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JSY

Can be viewed at www.sihfwrajasthan.com

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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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