scholarly journals Institutional deliveries in India’s nine low performing states: levels, determinants and accessibility

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Ria Saha ◽  
Pintu Paul
Author(s):  
Vijayetta Sharma

Health of the mothers is of prime concern for growth of any country, and their level of empowerment can be significantly related to the place of delivery selected for birth of a child. Janani Suraksha Yojana (JSY) is an astute attempt towards safeguarding maternal health by Government of India under the flagship health programme, National Rural Health Mission, to promote institutional deliveries among the poor pregnant women. Safe deliveries at the institutions are an indicator of women empowerment and inclusive growth, which paves the way towards economic growth by securing the health and well-being of mothers in rural areas, thereby sustaining productive capacities of women. The chapter assesses the rise in proportion of institutional deliveries among JSY beneficiaries with increased awareness under JSY in Punjab, after carefully assessing the situation of maternal health prevailing in the world, India, and state of Punjab. Further, policy measures have been recommended to augment women's health and empowerment, an inclusive economic growth parameter of country's growth trajectory.


2012 ◽  
Vol 35 (3) ◽  
pp. 90-96 ◽  
Author(s):  
Md Mahbubul Hoque ◽  
Mohammad Faizul Haque Khan ◽  
Jotsna Ara Begum ◽  
MAK Azad Chowdhury ◽  
Lars Ake Persson

Background: Despite proven cost effective intervention, there has been little change in neonatal mortality. In Bangladesh neonatal mortality accounts for two third of infants death. About 90% deliveries take place in home and majority of neonatal death are taking place within 7 days of birth. Information about reasons for delivering at home and newborn care practices will be useful to undertake simple intervention measures by policy makers.Aims and objective: To see the knowledge, perception and behaviour of mothers towards their normal and sick newborn.Methods: A cross sectional study was carried out in Dhaka Shishu Hospital from June to November, 2007. A semistructured, pretested questionnaire was used to interview mothers attending inpatient (IPD) and outpatient department (OPD) of hospital.Results: A total 198 mothers were interviewed. Home deliveries were 35.5% and Institutional were 64.5%. Among the Institutional deliveries 35% (44 out of 127) were planned and tried first at home, but when failed mothers were taken to hospital. Majority (86%) of home deliveries were conducted by Dai/relatives. Umbilical cord was cut with new/boiled blade in 85% of home deliveries and household knife was used in 4% cases. Birth place were not at all heated in all home deliveries. In 32 % of home deliveries babies were given bath within 1 hour of birth and it was 15% in case of hospital deliveries. Forty-eight percent babies of home deliveries were wrapped within 10 minutes. Prelacteal feed was given in 51% of home deliveries in comparison to 23% of institutional deliveries. The rate of initiation of breast feeding within one hour of birth was 52% in home and 35% in institutional deliveries. In all cases breast milk was given within 48 hours. Main reasons cited for delivering at home were preference (43%) and fear about hospital (39%). In case of educated (graduate) mothers 72% deliveries took place at hospital. Less feeding (56%), vomiting (42%), less movement (32%), fever (29%) and cough (27%) could be recognized by mothers as signs of sickness.Conclusion: Home deliveries and poor newborn care practices are commonly found in this study. Traditional birth attendants should be adequately trained as they are conducting majority of home deliveries. Female education is very important to reduce home delivery as it is seen that deliveries of educated mothers are taking place in hospital. High risk traditional newborn care practices like delayed wrapping, early bathing, use of oil in umbilical stump and prelacteal feeding need to be addressed. This study also found that knowledge to identify sickness in newborn is still poor.DOI: http://dx.doi.org/10.3329/bjch.v35i3.10497  Bangladesh J Child Health 2011; Vol 35 (3): 90-96


Africa ◽  
2014 ◽  
Vol 84 (2) ◽  
pp. 294-313 ◽  
Author(s):  
Anita Hannig

ABSTRACTThis article examines the event of postpartum seclusion of mother and infant in the Amhara region of north-west Ethiopia. During the period between birth and baptism, the mother–child pair remains in private repose, is subject to a variety of ritual prohibitions, and is barred from entering a church. Despite the mother's Orthodox Christian identity, both she and the child are called ‘Muslims’ during this time. Why should this be the case? What happens during the birthing event and its aftermath that would bring about this temporary shift in their religious designation? By shedding light on the distinct models of maternal care, safety, and danger that are emphasized in ‘childbed’, this study seeks an answer to these questions. In doing so, it also contributes to a broader understanding of why most Amhara mothers do not, at present, avail themselves of institutional deliveries and biomedical births but prefer to give birth at home.


2015 ◽  
Vol 52 (3) ◽  
pp. 314-323
Author(s):  
Pralip Kumar Narzary ◽  
Mluleki Tsawe ◽  
A Sathiya Susuman

Aim is to find out the disparities in cesarean sections among institutional deliveries across segments of the society in the study area. The National Family Health Survey data 2005–06 were used. There were 14,808 women who were found to be relevant for this study. Bivariate results show that cesarean section is highest among women older than 40 years, having the highest level of education, holding skilled jobs, from the highest social hierarchy, who delivered in private health institutions, experienced cesarean section in previous delivery, and had pregnancy complications. Performance of cesarean section may be necessary for safety of both mother and infant.


2018 ◽  
Vol 20 (2) ◽  
pp. 197-205
Author(s):  
Avinash Kumar ◽  
B. Unnikrishnan ◽  
T. Rekha ◽  
Prasanna Mithra ◽  
Nithin Kumar ◽  
...  

The objective of this artile is to assess the determinants of acceptance of conditional cash transfer scheme (Janani Suraksha Yojana [JSY]) among antenatal women in Mangalore.The study is on matched case control study. The study has been carried out in the Government maternity hospital of Manipal University and on the antenatal women visiting government hospital for Ante natal care (ANC) and belonged to below poverty line. Total of 136 pregnant females, that is, 68 cases (availing conditional cash benefit) and 68 controls (not availing conditional cash benefit), were recruited in the study. A pretested semi-structured questionnaire was used as data collection tool. The association between the educational status of the participant and their acceptance of JSY and association between the educational status of the participant’s spouse and acceptance of JSY by their wives has been found to be statistically significant. The JSY has been successfully promoting institutional deliveries.


2015 ◽  
Vol 12 (S2) ◽  
Author(s):  
Shivaprasad S Goudar ◽  
Norman Goco ◽  
Manjunath S Somannavar ◽  
Sunil S Vernekar ◽  
Ashalata A Mallapur ◽  
...  

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