Key health schemes to take note of in Rajasthan

While Ayushman Bharat is a national health protection scheme, the Rajasthan state government has also introduced some key health schemes and missions at the state level. Dive in to get updated regarding the key health schemes in the state.

 

The ambitious healthcare scheme, Ayushman Bharat Yojana, launched by the Central Government in 2018, has been rolled out in multiple states across India. In addition to this, states ruled by opposition parties like the Congress and the Trinamool Congress, have also introduced their own healthcare schemes.


Notable mentions among these state schemes include the Swasthya Sathi scheme by the West Bengal government, way back in 2016, and the Biju Swasthya Kalyan Yojana, by the Odisha government which has been effectively providing healthcare benefits to their citizens. Meanwhile, the Rajasthan government has also introduced certain schemes and initiatives of their own.


Here, we delve into five of the most prominent health schemes implemented in the state of Rajasthan -


1 - Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana

  • Recently, the Rajasthan state Government decided to implement Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in integration with the already existing Bhamashah Swasthya Bima Yojana (BSBY) which has helped around 97 lakh families as of 2019.

  • As per this integrated scheme, all eligible families under BSBY and AB-PMJAY will be eligible to avail health benefits upto Rs 5,00,000 per year. All families listed in the SECC database as per the defined criteria, will be covered.

The government portal for Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana (Image credit: pmmodiyojana.in)


  • There is no cap on the family size and the age of members; however,special priority is given to the girl child, women and senior citizens.

  • In terms of the treatment, AB-PMJAY covers secondary and tertiary hospitalization, which includes approximately 1,350 medical packages covering surgery, medical and daycare treatments, cost of medicines and diagnostics.

  • All pre-existing diseases are covered, hospitals cannot deny treatment to anyone who’s eligible under the scheme, and hospitals can’t charge any additional money to the beneficiaries for treatment.

  • Overall, this scheme promises cashless and paperless access to quality health care services across Rajasthan.


2 - Mukhyamantri Chiranjeevi Swasthya Bima Yojana

  • Earlier this year, the Ashok Gehlot led Rajasthan government launched the Mukhya Mantri Chiranjeevi Swasthya Bima Yojana (MMCSBY), shortly known as Chiranjeevi health insurance scheme.

  • The benefits under the initiative includes cashless medical insurance of upto Rs 4.5 lakh for severe diseases and Rs 50,000 for casual ailments.

  • All families falling in the Below Poverty Line (BPL), National Food Security Act (NFSA) and Socio-Economic Caste Census (SECC) categories are eligible to register for the scheme. Individuals covered as part of the Ayushman Bharat Mahatma Gandhi Rajasthan Swasthya Bima Yojana including contractual workers, small and marginal farmers can also benefit from it. This translates to about 1.10 crore families which accounts for two-third of the state’s population.

  • Even the ones who are not included in the above groups, can claim benefits from the scheme by paying 50 percent of the premium, which can come upto Rs 850 every year.

  • The Chiranjeevi Yojana provides cashless treatment in hospitals for everyone. The scheme covers 1576 medical tests and a few other diseases, including several medical illnesses, haemodialysis and even COVID-19.


Representational image (Image credit: Unsplash)


  • The beneficiaries under the scheme will be eligible for cashless hospitalisation in 1,092 government and 336 private empanelled hospitals across the state.

  • The Chiranjeevi scheme covers medical expenses for five days before hospitalisation and till 15 days of discharge.


3 - Janta Clinics

  • Modelled on the lines of the Mohalla clinics in New Delhi, the Rajasthan government came up with a similar concept - Janta clinics. In December 2019, Chief Minister Ashok Gehlot inaugurated the state’s first Janta clinic, in Valmiki Basti, Malviya Nagar, Jaipur. Since then 12 of these clinics have opened up in Jaipur and three more in Jodhpur.

  • The purpose of creating these Janta clinics is to cater primarily to the urban poor and reduce their out-of-pocket expenditure on healthcare. Since these clinics are aimed at providing services to nearly 20,000 people in urban areas, they’re located strategically in predominantly residential areas. The clinics also provide free primary healthcare to slum dwellers.

  • Among the services provided by the clinics, vaccination, primary healthcare, free primary diagnosis tests and medicines are important ones to note. The purpose of the clinics is to reduce overcrowding at government hospitals and make primary healthcare more accessible.


Image of a Janta Clinic in Jaipur (Image credit: RajRas)


  • The only difference between Janta Clinics and urban primary healthcare centres - (UPHCs) clinics will have only Out-Patient Departments (OPDs), and will have no facilities for patients’ admission. On the other hand in UPHCs, a patient can be admitted for treatment.

  • Janta Clinics are IT enabled and paperless, thereby transforming the way primary healthcare is tracked and delivered. Under this system, everything from the patient details, case history to the doctor’s prescription are prepared digitally through a mobile application. This provides a structured data collection process, eases the retrieval of medical history and provides clinical decision support to the providers. In this way, Janta Clinics ensure high quality, actionable, accountable data for effective healthcare delivery.


4 - Mukhyamantri Nishulk Dawa Yojana

  • Despite past efforts, (Essential Drug List 2005 which was revised in 2013, and Standard Treatment Guidelines 2006 revised in 2012) access to cost-effective medication and their rational use continued to be a challenge in Rajasthan. There were large gaps in medicine procurement, quality-checking, distribution and pricing. Additionally, there were problems related to storage and transportation of medicines.

  • In an effort to strengthen the drug supply chain management system and to provide free generic medicines, the Mukhyamantri Nishulk Dawa Yojana (MNDY) was launched in 2011-2012.



  • Under this scheme, an autonomous centralised procurement agency, Rajasthan Medical Service Corporation (RMSC) was established. The RMSC is responsible for the procurement of generic drugs and medicines, surgical and diagnostic equipment and their distribution to government medical institutions in the State of Rajasthan through the District Drug Warehouses. The inception of RMSC also ensured the availability of essential drugs at all times and promoted the rational use of drugs with special emphasis on the use of generic medicines.

  • Under MNDY, e-Aushadhi, a software for inventory management was launched. This web-based application deals with the inventory management of the stock of various drugs, sutures and surgical items at DDWs.

  • Some major positive outcomes of this program include an increase in access and equity of the underserved, reaching out to people who most needed these medicines. Also, there has been a major reduction in the sale of costly medicines, particularly anti-cancer, immunoglobulins, albumin, factors, sutures, rabies vaccines etc.


5 - Mukhyamantri Nishulk Jaanch Yojana

  • The Mukhyamantri Nishulk Jaanch Yojana (MNTY) was conceptualized as a precursor to the ‘Right to Medical Treatment’ under the banner of ‘Universal Health Coverage’ for the people of Rajasthan. At its inception, this scheme aimed to provide quality essential diagnostic services in all the government health care institutions of the state without charging fees.

  • This scheme, launched in a phased manner from 2013, has been implemented uniformly across all the districts of the state, with benefits extending to the entire state population.



  • In order to ensure successful implementation of this scheme and to effectively address the gaps, the activities under this scheme have been classified as short term and long term, with defined time lines, responsibilities and source of funds.

  • The scheme was implemented after issuance of all necessary government orders and circulars for strengthening of four basic components - infrastructure, manpower, equipment and reagents and consumables.

 

Edited by Aparna Chandrashekhar

 

Some resources and links to help you learn more about the health schemes in Rajasthan:

  1. What is the Rajasthan Government Health Scheme? All you need to know about Ashok Gehlot’s Ayushman Bharat-like programme implemented from May 1

  2. Rajasthan follows in Delhi’s footsteps, gets neighbourhood clinics for urban poor