JSY Scheme

The JSY Scheme has been implemented in the State of Haryana in right earnest since its inception in 2005. 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:

# Incentive Urban Rural
1 Institutional Rs. 600 Rs. 700
2 Home Rs. 500 Rs. 500

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.

JananiSurakshaYojna (State Plan):

This scheme was launched in April, 2008 under the State Plan. Under this scheme an assistance of Rs.1500/- is given to each pregnant woman belonging to SC/ST family for delivery in the health institution, be it in Govt. or Private sector, provided she is above 19 years of age. This assistance is given in three installments i.e. 1st installment of Rs.500/- on registration of pregnancy case, second installment of Rs.500/- on getting check-up done in 3rd trimester and Rs.500/- on the day of delivery or maximum within 5 working days after delivery.
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.

Implementation of Quality INC and IPPC Standards:

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:

# Areas Number of Standards
1 Normal Labor and Delivery including Immediate Newborn Care 18
2 Management of Antenatal, Intrapartum and Postpartum Complications 7
3 Post Natal Care for a Woman and the Neonate 8
4 Infrastructure and Human Resource 7
Total 40

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.

Success stories

District Ambala 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

Upgradation of Labour rooms across all the districts in Haryana
Labour Rooms of 40 FRUs & 20 CHCs visited by Programme Officer (Maternal Health) in the 1st phase.
Non FRU delivery points at CHCs, PHCs covered in 2nd phase by MH division.
Follow up visits of Labour rooms during Rapid Assessment of the health facilities.
Subsequently to set up standards of quality Intra-partum and immediate post-partum care, in collaboration with JHPIEGO, India, baseline facility assessment tool for labour rooms designed and subsequent assessment is being done in all the districts.
On-site Sensitisation was done regarding best practices in LRs like Infection Prevention Practices, Autoclaving of Instruments, Management of complications during pregnancy, Rational and timely use of Uterotopics, Importance of plotting Partographs and maintenance of proper records including case sheets, Referral registers etc.
Existing un-utilized/under-utilized rooms were utilised for separate procedure rooms, for providing MCH service.
At present almost all FRUs of the State have separate Pre-natal & Post-natal Ward, Septic & Aseptic Labour Room, Eclampsia Room etc.
Most of the labour rooms are well equipped with essential drugs and equipments.
BSUs made functional at many FRUs.
For Anemia Control Programme: Introduction of Injectable Iron in EDL upto PHC level
Pre-conceptional Folic Acid Administration