Janani Suraksha Yojana (JSY) is a safe motherhood programme for pregnant women, which offers cash incentive and institutional care during pregnancy, delivery and post-delivery period.
JSY scheme was launched with the objective of decreasing the rate of infant and maternal mortality in India and to encourage poor pregnant women to deliver in health institutions with the help of skilled doctors and nurses.
The scheme was launched on April 12, 2005 and is being implemented under the National Rural Health Mission.
All pregnant women from low performing states (LPS) who deliver in government hospitals or accredited private health institutions are eligible for getting cash assistance. The cash benefit is also extended to pregnant women from BPL families who are 19 years and above. Additionally, all ST/SC pregnant women from both LPS and high performing states (HPS) are eligible for availing scheme benefits, provided they deliver in government hospitals or accredited private health institutions.
States/UTs which have low rate of institutional deliveries are known as Low Performing States (LPS). These include Uttar Pradesh, Uttaranchal, Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Assam, Rajasthan, Orissa and Jammu & Kashmir. All the remaining states with comparatively higher rates of institutional delivery are known as High Performing States (HPS). The states/UTs have been graded in this way to provide special dispensation to women from LP states to deliver in health institutions.
In LP states, pregnant women from rural areas receive cash assistance of Rs 1,400 and those from urban areas receive Rs 1,000. Similarly, in HP states, pregnant women from rural areas are rewarded Rs 700 and those belonging to urban areas receive Rs 600.
The cash benefits are disbursed to beneficiaries at the health institutions as soon as they arrive and register for delivery. Transport assistance amounting to Rs 250 is also available for beneficiaries. Cash assistance is provided at the time of delivery (not before) by ANM, MO, PHC/ASHA to ensure that the money is utilized only for pregnancy and post-delivery care.
To facilitate institutional delivery and medical care, the scheme identifies ASHA and Anganwadi workers as crucial links between the public health institutions and poor pregnant women. Their specific roles include:
Micro-Birth Plans are records kept by ASHA and Anganwadi workers that track the maternity services provided to the pregnant women. It contains a list of services, service providers and the desired timeline of such services for the beneficiaries. It informs the mother and the family the dates of antenatal care and TT injections, identifies the health centre for all referral, identifies the place and expected date of delivery.
It also contains information on necessary documentation like BPL certificates, timely submission of the JSY card in Health centres for verifications by medical officer, arrangement of transport facilities and availability of cash incentives for beneficiaries of the scheme.
In such cases, the Auxiliary Nurse Midwife (ANM) in consultation with ASHA and the medical officer will arrange for a referral health unit to provide emergency obstetric services free of cost. However, if such services are not available locally, assistance up to Rs 1,500 could be utilized by the health institution for hiring services of experts to carry out the surgery in a government medical facility.