ABSTRACT

Dr.Muthulakshmi ReddyMaternity Benefit Scheme- Enhancement financial of assistance to.the poor pregnant womenfrom Rs.6000fto Rs.12,000/under Dr.Muthulakshmi Reddy Maternity Benefit Scheme Orders issued (EAPII-1) HEALTH AND FAMILY WELFARE DEPARTMENT G . O( M s )N o . 2 7 6 D a t e d3 . 1 1 . 2 0 1 1 : Thiruvalluvar Aandu 2042 lppasi-17 Read

1) G.O(Ms)No.184, Health Family and Welfare Department, d a t e d :1 1 . 0 9 . 2 0 0 6 . 2) G.O(Ms)No.1'18, Health Family and Welfare Department , dated: 05.04.2007. 3) G.O(Ms)No.224,Health Family and WelfareDepartment , dated: 09.07.2008 4) Fromthe Director Public of Health and Preventive Medicine Letter' R.No.39875/lmmn/S512011 06.09.201 dated: 1. ORDER:

Based on the announcement made in the Budget 2006-A7,a MaternityBenefii Scheme was launchedin the G.O first read above and the schemewas named as "Dr.Muthulakshmi Reddy MaternityBenefitScheme".The above scheme is being implernented from 15.9.2006. The schemeprovidesfinancial assistance Rs.6000f of to pregnant women frorn BelowPovertyLine (BPL)familiesfor the firsttwo cleliveries to compensatethe wage loss during pregnancyand to ensure that the',,have accessto nutritional food so that tlie incidence low birthweightbabiesis,reiuceci. of This amount of Rs.6000/-is given in two instalnrents Rs.30001eaci': i.e. first of instalment Rs.3000/-is given at the seventhmonth of pregnancy of and thg Secr.rncj instalmentof Rs.3000/- is given ai the time of deliver5r. This schei'neltas bcei-i extendedto the Srilankanpregnant women refugeesvicjeG.O seccnd rcail abo,,,e. ln the G.O third read above ordei'shave been issued for providing the a:;sisiance b a s e d o n t h e re co mmrj n d a 'ri o n the Village Health Nur se wiihou' rinsisiingthe of incomecertificate from the village Adrninistrative Officer. 2. The Hon'bleChief lviinistein the flcor of assetnbly r liag ai"ii-iciiir,:eri l.i;.,r1

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"Financialassist:rncep:o,.,ided under Dr.MuthLriaksi-rn-,i Recici; ll;'ir,,i't;it;, iviii BenefitSchei-ne i:e enhanced Rs.12,00A1- FRs.590 to and ci-c,'c,s bir t..:ri: s a n cti o n e d " 3" Basedon the abo',';?r-,i-rcuf'rcnrent by the Hon'bleChiei irrlir-,:r*r made ii,;,, Diieciorof PublicHealtitani Fieventive lvledicine his letterfour^th in i'eac li.;'-r.,,i iii:.1 set':t necessary proposaic 1o enhance the maternity berieii,, Lil,i..', il Dr'. uthLr lv'! lakshm! RedCylviaierniiy BenefitScheme,to Rs.12,000i-.

has stated thatthe and Preventive Medicine 4. The Director PublicHealth of providedunder the Dr.Muthulakshmi Benefit Reddy Maternity cash assistance Health of Scheme continue be givenbased the recommendationthe Village will to on will for only.The assistance be paidto all Nurseand be restricted two deliveries in body institutions, three eligiblewomen who deliver in Governmentilocal below: instalments conditional on basis as detailed . Thefirstinstalment Rs.4000/- be givento everypregnant who woman, will of 7th of health services during rnonth pregnancy. avails required all . The second of will instalment Rs.40001 be givento the motherafterdelivery body in theGovernmenUlocal institution. . Thethirdinstalment Rs.4000f be given to the mother cornpletion of will on of valent vaccine the child. for and / thirddoseof DPT,Hepatitis-B Polio Penta has further stated and Preventive Medicine of 5. The Director PublicHeatth plansto implement Conditional Maternity Benefit the that the Government lndia of Underthisscheme, and Scheme the two districts Cuddalore Erodein 2011-12. of in 2nd given Rs.40004in 3 instalments. Rs.15OOl-, 1't instalment motherswill be This schemeis Rs.1000/respectively. Instalment Rs.1500/and 3'o lnstalment programme (ICDS) Services ChildDeveloprnent implemented through Integrated the from ICDSwill be used The of of the Social Welfare Department. amount Rs.4000 in for in for the releaseof the 3'o Instalment the beneficiaries these two districts will under with coordination the VHN/ ICDSstaff. The othertwo instalments be paicj Reddy Maternity Benefit Scheme. Dr.Muthulakshmi the revised Healthand Preventive Medicinehas therefore 6. The Directorof Public the orders enhancing maternity for to requested Government issuenecessary the from Rs.6,000/to Benefit Scheme ReddyMaternity benefitunderDr.Muthulakshmi crores. witha out layof Rs.773.00 Rs.12,000/- the poorpregnantWomen to of of after carefulexamination the proposalof Director 7. The Government issuethe Medicine acceptthe same and accordingly PublicHealth Preventive and following orders: given under the Dr.Muthulakshmi Reddy i. The Financialassistance women is enhanced MaternityBenefitSchemefor the poor pi'egnant (Rupees only)with twelvethousand from Rs. 6,000/-to Rs. 12,0AUfrom 01.06.2011. effect Six for ii. Sanction accorded a sum of Rs. 660 crores(Rupees hundred is Reddy of and sixtycroresonly)for implementation the Dr.Muthulakshmi Scheme Benefit during year2011-12. the Maternity given underthe schemewill be given in three iii. The cash assistance only basisand restricted two deliveries as for on instalments conditional be!?rti detailed ,r.r"tmentof Rs.4000fwin be givento everyp.regnant 7tn healthservices during month woman,who avails required all of pregnancy. will of The secondinstalment Rs.4000/- be givento the mother body after deliverywho deliversin the GovernmenVlocal institution.

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iv.

on will of The third instalrnent Rs.40001 be givento the mother and of completion thirddoseof DPT,Hepatitis-B Polio/ Penta valent vaccine the child. for / criteria of The guidelines the schemesuch as eligibility selection procedure disbursement, for of conditions operation release funds of of bv modeof fundstransaction bankand for 1tt. 2ndand 3'd instalment

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funds distribution eligibilitycriteria for release supervision and monitoring, for community IEC and HealthCare staf,r and mode of operation Government India schemein the two districts of of aie indicated Annexure to thisG.O and responsibility Villag*Healili in 1 of Nurse, Sector HealthNurse, Community Healttr Nurse, Medical Officer. Block Medical Officer and WomenMedical Officer and details r.iiode of of disbursement indicated Annexure to thisG.C are in ll v ln the two districts Cuddalore of and Erode,where the CorrtJitional Maternity Benefit Scherne the Government Indiais proposed be of of to implemented the SocialWelfareDepartment, by pending approvai from the Government India,the eligible of motherswill be given the thirci instalment Rs.4000/of through CentralScheme. the

B. An additional amount Rs.64,27,80,000/of is required the enhancemelrt for of financial assistance be debited the following shall to headof accounts: 2235 - Social Security and Welfare-60. Other Social Securityand -200. Other ProgrammesWelfareProgrammes Schemes the Eleventh in Five Year Plan-ll State Plan - KG. Dr.Muthulakshmi Reddy Maternity Assistance Scheme the femalemembers BelowPoverty for of Linefamilies for delivery-O9. Grants-in-Aid 03. Grants for Specific Schemes (DPC223560 200KG 0934) (ASLsanctioned Rs.47,56,57,000) for 2235 - Social Securityand Welfare-60. Other Social Security and WelfareProgrammes-789. SpecialComponent Planfor Scheduled Castes Schemes in the Eleventh Five Year Plan-ll State Plan JC. Dr.Muthulakshmi Reddy MaternityAssistance Schemefor the female members of below povedy line familiesfor deliven' under Special -03 Component -09 Grants-in-Aid Grants Specific Plan for Schemes (DPC223560 789 JC 0937) (ASLsanctioned Rs 1G00.95,000) foi" 2235- Social Security Vlelfare Other SocialSecuriti, Welfare ano 6C a;ic -796. Programme Tribal Area Sub-Plan Schemes tire Eleventh in [:iveYear Plan-ll State Plan- JC. Dr.lt4uthutakshr-ni Reclciy Materni[' /r,ssisia:ice:

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Schemefor the femalen-leiltbers Belorn, p;rve;^l-_v fen"iiltes deirii.:i'y of line fu" -03. Granis-in-A.iC Graris foi-S;;e,..:ific -03. underTribalSub-Plan Sjciic-i-r-ic' ( D P C 2 2 3 56 0 7 9 6 JC 0 9 3 2 ,i (Al:i. sar.r ii;:'itii ill F,:':,.S,-1,2E, :,i 0ilC) I irrecessary additicrnai fi;l:ds;cf R:.e4,27iii..0ilij,- (,!i:.jaitci ai;'.rvethe p r o v i r i o : s n i l d e i n R B E 2 A 1 ',-1 )l v,' iiibc piluii- f:- ';' fl.i:ili,l,j 2.:",' ;' ;- i?. d Pi:nii i r r g provis:t:r, 1un5t in RE/FllA 2Ai't-12 thc Dir',.cicr.e,: r-:'i PLr!:ltc lri:;:i,,; frcj [.]fr.rvt:fiti\i(: MeCicii:: is authorized ittcur"tiii) to c:Xper-liiiiuieThi [Ji;1;ic,r i]-'uiL!:c c;" l-l:l!rl, and i.,,'iiiie' s:enCi:-i1 Preverit:vii f'..k:dicine directed tc i;"rclucie anrul.ri:i is tiris iii: f',;';t-,.-:-1:.-:i -l-ir:., (-r":' in RE/l"f'I.r. 2;l-1,'i-12to Government Finsttcedlpartrncni'.r',iti:e,.r, i,i', 1,.::r:<j;;). Puhiic. i-ieaiii;ailCPreventive IUecli,;ine aisa Cir^ecteCs,:lri t,)ii:l:jrj";:.-r;is il r-;.1ji+ 7i;-,',t., r;i f6; i1i i il;i,-",i;*, Sr-rpplementa''...' i, Esiii;late.

10. Thisorderissues withthe concurrence Financedepartment of vide its U.O.No.45IJS/(PU)2011-1 28.1A.2011. (Seven dated ASL.No.737 Hundred and ThiftySeven) (BYORDER THEGOVERNOR) OF GIRIJA VAIDYANATHAN PRINCIPAL SECRETARY GOVERNMENT TO To The Director Public of Health and Preventive Medicine,Chennai-6. The Special Commissioner, Revenue Administration, Chennai-5. The Special Commissioner Chennai Corporation Chennai The Director Medical of Education, Chennai-10. The Director Family of Welfare, Chennai-6. The Director Medical Rural of and Health Services, Chennai-6. The ProjectDirector, Reproductive ChildHealth, Chennai-6. The AdditionalChiefSecretary, Social Welfare Department, Chennai-9, The Director, SocialWelfare Department, Chennai-=5, All District Collectors All Corporation Commissioners TheAccountant General. Chennai-1 B. The Pay and Accounts Officer, Chennai-35. The Pay and Accounts Officer, Madurai All District Treasury Officers Copyto: The Hon'bleChiefMinister OfficeChennai-9 The SeniorP.A.to Hon'ble (FinanceHealth) Minister / Chennai-9. The RevenueDepartment Chennai-9. (Health Department The Finance l) Chennai-9. The Social WelfareDepartment, Chennai-9, SF/SC

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/ FORWARDED ORDER BY /

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dated 3'11.2O11. Annexure -I Guidelines for implementation of Dr.Muthulakshmi ReddyMaternity Benefit Scheme D r . M u t h u l a k s h m i R e d d y M a t e r n i t yB e n e f i t S c h e m e b y G O T N : 1 . E l i g i b i l i t y / S e l e c t i o nC r i t e r i a . . . t T h e p r e g n a n m o t h e rs h o u l db e o f a g e 1 9 y e a r sa n d a b o v e . status, staff shouldcertify the economic registering Ante-natal g i v e n t o e v e r y p r e g n a n tw o m a n , w h o w This cash assistance ill be i d h a l l r e q u i r e d e a l t hs e r v i c e s u r i n g p r e g n a n c yn G o v t ,i n s t i t u t i o n avails a i a n d t h e m o t h e rw h o d e l i v e r sn t h e G o v e r n m e n itn s t i t u t i o n n d g e t t i n g f p r o p e ri m m u n i z a t i o n e r v i c e so r t h e c h i l d . s o T h e c a s ha s s i s t a n c w i l l b e g i v e nf o r t w o d e l i v e r i e s n l y ' e p a w S r i l a n k a n r e g n a n t o m e nr e f u g e e s r e e l i g i b l e . pregnant women who are rnembers of Farmers SocialSecurity The t a S c h e m e r e a l s oe l i g i b l e o g e t t h i s c a s h a s s i s t a n c e .

. . .

2. Procedure of disbursement . . .

The first installmentof Rs.4000/- will be given to every pregnant w o m a n , w h o a v a i l s a l l r e q u i r e dh e a l t h s e r v i c e sd u r i n g 7 t h m o n t h o f pregnancy w t T h e s e c o n di n s t a l l m e n o f R s . 4 0 0 0 / - i l l b e g i v e n t o t h e m o t h e ra f t e r deliverywho deliversin the Governmeni Localbody institution / T h e t h i r d i n s t a l l m e n to f R s . 4 0 0 0 / -w i l l b e g i v e n t o t h e m o t l r e r o n o c o m p l e t i o n f t h i r d d o s eo f D P T ,H e p a t i t i s B a n d P o l i o/ P e n t av a l e n t v a c c i n eo r t h e c h i l d . f

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3. Conditions & Operation for the release of funds For the releaseof l"t Installment with VHir / i'lf ii'vv, o The beneficiary lrer pregnancy shouldregister . T l - r e e n e f i c i a rs h o u i dh a v ea v a i l e d T i m m u n i z a t i a nP ' i c o c t o u p i n g , . T , b y E Weight, B,P, Testing for HIV. at the timi' of Aitl ler,,el, typing, Hbo/o ii n a r e g l s t r a t i o ne v e r y m o n t hW e i g h t ,B . P .r e c o r d i n g n d 1 4 i r i i n r i :O - i e & ol 7ii ri'{-^,i''il.i-'r clone (Scan) & TT imrn, beflr'e Ultrasonogramme p r e g an c y , n . Ali entries shor:id be reportecion line (PICME (ori J;'. fl'"{l"ic,:: software ) who satisfiesthe above conditionsai"c eiii;ii-'ilti-: " The beneficiarli , t r e c e i v et h e f i r - s ti n s t a l i m e n o f R s . 4 0 0 0 / -d u r i n g t i r t - : 7 ' ' 'i i , ; i ' ; i l ' { . r " pi'egnancy.

t ) b o A N m o t h e ri s r e g i s t e r e d y V H N, M P H W ( Fs h o u l d a c c e s s h r o ' H S C t C o d eN o , a n d p a s sw o r d / M u n i c i p l a l i / yC o r p o r a t i o nw i t h c o d ea n d passwordentersPICME No. e S h o u l d n t e rt h e A N Cd a t a . o shouldbe updatedevery monthfrom Antenatalregistration. o Entries n o T h e P I C M E u m b e r / B a n k A c c o u n tN o . w i l l b e u s e d f o r t h e c a s h . disbursement For the releaseof 2"dInstallment . Mothers delivered in Govt. Institutions (Govt. Medical college District HQ hospitals / hospitals/Medicalcollegeattached Hospitals/ h M T a l u k , N o n -T a l u kh o s p i t a l s M u n i c i p a l a t e r n i t y o m e s/ H e a l t hP o s t / Hospitals/ Primary Health Centersand / ESI hospitals/ Railway in Health Sub Centre/any other Govt. institutions the district,) are of the secondinstallment Rs,4000/-after delivery, eligibleto receive . All hospitals will be given one code / Password to operate DT.MRMBS delivered software whereverdeliveriesare conducted Beneficiaries e n t e rd e l i v e r y , o n l y i n G o v t .H o s p i t a l sa r e e l i g i b l eA l l H o s p i t a l s h o u l d details. . If the deliverydetailsare not enteredby the institutions, VHN should enter the detailsof deliverywith Birth certificateissuedin the placeof of deliveryfor the release fundsfor the 2no installment. For the releaseof 3'd Installment: . . . o o o o

The third installmentof Rs.4000/-will be given to the mother on of completion third dose of DPT,Hepatitis B and Polio/ Pentavalent f v a c c i n eo r t h e c h i l d . (or)Dr. t4RMBS Entries shouldbe reportedon line (PICME ) thro' VHN , MPHW(F) should access With the detailsof irnmunization Number/ Municiplality and entersPICME HSCCodeNo. and password with code and passwordentersPICMENumber. / Corporation e S h o u l d n t e rt h e c h i l dd e t a i l s d t E n t r i e s f I m m u n i z a t i o n e t a i l s o b e d o n em o n t h l y . o n u m b e r / B a n k A c c o u n tN o . w i l l b e u s e d f o r t h e c a s h The PICME disbursement.

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4, Mode of Fundstransactionby bank and Funds distribution : in forms for the beneficiaries Duplicatewill be given by Application fill up the Two forrns.One form should be with VHN. Mothersshould i n m o t h e ro t h e rf i l l e da p p l i c a t i o w i l l b e r e t a i n e dn P H C. its o p e n e di n a n y o n e o f t h e B A D u r i n g N r e g i s t r a t i o n , a n ka c c o u n ba Nationalized nks. with the beneficiary of BMO/Commissioners Corporation Municipality / and in:tallnent fforn tre-asu-ry depositin list will claimfundsfor each b91j,, in any one of !h9 Nationalised account_for r:l:I.: T:YRMBS

givesthe bllgffgyof I Municipality " BMO/Commissioners Corporation .

l i s t w i t h t h e d e t a i l so f e a c h b e n e f i c i a r y ' sA c c o u n tN o , B a n k n a m e , B a n k llment, for c o d e ( I F S C ) t o B a n k o r re T ease each i

tc thro' transferof accounts f B a n k r e l e a s e su n d sto the beneficiarY account. beneficiary 5. Eligibilitycriteria for the release j f 4 o t h e r h a d A N c h e c k u p i n G o v t . i n s t i t u t i o n ,d e l i v e r e c i n G o v t . institutions and completed immunization services eligible for 3 installments" a F o r t h e 2 n di n s t a l l m e n ta l l d e l i v e r i e si n G o v t . I n s t i t u t i o n s r e e l i g i b l e . 1 2 hospitals heis not eligible 'or n" I f t h e m o t h e r h a s d e l i v e r e di n P r i v a t e & 3 ' oi n s t a l l m e n t - . f I f a M o t h e r i s n o t e l i g i b l e o r l ' t i n s t a l l m e n t , i f s h e d e l i v c r si i ' tG o v t . & f i s e l i g i b l e o r 2 n o 3 ' oi n s t a l l m e n t . i n s t i t u t i o n s ,s h e 6. Supervision & Monitoring : State & District : District DEHS / State level officialsshoulc make t y v r a n d o ma n d s u r p r i s e i s i t st o v e r i f yt h e b e n e f i c i a r & P a y m e n d e t a i l s . - Monthly D i s t r i c t : D M C H Oi n r u r a l / U r b a n , A D / D S A o f r u r a l & S u p e r v i s i o n m o n i t o r i n gd o n e a t a l l P H C , M u n i c i p a l i t y C o r p o r a t i o n / / B l o c kl e v e l . & MedicalOfficer of the P'dC/ WMO of lviuiircipalit;r Block i FHC: -Weekly Supervision n-rcnitoring / Officer Corporation , Block N4edical level' n y d o n e a t P H CM u n i c i p a l i t& C o r p o r a t i o / B l o c k in oi Sl-tN & Ct-lN shoulCcarry out supervisi,.n 10 childrerr a nronth to crosscheck and verifiesin the field'

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; al fteporting : Reports will be generated ali levelsPHC-iBir:c, District/State usingthe software. 7 " IEfi * fcr Community and Healthcare stafi: ir"''';-'1-': i;otir ai'iC ./ posiei-s tc with message:; be prinitlcj and Parnphiets U r l ; a n& R u r a l& C o m n r u n i t t t . Uri:air& Rttrala:-ai: l;.1'.'.-'j,"' \/ Orieritation the healthstaffboti^; for to & Bloc[< District be cione" t-l5C,PHC, 5{."-r' ' to rneeting be done,( Revi:|'it{:'' /-. E;str-ict level intersectoral A M ) l ' r r : i f a r e , u n i c i p a l d m i n i s t r a t i o,nE d u c a t i o n of ail ':ie'aii:"with rnessages ,' Atr-,plicatiorr to be pi-inted form M BS Dr-. R.M i:"r"'i'::' for conclitions tlre rcleale ci e;r;!-r ( l',ii:d,:: applicaiion, of o r n c d eo f r e l e a s e f f u n d st o t h e b e n e f i c i a r y .

Mode of Operationof Governmentof India Schemein the Two districts : g w identification f Mothers ill be done as per the conditions iven in the o i S t s c h e m e o f G o v e r n m e n o f T a m i l N a d u . c h e m ew i l l b e i m p l e m e n t e d n o a C u d d a l o r e E r o d ed i s t r i c t s s c a r r i e do u t i n o t h e rd i s t r i c t s f T a m i l N a d u . & to Total amount of Rs. 4000 frorn ICDS will be deposited BMO account vfor releaseof 3'd Installment the beneficiaries respective in districts. for given to ICDS after the release 3'o installment of list Beneficiaries will be by BMO Enteringthe data in the softwareand providingservices will be co-ordinated activitywith VHN & ICDSstaff,

VAIDYANATHAN GIRIJA TO PRINCIPAL SECRETARY GOVERNMENT

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District
Kancheepuram

HealthDistrict
Kancheepuram

Municipality
Anagaputhur Maraimalainagar
Pammal

3 4 5 6 7 8 I Vellore Vellore Thiruvallur Thiruvallur

Poonarnallee

u Thiruverkad
Tiruttani jolarpettai Melvisharam

Pernambattu Villupuram
Salem Nammakal Villupuram Salem Nammakal Kallakurichi

10
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Narasingapuram
Pallipalaiyam

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15 16 17

Tiruppur

Tiruppur Coimbatore
Erode

Coimbatore Erode

18
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Nilgris

20 27 22 23 24
25

Tiruchirapalli

Perambalur

Ariyalur
Nagapattinanl

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Nagapattinam ITi Ramanathanpura

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29 30 31 32 33 34 35 36

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Thiruvannamalai I truvarur Dindi

Tirul'ar;:i Dirrilir,'!