Lok Sabha Question No. 241 (UNSTARRED), answered on 2017-02-03
Subject: Janani Suraksha Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: LAXMI NARAYAN YADAV, K. GOPAL

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

## LOK SABHA UNSTARRED QUESTION NO. 241 TO BE ANSWERED ON 3 RD FEBRUARY, 2017

## JANANI SURAKSHA YOJA NA

## 241. SHRI LAXMI NARAYAN YADAV: DR. K. GOPAL:

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

- (a) whether the Government is aware that according to a study by University of Maryland Janani Suraksha Yojana (JSY) which was launched in 2005 had led to an enhancement of t util ization  of  health  services  among  all  groups  especially  among  the  poorer  and  underse sections in the rural areas, if so, the details thereof;
- (b)  whether  the  Government  is  aware  that  the  gap  in  access  to  healthcare  between marginalized group of women and those who are financially better off has narrowed with JS so, the reasons therefor;
- (c)  whether  JSY  has  been  implemented  in  Madhya  P radesh  and  the  details  of  the  guidelines issued in this regard and if so, the amount allocated for the said purpose during the years;
- (d) the number of persons benefited under the said scheme; and
- (e)  whether  guidelines  issued  in  this  regard needs  to  be  revised,  if  so,  the  reaction  of  the Government thereto?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( FAGGAN SINGH KULASTE )

- (a)& (b)Yes.

A  study  has  been  conducted  by  University  of  Maryland  and  National Council  for Applied  Economic  Research  to  assess  whether  the  JSY  scheme  has  been  successful  in addressing disparities in providing maternal healthcare services to the marginalized and communities,  by  utilizing  the  data  from  the  India  Human  Developmen t  Survey -1  (IHDS- 1, 2004- 05) i.e. pre - JSY period and India Human Development Survey -2 (IHDS- 2, 2011 - 12).

The findings of the study establish that JSY has led to increased utilization of services among all groups but especially among the poorer and underserved sections in the rural areas thereby reducing the disparities in maternal care. The results of the study indicate that during the two IHDS rounds, institutional deliveries almost doubled, full ANC incr by  6  percentage  points,  proportion  of deliveries  being  assisted  by  trained  health  personnel increased by 22.3 percentage points  and post natal care check - ups (within 2 weeks) increased by 19 percentage points.

The results of the study also indicate that the gap in access to healthcare betw een the marginalized group of women and those who are financially better - off has declined since the advent of the JSY program. As per the study, the JSY scheme led to increase in utilizat maternal  health  care  services  by  women  with  little  or  no  educa tion  while  the  change  in utilization of services was generally lowest among the highest asset households.

(c) : JSY scheme has been implemented in all the States and UTs including Madhya Pradesh JSY guidelines have been issued to all the States and UTs including Madhya Pradesh and same are in public domain at the Ministry's website i.e. www. nhm.gov.in.

The b udget approved for JSY during the last three years is enclosed as Annexure - 1 .

(d) : A  statement  showing  number  of  beneficiaries  reported  by  States/UTs  under  the  JS during the last three years and the current year is enclosed at Annexure - 2 .

(e) : No .

………………

## Annexure-I

| Allocation for Janani Suraksha Yojana   | Allocation for Janani Suraksha Yojana   | Allocation for Janani Suraksha Yojana   | Allocation for Janani Suraksha Yojana   | Allocation for Janani Suraksha Yojana   |
|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|
|                                         |                                         | 2013-14                                 | 2014-15                                 | Rs. In Lakhs 2015-16                    |
| A. High Focus States                    |                                         |                                         |                                         |                                         |
| 1                                       | Bihar                                   | 35435.39                                | 38714.80                                | 31298.31                                |
| 2                                       | Chattisgarh                             | 7087.50                                 | 6006.53                                 | 6094.13                                 |
| 3                                       | Himachal Pradesh                        | 210.64                                  | 226.84                                  | 309.69                                  |
| 4                                       | Jammu & Kashmir                         | 2240.38                                 | 2812.44                                 | 3087.64                                 |
| 5                                       | Jharkhand                               | 8970.65                                 | 8641.13                                 | 9471.54                                 |
| 6                                       | Madhya Pradesh                          | 21024.52                                | 18979.77                                | 18565.50                                |
| 7                                       | Orissa                                  | 12005.93                                | 9827.84                                 | 10219.04                                |
| 8                                       | Rajasthan                               | 21711.38                                | 19408.05                                | 20100.18                                |
| 9                                       | Uttar Pradesh                           | 47124.00                                | 50921.07                                | 51184.55                                |
| 10                                      | Uttarakhand                             | 1538.70                                 | 1907.20                                 | 2113.23                                 |
|                                         | Sub Total                               | 157349.09                               | 157445.67                               | 152443.81                               |
| B. NE States                            |                                         |                                         |                                         |                                         |
| 11                                      | Arunachal Pradesh                       | 218.24                                  | 181.90                                  | 230.52                                  |
| 12                                      | Assam                                   | 9244.79                                 | 10494.20                                | 8534.18                                 |
| 13                                      | Manipur                                 | 217.41                                  | 197.02                                  | 234.26                                  |
| 14                                      | Meghalaya                               | 378.95                                  | 368.13                                  | 416.13                                  |
| 15                                      | Mizoram                                 | 170.00                                  | 188.32                                  | 129.43                                  |
| 16                                      | Nagaland                                | 205.57                                  | 175.90                                  | 184.14                                  |
| 17                                      | Sikkim                                  | 51.25                                   | 31.25                                   | 22.50                                   |
| 18                                      | Tripura                                 | 313.40                                  | 291.87                                  | 318.65                                  |
|                                         | Sub Total                               | 10799.61                                | 11928.59                                | 10069.81                                |
| C. Non-High Focus States                |                                         |                                         |                                         |                                         |
| 19                                      | Andhra Pradesh                          | 4546.69                                 | 2509.88                                 | 2494.88                                 |
| 20                                      | Goa                                     | 12.30                                   | 12.30                                   | 12.30                                   |
| 21                                      | Gujarat                                 | 3501.92                                 | 3580.20                                 | 3616.47                                 |
| 22                                      | Haryana                                 | 592.46                                  | 433.39                                  | 535.42                                  |
| 23                                      | Karnataka                               | 6620.00                                 | 6585.00                                 | 6622.50                                 |
| 24                                      | Kerala                                  | 1607.90                                 | 1313.12                                 | 1369.67                                 |
| 25                                      | Maharashtra                             | 4482.03                                 | 5263.99                                 | 4982.31                                 |
| 26                                      | Punjab                                  | 1042.54                                 | 1109.24                                 | 1109.24                                 |
| 27                                      | Tamil Nadu                              | 3602.13                                 | 5243.87                                 | 3991.95                                 |
| 28                                      | Telangana                               |                                         | 2282.65                                 | 1827.50                                 |

| 29                  | West Bengal               | 7443.82   | 5967.49   | 6975.84   |
|---------------------|---------------------------|-----------|-----------|-----------|
|                     | Sub Total                 | 33451.79  | 34301.13  | 33538.08  |
| D. Small States/UTs |                           |           |           |           |
| 30                  | Andaman & Nicobar Islands | 5.80      | 7.23      | 7.23      |
| 31                  | Chandigarh                | 5.50      | 6.12      | 13.82     |
| 32                  | Dadra & Nagar Haveli      | 14.25     | 22.40     | 22.00     |
| 33                  | Daman & Diu               | 3.66      | 2.69      | 3.05      |
| 34                  | Delhi                     | 224.13    | 230.00    | 200.85    |
| 35                  | Lakshadweep               | 7.76      | 6.91      | 12.13     |
| 36                  | Puducherry                | 35.47     | 30.35     | 26.93     |
|                     | Sub Total                 | 296.57    | 305.70    | 286.01    |
|                     | Grand Total               | 201897.06 | 203981.09 | 196337.70 |

## Annexure-2

189

| Number of JSY Beneficiaries                                                          | Number of JSY Beneficiaries                                                          | Number of JSY Beneficiaries                                                          | Number of JSY Beneficiaries                                                          | Number of JSY Beneficiaries                                                          | Number of JSY Beneficiaries                                                          |
|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|
| Sr. No.                                                                              | States/UTs                                                                           | 2013-14                                                                              | 2014-15                                                                              | 2015-16                                                                              | 2016-17 (April- Sept.2016)                                                           |
| A. Low Performing States                                                             | A. Low Performing States                                                             | A. Low Performing States                                                             | A. Low Performing States                                                             | A. Low Performing States                                                             | A. Low Performing States                                                             |
| 1 2                                                                                  | Assam                                                                                | 451748                                                                               | 448143                                                                               |                                                                                      | 200234 613776                                                                        |
| 3                                                                                    |                                                                                      | 1695843                                                                              | 1531020 321762                                                                       | 427557 1526529 331753                                                                | 160716                                                                               |
| 4                                                                                    | Bihar Chhattisgarh                                                                   | 290276 283562                                                                        | 249455                                                                               | 245639                                                                               | 133714                                                                               |
| 5                                                                                    |                                                                                      |                                                                                      |                                                                                      | 106260                                                                               | 49668                                                                                |
|                                                                                      | Jharkhand &Kashmir                                                                   |                                                                                      |                                                                                      | 954407                                                                               | 434237                                                                               |
|                                                                                      | Jammu Madhya Pradesh Odisha                                                          | 143129                                                                               | 116642 942644                                                                        | 478788                                                                               | 216250                                                                               |
| 6                                                                                    |                                                                                      | 1010824 530089 1106262                                                               |                                                                                      |                                                                                      | 525468                                                                               |
| 7                                                                                    |                                                                                      | 2388204                                                                              | 498046                                                                               |                                                                                      |                                                                                      |
| 8                                                                                    | Rajasthan Uttar Pradesh Uttrakhand                                                   |                                                                                      | 1090012 2325010 100261                                                               | 1031247 2353049                                                                      | 1137015                                                                              |
| 9 10                                                                                 |                                                                                      |                                                                                      |                                                                                      |                                                                                      | 41680                                                                                |
|                                                                                      | Sub Total                                                                            | 95344 7995281                                                                        | 7622995                                                                              | 104307 7559536                                                                       | 3512758                                                                              |
| B. High Performing States (Big States) 11 Andhra Pradesh 383135 261558 264078 134539 | B. High Performing States (Big States) 11 Andhra Pradesh 383135 261558 264078 134539 | B. High Performing States (Big States) 11 Andhra Pradesh 383135 261558 264078 134539 | B. High Performing States (Big States) 11 Andhra Pradesh 383135 261558 264078 134539 | B. High Performing States (Big States) 11 Andhra Pradesh 383135 261558 264078 134539 | B. High Performing States (Big States) 11 Andhra Pradesh 383135 261558 264078 134539 |
|                                                                                      | Goa                                                                                  |                                                                                      |                                                                                      |                                                                                      |                                                                                      |
| 12                                                                                   |                                                                                      |                                                                                      |                                                                                      |                                                                                      | 413                                                                                  |
|                                                                                      | Gujarat                                                                              | 1100 253005 44076                                                                    | 828 277433 45742                                                                     | 1036 263023                                                                          | 100935                                                                               |
| 13 14 15                                                                             |                                                                                      |                                                                                      |                                                                                      |                                                                                      |                                                                                      |
|                                                                                      | Haryana Himachal Pradesh Karnataka                                                   |                                                                                      | 16182                                                                                | 30048                                                                                | 11297                                                                                |
|                                                                                      |                                                                                      | 15766                                                                                |                                                                                      | 17497                                                                                | 7024 190152                                                                          |
| 16 17 18                                                                             |                                                                                      | 383251 138527 403405                                                                 | 411423 114677 345761                                                                 | 421777 143084 339251                                                                 | 48908                                                                                |
| 19                                                                                   | Kerala Maharashtra                                                                   | 96873                                                                                | 103423                                                                               |                                                                                      | 135712                                                                               |
| 20 21                                                                                | Punjab Tamil Nadu                                                                    | 457770                                                                               | 470003                                                                               | 75040 473524                                                                         | 34780 212573 80789                                                                   |
| 22                                                                                   |                                                                                      |                                                                                      |                                                                                      |                                                                                      |                                                                                      |
|                                                                                      | Telangana West Bengal                                                                | 363655                                                                               | 135652                                                                               | 149767 540721                                                                        | 272616                                                                               |
|                                                                                      | Sub Total                                                                            | 2540563                                                                              | 491356 2674038                                                                       | 2718846                                                                              | 1229738                                                                              |
| C. High Performing States (UTs) 23 A &NIslands 366 398 396 132                       | C. High Performing States (UTs) 23 A &NIslands 366 398 396 132                       | C. High Performing States (UTs) 23 A &NIslands 366 398 396 132                       | C. High Performing States (UTs) 23 A &NIslands 366 398 396 132                       | C. High Performing States (UTs) 23 A &NIslands 366 398 396 132                       | C. High Performing States (UTs) 23 A &NIslands 366 398 396 132                       |
| 24 25                                                                                | Chandigarh D &NHaveli                                                                | 899                                                                                  | 1713 1241                                                                            | 1123 1043                                                                            | 447                                                                                  |
|                                                                                      |                                                                                      | 1203 145                                                                             | 107                                                                                  | 88                                                                                   | 1001 43                                                                              |
|                                                                                      | &Diu                                                                                 |                                                                                      |                                                                                      |                                                                                      |                                                                                      |
| 26 27                                                                                | Daman Delhi                                                                          | 12096                                                                                | 13723                                                                                | 15968                                                                                |                                                                                      |
|                                                                                      |                                                                                      |                                                                                      |                                                                                      |                                                                                      | 5861                                                                                 |

28

Lakshadweep

992

1000

939

29

Pondicherry

3754

3527

3361

1410

|                                                     | Sub Total                                           | 19455            | 21709       | 22918           | 9083       |
|-----------------------------------------------------|-----------------------------------------------------|------------------|-------------|-----------------|------------|
| D. High Performing States (NE) 30 Arunachal Pradesh | D. High Performing States (NE) 30 Arunachal Pradesh | 11827            | 12906       | 14199           | 6306       |
|                                                     | Manipur                                             |                  |             | 27599           |            |
|                                                     |                                                     |                  |             | 29707           | 8731       |
| 31 32 33                                            | Meghalaya                                           | 17064            | 21667 43334 |                 | 14414 7964 |
|                                                     | Mizoram                                             | 20151            | 5605        |                 | 7101       |
|                                                     | Nagaland Sikkim                                     | 12871 13390 2383 | 16430 2278  | 6096 15368 2824 | 1123       |
| 34                                                  |                                                     |                  |             |                 |            |
| 35 36                                               |                                                     | 15502            | 17943       |                 |            |
|                                                     | Tripura Sub Total                                   | 93188            | 120163      | 19071 114864    | 9414 55053 |
|                                                     | Grand Total                                         | 10648487         | 10438905    | 10416164        | 4806632    |