooked food to be provided up to 24x7 PHC
 Services can be outsourced.
 Local seasonal food, fruits, milk and egg can be given for proper nutrition
 MO to monitor quality of food
 Diet for 3 days for normal delivery and for 7 days in cesarean operation.
 Health facility to be provided funds for diet in advance.

19. VII) Ensure availability of blood in case of need
Time bound action plan to operationalise blood banks and blood storage units
 Maintain adequate stock of each blood group
 Ensure availability of reagents and consumables used for blood testing and
transfusion
 Mandatory screening of blood before storage
 Organize voluntary blood donation camps
 Assure electric backup and funds for POL
 Blood bank in charge to periodically visit blood storage units.

20. VIII) Exemption from all Kinds of User Fee Charges
Issue GO for Exemption from any user fee for pregnant women and sick newborn up
to 30 days at public health facilities
IX) Referral Transport
 Ensure no area left uncovered, 24x7
 Any mode of transport can be used- Govt. vehicle, 108, PPP.
 Toll free number at district / State level
 Take action in designated time frame and convey to the complainant
Maintain proper records of actions taken.
 Establish linkages for inaccessible areas
 Publicize free transport through print and electronic media
 Monitor services at each level including utilization of each vehicle & number of cases
Transported

21. X) Grievance Redressal
 Prominently display the names, address, email, tel. nos., mobile phone nos., fax nos.
of grievance Redressal authorities at facility level, district level, state level and
disseminate them widely in public domain.
Set up help desk / suggestion box, complaint box
 Keep fixed hours at least 1 hour on any two working days to meet the complainants
and address their grievances
 Take action in designated time frame and convey to the complainant
 Maintain proper records of actions taken.

22. XI) Funds
Reflect the requirement of funds in the state PIP under NRHM in addition to
resources available from state budget
XII) Monitoring and Funds
At national level Scheme will be monitored by NHSRC under MoHFW
At state and district level , respective nodal officers will monitor the progress
CMO will review the progress of the Scheme.

27. THANK YOU