## Janani Suraksha Yojana (JSY) — Primary Objective **Key Point:** JSY is a safe motherhood intervention scheme launched in 2005 to promote institutional delivery and reduce maternal and neonatal mortality in India. ### JSY Scheme Overview **High-Yield:** The scheme focuses on **safe delivery at health institutions** — either government hospitals or accredited private facilities — to prevent complications of labour and delivery. ### Key Features of JSY - **Target:** Pregnant women, especially in low-performing states (initially Uttar Pradesh, Uttarakhand, Bihar, Jharkhand, Assam, Rajasthan, Odisha, Jammu & Kashmir) - **Incentive:** Cash assistance to mothers and ASHAs (Accredited Social Health Activists) to encourage institutional delivery - **Coverage:** Expanded nationally in 2006; now covers all states and union territories - **Outcome:** Significant increase in institutional delivery rates and reduction in maternal mortality ratio (MMR) **Clinical Pearl:** JSY addresses the critical gap between high fertility rates and low institutional delivery rates, which was a major driver of maternal mortality in India before 2005. **Mnemonic:** **JSY = Just Safe Yoni (delivery)** — emphasizes safe institutional childbirth as the cornerstone of maternal health. [cite:Park 26e Ch 10]
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