Janani Sishu Suraksha Yojna

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Janani Sishu Suraksha Yojna (JSSY): 

Janani Sishu Suraksha Yojna (JSSY) 1 SIHFW: an ISO 9001:2008 certified Institution State Institute of Health & Family Welfare, Jaipur

PowerPoint Presentation: 

Janani Suraksha Yojana - number of institutional deliveries has increased More than 25 % pregnant women still hesitate to access health facilities. High out of pocket expenses on : User charges for OPD, Admission, Diagnostic tests ,Blood etc Purchasing medicines and other consumables Need of JSSY 2 SIHFW: an ISO 9001:2008 certified Institution

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High expense on Caesarean Operation Non availability of diet Expensive transport 3 SIHFW: an ISO 9001:2008 certified Institution

Janani Shishu Suraksha Yojna: 

Janani Shishu Suraksha Yojna Janani Shishu Suraksha Karyakram: June 1, 2011 Rajasthan: September 12, 2011 ( 33 districts) 4 SIHFW: an ISO 9001:2008 certified Institution 06.06 % increase in institutional deliveries since the inception of JSSY till December 2011 DM &HS Rajasthan

Objective: 

Objective Entitlements and elimination of out-of pocket expenses for pregnant women and sick neonates Enhancing access to public health institutions Reduce MMR & IMR 5 SIHFW: an ISO 9001:2008 certified Institution

Entitlements for Pregnant Women: 

Entitlements for Pregnant Women Free Delivery & C –Section Free Drugs & Consumables before, during and till 6 months after the delivery Free Diagnostics(Blood, Urine, USG etc) Free diet during stay (up to 3 days for normal delivery & 7 days fro C-Section Free transport: home institution, between health institution in case of referrals Exemption from all kinds of user charges 6 SIHFW: an ISO 9001:2008 certified Institution

Entitlements for Sick Newborn till 30 days after birth: 

Entitlements for Sick Newborn till 30 days after birth Free and zero expense treatment Free drugs & consumables Free diagnostics Free provision of blood Free transport from home health institution, between health institution in case of referrals Exemption from all kinds of user charges 7 SIHFW: an ISO 9001:2008 certified Institution

Actions at State Level: 

Actions at State Level Government order on free entitlements Issued Nominate a State Nodal Officer Grievance redressal mechanism for ensuring the implementation Ensure regular procurement ,availability of drugs & consumables. Ensure functional lab facilities &diagnostic services Establish and Operationalising blood banks at District levels & Blood Storage Centers at FRUs. 8 SIHFW: an ISO 9001:2008 certified Institution

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Establish district wise referral linkages with GPS fitted vehicles and centralized control rooms Provide required finances and necessary administrative steps Financially empower the districts and facility in-charges for emergency situations/stock outs. Regular monitoring & reporting Review the implementation status 118000 private ambulances, taxies and other vehicles have listed in all 33 districts to provide transport facility from the remote villages to the hospitals. Source- Current Affairs Week: 12 Sep 2011 To 18 Sep 2011 9 SIHFW: an ISO 9001:2008 certified Institution

Actions at District Level: 

Actions at District Level District Nodal Officer G.O. on free entitlements to all facility in charges Publicize free entitlements Grievance redressal mechanism for ensuring the implementation Ensure availability of drugs and consumables Ensure functional lab facilities &diagnostic services at DH,SDH,FRU,CHC and 24 x7 PHCs 10 SIHFW: an ISO 9001:2008 certified Institution

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Time bound action plans for blood banks at District levels & Blood Storage Centers at FRUs Review referral linkages & utilization by beneficiaries Financially empower the Block MOs & Facility in-charges for emergency situations/stock outs Regular monitoring & reporting on designated formats Review the implementation status during Block MOs/MOs meeting 11 SIHFW: an ISO 9001:2008 certified Institution

Dissemination of the entitlements in public domain: 

Dissemination of the entitlements in public domain Publicize through print and electronic media Display hoardings & boards in all Govt. health facilities(Main entrance, Labor rooms, Female and Neonatal wards &OPDs) Utilize IEC budget sanctioned in PIP 12 SIHFW: an ISO 9001:2008 certified Institution

Ensure Drugs & Consumables: 

Ensure Drugs & Consumables Notify drug list Ensure regular procurement, uninterrupted supply and availability of drugs & consumables Proper display of daily availability of drugs at health facility Empower Head of the District /Health facility to procure drugs & consumables to prevent stock out 13 SIHFW: an ISO 9001:2008 certified Institution As per the guidelines total 93 types of drugs (14-Newborn,79-Mothers ) should be available at the facility

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Ensure the quality and shelf life of drugs Ensure timely reporting on stock outs and expiry of drugs Ensure availability of drugs at the dispensing points ( labour room, OT, indoors, casualty etc.) Ensure “FIFO” protocol for drugs Ensure cleaning of drug stores with adequate ventilation and cooling 14 SIHFW: an ISO 9001:2008 certified Institution Budget : Allocation of 248 lakhs for all districts for Medicines used in delivery cases G.O rajswasthya.nic.in

District Wise Availability of Drugs : 

District Wise Availability of Drugs 15 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -24 Jan 2012 )

Strengthen Diagnostic: 

Strengthen Diagnostic Ensure lab & diagnostic services at DH,SDH,FRU,CHC & 24 x 7 PHCs Ensure availability of routine investigations like pregnancy test, Hb & urine at sub-center level Ensure rational posting of Lab technicians for integrated & comprehensive utilization in program Ensure availability of round the clock investigation 16 SIHFW: an ISO 9001:2008 certified Institution

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Ensure uninterrupted supply of reagents, consumables and other essentials required for lab investigations Empower the Head of the district/Health facility to procure reagents, consumables and other essentials to prevent their shortage/stock-out Free investigations can be provided through PPP/outsourcing if in house lab & diagnostic services are not available 17 SIHFW: an ISO 9001:2008 certified Institution

Ensure Provision of Diet: 

Ensure Provision of Diet At all delivery points from district hospital up to 24x7 PHC Outsourcing of kitchen & manpower if not available Proper nutritious diet should be given Quality of food should be monitor be facility in – charge 18 SIHFW: an ISO 9001:2008 certified Institution

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Diet is to be provided : 3 days- Normal Delivery 7 days- C –Section Funds should be received in advance for ensuring provision of free diet 19 SIHFW: an ISO 9001:2008 certified Institution

Availability of Blood: 

Availability of Blood Prepare time bound action plans for establishing and Operationalising Blood Banks at District levels & Blood Storage Centres at FRUs Maintain adequate stock for each blood group Ensure availability of reagents and consumables for blood grouping, cross matching and blood transfusion 20 SIHFW: an ISO 9001:2008 certified Institution

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Ensure mandatory screening of blood before storage & organize blood donation camps Adequate funds to blood banks for electric back up and POL Alternate sources of power back up for blood bag refrigerators Regular monitoring & supervision should be done by MO in-charge/ lab technician at blood storage unit 21 SIHFW: an ISO 9001:2008 certified Institution

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Status of Blood Banks & Blood Storage Centers 22 SIHFW: an ISO 9001:2008 certified Institution

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Source:-DM&HS Rajasthan Operationalising List of Blood Banks 23 SIHFW: an ISO 9001:2008 certified Institution

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Operational Blood Storage Centers Source:-DM&HS Rajasthan as on 23 Jan 2012 24 SIHFW: an ISO 9001:2008 certified Institution

Exemption of User Charges: 

Exemption of User Charges Issue Government order for exemption from any user charges for pregnant women & sick new borns up to 30 days , at public health facilities 25 SIHFW: an ISO 9001:2008 certified Institution

Referral Transport: 

Referral Transport Ensure universal reach of the referral transport with 24x7 referral services Gov. ambulances, EMRI, referral transport on PPP model etc Establish call centers with toll free number, at district or state level GPS equiped ambulances for effective tracking & management 26 SIHFW: an ISO 9001:2008 certified Institution

PowerPoint Presentation: 

Establish linkages for the inaccessible areas (hilly terrain, flooded or tribal areas etc.) to the road head/pick up points Publicize free & assured referral transport through print & electronic media Monitor & supervise the utilization of the each vehicle & number of cases transported 27 SIHFW: an ISO 9001:2008 certified Institution private vehicle payment should be: 12 Km :125Rs 12Km -25 Km :250Rs >25 Km: add 7Rs per Km Source:-G.O ,DM&HS Rajasthan

District Wise List of Functional 108 Ambulances : 

District Wise List of Functional 108 Ambulances 28 SIHFW: an ISO 9001:2008 certified Institution Source:-108 Ambulance Services ZHCL Rajasthan as on Feb 2012

Budget for Transportation (Sep 2011- March 2012)-Rajasthan: 

Budget for Transportation (Sep 2011- March 2012)-Rajasthan For pregnant Women For Sick newborn Child Total 1462 Lakh 523.60 Lakh Source: G.O, rajswasthya.nic.in 29 SIHFW: an ISO 9001:2008 certified Institution

Grievance Redressal: 

Grievance Redressal Display & disseminate the names, addresses, e-mails, telephones, mobiles and fax numbers of grievance redressal authorities at state, district level & public domain Set up help desks, suggestion / complaint box at Gov. facilities Weekly fixed two hours for meeting the complainants & redressing their grievances Take action on the grievances within a suitable timeframe & communicate to the complainants Maintain proper record 30 SIHFW: an ISO 9001:2008 certified Institution

Monitoring and Follow Up: 

Monitoring and Follow Up At National -NHSRC, MHD & MoHFW GoI At State &District Level-State & District Nodal officer 31 SIHFW: an ISO 9001:2008 certified Institution

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32 SIHFW: an ISO 9001:2008 certified Institution

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33 SIHFW: an ISO 9001:2008 certified Institution

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34 SIHFW: an ISO 9001:2008 certified Institution

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Status of RJSSY ( From 12 Sep -31 st Dec, 2011 35 SIHFW: an ISO 9001:2008 certified Institution

JSSY Status for Pregnant Women's : 

JSSY Status for Pregnant Women's S.No Services No. of Beneficiaries 1 Total Deliveries 254995 2 No. of pregnant women provided free medicine 443820 3 No. of pregnant women provided free lab tests 244108 4 No. of pregnant women availed free hot food 338497 5 No. of pregnant women provided free transportation from Home to facility 126975 6 No. of pregnant women provided free transportation from Facility to Home 158990 7 No of Pregnant women provided free blood 11335 Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 ) 36 SIHFW: an ISO 9001:2008 certified Institution

JSSY Status for Sick Newborns till 30 days after birth: 

S.No Services No. of Beneficiaries 1 No. Sick Neonates (30 days) received free medicine 75102 2 No. Sick Neonates (30 days) received free lab tests 22413 3 No. Sick Neonates (30 days) received Free referral transport from Home to facility 5526 4 No. Sick Neonates (30 days) received Free referral transport from Facility to Home 8131 5 No. Sick Neonates (30 days) received Free blood 395 JSSY Status for Sick Newborns till 30 days after birth Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 ) 37 SIHFW: an ISO 9001:2008 certified Institution

PowerPoint Presentation: 

Zone Wise status of RJSSY ( From 12 Sep -31 st Dec, 2011 for Pregnant Women 38 SIHFW: an ISO 9001:2008 certified Institution

Total Deliveries: 

Total Deliveries 39 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

Status of ID after JSSY-High Performance: 

Status of ID after JSSY-High Performance Source:- Progress Report of Family welfare Programme Dec 2011 rajswasthya.nic.in 40 SIHFW: an ISO 9001:2008 certified Institution

Status of ID after JSSY-Low Performance: 

Status of ID after JSSY-Low Performance Source:- Progress Report of Family welfare Programme Dec 2011 rajswasthya.nic.in SIHFW: an ISO 9001:2008 certified Institution 41

No. of Women Received free Medicines : 

No. of Women Received free Medicines 42 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

No. of Women received free Lab Test : 

No. of Women received free Lab Test 43 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

No. of Women Received free Diet : 

No. of Women Received free Diet 44 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

Free Transportation from Home to Facility : 

Free Transportation from Home to Facility 45 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

No. of Women Received Free Transportation from Facility to Home: 

No. of Women Received Free Transportation from Facility to Home 46 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

No. of Women Received Free Blood: 

No. of Women Received Free Blood 47 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

PowerPoint Presentation: 

Zone Wise status of RJSSY ( From 12 Sep -31 st Dec, 2011 for Sick newborn 48 SIHFW: an ISO 9001:2008 certified Institution

No. of Newborns Received Free Medicines : 

No. of Newborns Received Free Medicines 49 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

No. of Newborns Received Free Lab Test: 

No. of Newborns Received Free Lab Test 50 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

No. of Newborns Received Free Transportation from Home to Facility: 

No. of Newborns Received Free Transportation from Home to Facility 51 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

No. of Newborns Received Free Transportation from Facility to Home: 

No. of Newborns Received Free Transportation from Facility to Home 52 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

No. of Newborns Received Free Blood: 

No. of Newborns Received Free Blood 53 SIHFW: an ISO 9001:2008 certified Institution Source:-DM&HS Rajasthan ( From 12 Sep -31 st Dec-2011 )

Thank You : 

Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in 54 SIHFW: an ISO 9001:2008 certified Institution