Health Department

Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission (NHM) being implemented with the objective of reducing maternal and neo-natal mortality by promoting institutional delivery among the poor pregnant women. The Yojana, launched on 12th April 2005, by the Hon’ble Prime Minister, is being implemented in all states and UTs with special focus on low performing states. JSY is a 100 % centrally sponsored scheme and it integrates cash assistance with delivery and post-delivery care.

Government of India has launched Janani Shishu Suraksha Karyakaram (JSSK) on 1st June, 2011.

In view of the difficulty being faced by the pregnant women and parents of sick new- born along-with high expenditure on delivery and treatment of sick- new-born, Ministry of health and Family Welfare (MoHFW) has taken a major initiative to ensure better facilities for women and child health services. It is an initiative  to provide completely free and cashless services to pregnant women including normal deliveries and caesarean operations and sick new born(up to 30 days after birth) in Government health institutions in both rural & urban areas.

The following are the Free Entitlements for pregnant women:

• Free and cashless delivery

• Free C-Section

• Free drugs and consumables

• Free diagnostics

• Free diet during stay in the health institutions

• Free provision of blood

• Exemption from user charges

• Free transport from home to health institutions

• Free transport between facilities in case of referral

• Free drop back from Institutions to home after 48hrs stay

The following are the Free Entitlements for Sick newborns till 30 days after birth.This has now been expanded to cover sick infants:

• Free treatment

• Free drugs and consumables

• Free diagnostics

• Free provision of blood

• Exemption from user charges

• Free Transport from Home to Health Institutions

• Free Transport between facilities in case of referral

• Free drop Back from Institutions to home

Brief

This is a Joint initiative of Ministry of Health and Family Welfare and Ministry of Women and Child Development. Under National Health Mission, Home-Based Care for Young Child Programme (HBYC) is rolled out as an extension of the Home Based New Born Care programme (HBNC) which is currently implemented across the country. Under HBNC, home visits by ASHAs to the infants ends at 42nd day after birth and there exists a gap in the household contact of ASHAs with the child beyond this period except the ones for immunization.

Addressing this gap in health system contact is crucial. Therefore, additional home visits by ASHAs between 3rd and 15th months were proposed under HBYC to fill this gap.

Under Home Based Care of Young Child (HBYC) programme, the additional five home visits will be carried out by ASHA/AWW, from 2-3 month onward ASHAs/AWWs will provide quarterly home visits (3rd, 6th, 9th, 12th and 15th month). The quarterly home visits schedule for low birth weight babies, SNCU & NRC discharges will now be harmonized with the new HBYC schedule.

Goals of the Program

1. Promoting good CHILD NUTRITION by appropriate infant and young child feeding practices.

a. Early initiation of breast feeding within one hour of birth,

b. Exclusive breast feeding for the first 6 months of life,

c. Appropriate and adequate complementary feeding from 6 months of age with continuation of breastfeeding.

2. Ensuring age appropriate immunization.

3. Ensuring optimal early childhood development.

4. Ensuring reduction in child morbidity and mortality by appropriate health care seeking behaviour.

The purpose of the additional home visits by ASHAs/AWWs are promotion of evidence based interventions delivered in four key domains namely nutrition, health, child development and WASH (water, sanitation & hygiene).

HBYC program has been rolled out in 13 aspirational districts in Bihar . So far 12421 ASHAs have been  trained in total 30367 ASHAs and 911 ASHA Facilitators have been trained out of 1455 ASHA Facilitators in 44 batches.

Universal Immunization Programme (UIP) is one of the largest public health programmes . It is one of the most cost-effective public health interventions and largely responsible for reduction of vaccine preventable under-5 mortality rate.
Under UIP, immunization is providing free of cost against 12 vaccine preventable diseases such as Diphtheria, Pertussis, Tetanus, Polio, Measles, Rubella, severe form of Childhood Tuberculosis, Hepatitis B and Meningitis & Pneumonia caused by Hemophilus Influenza type B, Rotavirus diarrhoea, Pneumococcal Pneumonia and Japanese Encephalitis.

Pulse Poliyo : House to house vaccination program is organized to eradicate polio.

National Deworming Day(NDD) : National Deworming Day(NDD) programme is implemented by Department of Health, Government of Biharwith an objective of making every child in the state worm-free. It is one of the largest public health programmewhich reaches to aged children 1-19 years in the state, through a network of schools and anganwadis.