Question : INSTITUTIONAL DELIVERY



(a) the number of Janani Suraksha Yojana (JSY) beneficiaries who delivered by availability of the scheme but died or developed pregnancy complications after being discharged from the hospital;

(b) whether the latest Bulletin on Rural Health shows that many Primary Health Centres do not have the basic facilities and the District Level Household and Facility Surveys shows that many District Primary Health Centres do not have Doctors or referral service for pregnancies/deliveries;

(c) if so, the reaction of the Government thereto; and

(d) the extent to which JSY guarantees safe delivery to women on such conditions?

Answer given by the minister


THE MINISTER OF HEALTH & FAMILY WELFARE (SHRI GHULAM NABI AZAD)

(a): The details of Janani Suraksha Yojana (JSY) beneficiaries died or developed pregnancy complications after discharge from the hospital are not collected at the Central level.

(b) & (c): Status of facilities at Primary Health Centres as per Bulletin on Rural Health Statistics in India – 2008 is annexed. Similarly, against the 25086 sanctioned posts of doctors at Primary Health Centres 24375 are in position as on 31st March 2008 (RHS-2008). The Government has taken a number of initiatives which include the following:-

1. Operationalizing facilities – First Referral Units (FRUs), Community Health Centres (CHCs), and 24 hrs Primary Health Centres (PHCs)
2. Multi-skilling of doctors to overcome shortage of critical specialities (Training on Life Saving Anaesthesia Skills and Emergency Obstetric Care)
3. Skilled attendance at birth (domiciliary & health facilities).
4. Strengthening Referral Systems including transport.
5. Accrediting private health institutions for institutional deliveries.
6. Strengthening of Health Facilities like District Hospitals, Community Health Centres, Primary Health Centres and Sub-centres.
7. Provision of incentives, to serve in rural areas like blended payments, difficult areas allowance, PG allowance, case based payments, improved accommodation arrangements;
8. Provision of AYUSH doctors and paramedics in PHCs and CHCs as additional doctors in rural areas, block pooling of doctors in underserved areas, engaging with the non government sector for underserved areas; and
9. Hiring of human resources on contractual basis under National Rural Health Mission (NRHM).

(d): JSY is a safe motherhood intervention which promotes institutional deliveries and ensures safe delivery through skilled/trained workers. The Yojana provides a comprehensive package for safe motherhood including nutrition, complete Anti-Natal Check-ups (ANCs), institutional deliveries and Post Natal Check-ups (PNCs).