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Janani Suraksha Yojana(JSY)
State Institute of Health & Family Welfare, Jaipur
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SIHFW: an ISO: 9001 certified Institution 2
JSY: Vision
To Promote Institutional Deliveries
To reduce overall
Maternal Mortality ratio
Infant Mortality Rate
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JSY
A safe motherhood intervention,replacing the Maternity BenefitScheme, under the NationalRural Health Mission (NRHM)
100 % centrally sponsored scheme
integrating cash assistance withdelivery and post-delivery care
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Target Group
All pregnant women of the age 19 yrs andabove from BPL families up to 2 livebirths
All women from BPL families of 10 LPS (8EAG plus Assam and J&K) even afterthird live birth
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JSY: Strategy
Early registration Identification ofcomplicated cases
3 ante-natal & post-natal visits
Organizing referral services and transport
Convergence with IMCD (ICDS) -involvingAnganwadi workers
Transparent & Timely disbursement of cash
assistance and incentive to ASHA from fundsavailable with Female Health Worker
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24 X 7 delivery services at PHC
Making FRUs functional to provideEmergency Obstetric services
Building partnership through a process ofrecognition/ accreditation of Professional,Institutions in private sector specially inrural areas
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JSY: Key Features
Number of States covered- 10 8 EAG (Economic Action Group) States
Assam
J& K
Categories under which 10 States are put-
High Performance States (HPS)
Low performance States (LPS)
Cash assistance linked to Institutional deliveryCash assistance in Graded scale
Tracking Pregnancy
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Micro birth plan: Informing mother about
Inform dates of 3 ANC & TTInjection (s) and ensure theseare provided
Identify the health centre for all
referralIdentify the Place of Delivery
Inform expected date of delivery
Cash assistance
Assistance for Home delivery
Private institutions accredited
Monitoring & Feedback mechanism
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Category Rural Area Urban Area
Assistance toMother
Packageto ASHA
Total Assistance toMother
Packageto ASHA
Total
LPS 700/- 600/- 1300 600 200 800
HPS 700 nil 700
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JSY: Cash assistance
Assistance for Caesarean section- 1500/- percase for hiring services of private expert incases of Facility for C/S not available at FRU/
CHCCompensation payment for Tubectomies/
Laparoscopy
Disbursement of cash assistance at the earliest
Impress of 5000/- with Female Healthworker
Cash advance of 1500/- with ANM at anypoint in time
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Partnership with Private Sector - Empanel atleast 2 private institutions
Provision to meet administrative expenses (7% (4% district, 2% for state & 1% nodal
ministry) of the fund released to State is tobe used for administrative expenses towards
monitoring and IEC monitoring and IEC
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Cash Payments under JSY
To expectant mother
All payments in one installment
Responsibility of disbursement-ANM/ ASHA
To ASHA or equivalent worker
In 2 installments
Advance
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Balance in 2 installments
50% on discharge ofJSY beneficiary
50% after one month
- (PNC, BCG, Newborn registration
Cause of delay to be dealt seriously
Display of names of JSY beneficiaries
(mandatory) at SC, PHC and localPanchayat office
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JSY: Eligibility for Cash Assistance
LPS States All pregnant women delivering in Governmenthealth centres like Sub-centre, PHC/CHC/ FRU /general wards of District and state Hospitals oraccredited private institutions
HPS States BPL pregnant women, aged 19 years and above
LPS & HPS All SC and ST women delivering in agovernment health centre like Sub-centre,PHC/CHC/ FRU / general ward of District andstate Hospitals or accredited private institutions
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Scale of Assistance for ID
CategoryRural Area Total Urban Area Total
Mothers
Package
ASHAs
Package
Rs. Mothers
Package
ASHAs
Package
Rs.
LPS 1400 600 2000 1000 200 1200
HPS 700 700 600 600
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JSY: Special Approach for LPS
Age restriction removed
Restricting benefits of JSY up to 2 birthsremoved. In other words, the benefits of the
scheme are extended to all pregnant womenin LPS states irrespective of birth orders
No need for any marriage or BPL certificationprovided woman delivers in Government or
accredited private health institution
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JSY: ID Performance
Year India Rajasthan
2005-06 7.04
2006-07 31.58
2007-08 73.29
2008-09 83.78
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Role of ASHA under JSY
Identify pregnant woman and facilitate registrationfor ANC
Assist the pregnant woman to obtain necessarycertifications wherever necessary
Provide and / or help the women in receiving atleast three ANC checkups including TT injectionIFA tablets
Identify a functional Government health centre or
an accredited private health institution for referrand delivery
Counsel for institutional delivery
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Escort the beneficiary women to the pre-determinedhealth center and stay with her till the woman is
dischargedArrange to immunize the newborn till the age of 14
weeks
Inform about the birth or death of the child or mother to
the ANM/MOPost natal visit within 7 days of delivery to track
mothers health after delivery and facilitate inobtaining care, wherever necessary
Counsel for initiation of breastfeeding to the newbornwithin one-hour of delivery and its continuance till 3-6months and promote family planning
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Role of DACs
Create database of ASHALiaise with district level stakeholders for mobilizing
support
Supervision and monitoring of the ASHAs, NGOsand Block ASHA facilitators and PHC ASHASupervisors
Attend ASHA meetings at block and PHC
Prepare annual training plan of ASHA for differentrounds
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Compilation of monthly report with the help of Data
Assistant of DPMUDissemination of guidelines related to ASHA to all
functionaries at different levels
Follow up with Block ASHA facilitators/ BPMs onthe progress of assigned job
Monitor timely payments of ASHAs
Monitor physical and financial progress of the
componentField visits
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Role of DPM
Develop annual plan for selection and training
for ASHADrafting of annual targets for CHC-PHC wise
ASHA to achieve the health targets of Districtlike; sterilization, institutional deliveries and
immunization etcEnsure adoption and implementation of plan and
fund flow at local level
Support District ASHA Coordinator in developinglocalised implementation plans
Monitor physical and financial progress of thecomponent
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Thank You