NORCERT 8 Mains-2025
Obstetrics & Gynaecology
Medium
Which of the following services provided to a pregnant woman under the Janani Shishu Suraksha Karyakram (JSSK) scheme is an exception?
Appeared in: NORCERT 8 Mains-2025
Explanation
- The question asks to identify the service that is an exception to the entitlements provided under the Janani Shishu Suraksha Karyakram (JSSK).
- While JSSK provides free transport, it is not in the form of general 'free taxi services'.
- The transport entitlement is fulfilled through designated ambulance networks (e.g., Dial 102/108 services) and other empanelled vehicles.
- Therefore, 'Free taxi services in rural area' is an incorrect description of the benefit and is the correct exception.
Why Other Options Were Wrong
- Option A: This is a core entitlement under JSSK. The scheme guarantees free and cashless delivery, including caesarean sections, in public health institutions.
- Option B: This is a key provision of JSSK. The scheme provides all essential drugs and consumables required during delivery and stay at the health facility, free of cost.
- Option C: This is a crucial entitlement under JSSK to ensure pregnant women can reach health facilities without incurring travel costs. The scheme provides free transport from home to the institution.
Related Visual
- Visual 1: Infographic: A chart summarizing the key entitlements for pregnant women and sick newborns under the Janani Shishu Suraksha Karyakram (JSSK).
- Visual 2: Flowchart: A diagram showing the process of availing transport services under JSSK, from calling the helpline (102/108) to being transported to the facility.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Entitlements under the Janani Shishu Suraksha Karyakram (JSSK) as background academic context rather than a clinical decision trigger.
- Nurses play a vital role in educating pregnant women and their families about their entitlements under JSSK. This awareness empowers them to demand these services and reduces financial barriers to accessing essential maternal and newborn care.
- By ensuring patients are aware of the free transport services (like Dial 102/108), nurses can help prevent delays in reaching the hospital, which is critical in obstetric emergencies.
- What if the patient lives in a remote area with no direct access to a 102/108 ambulance? The nurse should be aware of the local protocol, which may involve coordinating with ASHA workers and empanelled private vehicles to ensure the patient is transported.
How to Approach the Question
- First, identify the keyword 'exception' in the question stem. This tells you that you are looking for the option that is NOT a service provided by the scheme.
- Recall or look for the key provisions of the Janani Shishu Suraksha Karyakram (JSSK).
- Evaluate each option against the known entitlements of JSSK.
- Option A (Free delivery), Option B (Free drugs), and Option C (Free transport) are all well-known components of the scheme.
- Analyze Option D ('Free taxi services'). While 'free transport' is an entitlement, consider if the specific mention of 'taxi services' is accurate. Schemes usually have designated service providers.
- Conclude that 'free taxi services' is an incorrect and overly specific description of the transport benefit, making it the exception and the correct answer.
Concept Tested & Keywords
- Concept Tested: Entitlements under the Janani Shishu Suraksha Karyakram (JSSK)
- Stem keywords: Janani Shishu Suraksha Karyakram (JSSK), pregnant woman, services
- Lead-in keywords: exception
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
- Negative lead-in flag: The question asks for an exception, meaning three options are correct entitlements and one is not.
Question ID
QEzPPquUAF7aiRSfe-G_4P
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