Jsy (Janani Suraksha Yojana)

1. Janani Suraksha Yojana
Mrs.Nagamani.T
Dept of Community Health Nursing
Quality Health care College of Nursing

2. Introduction
 Janani Suraksha Yojana (JSY) is a safe motherhood
intervention launched under National Rural Health Mission
(NRHM) on 12th April 2005, by the Hon’ble Prime Minister.
 JSY is a 100 % centrally sponsored scheme and it
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.

3. Objective
To reduce maternal and neo-natal
mortality
To promote institutional delivery
among the poor pregnant women

4. 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;

5. Strategy….
 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 Activist (ASHA)
or an equivalent worker with fund available with ANM.

6. The strategy also involves…
 Operationalization of 24/7 delivery services at PHC level to
provide basic obstetric care,
 Operationalization of First Referral Units (FRUs) to provide
the emergency obstetric care,
 Building partnerships through a process of
recognition/accreditation with doctors, hospitals/nursing
homes/clinics from the private sector specially in the rural
areas to provide obst. services to the JSY beneficiaries.

7. Features of JSY
 States/UTs have been classified into two categories
based on the institutional delivery rate.
 The 10 states namely Uttar Pradesh, Uttarakhand,
Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh,
Assam, Rajasthan, Orissa, and Jammu and Kashmir
would constitute Low Performing States (LPS) and the
rest High Performing States (HPS).

8.  Cash assistance linked to Institutional Delivery:
Cash assistance will be provided to the
beneficiaries availing antenatal, intranatal and
postnatal services in health centres/hospitals.
 The beneficiaries will be encouraged to register
themselves with the health workers at the sub
centre/Anganwadi/ Primary health centres for
availing of atleast three antenatal checkups, post-
natal care and neo-natal care, the disbursement of
enhanced benefits under the scheme will be linked
to institutional delivery.

9.  Cash Assistance in the graded scale. One of the
accepted strategies for reducing maternal mortality
is to promote deliveries at health institutions by
skilled personnel like doctors and nurses.
Accordingly, cash assistance is to be provided to
women from Below Poverty Line (BPL) families, for
enabling them to deliver in health institutions.

10.  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. This will
effectively help in monitoring Antenatal
Check-up, and the post delivery care.

11.  Eligibility for Cash Assistance: BPL
Certification – This is required in all HPS
states. However, where BPL cards have not yet
been issued or have not been updated,
States/UTs would formulate a simple criterion
for certification of poor and needy status of
the expectant mother’s family by empowering
the gram pradhan or ward member.

12.  Incentive to the ASHA or an equivalent worker:
ASHA or an equivalent worker should be working as a
basic health provider in the village. Such workers
functioning in the rural and urban areas would get
an incentive in all the low performing states for
providing certain essential support services.

13. Scale of Cash Assistance for Institutional
Delivery:
*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.
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

14. Disbursement of Cash Assistance: As
the cash assistance to the mother is
mainly to meet the cost of delivery, it
should be disbursed effectively at the
institution itself.

15.  Compensation payment for Tubectomy/ Laparoscopy:
If hospitalization for delivery is followed immediately
by Tubectomy/ laparoscopy, compensation money
available under the Family welfare scheme would also
be paid to JSY beneficiary in the health centre as per
the existing procedure followed for payment of
compensation money

16.  Partnership with Private Sector: Acknowledging
that infrastructural facilities in the public sector are
not adequate, States/Union Territories would devise
mechanism to recognize hospitals/nursing homes/
clinics from Private Sector for providing obstetric
care services to the JSY beneficiaries. Once that is
done, benefits proposed under Janani Suraksha
Yojana would also be available to eligible women
delivering in the accredited health institutions.

17. Eligibility Criteria for JSY
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

18. JSY- Facts from 2005- 2015
 The no. of beneficiaries under Janani Surakshsa Yojana has increased
manifold i.e. from 7.38 lakh beneficiaries in 2005-06 to 104.38 lakhs in
2014-15, itself is an indicator of high awareness levels among the pregnant
women about the scheme.
 Also the fact that about 9 lakh ASHA workers get performance based
incentives under JSY for motivating pregnant women to give birth in a
health facility is an indication of high awareness about the scheme.
 Further, out of the total JSY beneficiaries reported in 2014-15, a large
majority of (nearly 87%) beneficiaries belong to rural areas.
- Source: Registrar General of India

19. Role of ASHA in JSY
 Each village of 1000 population is expected to have one
ASHA or an equivalent worker registered with the sub-centre
and the PHC of that concerned village, who would be
working under the supervision of the ANM and in tandem
with the AWW. Under JSY, her main role would be:
 To organize delivery care services for the registered
expectant mother,
 To assist in immunization of the new born and
 To act as a propagator/motivator of family planning
services.

20. ASHA or an equivalent worker under supervision of
ANM/AWW would have the following role:
 Identify pregnant woman from BPL families as a
beneficiary of the scheme,
 Report to the ANM and bring the women to the sub-
centre/PHC for registration,
 Assist the woman to obtain BPL certification if BPL
card is not available,

21.  Provide and / or help the women to receive at least
three ANC,
 Counsel for institutional delivery and fix before 7th
month of pregnancy the place of delivery, in close
consultation with the ANM and the PHC and inform
the beneficiary,
 Assist in receiving two TT injection,
 When the pregnant woman is in labour or faces
complication, escort the women to the pre-
determined health centre and stay with her till the
delivery is complete and woman is discharged,

22.  Arrange to immunize the newborn till the
age of 10 weeks,
 Register birth or death of the child or
mother,
 Post natal visits within 7 days of pregnancy
and track mother’s health,
 Counsel for initiation of breastfeeding
within one-hour of delivery and its
continuance till 3-6 months.

23. References:
 https://www.nhp.gov.in/janani-suraksha-yojana-jsy-_pg
 https://nhm.gov.in/index1.php?lang=1&level=3&sublinkid=841&lid=309
 https://pib.gov.in/newsite/printrelease.aspx?relid=123992
 http://www.pacsindia.org/projects/health-and-nutrition/jsy-maternal-
health-scheme
 www.ilo.org/dyn/travail/docs/683/JananiSurakshaYojanaGuidelines/Ministryo
fHealthandFamilyWelfare

24. Thank You