## Janani Suraksha Yojana (JSY): Objectives and Impact **Key Point:** JSY is a safe motherhood intervention launched in 2005 as a centrally sponsored scheme to promote institutional delivery and reduce maternal and neonatal mortality. ### Primary Objectives of JSY 1. **Remove financial barriers** to institutional delivery 2. **Increase institutional delivery rates**, especially in low-performing states 3. **Reduce maternal mortality ratio (MMR)** and neonatal mortality 4. **Ensure skilled attendance at birth** (SAB) ### Key Features of JSY | Feature | Details | |---------|----------| | **Beneficiary** | All pregnant women, irrespective of age, parity, or economic status | | **Cash Assistance** | Pregnant woman: ₹600 (rural), ₹400 (urban); ASHA worker: ₹600; ANM: ₹400 | | **Coverage** | Free delivery services at government and accredited private institutions | | **Focus** | Institutional delivery with skilled birth attendance | **High-Yield:** JSY has been instrumental in increasing institutional delivery rates from ~40% (2005) to >80% (2020) in India, significantly contributing to reduction in MMR from 254 (2005) to 97 (2020). **Clinical Pearl:** The scheme introduced the concept of **ASHA (Accredited Social Health Activist)** as a link between community and health system, incentivizing pregnant women to deliver at institutions. **Mnemonic:** **JSY = J**anani **S**uraksha **Y**ojana → **Safe Motherhood** through institutional delivery.
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