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NHM Janani Suraksha Yojana (JSY) : Ministry of Health & Family Welfare

Organisation : Ministry of Health & Family Welfare
Scheme Name : Janani Suraksha Yojana (JSY)
Applicable For : Poor Pregnant Woman
Website : https://nhm.gov.in/index1.php?lang=1&level=3&lid=309&sublinkid=841

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What is Janani Suraksha Yojana?

JananiSurakshaYojana (JSY) is a safe motherhood intervention under the National Health Mission. It is being implemented with the objective of reducing maternal and neonatal mortality by promoting institutional delivery among poor pregnant women. The scheme, launched on 12 April 2005 by the Hon’ble Prime Minister, is under implementation in all states and Union Territories (UTs), with a special focus on Low Performing States (LPS).

Related / Similar Scheme : NCGTC Emergency Credit Line Guarantee Scheme (ECLGS)

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JSY is a centrally sponsored scheme, which integrates cash assistance with delivery and post-delivery care. The Yojana has identified Accredited Social Health Activist (ASHA) as an effective link between the government and pregnant women.

Features of Janani Suraksha Yojana

The Janani Suraksha Yojana scheme focuses on poor pregnant woman with a special dispensation for states that have low institutional delivery rates, namely, the states of Uttar Pradesh, Uttarakhand, Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Assam, Rajasthan, Orissa, and Jammu and Kashmir. While these states have been named Low Performing States (LPS), the remaining states have been named High Performing states (HPS).

Eligibility For JSY Cash Assistance

The eligibility for cash assistance under the JSY is as shown below:

LPS All pregnant women delivering in government health centres, such as Sub Centers (SCs)/Primary Health Centers (PHCs)/Community Health Centers (CHCs)/First Referral Units (FRUs)/general wards of district or state hospitals
HPS All BPL/Scheduled Caste/Scheduled Tribe (SC/ST) women delivering in a government health centre, such as SC/PHC/CHC/FRU/general wards of district or state hospital
LPS & HPS BPL/SC/ST women in accredited private institutions

Cash Assistance for Institutional Delivery (in Rs):
The cash entitlement for different categories of mothers is as follows:

Category Rural area  Total  Urban area  Total
Mother’s package ASHA’s package* Mother’s package ASHA’s package** (Amount in Rs.)
LPS 1400 600 2000 1000 400 1400
HPS 700 600 1300 600 400 1000

Flow of Fund:
i. State/ District authorities would advance Rs. 5000/- and Rs. Rs.10,000/- to each ANM in HPS /LPS States respectively as a recoupable impressed money from the JSY fund.
ii. This money could be kept in the joint account of ANM and Gram Pradhan, as in case of untied fund placed with sub-centers so that the ANM could ‘roll’ the entire amount by advancing Rs.1500 to Rs. 2,500/- to ASHA / AWW per delivery and later she could recoup it from the PHC or CHC, where JSY fund is parked by the authorities.
iii. There should be a clear authority for ANM to withdraw cash from this account for advancing it to the ASHA or AWW / any other health link worker, needed for ready use towards disbursement to the pregnant and also for arranging the referral transport for escorting the pregnant women to the institution

Payment To ASHA

ASHA should get her,
** First payment for the transactional cost at the health centre on reaching the institution along with the expectant mother.
** The second payment should be paid after she has made postnatal visit and the child has been immunized for BCG.

Note:
All payments to ASHA would be done by the ANM only. In this case too, a voucher scheme be introduced in such a manner that for every pregnant woman she registers under JSY, ANM would give two vouchers to ASHA, which she would be able to encash on certification by ANM.

Monitoring:
Monthly Meeting at Sub-centre Level: For assessing the effectiveness of the implementation of JSY, monthly meeting of all ASHAs / related health link workers working under an ANM should be held by the ANM, possibly on a fixed day (may be on the third Friday) of every month, at the sub-center or at any of Anganwadi Centres falling under the ANM’s area of jurisdiction. If Friday is a holiday, meeting could be held on following working day.

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