National Rural Health Mission

  • 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
  • Requirements
  • BPL cards
  • SC/ST are exempted from producing BPL cards


  • Cash Assistance for mothers
  • Incentives to ASHAs

For mothers:

  • 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.
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