The Janani Suraksha Yojana (JSY) program provides cash assistance to promote institutional delivery among pregnant women. It aims to reduce maternal and infant mortality. The document outlines that JSY replaces an earlier program and is fully funded by the central government. It integrates cash payments with delivery and post-natal care. States are classified as Low or High Performing, and cash benefits differ based on these categories and place of delivery. The roles of ASHA workers and various administrative bodies in implementing JSY are also summarized.

1. Janani Suraksha Yojana
(JSY)
State Institute of Health & Family Welfare,
Jaipur

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.
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3. JSY: Vision
Ø To promote Institutional Deliveries
Ø To reduce overall
• Maternal Mortality Ratio
• Infant Mortality Rate
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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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
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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.
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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
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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.
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19. Thank You
For more details log on to
www. sihfwrajasthan.com
or
contact : Director-SIHFW
on
sihfwraj@yahoo.co.in