Janani Suraksha Yojana

Scheme Name :- Janani Suraksha Yojana

If the ASHA worker in the rural area has completed all the prenatal check-ups of the Janani Suraksha Yojana eligible beneficiary, Rs. 300 /- should be provided after verifying it .
If the ASHA worker accompanies the beneficiary to a government health institution for the purpose of delivering the beneficiary in the institution If the beneficiary’s delivery is done in a government health institution, Rs. 300 /- should be provided as a guarantee .

• should be paid Rs. 150 /- per beneficiary for a fully vaccinated child .
• Under the vaccination program, the ASHA worker will be given Rs. 100 per beneficiary if the child is fully vaccinated within one year . In the vaccination coverage, a total of 11 doses of BCG , DPT , Hepatitis – B , three doses , three doses of polio and one dose of measles vaccine have been received. The child should be assumed to be fully vaccinated .
• remaining amount of Rs. 50 /- should be given to the ASHA worker if the child in the age group of 1 to 2 years is fully vaccinated .
• For the family welfare program, if beneficiaries under its jurisdiction are provided with sterilization, an incentive amount of Rs. 150 /- should be given, but this amount should be given to ASHA workers. After-hours surgery should be given only after visiting the beneficiary .

• Revised Elimination Program

  If suspected patients referred by ASHA worker are diagnosed with leprosy, Rs . 50 /- should be given per patient . If DOT treatment for tuberculosis is given as per the prescribed schedule, she should be given Rs. 250 /- per patient .

• Leprosy Eradication Program

  If a suspected patient referred by an ASHA worker is diagnosed with leprosy, Rs . 50 /- should be given per patient . If an ASHA volunteer completes the treatment of a non-contagious leprosy patient regularly, Rs . 120 /- should be given .

• Control Program, ASHA workers will be given Rs. 10 /- per case
• if they complete the complete treatment of a case of Hiv-Falpiperum
• Complete treatment of a case of Hiv-Vivax Rs. 25 /- per case
• If a seriously ill case with fever is admitted to the hospital Rs. 25 /- per case
• For first reporting of gastro , jaundice and malaria epidemics 25 /- per case
• If children under 5 years of age who are sick due to dehydration are sent to the hospital on time Rs . 25 /- per child

Remuneration

An incentive amount will be paid based on the work done through the ASHA work system . Accordingly, the ASHA worker will be given the following work-based incentive amount as decided by the government .
Group Promoters There are 69 group promoters ( block facilitators ) working for 50 primary health centers in Beed district .
Roles and responsibilities of group promoters

• The group promoter should coordinate between ASHA volunteers and the health department . ( e.g. Taluka Health Officer , Medical Officer , Health Assistant , Health Worker , Anganwadi Worker etc. )
• To understand the problems faced by ASHA volunteers and solve them at the village level, as well as to make ASHAs aware of their responsibilities .
• Continuous follow-up with ASHA volunteers to ensure that they receive timely payment for their work .
• review the training given to ASHA volunteers during the village visits by attending the training booklet No. 1 (7 days), Training booklet No. 2 ( 4 days ) , Training booklet No. 3 ( 4 days ) , Training booklet No. 4 ( 4 days ) , and Training booklet No. 5 ( 4 days ) as required .
• The group promoter is required to visit each ASHA volunteer at least twice a month .
• The group promoter should attend and guide the monthly meetings held at the central level as well as the taluka level meetings of the ASHA volunteers .
• To coordinate ASHA volunteers at the village level, meet the Sarpanch , Deputy Sarpanch , Talathi , Gram Sevak , Police Patil , Chairman of Tantamukti , Chairman of Co-Control Committee and inform them about the role of ASHA volunteers and try to solve the problems of ASHA volunteers through coordination .
• Compiling monthly reports based on the work of ASHAs , checking ASHA records , providing medicine stock to ASHAs , preparing monthly reports , as well as making arrangements for sending monthly reports to the Central / Taluka / District level .

I. P. H. S. Concepts under Indian Public Health Standards Minimum criteria for Primary Health Centers

• 24 x 7 service
• Own building , medical officer and staff residence
• Well-equipped laboratory , maternity ward and operating theatre complete with all medical instruments and equipment
• 24-hour water and electricity supply
• Essential services for newborns
• Immediate referral services , prenatal check-ups and routine immunizations, post-natal check-ups, early and safe abortion , family welfare services, and all national health program planning.
• R. T. i . Management , AYUSH Services
• Information , Education and Publicity ( ANC Care , Epidemic Control and all National Programs )

Minimum criteria required for a sub-center as per Indian Public Health Standards

• 24 x 7 service
• Own building , staff accommodation ( 2 ANM , 1 MPW and 1 PLA )
• 24-hour water and electricity supply
• 24-hour maternity services , urgent referral services , prenatal check-ups and regular vaccinations
• Postpartum check-up management and management of family welfare services and encouragement for family welfare surgery
• Epidemic Management and General Outpatient Services
• Information , Education and Publicity ( ANC Care , Epidemic Control) and all national programs )

Number of I. P. H. S. institutions selected for Beed district

Name of the organization	Total number	Institutions taken for IPHS
Prof. come on center 56	14
Prof. come on center 297	0
Total	353	14

Infrastructure Development Cell

This includes construction of health centers at all levels under the National Rural Health Mission , improvement of existing health centers , etc. The following guidelines have been developed to ensure that the construction of health centers is completed as soon as possible as per the standards of the Central Government and that the funds are utilized appropriately so that it is possible to provide health facilities to maximum people .
At the district level, a committee comprising the Chief Executive Officer , Zilla Parishad , Deputy Director , Health Services ( relevant health boards ) and Executive Engineer , Public Works Department has formed an infrastructure cell .

Responsibilities and Duties of Infrastructure Development Cell

• Call for tenders to form a panel of technically competent construction agencies , giving priority to local construction agencies , after checking the technical qualifications of the agencies, the District Collector , Chief Executive Officer and Executive Engineer will finalize the panel . This will include at least five agencies .
• Engineer in the Infrastructure Cell will prepare a list for the District Health Committee regarding the construction of health centers and the renovation of existing health centers . The Taluka Health Officer , District Surgeon and District Health Officer will assist them .
• The Infrastructure Division will then prepare a cost estimate for the construction on this list .
• The executive committee of the District Health Committee will determine the construction action plan keeping in mind the budget and priorities .
• Based on the plan, the District Health Committee and the Patient Welfare Committee will invite tenders for the construction and decide to award the work to the bidder with the lowest price .
• The Infrastructure Division will be responsible for supervising construction and checking quality .
• The Infrastructure Cell will be responsible for sending the expenditure statement at the district level as well as the state level .

Patient Welfare Committee

The National Rural Health Mission has introduced the concept of Patient Welfare Committee / Hospital Management Committee for the efficient management of health services .

• This step has been taken with the aim of developing community-based care in rural health services / hospitals . The aim is to provide accountable health services to the public through clinics and health centers .
• Financial Provision :- To motivate the process of establishing a Patient Welfare Committee at the state level, every year Rs. 1 lakh has been provided to the rural hospital and Rs . 5 lakh to the district hospital ( Civil Hospital) while Rs. 1 lakh has been provided to the P.A. Center as a primary assistance fund . These committees are eligible to receive this assistance as they have received official approval from the state government to maintain health service fee fund, consumer fee / donation value .

Duties and Responsibilities

Equipment , materials , ambulances ( in the form of donation , on rent or in other ways such as by taking a loan from a bank ) should be made available as per the regulations of the Primary Health Center / Rural Hospital / District Hospital .

of the Primary Health Center / Rural Hospital / District Hospital building, if necessary, based on the guidelines and permission of the State Government .

of Primary Health Centers / Rural Hospitals / District Hospital buildings ( including residential buildings ) , vehicles and equipment .

of the Primary Health Center / Rural Hospital / District Hospital should be sustainable and environmentally friendly . For example , disposal of hospital waste in a scientific manner , solar energy systems or water conservation .

The Patient Welfare Committee will take necessary action to ensure that the services required by the patient are provided in an adequate and quality manner .

To strive to provide free services ( Cashless Hospitalized Treatment) to needy and poor patients .

Implementing necessary schemes for patient welfare . For example , providing sarees to the pregnant woman , providing warm clothes for the baby ( Angade – Topade ).

Patient Welfare Committee at Primary Health Center level

• Composition of the Governing Body of the Patient Welfare Committee of the Primary Health Center
• Chairman :- Member of the Zilla Parishad within the jurisdiction of the Primary Health Center .
• Vice President :- Taluka Health Officer

Member

1. Member of Panchayat Samiti
2. Sarpanch of the village where the Primary Health Centre is located
3. Female member of Gram Panchayat
4. Local Non -Governmental Organization
5. Member of Local Voluntary Organization
6. Scheduled Caste representative selected by the Chairperson of Panchayat Samiti
7. Integrated Child Development Officer ( CDPO)
8. Block Development Officer ( BDO)
9. Block Education Officer ( BEO)
10. Corporator selected by the Chairperson of Municipal Council ( if the Primary Health Centre is under the jurisdiction of the Municipal Council )
11. Local Medical Professional / Medical Officer AYUSH

Member Secretary

Medical Officer of Primary Health Center. Quarterly meetings of the above members should be held

Structure of the Executive Committee

Chairman

Taluka Health Officer

Members

1. Chief Sevak ( Anganwadi )
2. Local Medical Professional
3. Member of the Governing Body of the Panchayat Samiti
4. Chairman of the Village , Health , Nutrition , Water Supply and Sanitation Committee of the Gram Panchayat
5. Health Extension Officer
6. Extension Officer of the Education Department
7. Medical Officer AYUSH

Member Secretary

A meeting of the Medical Officer Committee of the Primary Health Center should be held every month .

Agenda for the meeting

• To review the services provided in the inpatient and outpatient departments of the Primary Health Center and to set the objectives of the services to be provided in the next month .
• Review the health services provided in the work area in the previous month and set goals for the next month .
• To decide on measures after reviewing the report of the Monitoring Committee .

Patient Welfare Committee at the Sub-District Hospital / Rural Hospital level
Untied Funds

Guidelines for the utilization of Village Health Fund

• After establishing a committee in every revenue village of the district and training the committee members, they will get untied funds every year in proportion to the population . From this fund, they can do the following works .
• Money can be withdrawn from this when needed and then it will have to be paid in installments .
• for any public health program at the village level like cleanliness drive , school health program , integrated child welfare service , Anganwadi level program , household survey etc.
• In exceptional circumstances, this fund can be used to meet urgent health needs of needy , destitute women and poor families .
• The untied fund is a resource for social action at the local level and should be used only for social programs that will benefit more than one family . Nutrition , education and sanitation , environmental protection , public health programs will be important areas for using the fund .

Each village can contribute to this committee to get additional funds . The village that contributes Rs. 10,000/- to the Village Health Fund can be given additional compensation and financial assistance . The purpose of this fund is to enable action at the local level and to support village-level public health measures.

This is to prioritize

A. No.	Population	Bandhamuktnidhi
1	Up to 500	Rs. 3,000 / –
2	501 to 1,500	Rs. 5,000 / –
3	1,501 to 5,000	Rs. 10,000 / –
4	5,001 to 10,000	Rs. 24,000 / –
5	More than 10,001	Rs. 30,000 / –

Guidelines for the utilization of untied funds at the sub-central level

• As part of the National Rural Health Mission, it has been proposed that every An unsecured fund of Rs . 10,000 /- will be provided for the sub-centre , from which it will be spent on urgent matters of low cost .
• This fund will be kept in the joint bank account of the Sarpanch and the health worker .
• The decision on which items the funds are to be spent will be made with the approval of the Village Health Committee . And the action will be taken by the health worker . In areas where there is no headquarters of the sub-center and the area of operation of the sub-center includes more than one Gram Panchayat , the Village Health Committee located at the headquarters of the sub-center will coordinate the work of the program. This fund will be used for any villages under the sub-centre as approved .
• This untied fund should be used for public benefit rather than personal needs. This fund can be used for referral services and transportation arrangements in times of emergency .
• This fund can be used for the following purposes .
• Minor changes in the substation such as screens , pipe repairs , bulb installation and other minor repairs that can be done at the local level .
• Expenses for cleaning the sub-center, especially after delivery .
• For transportation arrangements to be made to the appropriate referral service location in times of emergency
• For transportation of samples during the pandemic
• Required for the substation Purchase of items such as badges
• Purchase of bleaching powder and disinfectants for use in public places .
• Approval for cleaning of premises such as draining of stagnant water or deworming measures .
• Remuneration to ASHA workers for health work . Untied funds can be used for any salary , vehicle purchase or Gram Panchayat expenses. No

Guidelines for the appropriation of untied funds and annual maintenance funds for Primary Health Centers / Rural Hospitals / Sub-District Hospitals

• Under the National Rural Health Mission , each Primary Health Center will get Rs. 25,000/- untied fund annually for local health measures. Also, each Primary Health Center will get Rs. 50,000 / – as annual maintenance fund for physical improvement and maintenance .
• Water supply , sanitation, their use and maintenance will be given priority . Each action should be planned in such a way that the impact of the untied funds will be clearly visible .
• The untied fund of the Primary Health Center / Rural Hospital / Sub-District Hospital should be kept in the bank account of the concerned Patient Welfare Committee / Hospital Management Committee .
• It is necessary for the Patient Welfare Committee of the Primary Health Center / Rural Hospital / Sub-District Hospital to work from the annual maintenance fund and monitor it . Both these funds will be spent through the Patient Welfare Committee .

Village Health , Nutrition , Water Supply and Sanitation Committee Since

providing clean drinking water to the rural people , malnutrition and health programs are interrelated, while implementing them at the village level, it is necessary to do this work by the village level Ekav Committee instead of forming separate committees at the village level, therefore, the village level Village Health Committee was merged with the Village Water Supply and Sanitation Committee and this committee was renamed as Village Health Nutrition Water Supply and Sanitation Committee .

Composition of the Committee

• 50 percent of the members should be women .
• With a view to solving the problems of each area in revenue villages , priority should be given to members of Scheduled Castes and Scheduled Tribes .
• ASHA , Anganwadi Worker and Health Worker ( ANM )

The self-help group head , the secretary of the parent – teacher association , representatives nominated by the NGO working from a rights-based perspective in the village and representatives of the beneficiaries will assist this committee in implementing women’s health programs .

Training

The members of this committee will be trained in monitoring and planning of health services at the village level . To be able to do Also , leadership training is required to design a health sub-center.They will be given .

Financial Provision

• A committee will be established in every revenue village of the district and after training the committee members , they will get an untied fund in proportion to the population . From this fund, they will carry out the following works .
• This fund can be used as a revolving fund / temporary use for health needs .
• This fund can be used to implement programs such as organizing health camps , village cleanliness campaigns , school health campaigns , conducting programs through Anganwadi, conducting household surveys , and preparing village health action plans .
• The account of the available funds of the Village Health, Nutrition , Water Supply and Sanitation Committee will be in the joint name of the Anganwadi Worker and the Chairperson of the Village Health , Nutrition , Water Supply and Sanitation Committee .

the Village Health , Nutrition, Water Supply and Sanitation Committee

• To create public awareness about health programs , especially informing the public about their rights related to government health services .
• To discuss and prepare a plan for village health schemes by considering health problems through public participation .
• To discuss important issues and questions related to health and nutrition at the village level and provide feedback to the relevant authorities in that regard , and to publish the village’s annual health progress report in the Gram Sabha .
• Services of ANMs and MPWs : – To monitor that they visit the villages on the prescribed days and carry out the assigned tasks . Also to monitor the responsibilities of ANMs and MPWs regarding nutrition .
• To explore village health issues and important issues Collect information by conducting a household survey .
• Anganwadi workers should maintain a health register in the village . There should be a record of which programs were implemented and how much was spent . This record should also be made available for inspection or public inspection by ANM / MPW / Gram Panchayat from time to time .
• The Panchayat Samiti should review the Village Health, Nutrition, Water Supply and Sanitation Committee and see their work and progress .
• The District Health Committee should review the work of the Village Health, Nutrition, Water Supply and Sanitation Committee in its meeting .

The information collected by the Village Health, Nutrition, Water Supply and Sanitation Committee is expected to be maintained by the District Planning and Monitoring Team .

Beneficiary:

As Mentioned above

Benefits:

As Mentioned above