Lok Sabha Question No. 2693 (UNSTARRED), answered on 2017-03-17
Subject: Janani Suraksha Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RANGASWAMY DHRUVANARAYANA, MAHEISH GIRRI

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

LOK SABHA UNSTARRED QUESTION NO. 2693 TO BE ANSWERED ON 1 7 th MARCH, 2017

## JANANI SURAKSHA YOJA NA

## 2693. SHRI R. DHRUVA NARAYANA: SHRI MAHEISH GIRRI:

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

(a) the details of the impact of Janani Suraksha Yojana (JSY) in reducing maternal and neonatal mortality rate during the last three years, State/UT - wise;

(b) the details of the registeredprogress of the Janani Suraksha Yojana (JSY) in the year 2016 -2017;

(c) whether the Government has seen an increase or decrease in the number of Low Performing States  (LPS)  and  High Performing  States  (HPS)  since  the  Scheme's inception  and  if  so, the details thereof; and

(d) whether the Government is aware that despite the decrease in maternal mortality and socio -economic inequalities there is high incidence of maternal mortality in the country according to the latest Lancet series on maternal he alth which states that India accounted for 15 percent of the total maternal deaths in the world second only to Nigeria and if so, the details thereof?

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

(a): Janani  Suraksha  Yojana  is  considered  as  one  of  the  prime  strategies  that  result increase in institutional delivery from 38.7% in 2005 - 06 (NFHS- 3) to 79.3% (SRS) in 2015 and in resultant decline in the Maternal Mortality Ratio (MMR) and Neonatal M ortality Rate (NMR). The latest data on MMR indicates that MMR has come down from 254 per 100,000 live births 2005- 06  to  167  per  100,000  live  births  in  2011 - 13  as  per  Sample  Registration  System  (SRS) estimates. The NMR has reduced from 28 per 1000 live births in 2013 to 25 per 1000 live births in  2015  as  per  SRS  estimates.  State/UT - wise  figures  of  MMR  and  NMR  are  enclosed  as Annexure - 1 .

- (b): A statement showing number of JSY beneficiaries registered during 2016 -17, States/UT -wise is enclosed at Annexure - 2 .
- (c) : Since the beginning of Janani Suraksha Yojana in 2005, special dispensation is provi ten states categorized as Low Performing States (LPS) which had high Maternal Mortality Ratio (MMR)  and  low  institutional  delivery  namely  Uttar  Pradesh, Uttarakhand,  Bihar,  Jharkhand, Madhya Pradesh, Chhattisgarh, Rajasthan, Odisha, Jammu - Kashmir and Assam. The remaining States and Union Territories were categorized as High Performing States (HPS).

Since  the  launch  of  the  Scheme,  institutional  delivery  has  increased  and  MMR  h declined as stated above. In order to sustain the increase in institutional delivery and MMR,  the  above  categorization  of  States  into  Low  Performing  States  and  High Performing States has been continued.

(d) : Yes.

As per Lancet Series on Maternal Health published on 15 th September 2016, though it is a fact that at the national level, two countries account for one - third of the global maternal deaths that  is  Nigeria at  19%  (58,000  deaths)  and  India  at  15%  (45,000  deaths),  India  has  mad significant progress in reduction of Maternal Mortality Ratio (MMR). The decline of MMR India is greater than its global decline. Globally, the World's MMR fell by nearly 44% over t he past 25 years, to an estimated 216 maternal deaths per 100,000 live births in 2015, from an MMR of 385 in 1990 at an average annual decline of 2.3% whereas India's MMR fell by nearly 70% over the past 25 years from 556 per 100,000 live births in 1990 to 67 per 100,000 live births at an average annual decline of 4.7%, at a much faster pace than global MMR decline.

As per the latest report of the Registrar General of India, Sample Registration (RGI- SRS), MMR of India has shown a decline from 212 per 100,000 live births in the peri 2007- 09 to 167 per 100,000 live births in the period 2011 - 13. Average decline during this period has been 11.3 points per year, i.e. 5.8% compound rate of annual decline.  In absolute numbers, there has been a decline from 56,000 maternal deaths in 2007 - 09 to 44,000 maternal deaths in 2011- 13.

## Annexure-I

| MATERNAL MORTALITY RATIO (per 100,000 live births)   | MATERNAL MORTALITY RATIO (per 100,000 live births)   | MATERNAL MORTALITY RATIO (per 100,000 live births)   | MATERNAL MORTALITY RATIO (per 100,000 live births)   | MATERNAL MORTALITY RATIO (per 100,000 live births)   |
|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|
|                                                      | 2004-06                                              | 2007-09                                              | 2010-12                                              | 2011-13                                              |
| India                                                | 254                                                  | 212                                                  | 178                                                  | 167                                                  |
| Andhra Pradesh**                                     | 154                                                  | 134                                                  | 110                                                  | 92                                                   |
| Assam                                                | 480                                                  | 390                                                  | 328                                                  | 300                                                  |
| Bihar/Jharkhand*                                     | 312                                                  | 261                                                  | 219                                                  | 208                                                  |
| Gujarat                                              | 160                                                  | 148                                                  | 122                                                  | 112                                                  |
| Haryana                                              | 186                                                  | 153                                                  | 146                                                  | 127                                                  |
| Karnataka                                            | 213                                                  | 178                                                  | 144                                                  | 133                                                  |
| Kerala                                               | 95                                                   | 81                                                   | 66                                                   | 61                                                   |
| Madhya Pradesh/Chhattisgarh                          | 335                                                  | 269                                                  | 230                                                  | 221                                                  |
| Maharashtra                                          | 130                                                  | 104                                                  | 87                                                   | 68                                                   |
| Odisha                                               | 303                                                  | 258                                                  | 235                                                  | 222                                                  |
| Punjab                                               | 192                                                  | 172                                                  | 155                                                  | 141                                                  |
| Rajasthan                                            | 388                                                  | 318                                                  | 255                                                  | 244                                                  |
| Tamil Nadu                                           | 111                                                  | 97                                                   | 90                                                   | 79                                                   |
| Uttar Pradesh/Uttarakhand                            | 440                                                  | 359                                                  | 292                                                  | 285                                                  |
| West Bengal                                          | 141                                                  | 145                                                  | 117                                                  | 113                                                  |

Source : Registrar General of India - Sample Registration System

| Neo - natal Mortality Rate   | Neo - natal Mortality Rate   |   Neo - natal Mortality Rate |   Neo - natal Mortality Rate |
|------------------------------|------------------------------|------------------------------|------------------------------|
|                              | 2013                         |                         2014 |                         2015 |
| India                        | 28                           |                           26 |                           25 |
| Andhra Pradesh               | 25                           |                           26 |                           24 |
| Assam                        | 27                           |                           26 |                           25 |
| Bihar                        | 28                           |                           27 |                           28 |
| Chhattisgarh                 | 31                           |                           28 |                           27 |
| Delhi                        | 16                           |                           13 |                           14 |
| Gujarat                      | 26                           |                           24 |                           23 |
| Haryana                      | 26                           |                           23 |                           24 |
| Himachal Pradesh             | 25                           |                           25 |                           19 |
| Jammu & Kashmir              | 29                           |                           26 |                           20 |
| Jharkhand                    | 26                           |                           25 |                           23 |
| Karnataka                    | 22                           |                           20 |                           19 |
| Kerala                       | 6                            |                            6 |                            6 |
| Madhya Pradesh               | 36                           |                           35 |                           34 |
| Maharashtra                  | 17                           |                           16 |                           15 |
| Orissa                       | 37                           |                           36 |                           35 |
| Punjab                       | 16                           |                           14 |                           13 |
| Rajasthan                    | 32                           |                           32 |                           30 |
| Tamil Nadu                   | 15                           |                           14 |                           14 |
| Telangana                    |                              |                           25 |                           14 |
| Uttar Pradesh                | 35                           |                           32 |                           31 |
| Uttarakhand                  |                              |                           26 |                           28 |
| West Bengal                  | 21                           |                           19 |                           18 |

Source : Registrar General of India-Sample Registration System

| Number of JSY Beneficiaries                         | Number of JSY Beneficiaries                         | Number of JSY Beneficiaries   |
|-----------------------------------------------------|-----------------------------------------------------|-------------------------------|
| Sr. No.                                             | States/UTs                                          | 2016-17 (April-Dec.2016)      |
| A. Low Performing States                            | A. Low Performing States                            |                               |
| 1 2                                                 | Assam Bihar                                         |                               |
| 3                                                   |                                                     | 316717 836181 242605          |
|                                                     | Chhattisgarh                                        |                               |
| 4                                                   | Jharkhand                                           | 208006                        |
| 5 6 7                                               | Jammu &Kashmir Madhya Pradesh Odisha                | 85344                         |
| 8                                                   |                                                     | 683249                        |
|                                                     |                                                     | 329460 814035                 |
|                                                     | Rajasthan Uttar Pradesh                             | 1782738 66281                 |
| 9 10                                                |                                                     | 5364616                       |
| Uttrakhand Sub Total Performing States              | Uttrakhand Sub Total Performing States              |                               |
| B. High 11                                          | (Big States) Andhra Pradesh                         | 207374                        |
|                                                     | Goa                                                 | 585                           |
| 12                                                  |                                                     | 155662                        |
| 13                                                  | Gujarat                                             | 18924 10956                   |
| 14 15 16                                            | Haryana Himachal Pradesh Karnataka                  |                               |
| 17                                                  |                                                     | 287673 83046                  |
| 18                                                  | Kerala                                              |                               |
| 19                                                  | Maharashtra Punjab                                  |                               |
| 20                                                  |                                                     | 207015                        |
| 21                                                  |                                                     | 54546                         |
|                                                     | Tamil Nadu                                          | 326863                        |
|                                                     | Telangana Bengal                                    | 125199                        |
| 22                                                  | West Sub Total                                      | 432099 1909942                |
| C. High Performing States (UTs)                     | C. High Performing States (UTs)                     |                               |
| 23                                                  | A &NIslands Chandigarh                              |                               |
|                                                     | D &NHaveli                                          | 320 697                       |
| 24                                                  | Daman& Diu                                          | 1347                          |
| 25 26                                               |                                                     |                               |
|                                                     |                                                     | 55 9251 237                   |
| 27                                                  | Delhi Lakshadweep Pondicherry                       | 2094                          |
| 28                                                  |                                                     |                               |
| 29                                                  | Sub Total                                           | 14001                         |
| D. High Performing States (NE) 30 Arunachal Pradesh | D. High Performing States (NE) 30 Arunachal Pradesh |                               |
| 31                                                  | Manipur                                             | 9471 11676                    |
|                                                     |                                                     | 20177                         |
|                                                     | Meghalaya Mizoram                                   | 10905                         |
| 32                                                  | Nagaland                                            |                               |
| 33                                                  | Sikkim                                              | 10823                         |
| 34 35 36                                            | Tripura                                             | 1295 14934                    |
|                                                     | Sub Total                                           | 79281                         |
|                                                     | Grand Total Source: As reported by States/UTs       | 7367840                       |