The Indian Practitioner

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Appraisal of Functioning of Janani Suraksha Yojna: a Safe Motherhood Intervention in Rural Blocks of Haryana


Affiliations
1 Dept of Community Medicine, Lady Hardinge Medical College, New Delhi, India
2 Community Medicine, Lady Hardinge Medical College, New Delhi, India
3 SMO, National Polio Surveillance Project (NPSP), Bareily, UP, India
4 Community Medicine, Govt. Medical College, Nalhar, Mewat, Haryana, India
     

   Subscribe/Renew Journal


Context: The Government of India had launched Janani Suraksha Yojana (JSY), in the year 2005, as a safe motherhood intervention to reduce maternal and infant mortality rate through better provision and utilisation of Mother and Child Health (MCH) services. Though the scheme was promising enough, its implementation and utilisation were not uniformly implemented across the country due to lack of awareness of the common people, accessibility of the health services and availability of funds.

Aims: The present study was conducted to evaluate the operational mechanism of JSY and to assess the quality of services and perception of mothers regarding it.

Settings and Design: This was a rapid appraisal study conducted in four sub-centres, selected purposively, from two rural blocks of Haryana, a province of North India. The study design adopted was cross sectional.

Methods and Material: All the beneficiaries who received the benefits from 1.4.2009 to 31.3.2010 were enrolled in the study. The data were collected from beneficiaries regarding various aspects of JSY, using semi-structured schedule by carrying in-depth interviews, conducting house-to-house survey. Multi-purpose health workers - female (MPHW-F) of the sub-centres, accredited social health activist (ASHA) serving in the area and the concerned Medical Officer of the primary health centre (PHC) were also interviewed regarding implementation of JSY.

Results: Most of beneficiaries belonged to below poverty line (BPL) as well as schedule caste categories. Less than 15% of the beneficiaries received payment within one month. More than 80% of the beneficiaries got ≥ 2 ante-natal checkups, while post-natal checkups were received by less than 10%. More than two-third of the deliveries were still conducted at home.

Conclusion: More stress should be laid on the implementation of JSY in terms of place of delivery, provision of postnatal care and timely release of the monetary grants, so that the targeted objectives of this strategy can be achieved in a timely manner.


Keywords

Safe Motherhood Intervention, Rapid Appraisal, Maternal Mortality, Janani Suraksha Yojna.
Subscription Login to verify subscription
User
Notifications
Font Size


  • UNICEF. The Province of World’s Children 2009. Maternal and Newborn health. New York: UNICEF; 2008.

  • UNICEF. The Progress of Nations. New York: UNICEF; 1996.

  • SRS. Special bulletin on Maternal Mortality in India 200406 [internet]. April 2009 [cited 2010 Dec 4]. Available from: http://www.mp.gov.in/health/MMR-Bulletin-April-2009.pdf

  • MOHFW, GOI. Janani Suraksha Yojna, Guidelines for implementation [internet]. 2006 [updated 2006 Dec 12; cited 2010 Nov 30]. Available from: http://www.mohfw.nic.in/dofw website/JSY_features_FAQ_Nov_2006.htm

  • Nandan D, Agarwal D. Rapid Appraisal of health interventions. Indian J Public Health.2009;53(3):127

  • Sharma MP, Soni SC, Bhattacharya M, Datta U, Gupta S, Nandan D. An assessment of institutional deliveries under JSY at different levels of health care in Jaipur district, Rajasthan. Indian J Public Health.2009;53(3):177-81.

  • Pal DK, Toppo M, Gupta S, Nair KS, Khattar P, Nandan D. A rapid appraisal of functioning of district programme management units under NRHM in Madhya Pradesh. Indian J Public Health. 2009;53(3):151-7

  • International Institute for Population Sciences and Macro International. National Family Health Survey (NFHS-3) 2005–06 India Volume I. Mumbai: IIPS;2007.

  • International Institute for Population Sciences. District Level Household and Facility Survey (DLHS-3) 2007-08 India, Haryana. Mumbai: IIPS;2010.

  • International Institute for Population Sciences. District Level Household and Facility Survey (DLHS-3), 2007-08 India, Rajasthan. Mumbai: IIPS;2010.

  • Srivastava RK, Kansal S, Tiwari VK, Piang L, Chand R, Nandan D. Assessment of utilization of RCH services and client satisfaction at different levels of health facilities in Varanasi district. Indian J Public Health. 2009;53(3):183-9

  • Malini S, Tripathi RM, Khattar P, Nair KS, Tekhre YL, Dhar N et al. A rapid appraisal of functioning of Janani Suraksha Yojna in South Orissa. Health and Population: Perspectives and Issues. 2008;31(2):126-31.

  • Dixit S, Sakalle S, Bansal M, Bagga R, Srivastava TG, Tiwari VK et al. A study of utilization of untied funds in subcentres in Indore division under National Rural Health Mission. Health and Population: Perspectives and Issues. 2008;31(2):94-7

  • Singh CM, Jain PK, Nair KS, Kumar P, Dhar N, Nandan D. Assessment of utilization of untied funds under the National Rural Health Mission in Uttar Pradesh. Indian J Public Health. 2009;53(3):137-42.


Abstract Views: 291

PDF Views: 1




  • Appraisal of Functioning of Janani Suraksha Yojna: a Safe Motherhood Intervention in Rural Blocks of Haryana

Abstract Views: 291  |  PDF Views: 1

Authors

K. Goel
Dept of Community Medicine, Lady Hardinge Medical College, New Delhi, India
T. K. Ray
Community Medicine, Lady Hardinge Medical College, New Delhi, India
V. Yadav
SMO, National Polio Surveillance Project (NPSP), Bareily, UP, India
A. Kumar
Community Medicine, Govt. Medical College, Nalhar, Mewat, Haryana, India

Abstract


Context: The Government of India had launched Janani Suraksha Yojana (JSY), in the year 2005, as a safe motherhood intervention to reduce maternal and infant mortality rate through better provision and utilisation of Mother and Child Health (MCH) services. Though the scheme was promising enough, its implementation and utilisation were not uniformly implemented across the country due to lack of awareness of the common people, accessibility of the health services and availability of funds.

Aims: The present study was conducted to evaluate the operational mechanism of JSY and to assess the quality of services and perception of mothers regarding it.

Settings and Design: This was a rapid appraisal study conducted in four sub-centres, selected purposively, from two rural blocks of Haryana, a province of North India. The study design adopted was cross sectional.

Methods and Material: All the beneficiaries who received the benefits from 1.4.2009 to 31.3.2010 were enrolled in the study. The data were collected from beneficiaries regarding various aspects of JSY, using semi-structured schedule by carrying in-depth interviews, conducting house-to-house survey. Multi-purpose health workers - female (MPHW-F) of the sub-centres, accredited social health activist (ASHA) serving in the area and the concerned Medical Officer of the primary health centre (PHC) were also interviewed regarding implementation of JSY.

Results: Most of beneficiaries belonged to below poverty line (BPL) as well as schedule caste categories. Less than 15% of the beneficiaries received payment within one month. More than 80% of the beneficiaries got ≥ 2 ante-natal checkups, while post-natal checkups were received by less than 10%. More than two-third of the deliveries were still conducted at home.

Conclusion: More stress should be laid on the implementation of JSY in terms of place of delivery, provision of postnatal care and timely release of the monetary grants, so that the targeted objectives of this strategy can be achieved in a timely manner.


Keywords


Safe Motherhood Intervention, Rapid Appraisal, Maternal Mortality, Janani Suraksha Yojna.

References