Mother and Child Health – Immunization Program, BPBB, PMJSY, PMMSY, etc.

A leap backward for maternity entitlements

Note4Students

From UPSC perspective, the following things are important :

Mains level: Legal Maternity Benefit;

Why in the News?

All pregnant women in India are entitled to maternity benefits, yet the majority have not received any financial support in recent years.

What are the legal maternity benefit provisions under the National Food Security Act (NFSA) 2013? 

  • Universal Entitlement (Except Formal Sector): All pregnant and lactating women (excluding those already receiving maternity benefits in the formal sector) are legally entitled to receive ₹6,000 per child to support nutrition and health.
  • Objective of Nutrition and Health Support: The provision aims to improve maternal and child health by ensuring better access to nutrition, rest, and medical care during pregnancy and after childbirth.
  • Legal Obligation for Central Government: It is the legal duty of the central government to ensure maternity benefits are provided without arbitrary reductions or restrictions.

How do they compare to the benefits provided under the Pradhan Mantri Matru Vandana Yojana (PMMVY)?

  • Coverage Scope
      • NFSA 2013: Provides ₹6,000 per child to all pregnant and lactating women (excluding those in the formal sector).
      • PMMVY: Provides ₹5,000 only for the first child (recently extended to the second child if it is a girl), violating the universal entitlement under NFSA.
  • Implementation Efficiency
    • NFSA 2013: Mandates universal coverage without restrictive conditions to ensure access for all eligible women.
    • PMMVY: Imposes strict conditions (e.g., Aadhaar verification) and complex processes, leading to low disbursement rates and exclusion of many entitled women.

What are the issues related to Scant information?

  • Minimal Data Disclosure: The Ministry of Women and Child Development provides limited information on PMMVY, violating Section 4 of the RTI Act, which mandates proactive disclosure of public data. For example, basic details like the number of beneficiaries and payment status are not available.
  • RTI-Driven Insights: Information on PMMVY coverage is only accessible through RTI queries. For instance, RTI data revealed that effective coverage dropped from 36% in 2019-20 to just 9% in 2023-24, highlighting the program’s declining reach.
  • Budgetary Secrecy: There is little transparency about financial allocations and expenditures. For example, official records do not openly explain why central government spending fell to ₹870 crore in 2023-24—just one-third of the amount five years earlier.

Why has the effective coverage of the PMMVY declined sharply since 2019-20?

  • Software-Related Issues and Technical Glitches: In 2023-24, major changes in the PMMVY’s software and implementation processes caused frequent system failures, delaying or blocking payments. Officials admitted to facing software issues “every day,” leading to a reduced disbursement rate despite consistent applications.
  • Restrictive Eligibility and Complex Documentation: PMMVY limits benefits to only the first child (and a second child if a girl), violating the universal entitlement under the NFSA. Strict Aadhaar-based verification and other conditions exclude migrant workers and women in remote areas who struggle to complete the paperwork.
  • Budget Cuts and Reduced Government Spending: Central government spending on PMMVY fell to ₹870 crore in 2023-24, just one-third of the amount five years earlier. This underfunding directly reduced the number of eligible women receiving maternity benefits.

How do the maternity benefit schemes in Tamil Nadu and Odisha differ from the PMMVY?

  • Higher Financial Assistance: Tamil Nadu provides ₹18,000 per child (with a promise to increase it to ₹24,000), and Odisha offers ₹10,000 per child. In comparison, PMMVY provides only ₹5,000 for the first child (and a second child if a girl), which is below the ₹6,000 mandated by the NFSA.
  • Inclusive Eligibility Criteria: Tamil Nadu and Odisha offer benefits for every childbirth without restrictive conditions. PMMVY, however, limits benefits to the first child (with a recent extension to the second child if a girl), excluding many eligible women.
  • Better Implementation and Coverage: Tamil Nadu achieved 84% coverage in 2023-24, and Odisha covered 64% of births in 2021-22. In contrast, PMMVY’s effective coverage fell to just 9% in 2023-24 due to software glitches, reduced spending, and complex documentation.

What role did software-related problems play in further reducing disbursements in 2023-24?

  • Frequent System Failures: Major changes in PMMVY’s software and implementation processes in 2023-24 caused regular technical glitches, disrupting the payment system and delaying disbursements. Officials reported encountering software issues daily.
  • Reduced Disbursement Rate: Despite consistent applications, technical problems led to a sharp decline in the actual release of benefits. The disbursement rate dropped significantly, contributing to a fall in effective coverage to just 9% in 2023-24.

Way forward: 

  • Simplify Implementation and Strengthen Technology Infrastructure: Ensure robust, user-friendly software systems with regular maintenance to prevent glitches. Simplify application processes and reduce bureaucratic hurdles for timely disbursement.
  • Expand Coverage and Increase Funding: Align PMMVY benefits with NFSA provisions by providing ₹6,000 for every child. Increase budgetary allocations to ensure universal access and include marginalized groups like migrant workers.

Mains PYQ:

Q What are the salient features of the National Food Security Act, 2013? How has the Food Security Bill helped in eliminating hunger and malnutrition in India? (UPSC IAS/2021)

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