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

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.

Author(s):  
Sahila Nabi ◽  
Syed Najmul Ain ◽  
Shazia Javaid ◽  
Shayista Gull

Background: Motherhood is often a positive and fulfilling experience but for many women it is associated with suffering, ill health, and even death. Improving maternal health is one of the thirteen targets for the sustainable development goal 3 (SDG-3) on health adopted by the international community in 2015. Objective of the study was to find out the attitude of pregnant women towards institutional delivery in Khaag block of district Budgam.Methods: A cross-sectional, community-based study was conducted, in February 2018 to March 2018, to assess attitude of pregnant women towards place of delivery in a tribal area of Khaag area of district Budgam. For this study, 99 pregnant women were approached. Informed consent was obtained from the participants and the registered pregnant women were interviewed by a pre-designed questionnaire.  Results: Mean age at the time of contact was 28 years with a standard deviation of 3.87 years. The maximum years of schooling were 10 years. It was found that the last delivery was conducted at hospital for about 76% of women but for the present pregnancy 88% of the women had decided to have it conducted at the hospital. Thus, the attitude of women towards institutional deliveries has changed positively (p=0.001).Conclusions: Percentage of institutional deliveries is still less in rural area of Khaag is Kashmir. For decreasing the maternal and infant mortality rates further, much is still to be done. Awareness needs to be generated among common masses for promoting institutional deliveries. Educating women folk will make them confident in decision making.


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.


Author(s):  
Divya Sahu ◽  
Shanta P. Khes Beck ◽  
G. P. Soni ◽  
Abha Ekka ◽  
Srishti Dixit ◽  
...  

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.


2017 ◽  
Vol 6 (1) ◽  
pp. 22-26
Author(s):  
Sushila Shrestha ◽  
Geeta Kamal Shrestha

Background:  Health facility delivery is considered a critical strategy to improve maternal health. The Government of  Nepal is promoting institutional delivery through different incentive programs and the establishment of birthing centers.  The objective of this study was to identify utilization of institutional delivery and its associated factors.Method:  A descriptive cross-sectional study was carried out among the mothers of under five children in Dhungkharka.  Pre-tested questionnaire was administered to 170 mothers between 15-45 years of age group. Household survey was done by using purposive sampling technique and face to face interview technique was used to collect the data from 1st Julyto 30 th December 2014. Data was analyzed using simple descriptive statistic with SPSS version 16. Association with  institutional delivery was assessed by using chi-square test.Results: Among the total participants, 90.0% of them had institutional delivery. The higher proportions of institutional  delivery were found in both literate mothers (p=0.001), and literate husband (p=0.023). The proportion of institutional  delivery among the mothers decided by their relatives (husband, father/mother-in-laws and other family members) for  institutional delivery had higher portion (p=0.048) of  institutional delivery than participants who decide themselves.Conclusion: Utilization of institutional delivery was much higher than national figure. Institutional delivery was associated  with both educational status of mothers and their husband. Decision made by husband, mother in-law, father in-law and other family members were also associated with institutional delivery. So, to increase institutional delivery, family members need to be encouraged for safe motherhood program.Journal of Kathmandu Medical College Vol. 6, No. 1, 2017, page: 22-26


Author(s):  
Uzma Eram

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.


2014 ◽  
Vol 4 (1) ◽  
pp. 341-343 ◽  
Author(s):  
M P Roy

Janani Suraksha Yojana (JSY), a combination scheme of performance based financing and conditional cash transfer for safe motherhood, has increased ante natal coverage and institutional deliveries in India. Although the two concepts have been criticized world over for both positive and negative aspects; rarely the role of these two mechanisms behind the success of JSY has been addressed. Quality, cost-effectiveness and other issues were never given due emphasis under this scheme neither efforts have been made to overcome known drawbacks of these strategies. Considering future of the scheme and sustainability, it is required to evaluate the concepts separately.DOI: http://dx.doi.org/10.3126/nje.v4i1.10137 Nepal Journal of Epidemiology 2014;4 (1): 341-343


Author(s):  
Shalakha Rao ◽  
Shivani Kushwaha

The connection between poverty and women's lack of power over resources and decision-making has now caught the attention of policymakers in government and mainstream development all over the world. Women empowerment issues perceived nationally or locally are being addressed by both state and non-state agencies. Beside the government intervention, NGOs are implementing various types of Women Empowerment Programmes including IG Programmes. Women Empowerment Programmes in India include livelihood support Programme, rehabilitation and job placement for rescued women, safe motherhood Programme and so forth. In spite of involvement of various NGOs in women empowerment through Income Generation and Skill Development Programmes, the status of women is still not satisfactory in India as various official as well as unofficial reports claim and the outcomes against the stated objectives of the NGOs' Women Empowerment Programmes are often questioned. Therefore, the present study is focused in assessing the impact of IG Programmes run by non-government organizations in empowering women. The researcher hypothesizes that IG Programme with its components viz., skill training, resource inputs of loan and equipment help to increase income to the women through independent business or work in the related field; the increased income lessens their dependence on family heads and enables to spend for personal expenses; gives them certain freedoms as individuals; enables them to contribute to family affairs financially, which creates an environment in the family in favor or the women to accept her views and participation in family matters like education, marriage, purchase etc.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Byung Soo Kang ◽  
San Ha Lee ◽  
Woo Jeng Kim ◽  
Jeong Ha Wie ◽  
In Yang Park ◽  
...  

Abstract Background Although the World Health Organization and health authorities in most countries recommend that pregnant women receive inactivated influenza virus vaccines, coverage remains low. This study aimed to investigate (1) the proportion of pregnant women who received an influenza vaccination and influencing factors and (2) the proportion of obstetrics and gynecology (OBGYN) doctors who routinely recommend influenza vaccination to pregnant women and influencing factors. Methods Two separate, anonymized questionnaires were developed for physicians and pregnant and postpartum women and were distributed to multicenters and clinics in South Korea. The proportions of women who received influenza vaccination during pregnancy and OBGYN doctors who routinely recommend the influenza vaccine to pregnant women were analyzed. Independent influencing factors for both maternal influenza vaccination and OBGYN doctors’ routine recommendations to pregnant women were analyzed using log-binomial regression analysis. Results The proportion of self-reported influenza vaccination during pregnancy among 522 women was 63.2%. Pregnancy-related independent factors influencing maternal influenza vaccination were “(ever) received information about influenza vaccination during pregnancy” (OR 8.9, 95% CI 4.17–19.01), “received vaccine information about from OBGYN doctors” (OR 11.44, 95% CI 5.46–24.00), “information obtained from other sources” (OR 4.38, 95% CI 2.01–9.55), and “second/third trimester” (OR 2.41, 95% CI 1.21–4.82).. Among 372 OBGYN doctors, 76.9% routinely recommended vaccination for pregnant women. Independent factors effecting routine recommendation were “working at a private clinic or hospital” (OR 5.33, 95% CI 2.44–11.65), “awareness of KCDC guidelines” (OR 3.11, 95% CI 1.11–8.73), and “awareness of the 2019 national free influenza vaccination program for pregnant women” (OR 4.88, 95% CI 2.34–10.17). OBGYN doctors most commonly chose ‘guidelines proposed by the government or public health (108, 46%) and academic committees (59, 25%), as a factor which expect to affect the future recommendation Conclusion This study showed that providing information about maternal influenza vaccination, especially by OBGYN doctors, is crucial for increasing vaccination coverage in pregnant women. Closer cooperation between the government and OBGYN academic societies to educate OBGYN doctors might enhance routine recommendations.


Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 552
Author(s):  
Phiona Nalubega ◽  
Emilie Karafillakis ◽  
Lydia Atuhaire ◽  
Pamela Akite ◽  
Flavia Zalwango ◽  
...  

Background: We investigated pregnant women, community leaders, healthcare workers (HCWs) and programme managers’ perceptions of maternal vaccination in Kampala, Uganda. Methods: We conducted focus group discussions, key informant interviews and in-depth discussions with HCWs (3), community leaders (3), pregnant women (8) and programme managers (10) between November 2019 and October 2020. Data were analysed thematically. Results: Pregnant women, community leaders and some HCWs had limited maternal immunisation knowledge. There was confusion over what constitutes a vaccine. Pregnant women may not receive vaccines because of mistrust of government; use of expired vaccines; reliance on traditional medicine; religious beliefs; fear of side effects; HCWs attitudes; and logistical issues. The key facilitators of maternal vaccination were a desire to prevent diseases, positive influences from HCWs and information about vaccine side effects. Community leaders and some pregnant women highlighted that pregnant women do not make decisions about maternal vaccination independently and are influenced by different individuals, including other pregnant women, older people, partners, relatives (parents), community leaders, HCWs and the government. Conclusions: Our results indicate that public health messaging should target all community members, including partners and parents of pregnant women as well as HCWs, to improve knowledge of and confidence in maternal vaccines.


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