Ministry of Health and Family Welfare

Janani Shishu Suraksha Karyakaram

Posted On: 13 MAR 2020 12:25PM by PIB Delhi

Janani Shishu Suraksha Karyakaram (JSSK) has been launched with the objective to eliminate out of pocket expenses for both pregnant women and sick infants accessing public health institution for treatment.

The initiative was estimated to benefit more than 1 crore pregnant women access public health institutions every year in both urban and rural areas.

Entitlements for Pregnant Women under JSSK :

  • Free and zero expense Delivery and Caesarean Section.
  • Free Drugs and Consumables.
  • Free Essential Diagnistics (Blood,Urine tests and Ultra sonography etc.)
  • Free Diet during stay in the health institutions (up to 3 days for normal delivery and 7 days for caesarean section)
  • Free Provision of Blood.
  • Free Transport from Home to Health institutions.
  • Free Transport between facilities in case of referral.
  • Drop Back from institutions to home after 48 hrs stay.
  • Exemption from all kinds of User Charges.

 

Entitlements for Sick infants under JSSK till one year after birth:

  • Free and zero expense treatment
  • Free Drugs and Consumables
  • Free Diagnostics
  • Free Provision of Blood
  • Free Transport from Home to Health institutions.
  • Free Transport between facilities in case of referral
  • Drop back from institutions to home
  • Exemption from all kinds of user charges.

 

The details of beneficiaries covered under the scheme since 2013-14, State/UT-wise is given below:

Periodic reviews and field visits are undertaken at various levels to assess the implementation of JananiShishuSurakshaKaryakram (JSSK) by the States.

Since the launch of JSSK, Nine Common Review Missions (CRMs) have been undertaken and they have also independently reviewed the implementation of JSSK in selected States

NSSO (National Sample Survey Office), Ministry of Statistics &Programme implementation also conducting survey on utilization of different services under maternal health.

JSSK Evaluation was also conducted by Deloitte Touché Tohmatsu India Private Ltd. (Deloitte) as the Technical Support Agency (TSA) to the National Health Mission (NHM)in the States of J&K, Rajasthan, Uttarakhand and West Bengal in 2013. Deloitte also undertook JSSK evaluation in 6 states of Bihar, Madhya Pradesh, Rajasthan, Uttar Pradesh, Chhattisgarh and Jharkhand in 2017.

The following observations are based on the reports including Andhra Pradesh; As per NSSO 75th Round Survey Report (conducted in July 2017 to June 2018),

Rural: the percentage of women who gave birth in public facilities has been increased from 41% in 2014 to 68% in 2017-18 , the percentage of women who availed ANC services in Public health has been increased from 28% in 2014 to 76% in 2017-18, the percentage of women who availed PNC services in public has been increased from 40% in 2014 to 75% in 2017-18.

Urban: The percentage of women who gave birth in public facilities has been increased from 31% in 2014 to 48% in 2017-18, the percentage of women who availed ANC services in Public health has been increased from 37% in 2014 to 53% in 2017-18, the percentage of women who availed PNC services in public has been increased from 31% in 2014 to 51% in 2017-18.

Similarly, as per NSSO 75th Round Survey Report of Andhra Pradesh is as follows;

Rural: The percentage of women who gave birth in public facilities has been increased from 25% in 2014 to 48% in 2017-18, the percentage of women who availed PNC services in public has been increased from 46% in 2014 to 53% in 2017-18.

Urban: The percentage of women who gave birth in public facilities has been stagnant i,e 43% in both , the percentage of women who availed PNC services in public has been increased from 38% in 2014 to 46% in 2017-18.

 

Other observations are:

  • Policy articulations and dissemination of information on the entitlements is present in all states.
  • The awareness about the entitlements of pregnant women under the JSSK scheme has improved.
  • The JSSK entitlements for pregnant women and sick infantsupto one year of age is operational across all states, resulting in considerable reduction in out of pocket expenditures.
  • Free drugs, diagnostics, diet and assured home to facility transport as well as drop back has improved across all the states.
  • OPD and IPD services are provided free of cost to all pregnant beneficiaries in all the states.
  • The provision for free diagnostic facilities, including basic lab tests, for pregnant women has improved significantly in most of the states.
  • Provision for blood for pregnant women and sick infants is available at all the District Hospitals visited.
  • Free diet is being provided to the pregnant beneficiaries in most of the States.

 

The above reviews & field visits have also highlighted the following:

  • Awareness & IEC on JSSK needs further improvement
  • Close monitoring by State & District on any out of pocket expenditure
  • Out of pocket expenditure on  drug, diagnostics and  referral transport for pick up or drop back is still existing
  • Emphasis on entitlements for newborn and infants needs improvement
  • Grievance Redressal needs strengthening across all states.

 

Steps taken by Govt. of India for effective implementation of JSSK are :

 

  • Periodic Regional and State level Review meetings
  • Communication through different channels with State Governments including letters, videoconferencing, etc
  • Field visits by Central level teams to monitor the progress of implementation.
  • Popularizing the Scheme through Information Education & Communication (IEC) &Behaviour Change Communication (BCC) strategies including mass media.
  • Field level workers like ANMs and ASHAs are promoting this programme at the ground level through interpersonal communication
  • Referral transport for pregnant women,  sick neonates and infants is being provided by the States as per their local needs, using different models which include a network of emergency response vehicles using toll free number, government ambulances, available transport under public private partnership etc
  • A mechanism of regular supportive supervisory visits to the states and districts to monitor the implementation of JSSK is also put in place and is effective in the implementation of the programme.

 

 

Sl.No

Name of the State

For the year April’13- March’14

based on State Report.

Free Transport from Home to Facility

Free Drop back

 

 

Free Drugs

Free Diet

Free Diagnostics

 

 

1

A & N Islands

3773

3773

3773

171

390

2

Andhra Pradesh

224343

237227

230397

255184

26216

3

Arunachal Pradesh

11993

5774

12413

1914

2166

4

Assam

227738

164333

459833

167137

219103

5

Bihar

1223343

473108

893243

302138

274264

6

Chandigarh

18480

18169

25282

211

427

7

Chhattisgarh

224382

218922

175940

123201

120767

8

D&N  Haveli

5457

5457

5457

3769

2546

9

Daman & Diu

0

0

0

102

731

10

Delhi

176148

92963

144733

22361

12433

11

Goa

11359

11333

11359

3041

0

12

Gujarat

393932

255512

359298

371397

283998

13

Haryana

237746

232365

224232

140482

111316

14

Himachal Pradesh

64317

40430

65216

58067

0

15

Jammu & Kashmir

158026

123559

158026

16268

35646

16

Jharkhand

298917

267606

21765

196765

146044

17

Karnataka

428065

370576

404263

147718

0

18

Kerala

150679

141755

150679

35156

42882

19

Lakshadweep

5

5

5

 

 

20

MP

982969

972472

956775

893837

716667

21

Maharashtra

753100

694609

746410

548584

350000

22

Manipur

6143

948

5879

6143

5879

23

Meghalaya

8796

6197

6394

1503

1878

24

Mizoram

13324

8444

1803

4732

3203

25

Nagaland

9463

13512

4272

12594

9341

26

Odisha

483587

477244

359459

311758

247067

27

Puducherry

13493

13493

11852

524

0

28

Punjab

180571

166256

180571

94417

87105

29

Rajasthan

1075074

894102

955860

916103

915804

30

Sikkim

7252

6252

6727

3494

3361

31

Tamil Nadu

693292

693292

693292

117746

134671

32

Tripura

29679

29679

29663

30135

28445

33

Uttar Pradesh

2157708

1550275

2157708

993663

902861

34

Uttarakhand

89691

85993

89691

61854

51707

35

West Bengal

801000

811333

582048

385688

356600

 

Total

11163845

9086968

10134318

6227857

5093518

 

 

Number of Beneficiaries under JSSK in the year 2014-15

Sl.No

Name of the State

 Cumulative Achievement for 2014-15

Based on State Report

Free Transport Home to Facility

Free Drop back

 

 

Free Drugs

Free Diet

Free Diagnostics

 

 

1

A & N Islands

2300

2300

2300

2300

2300

2

Andhra Pradesh

268457

234083

226309

164159

21522

3

Arunachal Pradesh

5300

4136

6722

1421

1034

4

Assam

195503

83787

465484

423590

223432

5

Bihar

1536470

1057872

810311

202388

237770

6

Chandigarh

19875

18414

71298

847

431

7

Chhattisgarh

215008

203160

164592

170223

166451

8

D&N  Haveli

3200

3200

3200

3200

3200

9

Daman & Diu

1000

1000

1000

1000

1000

10

Delhi

176148

92963

144733

22361

12433

11

Goa

13026

11724

13026

2532

697

12

Gujarat

589051

386154

575422

249556

301387

13

Haryana

260017

257251

248952

149371

135540

14

HP

61566

43420

61566

29162

22034

15

J&K

154871

132870

157871

15975

35961

16

Jharkhand

286289

259432

219854

223852

158026

17

Karnataka

556541

435284

474178

203557

5961

18

Kerala

149787

128605

149787

12104

51442

19

Lakshadweep

344

344

344

344

344

20

MP

991633

969597

925524

1057742

550907

21

Maharashtra

592321

602505

603934

475977

583498

22

Manipur

23482

24538

26385

23746

23746

23

Meghalaya

7912

6880

4816

344

688

24

Mizoram

8223

5218

4902

3953

5060

25

Nagaland

3748

9082

2594

8937

7928

26

Odisha

369395

380589

285441

190294

156713

27

Puducherry

15782

15782

20786

1154

1154

28

Punjab

198670

176851

285760

62260

65080

29

Rajasthan

963256

953116

963256

831442

932837

30

Sikkim

5584

5894

4281

3102

2606

31

Tamil Nadu

629666

629666

629666

139189

185585

32

Telangana

94749

83732

74918

96953

13220

33

Tripura

6263

5010

3758

6263

10021

34

UP

2176987

1481249

2176987

1099715

1211931

35

Uttarakhand

90649

90649

98532

67001

53497

36

WB

845655

845655

649819

427278

418377

 

Total

11518728

9642012

10558308

6373292

5603813

 

 

Number of Beneficiariesunder JSSK scheme in year 2015-16

Sl.No

Name of the State

Cumulative Achievement for 2015-16(up to Dec, 2015)

Based on State Report

Free Transport Home to Facility

Free Drop back

 

 

Free Drugs

Free Diet

Free Diagnostics

 

 

1

A & N Islands

2300

2300

2300

2300

2300

2

Andhra Pradesh

163036

178332

168318

157485

31438

3

Arunachal Pradesh

5300

4136

6722

1421

1034

4

Assam

138284

107784

400000

147135

184435

5

Bihar

865000

780475

640354

151791

210000

6

Chandigarh

15987

14568

73058

679

299

7

Chhattisgarh

160788

143403

135559

128154

121712

8

D&N  Haveli

2200

5699

2200

3650

3626

9

Daman & Diu

800

800

800

800

800

10

Delhi

178027

127231

157387

24818

15723

11

Goa

10161

9177

9847

2508

1329

12

Gujarat

410000

386154

575422

249556

301387

13

Haryana

203221

187879

194383

103594

90029

14

HP

46100

32565

46174

21870

16525

15

J&K

113991

109704

113991

11160

23972

16

Jharkhand

214716

194574

164890

167889

118519

17

Karnataka

821609

499370

295381

148096

58362

18

Kerala

403353

204765

558644

6839

111223

19

Lakshadweep

350

400

300

350

420

20

MP

805556

810456

801026

781668

458862

21

Maharashtra

443621

411349

426561

330612

427918

22

Manipur

17610

18400

19790

17800

17800

23

Meghalaya

6000

5500

4000

3000

4500

24

Mizoram

4435

2917

2157

2616

3433

25

Nagaland

8520

9182

8337

6214

5715

26

Odisha

306433

320077

241026

164107

127690

27

Puducherry

15782

15782

20786

1154

1154

28

Punjab

149000

132630

210000

46700

48800

29

Rajasthan

1156248

762488

823361

520256

579172

30

Sikkim

4200

4350

4150

2800

2500

31

Tamil Nadu

483095

483095

483095

74723

127445

32

Telangana

787611

98639

87061

63492

26699

33

Tripura

6263

5010

3758

6263

10021

34

UP

2929628

1264739

2964399

3521907

3060095

35

Uttarakhand

68100

67400

68000

50250

40100

36

WB

721217

713642

583139

689004

676921

 

Total

11668542

8114972

10296376

7612661

6911958

 

 

 

Number of Beneficiaries under JSSK scheme in year 2016-17

Sl.No

Name of the State

Cumulative Achievement for 2016-17

Based on State Report

Free Transport-Home to Facility

Free Drop back

 

 

Free Drugs

Free Diet

Free Diagnostics

 

 

1

A & N Islands

3166

3166

3166

121

2

2

Andhra Pradesh

192254

182714

177079

126180

65239

3

Arunachal Pradesh

22273

17113

23218

6221

6503

4

Assam

148042

131893

3159932

144763

230863

5

Bihar

2267532

109317

623163

113956

36679

6

Chandigarh

17231

17261

73588

807

199

7

Chhattisgarh

255927

146409

241741

115135

112846

8

D&N  Haveli

33102

7867

10416

4575

2659

9

Daman & Diu

1942

1905

1942

1341

1140

10

Delhi

267508

213766

231609

31092

15179

11

Goa

9455

8596

8596

1625

1227

12

Gujarat

834359

447568

1373653

136162

272020

13

Haryana

1,97,191

1,79,682

1,84,013

94250

78611

14

HP

40963

12782

119325

941

32474

15

J&K

122327

115159

122327

13584

28683

16

Jharkhand

264985

231717

224290

4464

-

17

Karnataka

821609

499370

295381

148096

58362

18

Kerala

40505

9858

53522

597

1953

19

Lakshadweep

2

2

2

2

2

20

MP

844745

844745

844745

759949

398662

21

Maharashtra

162040

153639

155610

314350

391451

22

Manipur

16637

18071

26413

15298

16098

23

Meghalaya

24183

10196

28697

6463

10181

24

Mizoram

6399

4128

3386

2793

370

25

Nagaland

6354

9678

7664

9678

9678

26

Odisha

342178

352873

297897

195540

145514

27

Puducherry

11429

11429

20754

675

755

28

Punjab

54358

54101

110554

47373

42554

29

Rajasthan

1298324

796505

927893

50246

641868

30

Sikkim

3977

3519

3865

1444

1347

31

Tamil Nadu

471361

471361

471361

66905

146819

32

Telangana

123333

148506

93198

90429

31230

33

Tripura

30542

28748

26229

28551

24968

34

UP

3114519

1263033

3115837

4034949

3189524

35

Uttarakhand

58561

64575

71197

42691

47716

36

WB

785767

745289

666268

425601

415202

 

Total

12697889

7136859

13614518

7036847

6458578

 

 

 

                         

 

 

               

 

 

The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Lok Sabha here today.

 

*****

MV/LK

 



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