This scheme is applicable to the families living below poverty line and tribal (non income-tax paying). If the family is not enlisted in the BPL register, but still is below poverty line then the medical officer can provide scheme benefits based on the income certificate issued by Talati or City Mamlatdar. The scheme is cashless scheme for delivery services by trust hospital / private gynecologist and obstetrician. The beneficiary does not have to pay anything to the doctor.
Under the scheme, trust hospital / private gynecologist and obstetrician are enrolled after they are oriented about the Chiranjeevi scheme. District Health Society signs a MoU with each of them. As per MoU they have to provide the maternity services to the BPL / tribal (non income-tax paying) mothers as beneficiaries of the scheme at their nursing homes/hospitals. The Obstetricians were paid Rs. 1,79,500/- for a package of 100 deliveries (@ Rs. 1795/- per delivery) in past. The package is revised to Rs 2,80,000 for 100 deliveries wide GR dated 17-8-2010. The package of 100 deliveries includes normal and complicated deliveries and also cesarean section operations. There is no limit on number of deliveries conducted by the doctor. Payment will be made for the number of deliveries conducted by the enrolled doctor.
The above package includes all normal and complicated deliveries (including necessary facilities, investigation and medication). The beneficiary will have not to bear any type of charges related to delivery, medicine, anesthesia, laboratory investigations or operation. The package also includes Rs. 200/- for transportation to the pregnant mother. ASHA will be paid separately Rs 200 for bringing for institutional delivery separately from ASHA incentive fund. 48 hours stay is advised after delivery and is covered under the scheme.
If the Private Gynecologist offers his/her services in the Government Hospital, then Rs. 86,500/- will be paid for every 100 deliveries (including normal and complicated). Out of all pregnant mothers attending Mamta Diwas (village health and nutrition day, usually on a designated Wednesday every month) , those eligible for the scheme are identified by the health workers and place of delivery – be it govt institution or a Chiranjeevi Yojana Doctor is decided in birth microplan for that expectant mother. Local 108 ambulances are also given the list of local Chiranjeevi doctors and monthly list of expectant mothers who are likely to deliver. Beneficiary can avail free services of 108 ambulance to reach to Chiranjeevi doctor for delivery. Examination and treatment even in Special Newborn Care Unit by private pediatricians enrolled under Balsakha Scheme can be availed for the babies born in Chiranjeevi Yojana. Post natal visits will be carried by ASHAs for the well being of mother and newborn under ASHA scheme.
Tribal Development Department is bearing expenditure for non income-tax paying APL tribal families also from 26th March, 2007 under the scheme. Monitoring committees are constituted under the chairpersonship of collectors of the district for monitoring effective implementation including grievance redressal. Even if a BPL beneficiary is also card holder under Rashtriya Swasthya Bima Yojana, that family can opt to avail maternity benefit under Chiranjeevi Yojana so as to keep the RSBY envelope for other family medical treatment.
UNFPA Gujarat and Indian Institute of Management Ahmedabad had carried out the evaluation of the initial pilot of the scheme. Their reports have encouraging remarks. Looking to these results the Government of Gujarat has launched the scheme in all the districts of the state from 8th September 2006. The Scheme has been awarded Asia Innovation Award, and Prime Minister’s Award, 2009. It is also cited in Unicef report : State of World’s Children 2009 and in “Countdown to 2015 – Decadal Report 2000-2010” by WHO and Unicef in 2010.