- It was launched in 2005.
- It is a scheme for equitable, affordable and quality health care to the rural population, especially the vulnerable groups.
- Establishment of a decentralized health delivery system with inter-sectoral convergence at all levels to ensure simultaneous action on a wide range of determinants of health such as water, sanitation, education, nutrition, and social and gender equality.
- Institutional integration within the fragmented health sector was expected to provide a focus on outcomes, measured against Indian Public Health Standards for all health facilities.
- Rural Population
- Cities and towns with populations below 50,000. (NUHM covers cities and towns above 50000 population)
Janani Suraksha Yojana
A 100% centrally sponsored scheme for safe motherhood intervention under the erstwhile National Rural Health Mission (now National Health Mission)
- Objective: Reducing maternal and neonatal infant mortality (0-28 days) by promoting institutional delivery.
- Eligibility: Poor pregnant women (BPL) irrespective of age and number of children
- Mandatory registration for obtaining JSY cards
- BPL cards
- SC/ST are exempted from producing BPL cards
- Cash Assistance for mothers
- Incentives to ASHAs
- Cash assistance to all eligible mothers who choose delivery at a government hospital or a private accredited hospital.
- Cash assistance includes components for care during pregnancy, delivery & post-delivery period.
- Cash assistance is given to pregnant women through Direct Benefits Transfer.
- Cash assistance is also given to pregnant women undergoing home delivery.
- Incentives to promote institutional deliveries, including a component for ante-natal care.
- ASHAs are incentivized only in case of deliveries in government hospitals.
Graded Cash Assistance
- Low-performing states – States with less than 25% institutional deliveries
- High-performing states – States with more than 25% institutional deliveries
Role of ASHAs
- The main link between government hospitals and beneficiary
- Identification of beneficiary
- Provide at least three Antenatal care check-ups including TT injection, Iron and Folic Acid tablets.
- Referral services
- Counselling for promoting institutional deliveries
- Arrange free transport facilities for pregnant women.
- Immunisation of new-born up to 14 weeks
- Counselling for breastfeeding and family planning to mothers.