scholarly journals Qualitative lens to assessing the ground level implementation of conditional cash transfer scheme in India

Author(s):  
Shantanu Sharma ◽  
Devika Mehra ◽  
Harsavardhan Nayak ◽  
M. M. Singh

Background: Conditional cash transfer scheme, known as Janani Suraksha Yojna (JSY) is an innovative concept on the lines of behavioral economics. The study aimed to investigate factors associated with effective implementation of scheme at the community in Delhi, India.Methods: We did qualitative study to investigate the implementation factors related to JSY by conducting in depth interviews with 50 mothers in a span of three months. All the interviews were conducted in local language (Hindi) by the principle investigator. The data were collected through semi-structured interviews, which were later transcribed and recorded in Microsoft-Excel sheet. The themes were developed inductively, meaning that they were anticipated from the design of interview, during literature review and deductively meaning that they were not anticipated during design of the interview.Results: The mean (±SD) age of the women was 25(±3.5) years. More than three-forth of the mothers were not aware of the JSY scheme. Most of the women claimed limited support from accredited social health activist at the time of delivery. Provision of respectful maternity care was poor with women reporting episodes of verbal abuses, and arrogant attitude of the staff. Issues in utilization of the scheme encountered in study were untimely disbursement of money, problems in the process of BPL cards formation, lack of awareness on the scheme, banking illiteracy etc.Conclusions: Amidst the wider geographic reach and accessibility of the scheme by the poor, there exists some barriers to its effective implementation and practical challenges, which need immediate addressal by program managers.

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.


SAGE Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. 215824401877636 ◽  
Author(s):  
Barbara Whelan ◽  
Clare Relton ◽  
Maxine Johnson ◽  
Mark Strong ◽  
Kate J. Thomas ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e039658
Author(s):  
Julia M Pescarini ◽  
Peter Craig ◽  
Mirjam Allik ◽  
Leila Amorim ◽  
Sanni Ali ◽  
...  

IntroductionBrazil’s Bolsa Familia Program (BFP) is the world’s largest conditional cash transfer scheme. We shall use a large cohort of applicants for different social programmes to evaluate the effect of BFP receipt on premature all-cause and cardiovascular mortality.Methods and analysisWe will identify BFP recipients and non-recipients among new applicants from 2004 to 2015 in the 100 Million Brazilian Cohort, a database of 114 million individuals containing sociodemographic and mortality information of applicants to any Brazilian social programme. For individuals applying from 2011, when we have better recorded income data, we shall compare premature (age 30–69) cardiovascular and all-cause mortality among BFP recipients and non-recipients using regression discontinuity design (RDD) with household monthly per capita income as the forcing variable. Effects will be estimated using survival models accounting for individuals follow-up. To test the sensitivity of our findings, we will estimate models with different bandwidths, include potential confounders as covariates in the survival models, and restrict our data to locations with the most reliable data. In addition, we will estimate the effect of BFP on studied outcomes using propensity score risk-set matching, separately for individuals that applied ≤2010 and >2011, allowing comparability with RDD. Analyses will be stratified by geographical region, gender, race/ethnicity and socioeconomic position. We will investigate differential impacts of BFP and the presence of effect modification for a combination of characteristics, including gender and race/ethnicity.Ethics and disseminationThe study was approved by the ethics committees of Oswaldo Cruz Foundation and the University of Glasgow College of Medicine and Veterinary Life Sciences. The deidentified dataset will be provided to researchers, and data analysis will be performed in a safe computational environment without internet access. Study findings will be published in high quality peer-reviewed research articles. The published results will be disseminated in the social media and to policy-makers.


Author(s):  
Juan Hernández ◽  
Wilson Jiménez-Barbosa ◽  
Johanna Acuña

The current article shows the development of a research process whose main objective was to explain the influence of the social representations of the inhabitants of Bogotá, Colombia in the implementation of the public policy of conditional cash transfers “Más Familias en Acción.” For this aim, a qualitative study of hermeneutic design was conducted with beneficiaries of the program and non-beneficiaries, in which, through the application of semi-structured interviews, the most frequent social representations about subsidies, policies, work, education, health, among other relevant issues related to this public policy were identified and once the information was coded by using the Atlas.ti software, interpretation of results was done making possible to establish a relationship between the social representations found and the implementation of “Más Familias en Acción,” leading to the understanding of how social representations as sets of ideas, values and practices that become a social code that denominates the individual and collective reality, have influence both in the way in which the beneficiaries of the program conceive their social reality, and in the sense they give to the program, as well as in their articulation and interaction with it, enabling its implementation, which may or may not occur according to the objectives of public policy.


2014 ◽  
Vol 3 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Jenita Baruah ◽  
Anjam Rajkonwar ◽  
Shobhana Medhi ◽  
Giriraj Kusre

Girls have traditionally been neglected in India. The neglect is reflected in adverse sex ratio of 914 girls per 1000 boys as reported in 2011 census. The declining sex ratio can be prevented by the registration of female children and by ensuring their progress and safety. The study aims at finding the effect of the introduction of a conditional cash transfer scheme (‘Majoni’ scheme) upon the registration of a female child. It was a hospital record-based study where the preferential treatment of female children during registration into the birth register before and after the introduction of the Majoni scheme was measured. An effect of the scheme on the registration of male and female children was also compared. The introduction of this scheme increased the female to male ratio of applications for the registration of births from 1.06 to 1.34 and also increased the number of formal requests for the registration of the birth of a female child from 24.45% to 39.05%. Financial incentives or securities have been shown to modify human behavior. The increase in the numbers of applications for the registration of a female child, after the intro-duction of the ‘Majoni’ scheme was due to the financial incentive attached with the registration. The increasing trend in the number of applications with every passing month was probably due to the increase in awareness regard-ing the benefit of the scheme. Conditional cash transfer schemes, such as Majoni, can have a significant effect on increasing the registration of female children. Further study is required to evaluate the effect of the factors other than the financial incentive upon the registration of female children. South East Asia Journal of Public Health 2013; 3(1): 30-35 DOI: http://dx.doi.org/10.3329/seajph.v3i1.17708


Author(s):  
Syed Irfan Ali ◽  
Jarina Begum ◽  
Manasee Panda

Background: RMNCH services are provided in an integrated manner to it’s beneficiaries under the premise of Primary Health Care. The utilization rates for such services have remained abysmally low and stagnated over the years. The problem lies in failure to generate a demand for such services among it’s beneficiaries. MAMATA a conditional cash transfer scheme implemented in Odisha, aims to bring around radical changes by addressing the issue of demand generation. The objectives of the study were to assess the implementation of MAMATA scheme services in the study area and to assess the impact made by the scheme in their life.Methods: The study was conducted on 200 women, who were randomly selected from the 903 pregnant women registered under Mamata Scheme from a randomly selected block of Odisha. They were then followed up for a period of 15 months.Results: Implementation of the scheme in the district was smooth, the instalments were paid regularly in most of the cases without any delay. Impact of the scheme- 98% got adequate rest during pregnancy, because of the scheme. 95% utilized the money for purchasing nutritious food and procuring medicines. The scheme has also helped develop a health seeking attitude in most of the beneficiaries (85%). 97% felt a sense of empowerment and independence compared to the past.Conclusions: The benefits of MAMATA scheme percolated beyond the boundaries of demand generation. It also brought about a sense of empowerment and independence among it’s beneficiaries.


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