Lok Sabha Question No. 153 (STARRED), answered on 2018-07-27
Subject: Assessment of Janani Shishu Suraksha Karyakram
Ministry: HEALTH AND FAMILY WELFARE
Asked by: TAMRADHWAJ SAHU

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

## LOK SABHA STARRED QUESTION NO. 153 TO BE ANSWERED ON THE 27 TH JULY, 2018 ASSESSMENT OF JANANI SHISHU SURAKSHA KARY AKRAM

## †*153. SHRI TAMRADHWAJ SAHU:

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

- (a) whether the Government has reviewed/made any assessment of implementatio of Janani Shishu Suraksha Karyakram at various levels in the country;
- (b) if so, the details and the outco me thereof along with the shortcomings noticed during the said review/assessment; and
- (c) the corrective measures taken/being taken by the Government to address check the shortcomings?

## THE MINISTER OF HEALTH AND FAMILY WELFARE

## ANSWER ( SHRI JAGAT PRAKASH NADDA )

- (a)to ( c) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 153* FOR 27 TH JULY, 2018

a)Janani Shishu Suraksha Karyakram ( JSSK ) is regularly monitored and assessed through  periodic  reviews,  field  visits  including  Common  Review  Missions  a videoconferences with the States/ UTs. An independent evaluation on JSSK w conducted in select states in 2013 and 2016 .National Sample Surve y Organization also  assesses  out  of  pocket  expenditure  on  child  birth  in  public  health  f during their surveys, which is an indicator of the success of JSSK. Further also  captures  average  out  of  pocket  expenditure  on  delivery  in  public facilities.

## b) Key findings of the assessments/ reviews of JSSK are outlined below:

As per the report of the 71st Round of the National Sample Survey Organizat average medical expenditure for child birth in rural areas at constant pr reducedfrom  Rs.1165  in  2004  to  Rs.873  in  2014  in  public  health  facilitie comparison, average medical expenditure has increased in private facilitie Rs.4137 in 2004 to Rs.8128 in 2014.

## Field Visits/ assessments have also highlighted that:

- All States v isited have implemented the entitlements offered under JSSK as per the national guideline.
- General  awareness  about  scheme  entitlements  among  officials  both  at state and district level was found to be complete in most of the state awareness  abo ut  the  entitlements  of  pregnant  women  under  the  JSSK scheme has improved.
- The procurement system for purchase of drugs and consumables has been streamlined in most of the states .
- Free drugs, diagnostics, diet, assured home to facility transport as drop back and availability of blood has improved across all the states.
- OPD and IPD services are provided free of cost to all pregnant benefici in all the states.

The  above  reviews  &  field  visits  have  highlighted shortcomingssuch  as  low covera ge of scheme for sick infants upto one year of age, need for more aware generation and IEC activities on JSSK, need for strengthening grievance red mechanisms for JSSK.

c) Steps taken by Government of India for effective implementation of JSSK are:

- Popularizing the Scheme through Information Education & Communication (IEC)  &  Behaviour  Change  Communication  (BCC)  strategies  including mass  media  and  interpersonal  communication  especially  for  facilit s available for infants.
- National  Ambulance  Services  have  been  introduced  for  toll  free  numbe based free referral transport for pregnant women, sick neonates and infants.
- MoHFW  has  set  up  a  Mother  and  Child  Tracking  Facilitation  Centre (MCTFC) in 2014. Th rough its Help Desk Agents, the centre contacts the service providers and recipients of mother and child care services to g feedback on various programmes and initiatives like JSSK, JSY etc. More than 72.48 lakh calls have been made to beneficiarie s for data validation, promotion and facilitation in availing maternal and child health servic government schemes.
- JSSK help desks and grievance redressal mechanisms have been introduce to facilitate smooth implementation of scheme.

******