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JANANI SURAKSHA YOJANA (JSY)
Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Rural Health Mission (NRHM) being implemented with the objective of reducing maternal and neo-natal mortality by promoting institutional delivery among the poor pregnant women. The Yojana, launched on 12th April 2005, by the Hon’ble Prime Minister, is being implemented in all states and UTs with special focus on low performing states.
2. JSY is a 100 % centrally sponsored scheme and it integrates cash assistance with delivery and post-delivery care. The success of the scheme would be determined by the increase in institutional delivery among the poor families
3. The Yojana has identified ASHA, the accredited social health activist as an effective link between the Government and the poor pregnant women in l0 low performing states, namely the 8 EAG states and Assam and J&K and the remaining NE States. In other eligible states and UTs, wherever, AWW and TBAs or ASHA like activist has been engaged in this purpose, she can be associated with this Yojana for providing the services.
3.1 Role of ASHA or other link health worker associated with JSY would be to:
F Identify pregnant woman as a beneficiary of the scheme and report or facilitate registration for ANC,
F Assist the pregnant woman to obtain necessary certifications wherever necessary,
F Provide and / or help the women in receiving at least three ANC checkups including TT injections, IFA tablets,
F Identify a functional Government health centre or an accredited private health institution for referral and delivery,
F Counsel for institutional delivery,
F Escort the beneficiary women to the pre-determined health center and stay with her till the woman is discharged,
F Arrange to immunize the newborn till the age of 14 weeks,
F Inform about the birth or death of the child or mother to the ANM/MO,
F Post natal visit within 7 days of delivery to track mother’s health after delivery and facilitate in obtaining care, wherever necessary,
F Counsel for initiation of breastfeeding to the newborn within one-hour of delivery and its continuance till 3-6 months and promote family planning.
4. Important Features of JSY:
4.1 The scheme focuses on the poor pregnant woman with special dispensation for states having low institutional delivery rates namely the states of Uttar Pradesh, Uttaranchal, Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Assam, Rajasthan, Orissa and Jammu and Kashmir. While these states have been named as Low Performing States (LPS), the remaining states have been named as High performing States (HPS).
4.2 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. Please see Annexure – I. This will effectively help in monitoring Antenatal Check-up, and the post delivery care.
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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