Improving Access to Institutional Delivery through Janani Shishu Suraksha Karyakram: Evidence from Rural Haryana, North India

نویسندگان

  • Harshal R. Salve
  • Lena Charlette
  • Ankita Kankaria
  • Sanjay K. Rai
  • Anand Krishnan
  • Shashi Kant
چکیده

BACKGROUND In India, Janani Shishu Suraksha Karyakaram (JSSK) was launched in the year 2011 to assure cashless institutional delivery to pregnant women, including free transport and diet. OBJECTIVE To assess the impact of JSSK on institutional delivery. MATERIALS AND METHODS A record review was done at the primary health care facility in Faridabad district of Haryana from August 2010 to March 2013. Focus group discussion/ informal interviews were carried out to get an insight about various factors determining use / non-use of health facilities for delivery. RESULTS Institutional delivery increased by almost 2.7 times (197 Vs 537) after launch of JSSK (p < 0.001). For institutional deliveries, the most important facilitator as well as barrier was identified as ambulance service under JSSK and pressure by elders in the family respectively. CONCLUSIONS JSSK scheme had a positive impact on institutional deliveries. It should be supported with targeted intervention designed to facilitate appropriate decision-making at family level in order to address barriers to institutional delivery.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Regular Antenatal Care Visits Predict Good Knowledge Among Post-natal Mothers Regarding Entitlements of Health Programs in Western India

Janani-Shishu Suraksha Karyakram (JSSK) and Janani Suraksha Yojana (JSY) were launched with the objective of increasing institutional deliveries. But, its knowledge among the post-natal mothers is not known. This research evaluated the knowledge of two national health programs among post-natal mothers and found out the predictors of good knowledge about the entitlements...

متن کامل

Increasing Institutional Delivery and Access to Emergency Obstetric Care Services in Rural Uttar Pradesh

that in rural Uttar Pradesh (UP), only about one-fourth of women delivered their last child in an institution.a In 2005 the Janani Suraksha Yojana ( JSY) was launched as an intervention to address the barriers to institutional delivery, through the introduction of community-based women volunteers called Accredited Social Health Activists (ASHAs). Women in rural areas in low performing states ar...

متن کامل

A Demand Side Intervention for Promoting Safe Delivery in India: Safe Motherhood Intervention Scheme Targeting MDG Goal 5

Utilization of institutional delivery has an important implication for maternal and child health in India in terms of both morbidity and mortality. The utilization rates for institutional delivery are very low in large north Indian States. Reasons for such low institutionalized delivery care are mainly the low utilization rates of Ante Natal Care services. Safe motherhood intervention Scheme or...

متن کامل

Program evaluation of the Janani Suraksha Yojna

Introduction The Janani Suraksha Yojana (JSY) was launched in 2005 as a response to high maternal mortality in India. The scheme was driven by global evidence that conditional cash transfers enable behaviour change, in this case, rise in institutional delivery. The scheme had a differential incentive entitlement based on urban or rural areas and high or low performing states. The incentives for...

متن کامل

Impact of Janani Suraksha Yojana on Institutional Delivery Rate and Maternal Morbidity and Mortality: An Observational Study in India

The Government of India initiated a cash incentive scheme--Janani Suraksha Yojana (JSY)--to promote institutional deliveries with an aim to reduce maternal mortality ratio (MMR). An observational study was conducted in a tertiary-care hospital of Madhya Pradesh, India, before and after implementation of JSY, with a sample of women presenting for institutional delivery. The objectives of this st...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 42  شماره 

صفحات  -

تاریخ انتشار 2017