Janani Shishu Suraksha Karyakram (JSSK) to ensure free and cashless deliveries of all pregnant women approaching the public health institutes and free treatment of the sick neonates .
the Commissioner Health & Family welfare in her letter has stated that as per the GoI guidelines, Drugs and Consumables including supplements such as IFA are required to be given free of cost to the pregnant women during ANC,INC,PNC up to 6 weeks which includes management of normal delivery, c-section and any complications during the pregnancy and child birth and sick neonates who also needs urgent and priority treatment. One of the major guidelines issued by GoI for implementation of JSSK, for action at district level is to provide finances and empowerment for utilisation of funds to the block MOs/facility in-charges for providing medicines particularly during emergency situations/stock outs and requested to issue instruction for procurement of drugs locally in case of non availability at central drug stores of APMSIDC.
After examination of the proposal the following instructions are issued.
The Superintendents of the teaching /Maternity hospitals District Hospitals, Area Hospitals ,I/c Medical Officers of CHCs and Medical Officers of PHCs shall utilize the JSSK funds during emergency care/ stock out situations. They have to obtain non- availability certificate from the concerned pharmacists of the central drug stores.
2. They can purchase generic drugs from registered / licensed pharmacy stores and if generic drugs are not available, they can purchase the drugs from the registered/licensed pharmacists drugs duly following Government Norms & rules.
3. Under no circumstances, delivery services should be denied for want of drugs and consumables.
4. Purchase Drugs and consumables under JSSK shall be done only for maternity services as per the list of essential drugs and consumables under (JSSK) of GoI, and not for non-maternity services.
The Commissioner of Health and Family Welfare shall take necessary action in this regard
1) Lab and Diagnostic services at Teaching / Maternity hospitals ,DH, AH, CHCs & 24×7 PHCs shall be made available
2) Basic investigations like pregnancy test, Hb & urine exam at Government health institutions shall be made available
3) Rational posting of Lab Technicians for integrated & comprehensive utilization in all the programmes.
4) To make emergency investigations, Lab Technician shall be available round the clock at least at DH, AH and CHC level.
5) Ensuring uninterrupted supply of reagents, consumables and other essentials as required for lab investigations.
6) In case of reagents, consumables and other essentials are not available in regular supply a certificate to this extent shall be obtained from concerned lab technician and then the reagents and consumables and other essentials shall be purchased locally from registered and licensed firm by following due government procedures to prevent shortage / stock out.
7) In case, in house lab & diagnostic services are not available (hospital superintendent shall certify to this effect), free investigations can be provided through PPP/ outsourcing by identifying a Pvt. Lab registered under PC PNDT act by following due procedure, which is as near to the facility to the possible to avoid inconvenience to the pregnant women.
8) When ultrasound machine and technician are not available, the services shall be outsourced. If ultrasound machine is available and technician is not available, then technician services can be obtained on outsourcing basis and expenditure shall be met from JSSK funds.
1) Every Blood Bank / Blood Storage centre (Govt. / RCH / Pvt.) shall maintain adequate stocks of each blood group.
2) Ensure availability of reagents & consumables at every Blood Bank / Blood
Storage centre for blood grouping, cross matching and blood transfusion.
3) Every Blood Bank shall ensure mandatory screening of blood before storage, organize periodic voluntary blood donation camps for maintaining adequate number of blood units.
4) Every Blood Bank / Blood Storage centre to ensure electricity backup and POL and alternate source of power backup for blood bag refrigerators for blood storage units.
5) Medical Officer in charge / Lab Technician of the Blood Bank to periodically visit Blood Storage units for monitoring & supervision & also shall ensure blood safety standards as per the guidelines of NACO/APSACS.
6) Every pregnant woman with severe anaemia for caesarean section & Post Partum Hemorrhage (PPH) etc., shall be provided free blood transfusion approaching Govt. health institutions during ANC, INC & PNC up to 6 weeks after delivery.
7) In case of non availability of blood units at existing Blood Banks / Blood Storage centre functioning at Govt. health institutions, free blood can be provided by procuring blood units from registered & licensed Pvt. Blood Banks as per the rates fixed by APSACS and funds for this can be utilized from JSSK scheme.
8) The Medical Officer / Lab Technician of existing blood banks shall maintain all records & registers on details of blood transfusion given to pregnant women & sick newborn and also details of pregnant women / sick newborn given blood units from Pvt. Blood banks.
G.O.Rt.No. 308 Dated: 26.02.2013 G.O.Rt No. 371 07.03.2013
Read the following:
1. G.O Rt No 1591 Health Medical & Family (D2) department Dt 08.09.2011
2. Letter No 159/RCH 11/S4/2012 of CH&FW .