Lok Sabha Question No. 2758 (UNSTARRED), answered on 2017-03-17
Subject: Janani Suraksha Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: POONAMBEN HEMATBHAI MAADAM

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

## LOK SABHA UNSTARRED QUESTION NO. 2758 TO BE ANSWERED ON 1 7 th MARCH, 2017

## JANANI SURAKSHA YOJA NA

## 2758. SHRIMATI POONAMBEN MAADAM:

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

- (a)  whether  the  Government  is  aware that  the  gap  in  access  to  healthcare  between the marginalised group of women and those who are financially better off has narrowed with Janani Suraksha Yojana (JSY), if so, the reasons therefor;
- (b) whether JSY has been implemented in Gujarat and the details of the guidelines issued in this regard and if so, the amount allocated for the said purpose during the last three years; and
- (c) the number of persons benefitted under the said scheme, State - wise including Gujarat?

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

(a): 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 orer communities,  by  utilizing  the  data  from  the  India  Human  Development  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 health services among all groups but especially among the poorer and underserved sections in rural areas thereby reducing the disparities in maternal care.

The  results  of  the  study  indicate  that  during  the  two  IHDS  rounds,  instituti deliveries almost doubled, full ANC increased by 6 percentage points, proportion of deliver being assisted by trained health personnel increased by 22.3 percentage points  and post na care check - ups (within 2 weeks) increased by 19 percentage points.

The resul ts of the study also indicate that the gap in access to healthcare betwe 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 utiliz ation of maternal health care services by women with little or no education while the change in uti of services was generally lowest among the highest asset households.

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

The budget approved for JSY during the last three years is enclosed as Annexure - I .

(c ): A  statement  showing  number  of  JSY  beneficiaries,  States/UT - wis ,  including  Gujarat during the last three years and the current year is enclosed at Annexure - II .

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   | Allocation for Janani Suraksha Yojana   | Allocation for Janani Suraksha Yojana   |
|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|
|                                         |                                         | 2013-14                                 | Rs. In Lakhs 2015-16                    | Rs. In Lakhs 2015-16                    | Rs. In Lakhs 2015-16                    |                                         |
| A. High Focus States                    |                                         |                                         | 2014-15 38714.80                        | 2014-15 38714.80                        | 2014-15 38714.80                        |                                         |
| 1                                       | Bihar                                   | 35435.39                                | 31298.31                                | 31298.31                                | 31298.31                                |                                         |
| 2                                       | Chattisgarh                             | 7087.50                                 | 6094.13                                 | 6094.13                                 | 6094.13                                 |                                         |
| 3                                       | Himachal Pradesh                        | 210.64                                  | 309.69                                  | 309.69                                  | 309.69                                  |                                         |
| 4                                       | Jammu & Kashmir                         | 2240.38                                 | 3087.64                                 | 3087.64                                 | 3087.64                                 |                                         |
| 5                                       | Jharkhand                               | 8970.65                                 | 9471.54                                 | 9471.54                                 | 9471.54                                 |                                         |
| 6                                       | Madhya Pradesh                          | 21024.52                                | 18565.50                                | 18565.50                                | 18565.50                                |                                         |
| 7                                       | Orissa                                  | 12005.93                                | 10219.04                                | 10219.04                                | 10219.04                                |                                         |
| 8                                       | Rajasthan                               | 21711.38                                | 20100.18                                | 20100.18                                | 20100.18                                |                                         |
| 9                                       | Uttar Pradesh                           | 47124.00                                | 51184.55                                | 51184.55                                | 51184.55                                |                                         |
| 10                                      | Uttarakhand                             | 1538.70                                 | 2113.23                                 | 2113.23                                 | 2113.23                                 |                                         |
|                                         | Sub Total                               | 157349.09                               | 152443.81                               | 152443.81                               | 152443.81                               |                                         |
| B. NE States                            |                                         |                                         |                                         |                                         |                                         |                                         |
| 11                                      | Arunachal Pradesh                       | 218.24                                  | 230.52                                  | 230.52                                  | 230.52                                  |                                         |
| 12                                      | Assam                                   | 9244.79                                 | 8534.18                                 | 8534.18                                 | 8534.18                                 |                                         |
| 13                                      | Manipur                                 | 217.41                                  | 234.26                                  | 234.26                                  | 234.26                                  |                                         |
| 14                                      | Meghalaya                               | 378.95                                  | 416.13                                  | 416.13                                  | 416.13                                  |                                         |
| 15                                      | Mizoram                                 | 170.00                                  | 129.43                                  | 129.43                                  | 129.43                                  |                                         |
| 16                                      | Nagaland                                | 205.57                                  | 184.14                                  | 184.14                                  | 184.14                                  |                                         |
| 17                                      | Sikkim                                  | 51.25                                   | 22.50                                   | 22.50                                   | 22.50                                   |                                         |
| 18                                      | Tripura                                 | 313.40                                  | 318.65                                  | 318.65                                  | 318.65                                  |                                         |
|                                         | Sub Total                               | 10799.61                                | 10069.81                                | 10069.81                                | 10069.81                                |                                         |
| C. Non-High Focus States                |                                         |                                         |                                         |                                         |                                         |                                         |
| 19                                      | Andhra Pradesh                          | 4546.69                                 | 2494.88                                 | 2494.88                                 | 2494.88                                 |                                         |
| 20                                      | Goa                                     | 12.30                                   | 12.30                                   | 12.30                                   | 12.30                                   |                                         |
|                                         |                                         | 3501.92                                 |                                         |                                         |                                         |                                         |
|                                         |                                         | 592.46                                  | 535.42                                  | 535.42                                  | 535.42                                  |                                         |
|                                         |                                         | 6620.00                                 | 6622.50                                 | 6622.50                                 | 6622.50                                 |                                         |
|                                         |                                         |                                         | 1369.67                                 | 1369.67                                 | 1369.67                                 |                                         |
| 25                                      | Maharashtra                             |                                         | 4982.31                                 | 4982.31                                 | 4982.31                                 |                                         |
| 26                                      | Punjab                                  |                                         | 1109.24                                 | 1109.24                                 | 1109.24                                 |                                         |
|                                         | Tamil Nadu                              |                                         | 3991.95                                 | 3991.95                                 | 3991.95                                 |                                         |
| 28                                      | Telangana                               |                                         | 1827.50                                 | 1827.50                                 | 1827.50                                 |                                         |
|                                         |                                         |                                         | 33538.08                                | 33538.08                                | 33538.08                                |                                         |
|                                         | Sub Total                               | 33451.79                                |                                         |                                         |                                         |                                         |
| Small States/UTs                        |                                         |                                         | 34301.13                                | 34301.13                                | 34301.13                                |                                         |
| 30                                      | Andaman & Nicobar Islands               | 5.50                                    | 7.23 13.82                              | 7.23 13.82                              | 7.23 13.82                              |                                         |
| 32 33                                   | & Nagar Haveli Diu                      |                                         | 22.00 3.05                              | 22.00 3.05                              | 22.00 3.05                              |                                         |
| 34                                      | Delhi                                   |                                         | 200.85                                  | 200.85                                  | 200.85                                  |                                         |
| 35                                      |                                         |                                         | 12.13                                   | 12.13                                   | 12.13                                   |                                         |
|                                         |                                         |                                         | 26.93                                   | 26.93                                   | 26.93                                   |                                         |
|                                         | Sub Total                               |                                         | 286.01                                  | 286.01                                  | 286.01                                  |                                         |
|                                         |                                         | 201897.06                               |                                         |                                         |                                         |                                         |
|                                         | Grand Total                             |                                         |                                         |                                         |                                         |                                         |
|                                         |                                         |                                         | 203981.09                               | 203981.09                               | 203981.09                               |                                         |
|                                         |                                         |                                         | 305.70                                  | 305.70                                  | 305.70                                  |                                         |
|                                         |                                         |                                         | 5243.87                                 | 5243.87                                 | 5243.87                                 |                                         |
|                                         |                                         |                                         | 2282.65                                 | 2282.65                                 | 2282.65                                 |                                         |
|                                         |                                         |                                         | 6.91 30.35                              | 6.91 30.35                              | 6.91 30.35                              |                                         |
|                                         |                                         |                                         | 7.23 6.12                               | 7.23 6.12                               | 7.23 6.12                               |                                         |
|                                         |                                         |                                         | 5967.49                                 | 5967.49                                 | 5967.49                                 |                                         |
|                                         |                                         |                                         | 22.40 2.69                              | 22.40 2.69                              | 22.40 2.69                              |                                         |
|                                         |                                         |                                         | 1313.12                                 | 1313.12                                 | 1313.12                                 |                                         |
|                                         |                                         |                                         | 230.00                                  |                                         |                                         |                                         |
| 36                                      |                                         |                                         |                                         |                                         |                                         |                                         |
| 31                                      | Chandigarh Dadra                        |                                         |                                         |                                         |                                         |                                         |
| 29                                      |                                         |                                         | 433.39                                  | 433.39                                  | 433.39                                  |                                         |
| 24                                      | Bengal                                  |                                         | 3580.20                                 | 3580.20                                 | 3580.20                                 |                                         |
|                                         |                                         | 35.47                                   |                                         |                                         |                                         |                                         |
| 27                                      | Lakshadweep                             | 296.57                                  | 5263.99                                 | 5263.99                                 | 5263.99                                 |                                         |
|                                         | Puducherry                              | 7.76                                    |                                         |                                         |                                         |                                         |
|                                         |                                         | 14.25                                   | 1109.24                                 |                                         |                                         |                                         |
|                                         |                                         | 224.13                                  |                                         |                                         |                                         |                                         |
|                                         | West                                    | 3.66                                    |                                         |                                         |                                         |                                         |
| 23                                      | Kerala                                  |                                         |                                         |                                         |                                         |                                         |
|                                         |                                         | 5.80                                    |                                         |                                         |                                         |                                         |
| 22                                      | Haryana                                 |                                         |                                         |                                         |                                         |                                         |
|                                         | Daman &                                 |                                         |                                         |                                         |                                         |                                         |
|                                         |                                         |                                         | 6585.00                                 |                                         |                                         |                                         |
|                                         |                                         | 3602.13                                 |                                         |                                         |                                         |                                         |
|                                         | Gujarat                                 |                                         |                                         |                                         |                                         |                                         |
|                                         |                                         | 7443.82                                 |                                         |                                         |                                         |                                         |
|                                         |                                         | 4482.03                                 |                                         |                                         |                                         |                                         |
|                                         |                                         | 1607.90                                 |                                         |                                         |                                         |                                         |
|                                         |                                         | 1042.54                                 | 3616.47                                 | 3616.47                                 | 3616.47                                 |                                         |
|                                         |                                         |                                         | 12.30                                   | 12.30                                   | 12.30                                   |                                         |
|                                         | Karnataka                               |                                         |                                         |                                         |                                         |                                         |
| 21                                      |                                         |                                         |                                         |                                         |                                         |                                         |

| 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 -Dec.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                                                                | Assam                                                            | 451748                                                           | 448143                                                           | 427557                                                           | 316717                                                           |
| 2                                                                | Bihar                                                            | 1695843                                                          | 1531020                                                          | 1526529                                                          | 836181                                                           |
| 3                                                                | Chhattisgarh                                                     | 290276                                                           | 321762                                                           | 331753                                                           | 242605                                                           |
| 4                                                                | Jharkhand                                                        | 283562                                                           | 249455                                                           | 245639                                                           | 208006                                                           |
| 5                                                                | Jammu & Kashmir                                                  | 143129                                                           | 116642                                                           | 106260                                                           | 85344                                                            |
| 6                                                                | Madhya Pradesh                                                   | 1010824                                                          | 942644                                                           | 954407                                                           | 683249                                                           |
| 7                                                                | Odisha                                                           | 530089                                                           | 498046                                                           | 478788                                                           | 329460                                                           |
| 8                                                                | Rajasthan                                                        | 1106262                                                          | 1090012                                                          | 1031247                                                          | 814035                                                           |
| 9                                                                | Uttar Pradesh                                                    | 2388204                                                          | 2325010                                                          | 2353049                                                          | 1782738                                                          |
| 10                                                               | Uttrakhand                                                       | 95344                                                            | 100261                                                           | 104307                                                           | 66281                                                            |
|                                                                  | Sub Total                                                        | 7995281                                                          | 7622995                                                          | 7559536                                                          | 5364616                                                          |
| B. HighPerforming States (Big States)                            | B. HighPerforming States (Big States)                            | B. HighPerforming States (Big States)                            | B. HighPerforming States (Big States)                            | B. HighPerforming States (Big States)                            | B. HighPerforming States (Big States)                            |
| 11                                                               | Andhra Pradesh                                                   | 383135                                                           | 261558                                                           | 264078                                                           | 207374                                                           |
| 12                                                               | Goa                                                              | 1100                                                             | 828                                                              | 1036                                                             | 585                                                              |
| 13                                                               | Gujarat                                                          | 253005                                                           | 277433                                                           | 263023                                                           | 155662                                                           |
| 14                                                               | Haryana                                                          | 44076                                                            | 45742                                                            | 30048                                                            | 18924                                                            |
| 15                                                               | Himachal Pradesh                                                 | 15766                                                            | 16182                                                            | 17497                                                            | 10956                                                            |
| 16                                                               | Karnataka                                                        | 383251                                                           | 411423                                                           | 421777                                                           | 287673                                                           |
| 17                                                               | Kerala                                                           | 138527                                                           | 114677                                                           | 143084                                                           | 83046                                                            |
| 18                                                               | Maharashtra                                                      | 403405                                                           | 345761                                                           | 339251                                                           | 207015                                                           |
| 19                                                               | Punjab                                                           | 96873                                                            | 103423                                                           | 75040                                                            | 54546                                                            |
| 20                                                               | Tamil Nadu                                                       | 457770                                                           | 470003                                                           | 473524                                                           | 326863                                                           |
| 21                                                               | Telangana                                                        |                                                                  | 135652                                                           | 149767                                                           | 125199                                                           |
| 22                                                               | West Bengal                                                      | 363655                                                           | 491356                                                           | 540721                                                           | 432099                                                           |
|                                                                  | Sub Total                                                        | 2540563                                                          | 2674038                                                          | 2718846                                                          | 1909942                                                          |
| C. High Performing States (UTs)                                  | C. High Performing States (UTs)                                  | C. High Performing States (UTs)                                  | C. High Performing States (UTs)                                  | C. High Performing States (UTs)                                  | C. High Performing States (UTs)                                  |
| 23                                                               | A & N Islands                                                    | 366                                                              | 398                                                              | 396                                                              | 320                                                              |
| 24                                                               | Chandigarh                                                       | 899                                                              | 1713                                                             | 1123                                                             | 697                                                              |
| 25                                                               | D & N Haveli                                                     | 1203                                                             | 1241                                                             | 1043                                                             | 1347                                                             |
| 26                                                               | Daman & Diu                                                      | 145                                                              | 107                                                              | 88                                                               | 55                                                               |
| 27                                                               | Delhi                                                            | 12096                                                            | 13723                                                            | 15968                                                            | 9251                                                             |
| 28                                                               | Lakshadweep                                                      | 992                                                              | 1000                                                             | 939                                                              | 237                                                              |
| 29                                                               | Pondicherry                                                      | 3754                                                             | 3527                                                             | 3361                                                             | 2094                                                             |
| Sub Total 19455 21709 22918 14001 D. High Performing States (NE) | Sub Total 19455 21709 22918 14001 D. High Performing States (NE) | Sub Total 19455 21709 22918 14001 D. High Performing States (NE) | Sub Total 19455 21709 22918 14001 D. High Performing States (NE) | Sub Total 19455 21709 22918 14001 D. High Performing States (NE) | Sub Total 19455 21709 22918 14001 D. High Performing States (NE) |
| 30                                                               | Arunachal Pradesh                                                | 11827                                                            | 12906                                                            | 14199                                                            | 9471                                                             |
| 31                                                               | Manipur                                                          | 17064                                                            | 21667                                                            | 27599                                                            | 11676                                                            |
| 32                                                               | Meghalaya                                                        | 20151                                                            | 43334                                                            | 29707                                                            | 20177                                                            |
| 33                                                               | Mizoram                                                          | 12871                                                            | 5605                                                             | 6096                                                             | 10905                                                            |
| 34                                                               | Nagaland                                                         | 13390                                                            | 16430                                                            | 15368                                                            | 10823                                                            |
| 35                                                               | Sikkim                                                           | 2383                                                             | 2278                                                             | 2824                                                             | 1295                                                             |
| 36                                                               | Tripura                                                          | 15502                                                            | 17943                                                            | 19071                                                            | 14934                                                            |
|                                                                  | Sub Total                                                        | 93188                                                            | 120163                                                           | 114864                                                           | 79281                                                            |
|                                                                  | Grand Total                                                      | 10648487                                                         | 10438905                                                         | 10416164                                                         | 7367840                                                          |