The Janani Shishu Suraksha Karyakram (JSSK) provides free healthcare for pregnant women and sick newborns in India. It aims to eliminate out-of-pocket expenses for delivery and newborn care, increase access to healthcare for pregnant women, and provide timely access to care for sick newborns. The program offers free delivery, C-sections, drugs, diagnostics, blood, transportation, and post-natal care for up to 6 weeks at public health institutions in all 35 states and union territories in India. Over 2 billion rupees have been allocated to expand the program and increase awareness among public and healthcare providers.

1. Janani Shishu Suraksha
Karyakram (JSSK)

2. – Eliminating out-of-pocket expenses for families of
pregnant women and sick newborns in government
health facilities
– Reaching the unreached pregnant women (nearly 75
lakh a year who still deliver at home)
– Timely access to care for sick newborns

3. – Free and cashless delivery
– Free C-section
– Free drugs and consumables
– Free diagnostics
– Free provision of blood
– Free diet during stay in health institutions
 Up to 3 days for normal delivery
 7 days for Caesarean sections
– Free transport
 Home to health institution
 Between health institutions in case ofreferral
 Drop back home after delivery
– Exemption from all kinds of user charges, including for
seeking hospital care up to 6 weeks post delivery (for
post natal complications)

4. – Free treatment at the public health institutions
– Free drugs and consumables
– Free diagnostics
– Free provision of blood
– Free transport
 Home to health institution
 Between health institutions in case of referral
 Drop back home after delivery
– Exemption from all kinds of user charges

5. have All the 35 States /UTs
implementation of the scheme
 While Rs 1437 crores was approved under
NRHM for the entitlements in 2011 -12 another
2103 crores have been sanctioned in 2012-13
for provision of free entitlements

6. awareness about the free entitlements IEC for public & greater
among all health providers
 Orientation of clinicians and doctors for using rational antibiotics
and generic drugs as per the technical guidelines not as per their
habit of writing medicines.
 Ensuring regular procurement and availability of drugs and
consumables at health institutions
 Orientation for Rational use of USG and its availability at DH, SDH,
FRUs
 Basic diagnostic facilities should be available at least at all delivery
points
 Emergency lab facilities should be at least at all DHs and FRUs.
 Monitoring of ambulance network for their optimal utilization

7. – Establish district-wise assured referral linkages; GPS fitted
vehicles; centralised control rooms
– Grievance redressal mechanism to be institutionalised to
ensure commitments are fulfilled in letter and spirit
– Financially empower the districts and facility in-charges,
particularly for emergencies / stock outs
– Periodic field visits by State & District officials for
monitoring the Implementation of free entitlements
– Review by Secretary Health/ Mission Directors in Meetings
at State and CMOs meetings at District levels