Lok Sabha Question No. 3242 (UNSTARRED), answered on 2016-08-05
Subject: Janani Shishu Suraksha Karyakaram
Ministry: HEALTH AND FAMILY WELFARE
Asked by: LAKHAN LAL SAHU

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

LOK SABHA UNSTARRED  QUESTION NO. 3242 TO BE ANSWERED ON 5 TH AUGUST, 2016

## JAN ANI SHISHU SURAKSHA KARYAKARAM

## 3242. SHRI LAKHAN LAL SAHU :

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

- (a)  whether  the  Government  has  reviewed/assessed  the  implementation  of  Janani  Shis Suraksha Karyakaram (JSSK) in the country;
- (b) if so, the details thereof and the findings thereof along with the short comings thereon; and
- (c) the corrective steps taken/being taken by the Government to remove the said shortcomin

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

- (a): Periodic  reviews  and  field  visits  are  undertaken  at  various  levels  to  asse implementation of Janani Shishu Suraksha Karyakram (JSSK) by the States.

Since the launch of JSSK, 5 th , 6 th & 7 th , 8 th & 9 th Common Review Mission (CRM) have also independently reviewed the implementation of JSSK in selected districts of the States

National  Health  Systems  Resource  Centre  (NHSRC)  has  also  undertaken  periodic independent field visits.

Deloitte has also conducte review of JSSK in the States of J&K, Rajasthan, Uttarakhand and West Bengal in June 2013 a nd is currently undertaking 2 nd round of evaluation study on JSSK  in  7  states of Bihar,  Madhya  Pradesh,  Rajasthan,  Uttar  Pradesh,  Chhattisgarh  and Jharkhand  and Assam.

Contd………

## (b): The following observations are based on the reports of these visits:

- Policy articulations and dissemination of information on the entitlements is presen states.
- The awareness about the entitlements of pregnant women under the JSSK scheme has improved.
- The  JSSK  entitlement  for  pregnant  women  and  sick  infants  upto  one  year  of  age operational  across  all  states,  resulting  in  considerable  reduction  in  out  of expenditures.
- Free drugs, diagnostics, diet and a ssured home to facility transport as well as drop back has improved across all the states.
- OPD and IPD services are provided free of cost to all pregnant beneficiaries in states.
- The provision for free diagnostic facilities, including basic lab tes ts, for pregnant women has improved significantly in most of the states.
- Provision for blood for pregnant women and sick infants is available at all the Hospitals visited.
- Free diet is being provided to the pregnant beneficiaries in most of the St ates
- Awareness & IEC on JSSK needs further improvement
- Close monitoring by State & District on any out of pocket expenditure
- Out of pocket expenditure on  drug, diagnostics and  referral transport for pick up back is still existing
- Emphasis on ent itlements for infants needs improvement
- Grievance Redressal is still weak and require strengthening across all states.

(c ): The corrective steps taken/being taken  by the Government  for effective implementa of JSSK are

- Periodic Regional and State level Review meetings
- Communication  through different  channels  with  State  Governments  including  letters, video - conferencing etc.
- Field visits by Central level teams to monitor the progress of implementation.
- Quarterly reporting from the States on achievements of free entitlements under JSSK.
- Popularizing  the  Scheme  through  Information  Education  &  Communication  (IEC)  & Behaviour Change Communication (BCC) strategies including mass media.
- Field level workers like ANMs and ASHAs are promoting this programme at the ground level through interpersonal co mmunication.
- Referral transport for pregnant women, and infants is being provided by the States their local needs, using different models which include a network of emergency resp vehicles using toll free number, government ambulances, available transport under public private partnership etc.
- A mechanism of regular supportive supervisory visits to the states and districts to the implementation of JSSK is also put in place and is effective in the implementat the programme.

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