Abstract
International Journal of Medicine and Public Health,2018,8,1,29-33.DOI:10.5530/ijmedph.2018.1.6Published:March 2018Type:Original ArticleExploring the Bottlenecks: An Assessment of the Implementation Process of Janani Suraksha Yojana in the State of West Bengal, IndiaDipta K Mukhopadhyay, Sujishnu Mukhopadhyay, Sarmila Mallik, Susmita Nayak, Asit Kumar Biswas, and Akhil B. Biswas Dipta K Mukhopadhyay1, Sujishnu Mukhopadhyay*2, Sarmila Mallik3, Susmita Nayak4, Asit Kumar Biswas5, Akhil B. Biswas6 1Associate Professor, College of Medicine and Sagore Dutta Hospital, Kolkata, West Bengal, INDIA 2Associate Professor, Malda Medical College, Malda, West Bengal, INDIA. 3Professor, Murshidabad Medical College, Bahrampur, West Bengal, INDIA. 4Consultant (Management), IHFW, GN 29, Sector 5, Salt Lake City, Kolkata, West Bengal, INDIA. 5Chief Medical Officer of Health, Darjeeling, West Bengal, INDIA. 6Professor, Institute of Health and Family Welfare, GN 29, Sector 5, Salt Lake City, Kolkata, West Bengal, INDIA. Abstract:Introduction: Empirical research reported that Janani Suraksha Yojana (JSY) accomplished the proximate target of increasing institutional delivery. However, discontents existed on the process and other outcomes of the scheme. Methods: To assess the implementation process of JSY in West Bengal, a cross-sectional study was conducted in six districts with population of 29.5 million covering 80 health sub-centers, 12 Primary health centers, 12 community health centers and six district hospitals. Data regarding barriers for utilization were collected through structured interview of the women who delivered within last 12 months. In-depth interviews of health personnel at different levels of government health system and review of relevant records were conducted to assess their awareness as well as flow of fund, record keeping and community-based monitoring of the scheme. Results: Almost universal awareness regarding benefits and conditionality of JSY among beneficiaries and health personnel, flexibility from health institutions for making the process of disbursement more users’ friendly, regular record keeping in cash books are the strengths of this scheme. Delay in disbursement and multiple visits from beneficiaries for receipt of incentive, almost no system of assessing the requirement of fund, inequitable distribution of fund and diversion of fund from other head to meet the expenses of JSY, lack of community-level monitoring of the scheme might potentially affect the success of the scheme. Conclusion: Removal of procedural complexities for beneficiaries, smooth flow of fund based on actual need and community-level monitoring are a few challenges that are to be redressed urgently. Keywords:Assessment, Cash incentives, India, JSY, Pregnant women, ProcessView:PDF (230.56 KB)
Highlights
Empirical research reported that Janani Suraksha Yojana (JSY) accomplished the proximate target of increasing institutional delivery
To assess the implementation process of JSY in West Bengal, a cross-sectional study was conducted in six districts with population of 29.5 million covering 80 health sub-centers, 12 Primary health centers, 12 community health centers and six district hospitals
Based on the policy of demand side financing (DSF), promotion of maternal care was envisaged in many parts of the world through Conditional Cash Transfer (CCT) schemes.[1,2,3,4]
Summary
Empirical research reported that Janani Suraksha Yojana (JSY) accomplished the proximate target of increasing institutional delivery. In-depth interviews of health personnel at different levels of government health system and review of relevant records were conducted to assess their awareness as well as flow of fund, record keeping and community-based monitoring of the scheme. Results: Almost universal awareness regarding benefits and conditionality of JSY among beneficiaries and health personnel, flexibility from health institutions for making the process of disbursement more users’ friendly, regular record keeping in cash books are the strengths of this scheme. The Government of India launched Janani Suraksha Yojana (Safe Motherhood Programme), on the principles of DSF through CCT for reduction of maternal mortality by increasing institutional delivery. The scheme reportedly met with reasonable success in increasing institutional deliveries.[8,9,10] In West Bengal, routine reports generated by state government as well as research studies reported increase in institutional delivery, particularly in public health institutions among the beneficiaries of JSY.[11,12,13,14]
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