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 75^th 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 75^th 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

 

 

 

 

 

 

 

 

                         

 

 

               

 

 

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

 

(Release ID: 1606211) Visitor Counter : 260