Janani Suraksha Yojana (JSY

)

State Institute of Health & Family Welfare, Jaipur

JSY: Vision

Ø To Promote Institutional Deliveries Ø To reduce overall ØMaternal Mortality ratio ØInfant Mortality Rate

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JSY
Ø A safe motherhood intervention, replacing the “Maternity Benefit Scheme”, under the National Rural Health Mission (NRHM)

Ø 100 % centrally sponsored scheme integrating cash assistance with delivery and post-delivery care •
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Target Group
Ø All pregnant women of the age 19 yrs and above from BPL families up to 2 live births
Ø

Ø All women from BPL families of 10 LPS (8 EAG plus Assam and J&K) even after third live birth Ø

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JSY: Strategy
Ø Early registration Ø Identification of complicated cases Ø 3 ante-natal & post-natal visits Ø Organizing referral services and transport Ø Convergence with IMCD (ICDS) -involving Anganwadi workers Ø Transparent & Timely disbursement of cash assistance and incentive to ASHA from funds available with Female Health Worker

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Ø 24 X 7 delivery services at PHC Ø Making FRUs functional to provide Emergency Obstetric services Ø Building partnership through a process of recognition/ accreditation of Professional, Institutions in private sector specially in rural areas

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JSY: Key Features

Ø Number of States covered- 10 Ø 8 EAG (Economic Action Group) States Ø Assam Ø J& K Ø Categories under which 10 States are putØ High Performance States (HPS) Ø Low performance States (LPS) Ø Cash assistance linked to Institutional delivery Ø Cash assistance in Graded scale Ø Tracking Pregnancy

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Ø Micro birth plan: Informing mother about ØInform dates of 3 ANC & TT Injection (s) and ensure these are provided ØIdentify the health centre for all referral ØIdentify the Place of Delivery ØInform expected date of delivery Ø Cash assistance Ø Assistance for Home delivery Ø Private institutions accredited Ø Monitoring & Feedback mechanism
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Category

Rural Area

Urban Area

LPS HPS

Assistan Package Total Assistanc Package Total ce to to ASHA e to to ASHA Mother Mother 700/600/1300 600 200 800 700 nil 700

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JSY: Cash assistance
Ø Assistance for Caesarean section- 1500/- per case for hiring services of private expert in cases of Facility for C/S not available at FRU/ CHC Ø Compensation payment for Tubectomies/ Laparoscopy Ø Disbursement of cash assistance at the earliest ØImpress of 5000/- with Female Health worker ØCash advance of 1500/- with ANM at any point in time
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Ø Ø Partnership with Private Sector - Empanel at least 2 private institutions Ø Provision to meet administrative expenses Ø (7% (4% district, 2% for state & 1% nodal ministry) of the fund released to State is to be used for administrative expenses towards monitoring and IEC monitoring and IEC

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Cash Payments under JSY
Ø To expectant mother ØAll payments in one installment ØResponsibility of disbursementANM/ ASHA Ø To ASHA or equivalent worker ØIn 2 installments ØAdvance

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ØBalance in 2 installments Ø50% on discharge of JSY beneficiary Ø50% after one month - (PNC, BCG, New born registration Ø Cause of delay to be dealt seriously Ø Display of names of JSY beneficiaries (mandatory) at SC, PHC and local Panchayat office


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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 BPL pregnant women, aged 19 years and above 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

HPS States LPS & HPS

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Scale of Assistance for ID
CategoryRural Area Mother’s ASHA’s Package Package Total Urban Area Rs. Mother’s ASHA’s Package Package Total Rs.

LPS HPS

1400 700

600

2000 1000 700 600

200

1200 600
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SIHFW: an ISO: 9001 certified Institution

JSY: Special Approach for LPS
Ø Age restriction removed Ø 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 Ø No need for any marriage or BPL certification provided woman delivers in Government or accredited private health institution Ø
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JSY: ID Performance
Year 2005-06 2006-07 2007-08 2008-09 India 7.04 31.58 73.29 83.78 Rajasthan

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Role of ASHA under JSY Ø Ø Identify pregnant woman and facilitate registration for ANC Ø Assist the pregnant woman to obtain necessary certifications wherever necessary Ø Provide and / or help the women in receiving at least three ANC checkups including TT injections IFA tablets Ø Identify a functional Government health centre or an accredited private health institution for referra and delivery Ø Counsel for institutional delivery
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Ø Escort the beneficiary women to the pre-determined health center and stay with her till the woman is discharged Ø Arrange to immunize the newborn till the age of 14 weeks Ø Inform about the birth or death of the child or mother to the ANM/MO Ø Post natal visit within 7 days of delivery to track mother’s health after delivery and facilitate in obtaining care, wherever necessary Ø Counsel for initiation of breastfeeding to the newborn within one-hour of delivery and its continuance till 3-6 months and promote family planning Ø
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Role of DACs
Ø Create database of ASHA Ø Liaise with district level stakeholders for mobilizing support Ø Supervision and monitoring of the ASHAs, NGOs and Block ASHA facilitators and PHC ASHA Supervisors Ø Attend ASHA meetings at block and PHC Ø Prepare annual training plan of ASHA for different rounds

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Ø Compilation of monthly report with the help of Data Assistant of DPMU Ø Dissemination of guidelines related to ASHA to all functionaries at different levels Ø Follow up with Block ASHA facilitators/ BPMs on the progress of assigned job Ø Monitor timely payments of ASHAs Ø Monitor physical and financial progress of the component Ø Field visits

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Role of DPM
Ø Develop annual plan for selection and training for ASHA Ø Drafting of annual targets for CHC-PHC wise ASHA to achieve the health targets of District like; sterilization, institutional deliveries and immunization etc Ø Ensure adoption and implementation of plan and fund flow at local level Ø Support District ASHA Coordinator in developing localised implementation plans Ø Monitor physical and financial progress of the component Ø SIHFW: an ISO: 9001 certified Institution 22

  

Thank You

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