Which of the following program is related to reduction in maternal and newborn mortality rate through institu… - NORCET 9 Mains - 2025

NORCET 9 Mains - 2025

Obstetrics and Midwifery Nursing

Easy

Appeared in: NORCET 9 Mains - 2025

Explanation

Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission (NHM).
Its primary objective is to reduce maternal and neonatal mortality specifically by promoting and incentivizing institutional delivery among pregnant women.
The program operates as a 100% centrally sponsored scheme, providing direct cash assistance to women who deliver in a health facility.
It also incentivizes ASHA workers to motivate pregnant women and ensure they receive antenatal care and deliver in an institution.

Option A: PMSMA's primary focus is on providing quality antenatal care (ANC) on a fixed day (9th of every month) to detect high-risk pregnancies, not on incentivizing the act of institutional delivery itself.
Option C: AMB is a specific strategy to combat anemia through interventions like Iron and Folic Acid supplementation. While reducing anemia improves maternal outcomes, the program's core objective is not promoting institutional delivery.
Option D: RBSK is a child health program focused on screening and early intervention for children from birth to 18 years for the '4 Ds' (Defects, Diseases, Deficiencies, Developmental delays). It is not related to maternal delivery.

Visual 1: Infographic: A flowchart differentiating the target beneficiaries and key objectives of JSY, PMSMA, AMB, and RBSK to clarify their distinct roles in India's public health framework.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Indian Government Health Programs for Maternal and Child Health as background academic context rather than a clinical decision trigger.
Community Health Nurses and ASHAs are pivotal in implementing JSY. They identify beneficiaries, counsel them on the benefits of institutional delivery, prepare micro-birth plans, and facilitate access to health facilities, directly impacting the program's success.
A thorough understanding of these national programs is essential for nurses to provide accurate information and services to pregnant women and children, thereby contributing to the reduction of India's Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR).
What if? If the question asked about a program providing completely free services (like drugs, diet, transport, and C-section) rather than a cash incentive, the correct answer would be Janani Shishu Suraksha Karyakram (JSSK), which complements JSY.

How to Approach the Question

First, identify the core requirements of the question: a program that 1) reduces maternal and newborn mortality and 2) does so specifically through promoting 'institutional delivery'.
Analyze the full form and primary purpose of each option. 'Janani Suraksha Yojana' translates to 'Mother Safety Scheme'.
Evaluate each program's main function: PMSMA focuses on antenatal care, AMB on anemia, and RBSK on child screening.
Compare these functions to the question's requirements. JSY is the only program that directly uses incentives to encourage women to deliver in a health facility.
This direct link between the program's mechanism (promoting institutional delivery) and the question's objective makes JSY the correct choice.

Concept Tested & Keywords

Concept Tested: Indian Government Health Programs for Maternal and Child Health
Stem keywords: maternal mortality, newborn mortality, institutional delivery, program
Lead-in keywords: Which of the following
Negative lead-in flag: false

Q_Ge2TLmg1jJXmbBeaHo-p