scholarly journals Review article on utilization and perception of health services under Janani Suraksha Yojna among mothers

2017 ◽  
Vol 4 (4) ◽  
pp. 891
Author(s):  
Uzma Eram
Keyword(s):  
Institutional Delivery ◽  
Central Government ◽  
Uttar Pradesh ◽  
Safe Motherhood ◽  
Special Focus ◽  
Janani Suraksha Yojana ◽  
Protection Scheme ◽  
Cash Incentive ◽  
Natal Mortality ◽  
Maternal Protection

Janani Suraksha Yojana (JSY) is the name in Hindi language that literally means “maternal protection scheme. Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission (NHM). Earlier it was known as National Rural Health Mission (NRHM) it is being implemented with the objective of reducing maternal and neonatal mortality by promoting institutional delivery among poor pregnant women. The scheme is under implementation in all states and union territories, with a special focus on low performing states. The scheme 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 also provision for 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.

scholarly journals A study to assess receipt and utilization of janani suraksha yojana cash incentive among mothers in urban slums of Raipur city, Chhattisgarh, India

2019 ◽  
Vol 7 (12) ◽  
pp. 4768
Author(s):  
Divya Sahu ◽  
Shanta P. Khes Beck ◽  
G. P. Soni ◽  
Abha Ekka ◽  
Srishti Dixit ◽  
...  
Keyword(s):  
Health Facility ◽  
Institutional Delivery ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Cross Sectional ◽  
Janani Suraksha Yojana ◽  
Private Health Facility ◽  
Cash Incentive ◽  
The Government

Background: Janani Suraksha Yojana (JSY) replaces the National Maternity Benefit Scheme. It was launched by the Government of India in April 2005. The aim was to reduce maternal and neonatal mortality by increasing institutional delivery by providing cash incentive to the beneficiaries as well as the link worker ASHA. Objectives of this study was to assess receipt of Janani Suraksha Yojana (JSY) cash incentive and to assess fields of utilization of Janani Suraksha Yojana (JSY) cash incentive.Methods: A Community based cross-sectional study was conducted among 384 mothers delivered within last one year in urban slum of Raipur city. Study centre was department of community medicine, Pt. J.N.M. medical college Raipur, Chhattisgarh. A pre-designed and pre-tested questionnaire was used to interview the study subjects.Results: Out of total 384 study subject’s cheque of JSY cash incentive was received by 70.83%. All (100%) beneficiaries who received cheque was stipulated amount as per JSY guideline. Reasons for not receiving cheque was no availability of BPL card for those who delivered in accredited private health facility. Other reasons were absconded after delivery, unaware of cash incentive, did not go back to get the cheque when called later, patient shifted to another ward. None of the study subjects who delivered at home received the cash incentive cheque. Realization of cheque was not done by 22.79% of study subjects due to complex procedure to open an account in bank. Cash incentive money was utilized in neonatal care, drugs, food, household activities and some deposited in bank.Conclusions: JSY scheme is definitely functioning well in terms of providing cash incentive cheque of JSY on delivery in Government Health facility. There is need to simplify the procedure to open an account so that beneficiaries can avail cash incentive money. There is need to address the problems to receive cheque in home delivery and accredited Private health facility in addition to motivation for institutional delivery.

scholarly journals Awareness and effect of Janani Suraksha Yojana on antenatal care and institutional deliveries in rural, urban & tribal areas of Ahmednagar district

2019 ◽  
Vol 1 (1) ◽  
pp. 18-20
Author(s):  
Swati Dhakne ◽  
Deepak Phalke
Keyword(s):  
Pregnant Women ◽  
Institutional Delivery ◽  
Safe Motherhood ◽  
Family Type ◽  
Janani Suraksha Yojana ◽  
Institutional Deliveries ◽  
Tribal Area ◽  
The Government ◽  
Free Transport ◽  
Rural And Urban Area

Janani Suraksha Yojana (JSY) is a centrally sponsored scheme which is being implemented with the objective of reducing maternal and infant mortality by promoting institutional delivery among pregnant women. The Government of India introduced the JSY (safe motherhood program) based on the principles of CCT. Under JSY, cash assistance was given to pregnant women receiving at least three antenatal check-ups (ANCs) and delivering at institutions. The study is undertaken to establish if there is any co-relation of level of awareness about the scheme and its impact on ANC and institutional deliveries in the rural, urban and tribal area of Ahmednagar district. Method: The JSY beneficiaries were asked demographic characteristics, area of residency, educational levels, Category and place of delivery were noted.  A set of question (self-designed and pretested) and their responses were noted. Result: Out of 825 JSY beneficiaries, there were total 781 (94.7%) Hindu, Muslim 23(2.8%) and Christian 21 (2.5%) beneficiaries. Majority of Hindu religion JSY beneficiaries. Only few member from BPL JSY beneficiaries have opted for delivery at private hospital. Maximum deliveries taking place in civil hospital are from BPL category. It was observed that the awareness level about JSY is low in tribal area compared to the rural and urban area. It was also seen that 648 (78.54%) JSY beneficiaries availed free transport facility out of which 358 (55.24%) fall in high level of awareness category. There is a positive relation between age group and awareness about JSY. Conclusion: 46.8% women with high awareness about JSY scheme, it is a programme for pregnant women which aims at safe institutional delivery. Other factors such as education of mother, religion, culture, area of residence, family type played important role in utilization of available maternal health scheme.

scholarly journals A qualitative study of factors impacting accessing of institutional delivery care in the context of India's cash incentive program

2017 ◽  
Vol 178 ◽  
pp. 55-65 ◽  
Author(s):  
Sukumar Vellakkal ◽  
Hanimi Reddy ◽  
Adyya Gupta ◽  
Anil Chandran ◽  
Jasmine Fledderjohann ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Institutional Delivery ◽  
Delivery Care ◽  
Incentive Program ◽  
Cash Incentive

scholarly journals GUIDELINES FOR DESIGNING SAND NOURISHMENT ON LOW TO VERY EXPOSED COASTS

2020 ◽  
pp. 5
Author(s):  
Henrik Vinge Karlsson ◽  
Britt Gadesboll Larsen ◽  
Per Sorensen
Keyword(s):  
Natural Variation ◽  
Primary Objective ◽  
Coastal Protection ◽  
Special Focus ◽  
Protection Scheme ◽  
Coastal Cliff ◽  
Sand Nourishment ◽  
The Impact ◽  
Privately Owned ◽  
Insight Into

Danish law establishes a common right of passage on foot along the Danish shoreline, even though beaches are often privately owned. The law also states that coastal protection must not hinder this. Therefore, sand nourishment should be part of every coastal protection scheme against erosion. Sand nourishments can be designed in numerous ways depending on their objectives. As part of the European Interreg project, Building With Nature (BWN), guidelines will be developed by the Danish Coastal Authority (DCA) in end-2020. This abstract presents these guidelines with special focus on the coasts of Denmark. Special emphasis will be on insight into the natural variation of the coasts, as this is vital both when designing effective coastal protection schemes and when evaluating the impact of the nourishment. In this project, the pathway along which sediment is being transported spans from offshore at the outer bar to the coastal cliff. The aim is to be able to determine the along- and cross-shore paths, along which the nourishment sand is transported, the diffusion velocity of the nourishment and the impact on the surrounding coasts. Based on the results of the multiple analysis, the primary objective is to produce guidelines on how to use sand nourishment to counteract erosion in a sustainable and socioeconomic way.Recorded Presentation from the vICCE (YouTube Link): https://youtu.be/nIrFFmH98V8

scholarly journals Health and welfare at the boundaries: community development through tourism

2019 ◽  
Vol 6 (2) ◽  
pp. 153-164
Author(s):  
Peter Wiltshier
Keyword(s):  
Sustainable Development ◽  
Community Development ◽  
Case Studies ◽  
Central Government ◽  
Hot Spot ◽  
Special Focus ◽  
Modern Approach ◽  
Content Type ◽  
Health And Wellbeing ◽  
Concepts Of Health

Purpose Concepts of health and wellbeing have long been conceived as relevant to leisure, recreation and rejuvenation. These are now conceived as being necessary and useful as potential measures of success in community development and in that subset of leisure and recreation pursuits that is designated as tourism at a destination. The paper aims to discuss this issue. Design/methodology/approach A post-modern approach to development of community and markers of sustainable development more-or-less correspond to sustainable development goals (there are 17) that often overlay the concepts of good health and wellbeing that concern all stakeholders. Findings This paper encompasses best practice experiences from two case studies conducted in a tourism “hot spot” in the environs of the first National Park established in Derbyshire in the UK. There is some urgency about this topic as resources for community development are increasingly under pressure from local, central government and the expectation is now that local communities take full responsibility for that development. An inter-disciplinary approach using concepts of health and wellbeing is recommended. Originality/value Wellbeing may demand a greater allocation of scarce resources in an era of self-determination, bottom-up and locally sourced community aspiring to become, or remain, a destination of choice. Two case studies’ outcomes in this development are presented with a special focus on creation of a repository for the know-how and know what of the learning acquired.

scholarly journals Associations between community health workers’ home visits and education-based inequalities in institutional delivery and perinatal mortality in rural Uttar Pradesh, India: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e044835
Author(s):  
Andrea Katryn Blanchard ◽  
Tim Colbourn ◽  
Audrey Prost ◽  
Banadakoppa Manjappa Ramesh ◽  
Shajy Isac ◽  
...  
Keyword(s):  
Perinatal Mortality ◽  
Institutional Delivery ◽  
Health Workers ◽  
Uttar Pradesh ◽  
Home Visits ◽  
Public Facility ◽  
Third Trimester ◽  
Cross Sectional ◽  
Education Levels ◽  
Lower Education

IntroductionIndia’s National Health Mission has trained community health workers called Accredited Social Health Activists (ASHAs) to visit and counsel women before and after birth. Little is known about the extent to which exposure to ASHAs’ home visits has reduced perinatal health inequalities as intended. This study aimed to examine whether ASHAs’ third trimester home visits may have contributed to equitable improvements in institutional delivery and reductions in perinatal mortality rates (PMRs) between women with varying education levels in Uttar Pradesh (UP) state, India.MethodsCross-sectional survey data were collected from a representative sample of 52 615 women who gave birth in the preceding 2 months in rural areas of 25 districts of UP in 2014–2015. We analysed the data using generalised linear modelling to examine the associations between exposure to home visits and education-based inequalities in institutional delivery and PMRs.ResultsThird trimester home visits were associated with higher institutional delivery rates, in particular public facility delivery rates (adjusted risk ratio (aRR) 1.32, 95% CI 1.30 to 1.34), and to a lesser extent private facility delivery rates (aRR 1.09, 95% CI 1.04 to 1.13), after adjusting for confounders. Associations were stronger among women with lower education levels. Having no compared with any third trimester home visits was associated with higher perinatal mortality (aRR 1.18, 95% CI 1.09 to 1.28). Having any versus no visits was more highly associated with lower perinatal mortality among women with lower education levels than those with the most education, and most notably among public facility births.ConclusionsThe results suggest that ASHAs’ home visits in the third trimester contributed to equitable improvements in institutional deliveries and lower PMRs, particularly within the public sector. Broader strategies must reinforce the role of ASHAs’ home visits in reaching the sustainable development goals of improving maternal and newborn health and leaving no one behind.

scholarly journals Regional inequality in the Janani Suraksha Yojana coverage in India: A Geo-spatial Analysis

2020 ◽  
Author(s):  
Prem Shankar Mishra ◽  
Pradeep Kumar ◽  
Shobhit Srivast
Keyword(s):  
Institutional Delivery ◽  
Spatial Association ◽  
Wealth Quintile ◽  
Multivariate Regression Analysis ◽  
Spatial Inequality ◽  
Least Square ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Spatial Error ◽  
Janani Suraksha Yojana

Abstract Introduction Although India has made significant progress in institutional delivery after the implementation of the National Rural Health Mission under which the Janani Suraksha Yojana (JSY) is a sub-programme which played a vital role in the increase of institutional delivery in public facilities. Therefore, this paper aims to provide an understanding of the JSY coverage at the district level in India. Further, it tries to carve out the factors responsible for the regional disparity of JSY coverage at district levels. Methods The study used the National Family Health Survey data, which is a cross-sectional survey conducted in 2015-16, India. The sample size of this study was148,145 women aged 15-49 years who gave last birth in the institution during five years preceding the survey. Bivariate and multivariate regression analysis was used to fulfill the study objectives. Additionally, Moran’s I statistics and bivariate Local Indicator for Spatial Association (LISA) maps were used to understand spatial dependence and clustering of JSY coverage. Ordinary least square, spatial lag and spatial error models were used to examine the correlates of JSY utilization.Results The value of spatial-autocorrelation for JSY was 0.71 which depicts the high dependence of the JSY coverage over districts of India. The overall coverage of JSY in India is 36.4% and it highly varied across different regions, districts, and even socioeconomic groups. The spatial error model depicts that if in a district the women with no schooling status increase by 10% then the benefits of JSY get increased by 2.3%. Similarly, if in a district the women from poor wealth quintile, it increases by 10% the benefits of JSY also increased by 4.6%. However, the coverage of JSY made greater imperative to understand it due to its clustering among districts of specific states only.Conclusion It is well reflected in the EAGs states in terms of spatial-inequality in service coverage. There is a need to universalize the JSY programme at a very individual level. And, it is required to revisit the policy strategy and the implementation plans at regional or district levels.

Sign in / Sign up

Export Citation Format

Share Document