The Janani Suraksha Yojana (JSY) program was launched in 2005 as a replacement for the National Maternity Benefit Scheme with the objectives of reducing maternal and infant mortality rates by encouraging institutional deliveries. It provides cash assistance integrated with antenatal and postnatal care, targeting women below the poverty line in both rural and urban areas. The cash benefits provided vary between low and high performing states. The Janani Shishu Suraksha Karyakram (JSSK) was introduced in 2011 to provide cashless delivery and newborn care services.

2. Introduction
 It was launched on 12th April 2005.
 A safe motherhood intervention replacing
The National Maternity Benefit Scheme.
 It's 100% centrally sponsored program.
 It integrates cash assistance with delivery and post
natal care.

3. Objective
 Reduce maternal mortality rate
 Reduce infant mortality rate
 Encourage delivery at health institute
 Institutional care for women in below poverty line

4. Features
 It integrates benefits of cash assistance with
institutional care during antenatal,delivery and
immediate post partum care.
 Benefit given to all women , both rural and urban
belonging to below poverty line.
 States and UT classified as Low performing states (10)
and High performing state.

5. Cash assistance and eligibility
 The Yojana subsidizes the cost of caesarean section
and for management of obstetrics complication upto
Rs. 1500 per delivery to government institutions.

6. JSY :The package of Incentives
Low performing states
• Rs.1400 ($23)to
mothers in rural
areas
• Rs.1000 ($16) in
urban areas
• Rs. 600 ($10) to
ASHAs
Institutional
delivery
package
• Rs. 500 ($8) to
mothers- being BPL
, above 19 yrs of ages,
ST/ SC
Home
delivery
package
High performing states
• Mothers : Rs. 700
($12) in rural areas
• Rs.600 ($10) in
urban areas
• Rs.200 ($ 4) and 350
( $6) in tribal areas)
to ASHAs
Institutional
delivery
package
• Rs. 500 ($8)to
mothers- being BPL
, above 19 yrs of ages,
ST/ SC
Home
delivery
package

7. Limitation
In high performing states the benefit is only upto 2 live
births.

8. Strategy
 Early registration
 Identification of complicated cases
 3 ANC and PNC visit
 Convergence with ICDS
 Transparent and timely disbursement of cash
 24*7 delivery service at PHC
 Making FRU's functional

9. Rationale or launching
67000 women die every year due to pregnancy related
cases
30 lakh infant die within one year of birth
25% women hesitate to access health institutions.

10. Identify pregnant women
Facilitate registration
Assist in obtaining BPL certification
Provide/help for 3 ANC visit
Escort the pregnant women to health centre
Council for initiation of breast feeding
Immunization of new born
Motivate for family planning

12. Introduced on 1st June 2011
An initiative to make better health facilities for women and
child
Cashless service to pregnant women including normal delivery
and caesarean section

13. Provision of maternal and new born care
Ensuring care during critical period of delivery and post natal
period
Address the need of mother and child

14. Free and zero expense delivery and caesarean section
Free drugs and consumables
Free diet upto 3 days during normal delivery and upto 7 days for C-
section.
Free diagnostics and blood
Free transport-home to hospital, inter hospital , back to home.

15. Free and zero expense treatment
Free drugs and consumables
Free diet
Free diagnostics and blood
Free transport-home to hospital, inter hospital , back to home.

16. JSSK have helped in decreasing out of the pocket expenditure.
It will motivate those who still choose to deliver at home to opt
for institutional deliveries.