Tripura CHO - 2021
Community Health Nursing
Easy

Janani Suraksha Yojana (JSY) program focuses on reduction of ________?

Appeared in: Tripura CHO - 2021

Explanation

  • Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission (NHM).
  • Its explicit and primary goal is to reduce both maternal mortality (deaths of mothers) and neonatal mortality (deaths of newborns within the first 28 days of life).
  • The core strategy of the program is to promote and incentivize institutional deliveries, ensuring that births occur in a healthcare facility under the supervision of skilled birth attendants.
  • The program provides direct cash assistance to pregnant women from poor households as an incentive to deliver in a government or accredited private hospital.

Why Other Options Were Wrong

  • Option B: While reducing girl mortality is a national health goal, it is not the specific, primary focus of JSY. JSY is concerned with the survival of the mother and the newborn (of any gender) during the perinatal period.
  • Option C: JSY's focus is on pregnancy and childbirth. Adolescent mortality is a broader issue addressed by other programs under the RMNCH+A (Reproductive, Maternal, Newborn, Child and Adolescent Health) strategy, but it is not the direct objective of JSY.
  • Option D: This option is incorrect because a correct option is available. The primary focus of JSY is well-defined as the reduction of maternal and neonatal mortality.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Primary objective of Janani Suraksha Yojana (JSY) as background academic context rather than a clinical decision trigger.
  • Community health nurses and ASHA workers are the backbone of the JSY program. Their role in identifying beneficiaries, providing counseling, ensuring antenatal care, and facilitating transport is critical for the program's success.
  • The implementation of JSY has significantly contributed to the increase in institutional deliveries in India, leading to a measurable decline in the Maternal Mortality Ratio (MMR) and Neonatal Mortality Rate (NMR).
  • What if? If a pregnant woman is from a high-performing state and belongs to an Above Poverty Line (APL) family (and not SC/ST), she would not be eligible for cash assistance under JSY, as the scheme prioritizes the most vulnerable populations.
How to Approach the Question
  • First, identify the key term in the question: 'Janani Suraksha Yojana (JSY)'.
  • Break down the name: 'Janani' means mother, and 'Suraksha' means safety or protection. This immediately suggests a program focused on maternal health.
  • Consider the context of childbirth. The greatest risks are to the mother and the newborn baby around the time of delivery.
  • Evaluate the options based on this understanding. 'Maternal and neo-natal mortality' directly aligns with the concept of ensuring the safety of the mother and newborn.
  • Rule out the other options. 'Girl mortality' and 'adolescent mortality' are broader health issues, whereas JSY has a very specific focus on the events surrounding pregnancy and birth.
Concept Tested & Keywords
  • Concept Tested: Primary objective of Janani Suraksha Yojana (JSY)
  • Stem keywords: Janani Suraksha Yojana (JSY), program, reduction
  • Lead-in keywords: focuses on

Question ID

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Reference Book

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 262-264

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) p. 54-56

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 139-141

Practise the full Tripura CHO - 2021

Attempt every question from this paper in a timed mock, then review the full solution for each one.