JananiSurakshaYojana (JSY) aims at reducing maternal and neo-natal mortality by encouraging and increasing institutional deliveries. In this scheme cash incentive is given to the mother during her post-partum period in order to ensure her a good diet and care. The details of incentives are as follows:
The scheme is applicable for the BPL women of all categories for deliveries at home or institutions, Govt. or accredited private and SC/ST families. The scheme is also applicable for non-BPL SC/ST women but only for deliveries at a Govt. institution or at an accredited private institution.
Even for a pregnant SC/ST woman coming directly for delivery to the institution without any prior antenatal check-up, full payment of Rs.1500/- is made.
A new initiative has been under taken by Maternal Health Division of NRHM Haryana. Tool designed by JHPIEGO is being used for scoring our labour rooms and for further improvement in Intra-partum and Immediate Post-partum. The standards for Intra-partum & Immediate Post-Partum Care will be implemented in all the delivery points of the State.
The tool includes 40 clinical standards:
Number of Standards
Normal Labor and Delivery including Immediate Newborn Care
Management of Antenatal, Intrapartum and Postpartum Complications
Post Natal Care for a Woman and the Neonate
Infrastructure and Human Resource
The delivery points will be assessed for three assessments – Baseline, Internal & External. Each assessment will have 3 months gap, so that the identified standard gaps can be filled by the concerned. Scoring will be given to each facility for measuring improvements made. A team of consultants will do the assessment of the delivery points. An action plan for filling up of the gaps will be made on spot with identified responsible personnel for implementation of standards in the facilities.
This is a success story about a patient who availed the benefits of Public Health facility after awareness by ASHA (Accredited Social Health Activist)
Patient name Sukhwinder w/o Narinder aged 26 years with primigravida visited S/C Nagla, District Ambala for ANC registration, after doing registration she went to private hospital. There she completed her all investigations including Hb and Urine test as well. Private hospital doctor advised her for Caesarean section due to cord around neck of the baby as per ultrasound finding.
Then ASHA worker named Tripta counseled her for Govt. Institutional delivery, where the patient will not have to pay for Caesarean section or relevant expenditure for treatment. She took her to visit General Hospital, Ambala City. There patient had a normal delivery with no complication to baby as well as mother. No any out of pocket expenditure incurred by patient.
Innovations done by their programs