Janani Suraksha Yojana (JSY)
State: Central
Ministry: Ministry Of Health & Family Welfare
Department: Department of Health and Family Welfare
Category: Health & Wellness, Women and Child
Beneficiary Type: Individual

The scheme aims to reduce maternal and neonatal mortality by promoting institutional deliveries among poor pregnant women. It offers cash assistance for institutional and home deliveries, along with antenatal and postnatal care support, primarily benefiting poor pregnant women across India.

Benefits:
> **One-Time Cash Assistance for Institutional Delivery (Mother&#39;s Package):**

- **In Low Performing States (LPS):** ₹1,400/- for rural areas and ₹1,000/- for urban areas.- **In High Performing States (HPS):** ₹700/- for rural areas and ₹600/- for urban areas.- **For North-Eastern States (except Assam) and Rural areas of tribal districts of other states:** ₹700/- (Mother&#39;s package).
> ***Notes:***

  - _For pregnant women delivering in a public health institution, the entire cash entitlement should be disbursed to her in one installment at the health institution._
  - _For women accessing an accredited private institution, at least three-fourths of the cash assistance should be paid to the beneficiary in one installment at the time of delivery._
  - _The money must be paid only to the beneficiary and not to any other person or relative._
  - _Disbursement should preferably be done at the institution._
  - _All payments made before or after seven days of delivery are considered illegitimate and subject to audit objection._

> **Cash Assistance for Accredited Social Health Activist (ASHA) Package:**

- **Referral Transport Assistance:** ₹250/- (approx.) for transport to the nearest health facility; the exact amount may be decided by the state.- **Institutional Delivery Support:** Minimum ₹200/- per delivery for facilitating institutional delivery.- **Boarding and Lodging Cost:** The remaining amount from the total package is used for boarding and lodging during stay at the health centre.- **Total Benefit For Rural Areas:** ₹600/- per case, including ₹300/- for antenatal care and ₹300/- for institutional delivery.- **Total Benefit For Urban Areas:** ₹400/- per case, including ₹200/- for antenatal care and ₹200/- for institutional delivery.
> **Notes:**

  - _The first payment, covering transactional costs, should be made at the health center upon arrival with the expectant mother._
  - _The second payment, the cash incentive, should be paid after the ASHA has completed her postnatal visit and the child has been immunized for Bacillus Calmette–Guérin (BCG), and this payment should be made within 7 days of delivery._
  - _All payments to ASHA are made by the Auxiliary Nurse Midwife (ANM)._
  - _If the ASHA fails to organize transport for the pregnant woman, the transport assistance money is paid directly to the pregnant woman at the institution upon arrival and registration for delivery._
  - _An ASHA receives cash benefits only if she accompanies the pregnant woman to the health center. Her work is assessed based on the number of pregnant women she has motivated and escorted to deliver in a health institution._

> **Cash Assistance for Home Delivery**

-  ₹500/- per delivery for the Below Poverty Line pregnant women, regardless of age and number of children.
- For the beneficiary&#39;s care during delivery or to cover incidental expenses.

_*The disbursement is done at the time of delivery or approximately 7 days before delivery by an Auxiliary Nurse Midwife, Accredited Social Health Activist, or any other link worker. All payments made before or after seven days of delivery are considered illegitimate._
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> **Assistance for Caesarean Section or Management of Obstetric Complications**

- Up to ₹1,500/- per delivery (case), utilized by the health institution to hire services of specialists from the private sector or to pay an honorarium or transport cost to bring specialists from other government setups if they are not available in the government health institution.

_*This assistance is provided to the government health institution, not directly to the beneficiary. A panel of such doctors must be prepared in advance by the health institutions providing this facility, and pregnant women should be informed during micro-birth planning._
> **Comprehensive Maternal and Newborn Care (aligned with Janani Shishu Suraksha Karyakram - JSSK objectives)**

- Free and Cashless Delivery: Includes normal deliveries and Caesarean sections.
- Free Drugs: Provision of necessary medicines.
- Free Diagnostics: Essential diagnostic tests.
- Free Provision of Blood: Availability of blood transfusions if needed.
- Free Diet: Hot cooked meals in Government Hospitals and Tertiary Care Centers; two dry packs of biscuits and a milk packet in Primary Health Centres/Community Health Centres.
- Free Transport: To and from the health facility, including referral transport to higher centers and drop-back home, for obstetric women and sick infants up to 30 days of age.

> **Compensation for Sterilization**

- If the mother or her husband voluntarily undergoes sterilization immediately after delivery, the compensation money available under the existing Family Welfare scheme should be disbursed to the mother at the hospital itself.

> **Antenatal Care (ANC) Services**

- Includes identification and registration of pregnant women, provision of at least three ANC check-ups, Tetanus Toxoid (TT) injections, and Iron Folic Acid (IFA) tablets.

> **Postnatal Care (PNC) Services**

- Includes a postnatal visit within 7 days of delivery to track the mother’s health and facilitate care, counseling for the initiation of breastfeeding within one hour of delivery and its continuance for 3-6 months, and promotion of family planning.

> **Newborn Immunization**

- Arrangement to immunize the newborn, initially specified until 14 weeks of age (some sources refer to 10 weeks).

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Eligibility:
> **For Institutional Delivery (General):**

- The applicant must deliver in a government health centre, such as a Sub-centre (specifically approved for institutional delivery by the state), Primary Health Centre, Community Health Centre, First Referral Unit, or the general wards of District and State Hospitals.
- The applicant may deliver in an accredited private health institution.

> **Eligibility Specific to Low Performing States (LPS):**

- The applicant must be a pregnant woman.
- The applicant does not need any marriage or Below Poverty Line (BPL) certification if delivering in a Government or accredited private health institution.
- For Above Poverty Line (APL) women in LPS: The applicant is extended benefits if availing institutional delivery care in government health centres (Sub-centre, Primary Health Centre, Community Health Centre, First Referral Unit, and general wards of District and State Hospitals).

> **Eligibility Specific to High Performing States (HPS):**

- The applicant must be from a Below Poverty Line (BPL) household.
- The applicant must be a Scheduled Caste (SC)/Scheduled Tribe (ST) woman.

> **For Accredited Private Institutions (LPS &amp; HPS):**

The applicant must be from a Below Poverty Line (BPL) household.

- The applicant must be a Scheduled Caste (SC)/Scheduled Tribe (ST) woman.
- The applicant must produce a proper Below Poverty Line or a Scheduled Caste/Scheduled Tribe certificate.
- The applicant should carry a referral slip from the Accredited Social Health Activist/Auxiliary Nurse Midwife/Medical Officer and the Maternal and Child Health - Janani Suraksha Yojana (JSY) card.

> **For Home Delivery (All States/Union Territories):**

- The applicant must be from a Below Poverty Line (BPL) household.
- The applicant must have a Below Poverty Line certificate to access benefits.

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Application Process:
[Offline]
Step 1: Identification and Registration of Beneficiary
An Accredited Social Health Activist, Auxiliary Nurse Midwife, Anganwadi Worker, or any designated link worker will identify and register the pregnant woman as a beneficiary of the scheme.
This crucial step should be completed at least 20 to 24 weeks before the expected date of delivery to ensure timely access to benefits and services.
Step 2: Maternal and Child Health Card Filling
Immediately upon successful registration, the Auxiliary Nurse Midwife, Accredited Social Health Activist, Anganwadi Worker, or an equivalent link worker will accurately complete a Maternal and Child Health card. 
This card is issued in duplicate, with one copy provided to the mother and the other retained by the link worker, forming an essential part of the Janani Suraksha Yojana registration.
Step 3: Antenatal Care Information and Planning
The designated link worker will inform the applicant about the schedule for at least three antenatal care check-ups and the required Tetanus Toxoid injections, ensuring these services are provided.
Furthermore, they will clearly identify and communicate the health center for all necessary referrals and the predetermined place of delivery, along with the expected date of delivery.
The Accredited Social Health Activist is responsible for following up on antenatal care visits at Anganwadi Centres or Sub-centers to ensure the beneficiary's attendance.
Step 4: Collection of Necessary Proofs/Certificates
If required by the specific eligibility criteria, the Accredited Social Health Activist, Auxiliary Nurse Midwife, Anganwadi Worker, or a link worker will assist the applicant in collecting the necessary Below Poverty Line or other relevant proofs and certificates from the local Panchayat, local bodies, or Municipalities. 
This step should be completed within two to four weeks from the initial registration date.
Step 5: Submission for Verification and Fund Arrangement
The completed Janani Suraksha Yojana card is to be submitted to the Medical Officer of the Primary Health Centre for verification. Concurrently, proactive steps are undertaken to arrange transport or ensure the availability of cash for the beneficiary to reach the health center for delivery or in case of complications.
It is also ensured that adequate funds are available with the Auxiliary Nurse Midwife, health worker, or Accredited Social Health Activist for the prompt disbursement of benefits.
General Steps for Receiving the BenefitsStep 1: Accessing Health Centre for Delivery
The pregnant woman, ideally accompanied by an Accredited Social Health Activist or another designated link worker, will proceed to the pre-determined government or accredited private health institution for delivery.
The Accredited Social Health Activist is expected to stay with the woman until her discharge from the facility.
Step 2: Cash Benefit Disbursement at Institution
Upon arrival and registration for delivery at the health center, the mother and, if applicable, the Accredited Social Health Activist, should receive their entitled cash benefit immediately.
The Auxiliary Nurse Midwife or Accredited Social Health Activist (or another identified link worker operating under the Auxiliary Nurse Midwife's guidance) will typically manage this disbursement process. 
For deliveries occurring in accredited private institutions, the cash benefit is disbursed to the mother via the Auxiliary Nurse Midwife/Accredited Social Health Activist/link worker channel.
In some hospital settings, a voucher scheme may be implemented, where an admission slip for delivery, combined with a voucher for the mother’s package and transport assistance, is provided for encashment at the hospital’s cash counter upon discharge. 
All payments before or after seven days of delivery are treated as illegitimate subject to audit objection.
Step 3: Postnatal Care and Immunization
The Accredited Social Health Activist is mandated to conduct a postnatal visit within seven days following delivery to monitor the mother's health and to facilitate the newborn's immunization, specifically for Bacillus Calmette–Guérin (BCG).
This postnatal visit and the child's immunization are prerequisites for the Accredited Social Health Activist to receive her second payment installment.
Step 4: Sterilization Compensation (if applicable)
Should the mother or her husband voluntarily choose to undergo sterilization immediately after the child's delivery, the compensation money designated under the existing Family Welfare scheme will be disbursed directly to the mother at the hospital premises.
Application Deadlines:Timely registration for antenatal care, ideally 20-24 weeks before the expected date of delivery. 
Additionally, cash benefits for home delivery should be disbursed at the time of delivery or approximately 7 days prior. 
Payments made outside of a seven-day window around delivery are subject to audit objections.
Where to ApplyRegistration for the scheme and access to services are facilitated through government health centers, including Sub-centers, Primary Health Centres, Community Health Centres, First Referral Units, and District and State Hospitals. Services may also be availed at accredited private institutions. Key contact points at the community level for guidance and assistance are Accredited Social Health Activists, Auxiliary Nurse Midwives, and Anganwadi Workers.
Application Status TrackingTo ensure transparency and allow beneficiaries to track their status, a list of Janani Suraksha Yojana beneficiaries, detailing the date of cash disbursement, must be prominently displayed on notice boards at all Sub-centers, Primary Health Centres, Community Health Centres, and District Hospitals. 
This list is required to be updated regularly on a monthly basis.
Help & Support / Grievance RedressalEach district is mandated to establish a dedicated grievance redressal cell under the District Project Management Unit. 
This cell serves to address and resolve complaints concerning eligibility for the scheme, the accurate quantum of cash assistance, and any delays encountered in the disbursement of cash benefits. 
Crucially, comprehensive information about this grievance cell, including the officer's name, postal address, and telephone number, must be prominently displayed at all health centers and institutions to ensure easy access for beneficiaries.

Documents Required:
During ApplicationBelow Poverty Line Certificate (Required in all High Performing States, and for home deliveries in all states).
Scheduled Caste Certificate (For women in accredited private institutions).
Scheduled Tribe Certificate (For women in accredited private institutions).
Maternal And Child Health Card (Required for all beneficiaries, forms part of Janani Suraksha Yojana Registration Card).
During Benefit DisbursementJanani Suraksha Yojana Card (Required for all beneficiaries along with Maternal and Child Health Card).
Referral Slip (From the Accredited Social Health Activist/Auxiliary Nurse Midwife/Medical Officer, to be carried by the beneficiary for accredited private institutions and for determining cash benefit based on residency).
Admission Slip For Delivery (To be presented with a voucher for encashment of mother's package plus transport assistance at hospital cash counter).
Voucher (Amounting to mother’s package plus transport assistance money, for encashment at the hospital's cash counter at discharge).
Vouchers (Issued by the Auxiliary Nurse Midwife to Accredited Social Health Activist for encashment upon certification).
Monitoring and Reporting Stage:
Expenditure Statement (Required from the Accredited Social Health Activist/Anganwadi Worker for money advanced, to be provided monthly to the Auxiliary Nurse Midwife).
Statement Of Janani Suraksha Yojana Delivery / Antenatal Care / Obstetric Complication Cases (Accredited private health centers must prepare and send monthly to the Medical Officer).
Referral Slips (To be sent along with the monthly statement from accredited private health centers for sample verification).