Janani Suraksha Yojana 2026: Form PDF Download (Hindi & English), Eligibility, Benefits & Amount

The Janani Suraksha Yojana (JSY) is a major safe motherhood scheme launched by the Government of India under the National Health Mission (NHM).

Introduced on 12 April 2005, the scheme aims to reduce maternal and neonatal mortality by promoting institutional delivery among pregnant women, especially those from low-income families.

Many beneficiaries also search for Janani Suraksha Yojana form PDF download, but it is important to know that the form is provided separately by each state in Hindi, English, or regional languages.

Janani Suraksha Yojana - Overview

ParticularsDetails
Scheme NameJanani Suraksha Yojana (JSY)
Launch Date12 April 2005
Implemented UnderNational Health Mission
Scheme TypeCentrally Sponsored
BeneficiariesPregnant Women
ObjectivePromote institutional delivery
Financial Assistance₹600 to ₹1400
Form AvailabilityState-wise PDF

What is Janani Suraksha Yojana?

Janani Suraksha Yojana is a government-backed maternal healthcare initiative that combines:
  • Financial assistance
  • Institutional delivery
  • Postnatal care
The scheme connects pregnant women with healthcare services through ASHA (Accredited Social Health Activist) workers, who assist with registration, medical guidance, and benefit processing.

Objectives of JSY

The main objectives of the scheme are:
  • Reduce Maternal Mortality Rate (MMR)
  • Reduce Neonatal Mortality Rate (NMR)
  • Promote safe institutional deliveries
  • Provide financial support to poor families
  • Ensure proper care before and after childbirth

Key Features of JSY

  • Implemented across all states and union territories
  • Special focus on Low Performing States (LPS)
  • Cash assistance linked to institutional delivery
  • Covers government and accredited private hospitals
  • Beneficiaries receive JSY and MCP cards
  • Tracks antenatal, delivery, and postnatal care
  • Payment is generally made after delivery

Low Performing States (LPS) List

The following states are categorized as LPS:
  • Uttar Pradesh
  • Uttarakhand
  • Bihar
  • Jharkhand
  • Madhya Pradesh
  • Chhattisgarh
  • Assam
  • Rajasthan
  • Odisha
  • Jammu & Kashmir
All other states fall under High Performing States (HPS).

Eligibility Criteria

  • In Low Performing States (LPS): All pregnant women delivering in government health institutions are eligible
  • In High Performing States (HPS): Only BPL / SC / ST women are eligible
  • Applicable in Both: Eligible women delivering in accredited private hospitals

Cash Assistance Under JSY 

Rural Areas:
CategoryMother's AmountAsha Incentive
LPS₹1400₹600
HPS₹700₹600

Urban Areas: 
CategoryMother's AmountAsha Incentive
LPS₹1000₹400
HPS₹600₹400

ASHA Incentive Breakdown

  • Rural Areas (₹600):
    • ₹300 for antenatal care
    • ₹300 for delivery assistance
  • Urban Areas (₹400):
    • ₹200 for antenatal care
    • ₹200 for delivery support

Janani Suraksha Yojana Form PDF Download (State-Wise)

There is no single national JSY application form. Each state provides its own Janani Suraksha Yojana form PDF.


Puducherry JSY Form (English)

https://www.nhmpuducherry.org.in/WebResources/html_pdf/quicklinkspages/30.pdf

This form mainly collects bank account and Aadhaar details to enable Direct Benefit Transfer (DBT) of the scheme amount.

Common Details in JSY Form

Most state forms include the following information:
  • Name and address of the applicant
  • Pregnancy details
  • Category (BPL / SC / ST)
  • Expected date of delivery
  • Health center details
  • Bank account information
  • ASHA worker details
  • Declaration and signature

Registration Process

To avail benefits under JSY:
  • Visit nearest government health center or Anganwadi
  • Contact the ASHA worker
  • Register pregnancy
  • Fill the JSY form (if required)
  • Submit necessary documents
  • Choose institutional delivery
  • Receive financial assistance after delivery

Important Instructions for Beneficiaries

  • The JSY form is usually filled by the ANM or health worker after identifying a pregnant woman
  • Registration should be done as early as possible, preferably in the first trimester
  • Early registration ensures better monitoring and full benefits
  • The Mother and Child Protection (MCP) Card must be submitted along with the JSY card to claim benefits

Documents Required

  • Aadhaar Card
  • BPL Card (if applicable)
  • Caste Certificate (SC/ST)
  • Bank Account Details
  • Pregnancy registration proof

Importance of JSY Scheme

  • Encourages safe hospital deliveries
  • Reduces maternal and infant mortality
  • Provides financial support to poor families
  • Improves healthcare access in rural areas
  • Strengthens the public health system

FAQs

Q1. Where can I download Janani Suraksha Yojana form PDF?
You can download it from your state NHM website. Sample links are provided above.

Q2. Is JSY form PDF available in Hindi?
Yes, many states provide forms in Hindi, such as Uttar Pradesh.

Q3. Is JSY form available in English?
Yes, states like Goa and Puducherry provide forms in English.

Q4. Is there one common JSY form for all states?
No, each state has its own application form.

Q5. Is it necessary to download the form?
Not always. In most cases, ASHA workers complete the registration.

Q6. When should I register for JSY?
You should register during the first trimester of pregnancy for full benefits.

Conclusion

Janani Suraksha Yojana is a highly beneficial scheme that ensures safer childbirth for women across India. By combining financial support with healthcare services, it plays a vital role in improving maternal and child health.

If you are searching for Janani Suraksha Yojana form PDF download, remember that forms are state-specific, and in most cases, ASHA workers assist with the complete process.


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