Janani Suraksha Yojana is launched by the Indian government on 2 April 2005 by the Prime Minister of India on the birth anniversary of Kasturba Gandhi. It is being implemented with the objective of reducing maternal and infant mortality by promoting institutional delivery among pregnant women. The scheme is under implementation in all states and Union Territories (UTC), with a special focus on the Low Performing States (LPS).
When JSY was launched the financial assistance of Rs. 500/-, which was available uniformly throughout the country to BPL pregnant women under NMBS, was replaced by the graded scale of assistance based on the categorization of States as well as whether the beneficiary was from the rural/urban area. States were classified into the Low Performing States and the High Performing States on the basis of institutional delivery rate i.e. states having institutional delivery 25% or less were termed as Low Performing States (LPS) and those which have an 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 the Low Performing States. The remaining States were grouped into the High Performing States
The Yojana has identified ASHA (Accredited Social Health Activist), 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 have been engaged in this purpose, she can be associated with this Yojana for providing the services.
Role of ASHA or other link health worker associated with JSY would be to:
- Identify pregnant woman as a beneficiary of the scheme and report or facilitate registration for ANC.
- Assist the pregnant woman to obtain necessary certifications wherever necessary.
- Provide and/or help the women in receiving at least three ANC checkups including TT injections, IFA tablets.
- Identify a functional Government health centre or an accredited private health institution for referral and delivery.
- Counsel for institutional delivery.
- Escort the beneficiary women to the pre-determined health centre and stay with her until the woman is discharged.
- Arrange to immunize the newborn till the age of 14 weeks.
- Inform about the birth or death of the child or mother to the ANM/MO.
- Postnatal visit within 7 days of delivery to track mother’s health after delivery and facilitate in obtaining care, wherever necessary.
- Counsel for initiation of breastfeeding to the newborn within one-hour of delivery and its continuance till 3-6 months and promote family planning.
Main features of Janani Suraksha Yojana:
- 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 the number of children.
- If the mother or her husband, of their own will, undergo sterilization, immediately after the delivery of the child, compensation money available under the existing Family welfare scheme should also be disbursed to the mother at the hospital itself.
- In order to increase the choice of delivery care institutions, at least two willing private institutions per block should be ac willing private institutions per block credited to provide delivery services. State and the district authorities should draw up a list of criterion/protocols for such accreditation.
- For women living in tribal and hilly districts, it becomes difficult to access PHC/CHCs for maternal care or delivery. A well-equipped sub-centre is a better option for normal delivery. Deliveries conducted in subcenters, which are accredited by the state/district authorities will be considered as institutional delivery and therefore, women delivering in these centres would be eligible for all cash assistance under JSY.
- Up to 4 % and 1% of the fund released could be utilized towards administrative expenses like monitoring, IEC and office expenses for implementation of JSY by the district and state authorities respectively.
- Each beneficiary registered under this Yojana should have a JSY card along with an 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.