Lok Sabha Question No. 2514 (UNSTARRED), answered on 2018-03-09
Subject: Janani Shishu Suraksha Karyakaram
Ministry: HEALTH AND FAMILY WELFARE
Asked by: VIJAYSINH MOHITE PATIL, RAJEEV SHANKARRAO SATAV, SUPRIYA SADANAND SULE, DHANANJAY BHIMRAO MAHADIK, HEENA VIJAYKUMAR GAVIT, P.R. SUNDARAM

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2514 TO BE ANSWERED ON 9 TH MARCH, 2018

## JANANI SHISHU SURAKS HA KARYAKARAM

## 2514. SHRI MOHITE PATIL VIJAYSINH SHANKARRAO:

SHRI SATAV RAJEEV:

SHRIMATI SUPRIYA SULE:

SHRI DHANANJAY MAHADIK:

DR. HEENA VIJAYKUMAR GAVIT:

SHRI P.R. SUNDARAM:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the details of implementation status of Janani Shishu SurakshaKaryakaram (JSSK) under National Health Mission along with the number of beneficiaries under the scheme during the last three years, State/UT - wiseincluding Maharashtra and Tamil Nadu;
- (b) whether the Government has launched awareness programme orfsuccessful implementation of Janani Suraksha Yojana, if so, the number of such awareness programmes launched during the last three years and achievement made thereto;
- (c)  whether  as  per  NITI  Aayog's Healthy  States  Progressive  India  Report, delivery  at Government hospitals continue to cost the poor a lot of money though it is free under JSSK;
- (d) if so, the details thereof and the reasons therefor; and
- (e) the corrective measures taken by the Government to provide free delivery to pregnant women at Government hospitals across the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- (a): State wise number of beneficiaries during last three years including Maharashtr and Tamilnadu is at Anne xure.
- (b): Under the Janani Suraksha Yojana (JSY), States/UTs are authorized to utilize 5% of JSY budget for administrative expenses including IEC/ creating awareness on JSY. No such data on awareness campaign is collated at National level.
- (c)& (d) : As per NITI Ayog's Healthy State Progressive India Report the average out of pocket expenditure for delivering in Public Health institutions range from as as INR 471 in Dadra & Nagar Haveli to as high as INR 10,076 in Manipur.
- The  top  five  States  and  U Ts with  average  expenditure  above  INR  6,000  per delivery in a public facility are Manipur (INR 10,076), Delhi (INR 8,719), West Bengal (INR 7,782), Kerala (INR 6,901), and Arunachal Pradesh (INR 6,474).
- The  average  OOP  expenditure  per  delivery  in  publi c  health  facility  for  Larger States is INR 3,080, for Smaller States it is INR 5,170, and for UTs it is INR 2,9 .
- Funds for implementation of the scheme are sanctioned as per the proposal received from  states/UTs in their annual Programme Implementation Plan (PIP) under the National Health Mission.
- States are responsible for Implementation of JSSK.

(e): Steps  taken  by  Govt.  of  India  to  provide  free  delivery  to  pregnant  women  at Government hospitals are:

- Free drugs, diet, diagnostics, transport and blood (whenever required) is provid to pregnant women delivering in government health facilities. Government of India has developed guidelines on Blood Bank/Blood Storage Unit. It will be disseminated soon.
- As per NSSO data of year 2014, average out of pocket expenditure on child birth was Rs 873/ - in public facilities and Rs 8128/ - in private facilities in rural areas. Likewise, average out of pocket expenditure on child birth was Rs 1164/ -in public facili ties and Rs 11180/ -in private facilities in urban areas.
- Government of India sends instruction on regular basis to state to take necessa steps to reduce out of pocket expenditure for pregnant women delivering in public health facilities.

| Sl.No    | Name of the State   | Number of beneficiaries   | Number of beneficiaries   | Number of beneficiaries   |
|----------|---------------------|---------------------------|---------------------------|---------------------------|
|          |                     | 2014-15                   | 2015-16                   | 2016-17                   |
| 1        | A & N Islands       | 2300                      | 2300                      | 3166                      |
| 2        | Andhra Pradesh      | 268457                    | 163036                    | 192254                    |
| 3        | Arunachal Pradesh   | 5300                      | 5300                      | 22273                     |
| 4        | Assam               | 195503                    | 138284                    | 148042                    |
| 5        | Bihar               | 1536470                   | 865000                    | 2267532                   |
| 6        | Chandigarh          | 19875                     | 15987                     | 17231                     |
| 7        | Chhattisgarh        | 215008                    | 160788                    | 255927                    |
| 8        | D&N Haveli          | 3200                      | 2200                      | 33102                     |
| 9        | Daman & Diu         | 1000                      | 800                       | 1942                      |
| 10       | Delhi               | 176148                    | 178027                    | 267508                    |
| 11       | Goa                 | 13026                     | 10161                     | 9455                      |
| 12       | Gujarat             | 589051                    | 410000                    | 834359                    |
| 13       | Haryana             | 260017                    | 203221                    | 1,97,191                  |
| 14       | HP                  | 61566                     | 46100                     | 40963                     |
| 15       | J&K                 | 154871                    | 113991                    | 122327                    |
| 16       | Jharkhand           | 286289                    | 214716                    | 264985                    |
| 17       | Karnataka           | 556541                    | 821609                    | 821609                    |
| 18       | Kerala              | 149787                    | 403353                    | 40505                     |
| 19       | Lakshadweep         | 344                       | 350                       | 2                         |
| 20       | MP                  | 991633                    | 805556                    | 844745                    |
| 21       | Maharashtra         | 592321                    | 443621                    | 162040                    |
| 22       | Manipur             | 23482                     | 17610                     | 16637                     |
| 23       | Meghalaya           | 7912                      | 6000                      | 24183                     |
| 24       | Mizoram             | 8223                      | 4435                      | 6399                      |
| 25       | Nagaland            | 3748                      | 8520                      | 6354                      |
| 26       | Odisha              | 369395                    | 306433                    | 342178                    |
| 27       | Puducherry          | 15782                     | 15782                     | 11429                     |
| 28       | Punjab              | 198670                    | 149000                    | 54358                     |
| 29       | Rajasthan           | 963256                    | 1156248                   | 1298324                   |
| 30       | Sikkim              | 5584                      | 4200                      | 3977                      |
| 31       | Tamil Nadu          | 629666                    | 483095                    | 471361                    |
| 32       | Telangana           | 94749                     | 787611                    | 123333                    |
| 33       | Tripura             | 6263                      | 6263                      | 30542                     |
| 34       | UP                  | 2176987                   | 2929628                   | 3114519                   |
| 35       | Uttarakhand         | 90649                     | 68100                     | 58561                     |
| 36       | WB                  | 845655                    | 721217                    | 785767                    |
| 11518728 | India               |                           | 11668542                  | 12697889                  |

## Annexure