Lok Sabha Question No. 4575 (UNSTARRED), answered on 2016-08-12
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. 4575 TO BE ANSWERED ON 12 TH AUGUST, 2016

## JANANI SURAKSHA YOJA NA

## 4575. SHRIMATI POONAMBEN MAADAM:

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

- (a) the details of top two expenses that eligible pregnant women have to bear and that are either not available or not covered under Janani Suraksha Yojana (JSY);
- (b) whether the nutriti onal benefits for pregnant women under the JSY are not being given in certain districts and if so, the details thereof, State/UT - wise;
- (c) whether the Government has any monitoring mechanism in place to ensure that the benefits of the JSY reaches the uncovered districts in various States/UTs, if so, the details thereof; and
- (d) the steps taken by the Government to ensure effective implementation of JSY in the poorly covered area?

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

- (a): According  to  the  'Programme  Evaluation  of  Janani  Suraksha  Yojana'  which  was conducted in 2010, in the states of Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Od Rajasthan,  Uttar  Pradesh  and  Uttarakhand,  by  the  Na tional  Health  Systems  Resource  Centre (NHSRC), the main out of pocket expenditures in institutional delivery were on drugs a fees.

In order to eliminate out - of - pocket expenditure in institutional delivery, Government of India  launched  Janani  Shishu  S uraksha  Karyakram  (JSSK)  in  June  2011,  which  entitles  all pregnant  women  delivering  in  public  health  institutions  to  absolutely  free  and  no  e delivery  including  Caesarean  section  and  complications  during antenatal  and  postn period. Under  JSSK,  p regnant  women  are  entitled  to  free  drugs  and  consumables,  free diagnostics, free blood wherever required and free diet including free transport from institution, between facilities in case of a referral and drop back home.

- (b): The Janani Suraksha Yojana is aimed at increasing institutional delivery among pregnan women by providing conditional cash assistance to motivate them to deliver in health fa and to meet incidental expenses associated with delivery. As such, the scheme does not to provide nutritional benefits.

(c) & (d): The Janani Suraksha Yojana is being implemented in all the districts across country. For proper monitoring, effective implementation and to create awareness about bene of the scheme, the Ministry has issued the following instructions to State Governments:

- Setting up of grievance redressal cells for prompt redressal of all grievances;
- To ensure fast and seamless flow of funds under JSY from State headquarters to Distric further to Block PHCs and Sub - centre levels and payment of cash assistance before discharge of pregnant women after delivery;
- Public display of names of JSY beneficiaries in health facilities on a monthly basis ensure transparency and check fraudulent payments;
- Paym ent of cash assistance under JSY to all beneficiaries preferably through Direct Transfer mode or through account payee cheques;
- Physical verification of beneficiaries by State and District officials in a random m order to check fictitious payments;
- To create  awareness on JSY, States/UTs have been authorized to utilize upto 5% of budget on administrative expenses including IEC. Also, more than 9.3 lakhs ASHA worke who  are  directly  associated  with  JSY  at  the  community  level  play  a  sign ificant  role  in popularizing the scheme.

Further periodic verification of beneficiaries and assessment of the scheme is bein by the Ministry of Health & Family Welfare through the Regional Evaluation Teams (RETs) the Regional Directorates.

Since 2011 - 12, the Ministry is also getting the Annual Transaction Audit of the Nati Health Mission (NHM) done through the Comptroller & Auditor General of India (CAG) in al the States in order to facilitate independent monitoring and to take corrective measures to control financial irregularities.