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NRHM -Removal of conditionalities for institutional deliveries underJanani Suraksha Yogana #Womenrights #Goodnews

Access the G.O. No. Z.14018/1/2012- JSY relating to Removal of conditionalities associated with parity and minimum age of mother for institutional deliveries in High Performing States and for home deliveries in all the States/UTs under Janani Suraksha Yojana

No. Z.14018/1/2012-JSY
Government of India
Ministry of Health & Family Welfare
(JSY Section)
Nirman Bhawan, New Delhi
Dated: 13.05.2013
To,
The Mission Director-NRHM,
All States/UTs
Subject: Removal of conditionalities associated with parity and minimum age of mother
for institutional deliveries in High Performing States and for home deliveries in
all the States/UTs under Janani Suraksha Yojana-Approval of Mission Steering
Group (MSG) –in continuation of letter dated 8.5.2013 regarding
Madam/Sir,
As you are aware, Janani Suraksha Yojana (JSY) is under implementation
throughout the country since 2005. The scheme encourages institutional delivery
among pregnant women by providing conditional cash assistance. In Low Performing
States, the financial assistance for institutional delivery is available to all pregnant
women regardless of age and parity who give birth in a government or private
accredited health facility. However, in High Performing States, financial assistance for
institutional delivery has only been available to women from BPL/SC/ST households,
aged 19 years or above and upto two live births for giving birth in a government or
private accredited health facility. Further, in all the States/UTs, the scheme provides Rs.
500/- to BPL women, aged 19 years or above and upto two live births, who prefer to
deliver at home.
Despite the fact that Janani Suraksha Yojana has contributed in increasing the
institutional deliveries in the public health facilities, recent evaluation conducted by
National Health Systems Resource Centre (NHSRC) and study report on Maternity
Protection in India by Ministry of Labour and Employment/International Labour
Organization noted with concern that JSY excludes a significant proportion of women by
virtue of exclusion criteria/ conditionalities of minimum age of mother and parity. These
women who are excluded include adolescents below the age of 19 years and
multiparous women who are at higher risk of maternal and perinatal outcomes.
Considering the above, a proposal to remove conditionalities associated with
minimum age of mother and parity was placed before Empowered Programme
Committee (EPC) which recommended the proposal for consideration of Mission
Steering Group (MSG) of National Rural Health Mission. The proposal has now been

approved by Hon’ble Health & Family Welfare Minister and Chairman of the Mission
Steering Group of NRHM as under:
 Removal of conditionalities associated with parity and minimum age of the
mother for institutional deliveries in the High Performing States.
 Removal of conditionalities associated with parity and minimum age of the
mother for home deliveries in all States/UTs.
In view of the recent decision approved by competent authority (mentioned
above) and the decisions of the competent authority taken at different times earlier,
comprehensive entitlements of beneficiaries covered and ASHA incentives, under
Janani Suraksha Yojana beyond 7th May 2013 are given below:

* Rs. 600/ per delivery in rural area includes Rs. 300 for antenatal component and Rs. 300 for
facilitating institutional delivery

** Rs. 400/ per delivery in urban area includes Rs. 200 for antenatal component and Rs. 200 for
facilitating institutional delivery

You are, therefore, €quesied to issue necessary instructions lo sll concem€d
field level officers lo ensu€ implementaiion of Janani Su€ksha Yojana in acmdance
with the abovo decision we.i 8.5,2013, the daie on which the decision has been
communicated (copy enclosed).
Yours sinceely,
Kr’t'(
(D.. Rak€sh Kumar)
Joint Secretary (RCH)

NRHM website at http://www.nrhm.gov.in/images/pdf/programmes/jsy/imp-govt-orders/JSY_removal_of_conditionalities_13.5.13.pdf

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Age limit relaxed for financial assistance to institutional deliveries #Goodnews

AARTI DHAR, The Hindu

Move expected to reduce neonatal, maternal mortality in young mothers

The Ministry of Health and Family Welfare has relaxed eligibility parameters for the Janani Suraksha Yojana (JSY), which provides financial assistance to mothers for institutional deliveries. Now, Below Party Line (BPL) women can access JSY benefits irrespective of their age and number of children.

All women from BPL category, Scheduled Castes and Scheduled Tribes in all States and Union Territories will be eligible for JSY benefits if they have given birth in a government or private accredited health facility. BPL women who prefer to deliver at home can also get JSY benefits.

Launched in 2005, the JSY is the government’s main scheme to enable women — especially those from vulnerable sections — to access institutional delivery. This was done to reduce maternal and neonatal mortality.

“The decision was taken after it was realised that a majority of women, who needed JSY benefits, remained out of the purview of the scheme because they had to prove they were 19 years of age and had no more than two children,” Anuradha Gupta, Additional Secretary and Mission Director, National Rural Health Mission (NRHM), told The Hindu on Tuesday.

The highest maternal mortality is reported among girls aged 14-15; the majority of these were out of the purview of the JSY as they were unable to produce proof of age or verify the number of children they had, Ms. Gupta explained.

Till now, the scheme provided assistance for institutional delivery to all pregnant women who give birth in a government or private accredited health facility in Low Performing States (those with bad health indicators, such as Uttar Pradesh, Bihar, Chhattisgarh, Madhya Pradesh, Uttarakhand, Jharkhand and Assam). A woman gets Rs.1,400 for delivery in a government facility or accredited private facility and Accredited Social Health Activist (ASHA) gets Rs. 600 in rural areas. In the urban areas, the amounts paid are Rs.1,000 and Rs. 400 respectively.

However, in High Performing States (those with good health indices, such as Kerala, Tamil Nadu and Karnataka), assistance for institutional delivery was available to women from BPL/SC/ST households, aged 19 or above and only up to two live births for delivery in a government or private accredited health facility. The financial entitlement was Rs. 700 to the mother and Rs. 600 for the ASHA in rural areas and Rs. 600 and Rs. 400 in urban settings.

Further, in all States/Union Territories, the scheme provided Rs. 500 to BPL women — aged 19 or above and who deliver up to two live births — who prefer to deliver at home. With the amendments, all women who deliver at home will be entitled to this amount, basically for nutrition.

The government claims that as a result of the scheme, there has been an increase in institutional deliveries — from 47 per cent in 2007-08 to 72.9 per cent in 2009 (Coverage Evaluation Survey) and, most recently, to approximately 79 per cent — as per Health Ministry data.