Utilization of Health Services under Janani Suraksha Yojna in Rural Haryana

Binodkumar Behera,Jagbirsingh Malik,Meenakshi Kalhan,Anita Punia,Sandeep Sachdeva

doi:10.4103/2230-8598.118977

Binodkumar Behera, Jagbirsingh Malik + Show 3 more

Open Access

https://doi.org/10.4103/2230-8598.118977

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Abstract

Objective: To study the utilization of health services by mothers during antenatal, natal and post-natal period under Janani Suraksha Yojna (JSY). Materials and Methods: This cross-sectional study was conducted in rural areas of two districts of Haryana as per the rate of institutional deliveries. A total of 48 sub-centers were selected by multistage random sampling. 1386 JSY beneficiary mothers were interviewed by house-to-house visits, after obtaining informed consent. Results: Majority 1216 (87.5%) of the study subjects were registered between 12-26 weeks of pregnancy whereas only 170 (12.3%) of them were registered within first 12 weeks. Around one-fourth of the mothers did not receive the recommended minimum three antenatal check-ups. The coverage of TT immunization was 92.1%. Majority 1253 (90.4%) of the deliveries were institutional. More than three-fourth of the home deliveries were conducted by trained dais and 15% of the home deliveries were conducted by untrained persons. Out of the 1253 institutional deliveries, 84.6% were conducted in Government institutions while 15.4% deliveries were conducted in Private hospitals. About two-third mothers received at least three post-natal care visits by the health functionaries. Discussion: Janani Suraksha Yojna is an ambitious scheme serving as a safe motherhood intervention under NRHM. It has been fairly successful in promoting institutional deliveries but the key components of Essential Obstetric Care i.e., early antenatal registration, minimum three antenatal care visits, three post-natal care visits still need strengthening.

Highlights

Janani Suraksha Yojna (JSY) is an ambitious scheme serving as a safe motherhood intervention and was launched under National Rural Health Mission (NRHM) on 12th April 2005.[1]. It was proposed by way of modifying the existing National Maternity Benefit Scheme (NMBS)
As per district level household survey-3 (DLHS-3) report 2007-08, all the districts were classified into three categories based upon percentage of institutional deliveries: Low performing, moderately performing (45-60%) and high performing
Majority of the study subjects were registered between 12-26 weeks of pregnancy i.e., 1216 (87.7%) whereas only 170 (12.3%) of them were registered within 12 weeks

Summary

Introduction

Janani Suraksha Yojna (JSY) is an ambitious scheme serving as a safe motherhood intervention and was launched under National Rural Health Mission (NRHM) on 12th April 2005.[1] It was proposed by way of modifying the existing National Maternity Benefit Scheme (NMBS). It is a cash incentive-based program to promote institutional deliveries. The main objective of this scheme is to reduce maternal and neo-natal mortality. It makes available quality maternal care during pregnancy, delivery and in the immediate post-partum period along with appropriate referral and transport assistance. States/UTs of Assam, Bihar, Chandigarh, Haryana, Rajasthan, Meghalaya have IMR more than the national average.[3]

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