Health Programmes
Janani Suraksha Yojana
• Janani Suraksha Yojana (JSY) a scheme under (NHM)
• Modification of National Maternity Benefit Scheme (NMBS)
• JSY integrates the cash assistance with delivery and post delivery care
during the pregnancy, delivery and immediate post-partum period
• The JSY is 100% centrally sponsored scheme
• Launched on 12th April, 2005
Vision
• To reduce over all Maternal Mortality Ratio (MMR) and Infant
Mortality Rate (IMR)
• To increase institutional deliveries in poor families
Target Group
• HPS (High Performing States)
• BPL/SC/ST pregnant women of the age of 19 years or above
delivering in Govt. health facility or accredited private hospital Up
to two live births
• LPS (Low performing states – EAG + Assam and Jammu & Kashmir)
• All pregnant women delivering in Govt. health facility or
accredited private hospital up to 3 children if accept sterilization
operation
Scale of Cash Assistance for Institutional delivery
• Rural area
Category Mother`s ASHA`s Total Rs.
package package
LPS 1400 600 2000
HPS 700 600 1300
• Urban area
Category Mother`s ASHA`s Total Rs.
package package
LPS 1000 400 1400
HPS 600 400 1000
Dr. Hitesh M Shah 5
Chiranjeevi Yojana (CY)
• It is a state government scheme.
• Model of Public Private Partnership (PPP)
• MoU with private obstetrician
• Private obstetrician are to provide skilled care for deliveries and
comprehensive EmOC (Emergency Obstetric Care)
Broad Issues
• Non - availability of O & G specialists
• Accessibility of services-Tribal and urban slums
• Poor utilization of services-
• Low felt need of health & medical services
• Lack of user friendly & quality public health services
• Costly private health and medical services
• No health insurance coverage
Chiranjeevi scheme
• Initiated in December 2005 as a pilot scheme in five backward districts (BK, SK,
Dahod, Panchmahal and Kutch) to all BPL families.
• Now it is implemented throughout state.
• Beneficiaries
• All BPL pregnant women
• APL non Income tax Paying families
• APL Pregnant women of ST and
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Objective :
To reduce Maternal Mortality Ratio (MMR) and Infant Mortality
Rate (IMR)
To increase the institutional deliveries
To involve the private practitioner to reduce MMR
Sr. No. of
No.Package to Type
Private hospital for
of services 100beneficiaries
deliveries Rate Total
1 Normal Delivery 90 2000 180000
2 Blood Transfusion 10 900 9000
3 Cesarean 10 10000 100000
4 Investigation 100 350 35000
5 Anesthesia 10 1500 15000
6 Sonography 70 300 21000
7 Transport 100 200 20000
Total 380000
Rs. 3800/delivery including Rs. 200 to beneficiary for transport
Compensation of private practitioner – scheme II
• If private practitioner provides cesarean section services in
government set up
• Rs. 2500 / CS
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Bal Sakha Yojana
• Public Private Partnership (PPP)
• BPL Family and ST children
• Need & Rationale :
• High IMR : 50 /1000 LB to 30/1000 LB
• 60% of them occurred during neonatal period.
• 2/3 of neonatal death during first week.
• Lack of pediatric doctors in Govt. Hosp
• Good network of Pvt Gynec & Pedia doctors.
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Major features
• Part – 1 : Care During first 48 hours of life
• Part – 2 : Care for children up to 1 month
• BPL children will be covered.
• MoU with Private Gynec & Pedia Doctors for 100 cases will be done.
• Rs. 1,67,000 & Rs. 1,75,000 for part I & part II respectively
• Money will be provided in advance.
• Additional support of Rs. 25,000 for ventilator purchase on coverage of 500
children
Major features – For Part : 1
• Cost is calculated based on the 100 cases
• For all cases Gynecologist has to keep mother for two days and provide PNC care
• Gynecologist has to ensure, BF in first half an hour of birth, Vitamin-K, OPV0, BCG &
Kangaroo care
• Affiliated Pediatric doctor has to visit newborn for two times in 48 hours
• Based on the pattern it was presumed that out of 100 cases 20 will be required ENBC-
2 care & 5 will be required ENBC – 3 care
• ENBC- 2 care to be provided at affiliated doctor’s Hospitals & For ENBC – 3 cases to be
referred to Tertiary Care hospital
Major features – For Part : 2
• Cost is calculated based on the 100 cases.
• Consultation charges for all the case is considered.
• Out of 100 cost for hospitalization is calculated for 25 case based on the
scientific evidences.
• Referral rate to tertiary care is considered 5% and for such cases additional
Transport support is created.
Calculation of the Cost – Part : 1
Sr. Particulars Cost
1. To Gynec doc for two days hospital stay after delivery @ Rs. 30,000
300 x 100
2 To Pedia Doc for consultation of newborn @ Rs. 300 x100 30,000
3 Transport Support for hospitalization of sick new born @ 2,000*
Rs. 100 x 20 (As per actual)
4 Charges for Treatment of hospitalized newborn @ Rs. 5000 1,00,000
x 20
5 Transport support for referral to tertiary care @ Rs. 100 x 5 5,000*
(As per actual)
Total 1,67,000
* In the case of absence of 108 services only. To be paid by doctors
Calculation of the Cost – Part : 2
Sr. Particulars Cost
1. For consultation charge @ Rs. 200 x 100 20,000
2 Transport Support for visiting the doctor @ Rs.200 x 10 20,000*
0(As per actual)
3 To ANM/AWW/ASHA for accompanying the child @ Rs. 50 5,000*
x100 (As per actual)
4 Treatment of hospitalized newborn @ Rs. 5000 x 25 1,25,000
5 Transport support for referral to tertiary care @ Rs. 100 x 5 5,000*
(As per actual)
Total 1,75,000
* In the case of absence of 108 services only. To be paid by doctors
OBJECTIVES OF PMSMA
• Provide a healthy life to the pregnant women.
• Several tests including blood pressure, sugar level, weight, hemoglobin test,
blood test and screening will be done at the medical centers.
• Lowering the maternity mortality rate.
• Making pregnant women aware of their health issues/diseases.
• Making sure safe delivery and healthy life of the baby
Features of PMSMA
The scheme is applicable only for the pregnant women.
The free checkup will take place on 9th of every month.
All kinds of medical checkups under this scheme will be completely free.
Tests will took place at the medical centers, government and private hospitals and
private clinics across the country.
Women will be marked differently based on their health problems so that doctors
can easily detect the problem.
Doctors and medical professionals working in private healthcare sector to
participate in the scheme and give 12 days of free services per year to poor
pregnant women.
Pradhan Mantri Matru
Vandana Yojana (PMMVY)
Objectives
• Providing partial compensation for the wage loss in terms of cash
incentives so that the woman can take adequate rest before and after
delivery of the first living child
• The cash incentive provided would lead to improved health seeking
behaviour amongst the Pregnant Women and Lactating Mothers
(PW&LM)
Benefits under PMMVY
• Cash incentives in three instalments i.e. first instalment of Rs.1000/-
on early registration of pregnancy at the Anganwadi Centre (AWC)/
approved Health facility as may be identified by the respective
administering State/ UT,
• Second instalment of Rs.2000/- after six months of pregnancy on
receiving at least one ante-natal check-up (ANC)
• Third instalment of Rs.2000/- after child birth is registered and the
child has received the first cycle of BCG, OPV, DPT and Hepatitis-B, or
its equivalent/ substitute.
• The eligible beneficiaries would receive the incentive given under the
Janani Suraksha Yojana (JSY) for Institutional delivery
AYUSHMAN BHARAT
Pradhan Mantri Jan Arogya Yojana
(AB-PMJAY)
• Launched on 23 September 2018
• Health and Wellness Centre
• CHO (Community Health Officer)
• Pradhan Mantri Jan Arogya Yojana (PM-JAY)
• 3 days of pre hospitalization and 15 days of post hospitalization
expenses
• 1400 procedures included
• 5 lakh coverage to every family per year
• Eligibility income – Maximum annual income up to 5 lakh
• KPSY - Kasturba Poshan Sahay Yojana : In order to facilitate adequate
nutrition and rest during pregnancy a cash support to the BPL
mothers of Rs. 6000 per pregnant woman is provided in 3
instalments.
• MAMTA Abhiyan
• Mamta Divas
• Mamta Mulakat (Postnatal home care visit – on day 1,3 and 7)
• Mamta Sandarbh (Specialist visit, referral services)
• Mamta Nondh (record and report, Mamta card)
• Mamta Ghar (Health care facility, accomodation)
• Khilkhilat : An ambulance for safe home coming of infants and
mothers post delivery.
