The document discusses two Indian government schemes - Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakram (JSSK). JSY provides cash assistance to pregnant women for institutional deliveries, with the aim of reducing maternal and infant mortality rates. It is implemented through community health workers known as ASHAs. JSSK was launched in 2011 to provide free delivery, including C-sections, and newborn care in public health institutions, removing all user fees. Both schemes aim to promote institutional births and improve access to healthcare for mothers and newborns.
3. WHAT IS JSY?
• JSY stands for Janani Suraksha yojana.
“JSY is a safe
motherhood intervention
under NRHM”
4. HOW JSY IS EVOLVED?
❖On April 11, 2003, MHFW, Gov.t of India in collaboration
of White Ribbon Alliance of India (WRAI) organised a
function to launch with the purpose of declaring the first
Janani Suraksha Diwas and for launching the Janani
Suraksha Yojana.
❖National Maternity Benefit Scheme has been modified
into a new scheme called Janani Suraksha Yojana and
launched on 12th April, 2005.
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NRHM
JANANI SURAKSHA YOJANA
JSY
ANTENATAL CHECK UP
INSTITUTIONAL CARE
IMMEDIATE
POSTPARTUM CARE
(Coordinated care)
IMR,
MMR
INSTITUTIONAL
DELIVERY
CASH
ASSISTANCE
7. SALIENT FEATURE
100 % centrally sponsored scheme
The states where there is a low rate of
institutional deliveries are classified as Low
Performing States
The success of the scheme is determined by
increase in institutional delivery
ASHA and AWW become the effective link
between Govt. and poor women
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LOW PERFORMING STATES
“Uttar Pradesh, Uttarakhand, Bihar,
Jharkhand, Madhya Pradesh, Chhattisgarh,
Assam, Rajasthan, Odisha and Jammu and
Kashmir.”
9. ❖Identify pregnant women as a beneficiary of the
scheme.
❖Help the women in receiving at least three ANC
checkups including TT injection, IFA tab.
❖Identify a functional Govt. health center or
accredited private health institution
ROLE OF ASHA
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Cont..
❖Counsel for institutional delivery.
❖Fill up JSY card atleast 16-20 weeks before EDD.
❖Escort the beneficiary.
❖Arrange to immunize the newborn.
❖Inform about the birth or death of the child or
mother to the ANM/MO.
❖Postnatal visit within 7 days of delivery.
❖Counsel for initiation of breast feeding.
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CRITERIA FOR ASHA INCENTIVES IN
RURAL AREA
For referral transport to nearest hospital
should not less than Rs.250/-
Cash incentive per delivery should not less
than Rs.250/-
Get her money after immunize the child with
BCG
Balance amount should be pay in lieu of her
service rendered by her
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ELIGIBILITY OF CASH ASSISTANCE
In LPS:-
All women delivering in government
health centres or accredited private hospital.
In HPS:-
Below poverty line women, 19 year
age and above, the SC and ST women.
16. ➢IN LPS:
All births, delivered in health centre,
government or accredited private hospital.
➢IN HPS:
Benefit is only upto two live births.
LIMITATION OF CASH ASSISTANCE FOR
INSTITUTIONAL DELIVERY
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IMPLEMENTATION OF JSY
NATIONAL STATE DISTRICT
UMHFW SHM DHM
MISSION
DIRECTOR
STATE NODAL
OFFICER
DISTRICT
NODAL OFFICER
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MONITORING OF THE SCHEME
▪ Monthly meeting of all ASHAs or health workers working
under an ANM should be held by the ANM on one day of
every month. Monthly reports and Annual reports also
need to be submitted to the department in a format
decided by the government for the effective monitoring at
the government level.
▪ During the year 2012 – 13, about 1.6crore pregnant women
were benefitted from the scheme.
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WHAT IS JSSK?
“A new national initiative, to make
available better health facilities for women
and child, launched on 1st June 2011 by Govt.
of India.”
21. ❖It invokes a new approach to health care,
placing utmost emphasis on entitlements and
elimination of out-of-pocket expenses for both
pregnant women and sick neonates.
❖This initiative entitles all pregnant women
delivering in public health institutions to
absolutely free and no expense delivery,
including caesarean section.
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ENTITLEMENTS FOR PREGNANT
WOMEN
➢Free and zero expense delivery and CS.
➢Free drugs and consumables.
➢Free essential diagnostics.
➢Free diet.
➢Free provision of blood.
➢Free transport.
➢Exemption from all kind of user charges.
23. ➢Free and zero expense treatment.
➢Free drugs and consumables.
➢Free diagnostics.
➢Free provision of blood.
➢Free transport.
➢Exemption from all kind of user charges.
ENTITLEMENTS FOR SICK
NEWBORN
24. MONITORING AND EVALUATION OF JSSK
• At National level by National Health System
Resource System under guidance and
support from maternal health division,
MHFW, Govt. of India.
• At the State and District level by the State
Nodal Officer and District Nodal Officer.