Which of the following is a safe motherhood intervention under the National Health Mission launched on 12 April 2005 to reduce maternal and neonatal mortality by promoting institutional delivery among poor pregnant women?

Appeared in: DSSSB 6 September 2024

Explanation

Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission (NHM).
It was launched on April 12, 2005, specifically to reduce maternal and neonatal mortality.
The core strategy of JSY is to promote institutional delivery among poor pregnant women by providing them with cash assistance.
The scheme integrates cash assistance with delivery and post-delivery care, facilitated by Accredited Social Health Activists (ASHAs).

Option A: Rashtriya Bal Swasthya Karyakram (RBSK) is a child health program, not a maternal health intervention. It focuses on screening children from birth to 18 years for health issues.
Option B: Rashtriya Swasthya Bima Yojana (RSBY) is a health insurance scheme. While it provides financial protection for hospitalization, it is not a specific safe motherhood intervention focused on promoting institutional deliveries.
Option C: Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) is a program aimed at strengthening healthcare infrastructure. It focuses on setting up new AIIMS-like institutions and upgrading government medical colleges, not on direct service delivery for safe motherhood.

Clinical Relevance

Nursing practice connection: Knowing National Health Programs: Safe Motherhood Interventions helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Community health nurses and ASHAs are pivotal in the success of JSY. They identify eligible pregnant women, counsel them on the importance of institutional delivery, prepare micro-birth plans, and ensure they receive the cash benefits.
Understanding JSY helps nurses address barriers to institutional delivery, such as financial constraints and lack of awareness, thereby contributing to the reduction of MMR and IMR in the community.
What if the pregnant woman is from an urban area? JSY also covers urban poor women, although the cash assistance amount may differ from that for rural areas. Nurses must be aware of the specific entitlements based on location (rural/urban) and state category (LPS/HPS).

How to Approach the Question

First, carefully read the question and identify the key defining features of the program being asked about. Keywords here are 'safe motherhood intervention', 'National Health Mission', 'launched on 12 April 2005', and 'promote institutional delivery'.
Next, consider each option and recall its primary purpose.
Evaluate RBSK: This is for child health screening, so it's incorrect.
Evaluate RSBY: This is a health insurance scheme, not a direct delivery promotion program, so it's incorrect.
Evaluate PMSSY: This is for building healthcare infrastructure (like new hospitals), not a direct service delivery program, so it's incorrect.
Evaluate JSY: This program's name 'Janani Suraksha' (Mother Safety) and its known objectives perfectly match all the keywords in the question stem. It is the only option focused on promoting institutional deliveries for safe motherhood.

Concept Tested & Keywords

Concept Tested: National Health Programs: Safe Motherhood Interventions
Stem keywords: safe motherhood intervention, National Health Mission, 12 April 2005, reduce maternal and neonatal mortality, institutional delivery
Lead-in keywords: Which of the following
Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.

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

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E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 129-131

Practise the full DSSSB 6 September 2024

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