scholarly journals Direct and Indirect Effects of Janani Suraksha Yojana on Antenatal Care and Institutional Delivery

2019 ◽  
Vol 2 (1) ◽  
pp. 01-07
Author(s):  
Mohammad Mahbubur Rahman ◽  
Saseendran Pallikadavath
Keyword(s):  
Antenatal Care ◽  
Institutional Delivery ◽  
Household Survey ◽  
Janani Suraksha Yojana ◽  
Regression Methods ◽  
Care Services ◽  
Health Institutions ◽  
Iron Folic Acid ◽  
Women In India ◽  
Fourth Round

Janani Suraksha Yojana (JSY) provides conditional cash incentives to eligible pregnant women in India so that they can take at least three antenatal care services including tetanus injection and iron-folic acid, to deliver their babies in health institutions, and to take at least one postnatal service for them and their neonatal babies. We examine its effects on antenatal care and the institutional delivery. We also decompose effects into direct and indirect categories, deriving parameters from the theoretical model, then estimating them using several regression methods including the propensity score matching. We use the fourth round of the District Level Household Survey (DLHS), which has an advantage over the previous waves of DLHS.

scholarly journals Is Distribution a Problem in Iron-Folic Acid Consumption in India? An Exploration of District Level Household Survey

2020 ◽  
Vol 12 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Shiva S. Halli ◽  
Rajeshwari A. Biradar
Keyword(s):  
Folic Acid ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Household Survey ◽  
District Level ◽  
Indian States ◽  
The Government ◽  
Iron Folic Acid ◽  
Almost All ◽  
Women In India

Aims: Anemia accounts for 40% of maternal deaths in India. In order to address this problem, the Government of India implemented the largest programme with the greatest potential to reduce maternal mortality by free distribution of Iron-Folic Acid (IFA) supplementations especially during Antenatal Care (ANC) visits. But the major concern among the policymakers and researchers has been poor adherence to the supplement among pregnant women. However, we tend to think that given the severity of the problem, there is no investigation on the adherence issue. Hence, the aim of the paper is to understand whether IFA consumption by pregnant women in India is largely a distribution problem of IFA supplements through ANC. Background: The distribution of Iron-Folic Acid (IFA) supplementation is not working especially through Antenatal Care (ANC) attendance. The program implementers believe that it is because of lack of adherence to IFA supplements by pregnant women. It is important to investigate the problem before any policy changes are made without proper evidence. Objectives: The purpose of this study is to examine whether the problem of IFA consumption by pregnant women is due to the problem of public distribution of IFA supplements through ANC attendance. Methods: This study had used the fourth round of District Level Household Survey data, which collects information on IFA supplements, their distribution and consumption. Bivariate and tri-variate analyses were used to understand the relationship between IFA distribution to pregnant women and their consumption patterns in 19 Indian states and two Union Territories (UTs) of pregnant women (88,487) and between the age of 15-49 years. Results: In almost all the states except Chhattisgarh, more than 75% of the pregnant women consumed 100 or more IFA supplements when they received 100 or more IFA supplements from providers. Similar is the case even among those women who received 100 or more IFA supplements through 1 or 2 ANC attendance except Arunachal Pradesh (60%), Meghalaya (67%), Pondicherry (57%) and Andaman and Nicobar (0%). The consumption of IFA supplements among pregnant women gets better than 75% if they receive 100 or more supplements only after attending three or more ANCs. Conclusion: It seems that distribution is a problem in the consumption of IFA supplements by pregnant women in India. Full antenatal attendance by the women could be part of the problem but not supplying at least 100 IFA supplementations to even those who attend ANC due to stock-outs and ineffective management is a serious concern. Hence, Governments should distribute at least the recommended 100 IFA supplements to the women in their 1st ANC attendance to address anaemia.

scholarly journals Utilization pattern and associated factors of maternal health care services in Haryana, India: a study based on district level household survey data

2018 ◽  
Vol 7 (3) ◽  
pp. 1154 ◽  
Author(s):  
Shinjini Ray ◽  
Pravat Bhandari ◽  
Jang Bahadur Prasad
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Antenatal Care ◽  
Health Care Services ◽  
Institutional Delivery ◽  
Maternal Mortality Ratio ◽  
Maternal Health Care ◽  
District Level ◽  
Care Services ◽  
Maternal Health Care Services

Background: Maternal health was one of the most important millennium development goals (MDGs), India didn’t achieve by the year 2015. Since, India is a multicultural, social and multiregional country, where some of the regions have good social and demographic achievement while some are poor. Haryana is one of them, which has 146 maternal mortality ratio. The level of receiving antenatal care (ANC) in Haryana is quite low as compared to other states of India. Objective of present study was to Understand the extent of use of maternal health care services in Haryana as well as examining the role of antenatal care and other socio-economic factors on the utilization of maternal health services.Methods: Bivariate analysis, chi-square test, and binary logistic regression have been used based on district level household and facility survey-4 data.Results: The utilization of ANC (any and full), institutional delivery and post-delivery treatment seeking varies among women by literacy, age at first marriage, age at women and place of residence. Literate women are two times more likely to access ANC [odds ratio (OR)=1.97 (any ANC), 1.95 (full ANC), p<0.01] and 1.52 times more likely to prefer institutional delivery [OR=1.52, p<0.01].Conclusions: Empowering women through the encouragement of mother’s education should be one of the most fundamental strategies to promote maternal health care services and reduce inequalities.

scholarly journals ANTENATAL CARE ATTENDANCE AND PARENTAL EDUCATION ARE ASSOCIATED WITH UTILIZATION OF NON-TRAINED DELIVERY ATTENDANTS IN NEGERI LIMA HEALTH CENTER CATCHMENT AREAS, MALUKU PROVINCE

2019 ◽  
pp. 25-38
Author(s):  
Chistiana Rialine Titaley ◽  
Shafira Chaerani ◽  
Merlin Maelissa ◽  
Filda V. I. De Lima ◽  
Alessandra Saija ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Health Center ◽  
Parental Education ◽  
Care Delivery ◽  
Household Survey ◽  
Factors Associated ◽  
Care Services ◽  
Catchment Areas ◽  
Mother And Child ◽  
Keywords Education

Introduction Maluku Province was one of the provinces in Indonesia with a high utilization of non-trained delivery attendants during childbirth.  The study aims to examine factors associated with utilization of non-trained delivery attendants in the catchment area of Negeri Lima Puskesmas of Leihitu Peninsula in Maluku Province. Methods Data were derived from a household survey conducted in November 2018, in five villages as the catchment areas of Negeri Lima Health Center. Information was collected form 99 mothers who recently delivered in the last six months. Multivariate logistic regression analyses were employed to analyze factors associated with use of non-trained delivery attendants. Results More than 45% of mothers who delivered in the last six months used non-trained delivery attendants at childbirth. A significantly lower odds for using non-trained attendants was found in mothers who graduated from senior high school (aOR=0.23, 95% CI: 0.06-0.83) or academy/university (aOR=0.06, 95% CI: 0.01-0.34) than those graduated from primary school or lower. A similar pattern was found with father’s education. Additionally, the odds of using non-trained attendants reduced significantly amongst mothers attending four or more antenatal care services (aOR=0.34, 95% CI: 0.12-0.96). Conclusions Interventions to promote optimum use of antenatal care and improve community awareness and knowledge about mother and child health care are still essential. Involvement of different types of community members in health promotion activities, in addition to efforts to assign new roles to traditional birth attendants will help to increase the uptake of trained delivery attendants at childbirth amongst mothers in this area.  Keywords: education, antenatal care,  delivery attendants, Negeri Lima Health Center, Maluku Province    

scholarly journals Maternity Care Services Utilization and Factors Associated with Institutional Delivery Among Postpartum Women in Dabat Demographic and Health Survey Site, Northwest Ethiopia: A Community Based Baseline Survey for MNCH Surveillance

2021 ◽  
Author(s):  
Abebaw Addis Gelagay ◽  
Abebaw Gebeyehu Worku ◽  
Debrework Tesgera Bashah ◽  
Nigusie Birhan Tebeje ◽  
Mignote Hailu Gebrie ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Postnatal Care ◽  
Institutional Delivery ◽  
Care Utilization ◽  
Postpartum Women ◽  
Community Based ◽  
Services Utilization ◽  
Care Services ◽  
Care Visit ◽  
Antenatal Care Utilization

Abstract Background Maternal continuum of care is identified to have a greatest impact on maternal and child survival. However, there is a wide variation in maternal health services utilization from place to place in Ethiopia. Therefore, knowing antenatal care, labor and delivery, and postnatal care uptake has paramount importance to take interventions. Methods A community-based cross-sectional survey was conducted among 1626 postpartum women. Descriptive statistics were done to characterize the study population and utilization of antenatal care, institutional delivery, and postnatal care services. Logistic regression analysis was employed to identify factors associated with institutional delivery. Results Nearly eighty percent, (79.7%, 95% CI: 77.7, 81.6), of women attended at least one antenatal care visit at any health facility. However, only less than one third (31.4%) used all the recommended antenatal care (ANC). About half, 820 (49.2%: 95% CI: 46.7, 51.8) women delivered their child in health institution. About half, 822 (50.6%, 95% CI: 48.2, 52.9) of postpartum women who participated in this study had at least one postnatal care (PNC) visit at health facilities. Being urban resident (AOR=8.18, 95%CI: 4.69, 14.26)), respondents of higher educational status (AOR= 4.99, 95%CI: 2.51, 9.90), being Orthodox Christian (AOR= 2.35, 95%CI: 1.15, 4.79), getting TT vaccination during pregnancy (AOR=1.54, 95%CI: 1.06, 2.23), and antenatal care utilization (AOR=2.97, 95%CI: 2.06, 4.27) were predictors for health facility/institutional delivery. Conclusions Though a significant proportion of the study participants initiated antenatal care, utilization of all the recommended antenatal care visits, facility delivery, and postnatal care services were low. Health professionals need to use the first antenatal care visit as a golden opportunity to attract and maintain pregnant women for the subsequent maternal health care services.

scholarly journals Implementing Skilled Midwifery Services in Dhaka City Urban Area: Experience from Community Based Safe Motherhood Project, Bangladesh

1970 ◽  
Vol 29 (1) ◽  
pp. 10-15
Author(s):  
S Tasnim ◽  
A Rahman ◽  
F Rahman ◽  
N Kabir ◽  
F Islam ◽  
...  
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Maternal Mortality ◽  
Institutional Delivery ◽  
Obstetric Care ◽  
Dhaka City ◽  
Care Providers ◽  
Birth Attendants ◽  
Care Services ◽  
And Control

In Bangladesh majority of deliveries are attended by unskilled traditional birth attendants and maternal mortality is still quite high. Global evidence suggests that most critical intervention for reduction of maternal mortality is to ensure skilled attendance at birth. The objective of this study was to explore the effect of strengthening obstetric care services through implementation of skilled Midwives at selected urban centres in terms of utilization of antenatal and delivery care in the community. A quasi experimental community trial was conducted during January 2000 to June 2003. Ten health centers were selected from the maternity care centers of urban primary health care project in Dhaka city, matched into comparable pair and assigned randomly as intervention and control centers. The intervention consisted of deployment of 10 skilled midwives in pair to provide obstetric care services in five intervention centre and the community. Essential drugs and logistics were supplied to both intervention and control centers for optimizing the function. A total of 6077 mothers having less than one year child were interviewed. There was significant improvement from baseline in the utilization of antenatal care services (6.1 vs. 2.1%, p<0.001), availing antenatal visits 5 times or more (13.4% vs. 8.1%, p<0.001), consultation with skilled health care providers for pregnancy complication (9.3% vs. 5.7 %, p<0.001), institutional delivery (7.3% vs. 4.1%, p<0.001) and delivery by skilled birth attendant (9.4% vs. 5.8%, p<0.001) between intervention and control area respectively. The intervention of deployment of skilled midwives improved utilization of ANC, increased institutional delivery and delivery by skilled birth attendants. The program can be scaled up to see its impact on maternal health. Key words: skilled midwife; emergency obstetric care; urban health care; antenatal care DOI: 10.3329/jbsp.v29i1.7165J Bangladesh Coll Phys Surg 2011; 29:10-15

scholarly journals Demand for Institutional Delivery in Bangladesh: An Application of Household Production Function

2012 ◽  
Vol 60 (1) ◽  
pp. 53-59 ◽  
Author(s):  
Md Abdus Salam Akanda
Keyword(s):  
Antenatal Care ◽  
Institutional Delivery ◽  
Choice Model ◽  
Policy Instrument ◽  
Income Quintile ◽  
Health Issues ◽  
Care Services ◽  
Access To Health ◽  
Health Inputs ◽  
Health Complications

Maternal and child health issues continue to be at the forefront of national and global health policies. Notwithstanding the national and global policy initiatives, maternal mortality continues to be on the ascendancy in developing countries. This paper investigates the determinants of institutional delivery among a cross section of Bangladeshi women. For appropriate policy targeting, it is imperative to investigate the factors that promote institutional delivery and those that retard it. Using discrete choice model, and controlling for other covariates, we found that, women from the richest income quintile, and those that have access to health information via television delivered at appropriate health institutions. Besides, place of residence, mother’s education, wanted pregnancy, utilization of antenatal care services and number of health worker’s visiting time inter alia were found to be significant predictors of the demand for institutional and supervised delivery. The policy implication of this finding is that health education via television is more effective than print media. Secondly, government policies meant to create jobs and increase income levels are envisaged as proper policy instrument to induce the utilization of appropriate health services including institutional delivery. Thirdly, information, education and communication (IEC) programs are urgently needed to inform women about the cause and potential risk of maternal health complications as well as the significance of institutional delivery. Finally, the use of health inputs such as antenatal care during pregnancy should be encouraged.DOI: http://dx.doi.org/10.3329/dujs.v60i1.10337  Dhaka Univ. J. Sci. 60(1): 53-59 2012 (January)

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