Abstract
Background: Janani Suraksha Yojana (JSY) is a maternal protection scheme that promotes institutional delivery by providing cash incentive to the mothers who deliver their babies in a health facility. With the purpose of improving maternal and neo-natal mortality and morbidity indicators, the investment and emphasis on JSY is continued. Utilization pattern and perception in the community regarding a particular health program is important to study for assessing the success or failure of the program. Objectives: To assess the utilization of JSY and its perception among mothers and health care providers. Materials and Methods: A descriptive, cross-sectional, community based study was Conducted at Agra district of Uttar Pradesh, among 246 married women of reproductive age group who had childbirth after JSY implementation for assessing their utilization pattern and perception regarding JSY services. Perception regarding the strengths and weaknesses of JSY among the health care providers was also studied. Results: Nearly half (53.25%) of the mothers studied had an institutional delivery and were eligible for the JSY benefits. Postnatal home visits by Accredited Social Health Activists were done in 48% of home and 100% of institutional deliveries. Nearly half (48.09%) of the beneficiaries were benefited by free transport facility under JSY. Although all of the health care providers perceived JSY as beneficial for improving maternal health, 44% of them had the notion that cash incentives under JSY can have a negative effect on family planning practices. Conclusion: The utilization rate of the JSY services was found to be low in certain aspects like institutional deliveries, transport facility etc., and there is scope for improvement.
Highlights
Global data show that maternal mortality ratio (MMR) ranges from 8/100,000 live births in developed countries to 500/100,000 live births in developing regions
Pretested, structured schedule in local language, that is, Hindi was used for assessing the utilization pattern of Janani Suraksha Yojana (JSY) services, which included questions like place of delivery, postnatal visits by Accredited Social Health Activists (ASHA) and other services utilized under JSY during their last delivery
All the participant mothers were asked about their perception regarding benefits of JSY and each of them were allowed to tell single or multiple benefits
Summary
Global data show that maternal mortality ratio (MMR) ranges from 8/100,000 live births in developed countries to 500/100,000 live births in developing regions. The scheme is intervention for safe motherhood and seeks to reduce maternal and neo-natal mortality by promoting institutional delivery, that is, by providing a cash incentive to mothers who deliver their babies in a health facility. There is provision for cost reimbursement for transport and incentives to Accredited Social Health Activists (ASHA) for encouraging mothers to go for institutional delivery. The scheme is fully sponsored by the Central Government and is implemented in all states and Union Territories, with special focus on low performing states like Uttar Pradesh.[3] The importance of India to global maternal and neonatal health and the magnitude of the continued investment in JSY, draw attention to its utilization and
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