Janani Suraksha Yojana, JSY
Basic Information
Country
Geographic area
Institutions and agencies involved
Population group
Ethnic groups, Women, Mother, Pregnant, Lactating women
Programme Details
Programme objectives
The objectives of the Janani Suraksha Yojana (JSY) programme is to reduce maternal and neonatal mortality by promoting institutional delivery among poor pregnant women. The JSY is a particularly inspiring programme set up to assist pregnant women. It tries to compensate for the lack of professional and specialised social work and outreach of health cadres by engaging the community through an organised format (Accredited Social Health Activists—ASHAs) that receives accreditation, training and even some financial stimulus proportional to the success with which they enable mothers to deliver institutionally.
Programme components
The components of the Janani Suraksha Yojana (JSY) programme provides benefits to mothers as well as to Accredited Social Health Activists (ASHAs), who encourage women to have institutional deliveries. Moreover, the programme subsidises the cost of caesarean sections and promotes the accreditation of private health institutions.
Previous programme name (if any)
National Maternity Benefit Scheme (NMBS)
Conditionalities (if any)
India's Janani Suraksha Yojana (JSY) is the sole programme that only requires beneficiaries to meet a single health-related conditionality (i.e. beneficiaries are required to give birth in a health facility). Considering all conditional programmes, regardless of how many conditionalities they require, most are still related to education. Only four programmes impose conditionalities related to health.
[3] MoHFW. 2017. “Maternal and Adolescent Healthcare”. <https://bit.ly/2CRrMKR>. Accessed 11 May 2018.
[9] Arruda, P.; Markhof, Y.; Franciscon, I.; Silva, W. and Bilo, C. 2020. Overview of non-contributory social protection programmes in South Asia from a child and equity perspective. Research Report No. 46. International Policy Centre for Inclusive Growth and UNICEF Regional Office for South Asia. <https://socialprotection.org/discover/publications/overview-non-contributory-social-protection-programmes-south-asia-child-and>. Accessed 22 February 2021.
Coverage
The scheme currently covers more than 10 million beneficiaries every year. Most recent consolidated figures, for the period 2017-20187, indicate a coverage of 104.59 lack beneficiaries.
Programme expenditure
The programme had an expenditure of INR1788.10 crores (1 crore = 10,000,000) in 2016-17
Targeting and eligiblity
Targeting methods
Categorical Targeting
Geographical Targeting
Self-Targeting
Forms of poverty-estimation by multi-categorical assessment that is not really a Proxy Means Test
Targeted areas
Nationwide, with priority given to ‘low-performing states’ (LPS) in terms of institutional delivery rates: Uttar Pradesh, Uttarakhand, Bihar, Jharkhand, Madhya, Pradesh, Chhattisgarh, Assam, Rajasthan, Orissa and Jammu and Kashmir. The other states are considered ‘high-performing states’ (HPS) for the purposes of the programme
Target groups
Poor pregnant women. India’s Janani Suraksha Yojana (JSY), highlights two important points. First, it is a good example of tailoring programme targeting to local circumstances by allowing some flexibility in determining the scope of the programme and its primary targets. Furthermore, it illustrates a way for programmes to reduce costs while maintaining a similar impact by avoiding coverage of not-at-risk individuals. As this relies solely on administrative data at the state level and does not require any microdata on the actual individuals to be covered, it is also a feasible approach when data are scarce or not available.
Eligibility criteria
India’s Janani Suraksha Yojana (JSY). It aims to improve maternal and child safety during birth by promoting institutional delivery among poor women. Interestingly, eligibility criteria differ between states depending on their current performance regarding institutional delivery rates. In low-performing states, the programme covers all women delivering in public health centres regardless of any vulnerability criteria, as well as those women classified as ‘below the poverty line’ (BPL) and members of a Scheduled Caste or Scheduled Tribe delivering in accredited private institutions. However, in states that already have higher institutional delivery rates, the programme is reserved for those considered BPL or Scheduled Castes or Tribes.
Coverage and other information
Type of benefits
India’s Janani Suraksha Yojana (JSY) consists of a cash transfer to women who attend perinatal medical appointments and another transfer to the social workers (ASHAs) who actively facilitate access to these health services. F
Amount of benefits
For LPS in rural areas: mothers’ package of INR1400 and ASHA package of INR600
For LPS in urban areas: mothers’ package of INR 1000 and ASHA package of INR400
For HPS in rural areas: mothers’ package of INR700 and ASHA package of INR600
For HPS in urban areas: mothers’ package of INR600 and ASHA’s package of INR400
Women below the poverty line who prefer to deliver at home are also entitled to INR500
ASHAS receive the abovementioned values per pregnant women they enable having prenatal monitoring and institutional delivery
Payment/delivery frequency
One-time payment, immediately at the health facility or a week after the delivery
Benefit delivery mechanism
The government has scaled up the Direct Benefit Transfer (DBT) mode of payment nationwide, so that beneficiaries can receive the benefit directly in their bank accounts
Benefit recipients
The Janani Suraksha Yojana (JSY) offers benefits to poor women who deliver institutionally (and to community workers who facilitate this). Yet JSY beneficiaries are often a subgroup of PMMVY beneficiaries, and the delivery of one programme often leads to enrolment in the other. Despite this very integrated and synchronised approach, we prefer to report these as separate programmes, given their operational differences and that they are institutionally linked to different ministries.
Monitoring and evaluation mechanisms and frequency
Implementation Committees oversee the overall monitoring and evaluation of the scheme and report to the central government