janani-shishu-suraksha-karyakram

Recently, Minister of State (Health and Family Welfare) stated certain observations related to Janani Shishu Suraksha Karyakram.

 

About Janani Shishu Suraksha Karyakram

Objective of the scheme: To eliminate out of pocket expenses for both pregnant women and sick infants accessing public health institutions for treatment.

About the scheme: 

  • It was launched on 1st June, 2011.
  • Free Entitlements for pregnant women:
  • Free and cashless delivery,Free C-Section, Free drugs and consumables,Free diagnostics,Free diet during stay in the health institutions,Free provision of blood,Exemption from user charges,Free transport from home to health institutions etc.
  • Free Entitlements for Sick newborns till 30 days after birth.This has now been expanded to cover sick infants:
  • Free treatment, Free drugs and consumables, Free diagnostics,Free provision of blood, Exemption from user charges,Free Transport from Home to Health Institutions, Free Transport between facilities in case of referral and Free drop Back from Institutions to home.
  • Periodic reviews and field visits are undertaken at various levels to assess the implementation of JananiShishuSurakshaKaryakram (JSSK) by the States.
  • Independent reviews: Since the launch of JSSK, Nine Common Review Missions (CRMs) have been undertaken.

Positive impact of the scheme:

  • Policy articulations and dissemination of information on the entitlements is present in all states.
  • The awareness about the entitlements of pregnant women under the JSSK scheme has improved.
  • The JSSK entitlements for pregnant women and sick infants upto one year of age is operational across all states, resulting in considerable reduction in out of pocket expenditures.
  • Free drugs, diagnostics, diet and assured 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 all the states.
  • The provision for free diagnostic facilities, including basic lab tests, 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 District Hospitals visited.
  • Free diet is being provided to the pregnant beneficiaries in most of the States

Steps taken by Govt. of India for effective implementation of JSSK are :

  • Periodic Regional and State level Review meetings.
  • Communication through different channels with State Governments including letters, videoconferencing, etc
  • Field visits by Central level teams to monitor the progress of implementation.
  • Field level workers like ANMs and ASHAs are promoting this programme at the ground level through interpersonal communication
  • Referral transport for pregnant women,  sick neonates and infants is being provided by the States as per their local needs, using different models which include a network of emergency response vehicles using toll free number, government ambulances, available transport under public private partnership etc.

Way ahead: 

  • Emphasis on entitlements for newborn and infants needs improvement.
  • Grievance Redressal needs strengthening across all states.
  • Out of pocket expenditure on  drugs, diagnostics and  referral transport need to be reduced.

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