Reproductive and Child health programme,Janani Suraksha Yojana

Introduction

• Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Rural Health Mission (NHM).
• Janani Suraksha Yojana was launched in April 2005 by modifying the National Maternity Benefit Scheme (NMBS).
• Tracking Each Pregnancy: Each beneficiary registered under this Yojana should have a JSY card along with a MCH card.
• ASHA/ AWW/any other identified link worker under the overall supervision of the ANM and the MO, PHC should mandatorily prepare a micro-birth plan 

Objective

• To reduce over all maternal mortality ratio and infant mortality rate
• To increase institutional deliveries in BPL families.

Main strategy

• Early registration of the beneficiaries with the help of the village level health workers like ASHA or an equivalent worker
• Early identification of complicated cases
• Providing atleast three antenatal care, and post delivery visits
• Organizing appropriate referral and provide referral transport to the pregnant mother
• Convergence with Integrated Child Development Services (ICDS) worker by way of involving Anganwadi worker (AWW) intensively
• Devising as well as ensuring transparent and timely disbursement of the cash assistance to the mother and the incentive to the Accredited Social Health Activities

Target Group

• All pregnant women belonging to the Below Poverty Line (BPL) households and ST category
• Of the age of 19 years or above
• Up to two live births

Note :

• Benefits would be extended to all women from BPL families of 10 low performing states even after the third live birth if the mother, of her own accord, chooses to undergo sterilization in the health facility where she delivered, immediately after the delivery

Low and High Performing State

• States were classified into Low Performing States and High Performing States on the basis of institutional delivery rate
• States having institutional delivery 25% or less were termed as Low Performing States (LPS)
• Those which have institutional delivery rate more than 25% were classified as High Performing States (HPS).
• Accordingly, eight erstwhile EAG states namely Uttar Pradesh, Uttarakhand, Madhya Pradesh, Chhattisgarh, Bihar, Jharkhand, Rajasthan, Odisha and the states of Assam & Jammu & Kashmir were classified as Low Performing States.
• The remaining States were grouped into High Performing States.

Cash Assistance for Institutional Delivery (in Rs.)

• *ASHA package of Rs. 600 in rural areas include Rs. 300 for ANC component and Rs. 300 for facilitating institutional delivery
• **ASHA package of Rs. 400 in urban areas include Rs. 200 for ANC component and Rs. 200 for facilitating institutional delivery  

Cash assistance for home delivery

• BPL pregnant women, who prefer to deliver at home, are entitled to a cash assistance of Rs. 500 per delivery regardless of the age of pregnant women and number of children.