Effective public service delivery through innovative governance knowledge exchange
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Janani Express Yojana: Health referral transport service in Madhya Pradesh
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The Janani Express Yojana is providing emergency transportation facility to expectant mothers, sick infants and BPL families in rural Madhya Pradesh so as to enable them to avail adequate healthcare facilities on time.

The infant and maternal mortality rate in Madhya Pradesh (M.P) has been amongst the highest in the country as a result of which schemes like the Janani Suraksha Yojana (JSY) for promoting safe institutional deliveries acquire utmost importance.

For JSY to produce results, it has to be accompanied by various supporting factors primary among which is an adequate referral transport service which can transfer expectant women to a medical facility on time. Recognizing the importance of such a transport service, the Government of Madhya Pradesh has launched the Janani Express Yojana (JEY).

Under JEY, pregnant women , sick infants and BPL families can call a call centre and request for a vehicle to take them to the hospital at crucial emergency moments and drop them home after treatment. Call centre operators forward patients requests for transport to the drivers of ambulances that are usually stationed at government hospitals, community health centers (CHCs) and primary health centres(PHCs). The drivers then ensure that patients are transported to the nearest medical facility on time.

Operational since 2006, JEY has significantly increased the rate of institutional delivery in M.P by providing transport services to expectant mothers and ensuring that they are given adequate care on time. A primary reason for JEY's success is a tight monitoring mechanism through an offline software that stores all the details of beneficiaries like name, address, village, time of call, arrival time of ambulance, response time etc. The maintenance of such a robust database makes drivers and call centre operators perform their responsibilities without any delay. The existence of such data also ensures that periodic reports can be sent to higher officials for their review and monitoring. Very soon, the offline software will be converted into a real time online monitoring system which will facilitate regular monitoring by district and state officials.

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