Maternal Health in Haryana

1. Increase in Institutional Delivery especially in the The maternal mortality rate in Haryana has declined over the years and the MMR of Haryana vis-à-vis India as per SRS is as follows:

As per SRS 2007-09, it ranks 7th in MMR amongst all the States and UTs.

1. Govt. Sector:

                   As per directions of Worthy Principal Secretary Health to Govt. of Haryana all districts to improve the institutional deliveries to reach the target of more than 90% institutional deliveries in Haryana.

1. Operationalization of 24x7 delivery points

1. Janani Shishu Suraksha Karyakram (JSSK):

1. Janani Suraksha Yojana (GoI):

1. Janani Suraksha Yojana (State):

1. Progress of Ante-Natal Registration in First Trimester (HMIS):

1. Number having Hb less than11 gm

1. No. having severe anaemia Hb<7 gms treated at Institution:

1. Mothers who had full Ante Natal Check-up (3 ANCs):

1. No. of women discharged under 48 hours of delivery in Public Health Facility:

1. Women receiving post-partum checkup within 48 hours after delivery:

1. RTI/STI Services:

1. Maternal Death Review:

DETAILS OF INTERVENTIONS AND ACTIVITIES DONE BY THE STATE TO REDUCE MMR
The various Maternal Health Schemes which have been implemented in Haryana include:

1. Promotion of Institutional deliveries through operationalizing 24x7 delivery facilities
2. Operationalization of FRUs so that distance from delivery point to FRU is not more than half an hour drive
3. Maternal Death Audit to discover the gaps and address them
4. Janani Suraksha Yojna (JSY-GoI) (cash incentive for BPL /SC deliveries)
5. Janani Suraksha Yojna (JSY-State) (cash incentive for SC deliveries)
6. JSSK (Janani Shishu Suraksha Karyakarm) (Free Antenatal services, delivery and caesarean and Post Natal Services in Govt. Hospitals)
7. Reverse tracking of Severe Anaemia
8. Safe MTP Services
9. Upgradation of Labour Rooms

Various schemes for pregnant women

1. Janani Shishu Suraksha Karyakaram: Janani Shishu Suraksha Karyakram (JSSK) is the national initiative to guarantee zero expenses deliveries and zero expenditure treatment of sick new born in public health institutions alongwith the provision of free transport to and from.

The initiative was launched on 1st June, 2011from Mewat, Haryana.

1. Entitlement for pregnant women:
2. Eliminating out-of-pocket expenses for families of pregnant women and sick newborns in government health facilities
3. Extended to all antenatal & post natal complications of pregnancy
4. Free and cashless delivery from the  time of first diagnosis of pregnancy including Free C-section
5. Free drugs and consumables
6. Free diagnostics
7. Free provision of blood
8. Free diet during stay in health institutions
   1. Up to 3 days for normal delivery
   2. 7 days for Caesarean sections
9. Free transport
   1. Home to health institution
   2. Between health institutions in case of referral
   3. Drop back home after delivery
10. Exemption from all kinds of user charges, including for seeking hospital care up to 6 weeks post delivery (for post natal complications)
11. Entitlement for Sick New Born and infants
12. Timely access to care for sick newborns
13. Free treatment at the public health institutions
14. Free drugs and consumables
15. Free diagnostics
16. Free provision of blood
17. Free transport
18. Home to health institution
19. Between health institutions in case of referral
20. Drop back home after delivery
21. Exemption from all kinds of user charges
22. Now Same entitlements for sick infants

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

Janani Suraksha Yojana (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:

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.

1. Janani Suraksha Yojna (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. The year wise expenditure and no. of beneficiaries under the scheme is as below:-