National Health MissionMaharashtra

Janani Shishu Suraksha Karayakaram

Preamble

It has been observed that most of the times due to delay in reaching health care facility like FRU, 24x7 PHCs, Secondary or Tertiary centers, mothers and neonates are deprived of emergency care resulting in maternal morbidity and mortality, still birth and neonatal deaths. To prevent all these complications, it is important that mothers and children should be provided quality care free of cost including diet and transport facility on time.

Maharashtra is progressive state and is progressing towards achievement of NRHM goals by 2012. Present status of NRHM goals of Maharashtra is as follows:

Sr Indicator NRHM Goal (2012) Status of Maharashtra Source
1 IMR < 30 25 SRS  (2012)
2 MMR < 100 104 RGI (2007-09)
3 TFR 2.1 1.9 SRS (2009)

Aims & Objectives

As mentioned in table above, present MMR and IMR of the State is 104 and 25 respectively. Though it is less than the national rate, it is on higher side in view of our State being a progressive one. In order to reduce the death rate, it is necessary that every mother and child should get the adequate treatment in time. In order to reduce the deaths, the Govt. of India has announced the Janani Shishu Suraksha Karyakram. As per Govt. Resolution dated 26th Sep.2011 Janani Shishu Suraksha Karyakram has been launched from 7th Oct. 2011 in all districts of Maharashtra.

Implementation of Janani Shishu Suraksha Karyakram

  • Free drugs & Consumables - List of medicines required for Mothers and Children is provided under JSSK GoI guidelines. List of medicines is provided to all the districts.
  • Free Referral Transport - Referral of beneficiary is done by Call Operator. Each of the village, district or city is connected to one of the 1811 PHCs, 447 RH-SDH, 23 DH, 9 WH, 4GH under public health department,15 Govt. Medical Colleges, Hospital. Mothers and neonates are being referred to nearest facility with availability of services needed.
  • Diagnostics – Both essential and desirable lab investigations are conducted free of cost for pregnant women during ANC, INC and PNC up to 6 weeks. Sick neonates up to the age of 30 days are also provided free diagnostic services when needed.
  • Free Diet To Pregnant Mothers – Delivered mothers are provided provision of diet in health facilities up to 3 days for normal deliveries and up to 7 days for caesarian section. During this period, mother is guided for initiating breast feeding, diet, and immunization of newborn.
  • Provision of Free Blood – Blood transfusion is done whenever required to tackle emergencies and complications of deliveries & C - section. Blood is provided free of cost.
  • Exemption from User Charges - Pregnant women and sick new born up to age of 30 days are exempted from all kinds of user charges at public health facilities including delivery, C-Section Call Centers are established at district level. Around 28 districts have obtained 102 Toll Free Number.

Various Schemes & Activities under JSSK

The important components of the program are as follows:

Entitlement for Pregnant/ Delivered Women :

  • Free & zero expense Delivery & Caesarian section.
  • Free drugs & consumables.
  • Free essential diagnostics (blood, urine tests & ultra Sonography etc.)
  •  Free diet during stay in the health institutions.  (up to 3 days for normal delivery & 7 days for caesarian section.)
  • Free provision of blood.
  • Free transport from Home to Health Institutions, between facilities in case of referral & drop back from institutions to home.
  • Exemption from all kinds of user charges.

Entitlement for Sick Neonates till 30 days after birth:

  • Free & zero expense treatment.
  • Free drugs & consumables.
  • Free essential diagnostics
  • Free provision of blood.
  • Free transport from Home to Health Institutions, between facilities in case of referral & drop back from institutions to home.
  • Exemption from all kinds of user charges.

Facilities Providing JSSK Services:-

Facilities Number
Sub-Centers 7820
Primary Health Centers 1811
Rural Hospitals 363
Sub-District Hospitals 74
District/Women Hospitals 27

Manpower

Each district has established District Call Center at district place, preferably at District Hospital. Each Call Center is manned by 5 Call-Assistants.

JSSK Performance

Performance: For 1st October 2012 to 31st October 2012

  • Total Number of  Institutional Deliveries : 41879
  • Total Number of Sick Neonates (up to age of 30 days) admitted : 2979
  • Total No. of JSSK Free Diet  beneficiaries : 36,336
Free Referral Transport Services(Govt. vehicles and Empanelled vehicles ) à Home to Institution Institution to Institution Drop Back Home
Pregnant & Delivered Mothers 1248 873 30626
Sick Neonates up to the age of 30 days 247 980 1451

Performance: For 7th October 2011 to 31st March 2012

  • Total Number of  Institutional Deliveries : 1,86,365
  • Total Number of Sick Neonates (up to age of 30 days) admitted : 19,613   
  •  Total No. of JSSK Free Diet  beneficiaries : 1,73,951
Free Referral Transport Services(Govt. vehicles and Empanelled vehicles ) Home to Institution Institution to Institution Drop Back Home
Pregnant & Delivered Mothers 38926 29022 68393
Sick Neonates up to the age of 30 days 1414 3183 8042

Performance: For 1st April 2012 to 31st October 2012

  • Total Number of  Institutional Deliveries : 2,60,129
  • Total Number of Sick Neonates (up to age of 30 days) admitted :19,388
  •  Total No. of JSSK Free Diet  beneficiaries : 2,35,478
Free Referral Transport Services(Govt. vehicles and Empanelled vehicles ) à Home to Institution Institution to Institution Drop Back Home
Pregnant & Delivered Mothers 61291 55969 168481
Sick Neonates up to the age of 30 days 1318 6316 7531
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