Abstract of Dissertation

Keyword : Janani Suraksha Yojana; ANC; ANC Registered Women

A study to assess the implementation of Janani Suraksha Yojana (JSY) has been done. JSY is a safe motherhood intervention initiated to reduce maternal and neo-natal mortality by providing primary health care services to the poorest and most vulnerable segments of rural society. It is a conditional-cash transfer scheme that ensures quality maternal care during pregnancy, delivery and in the immediate post-delivery period along with appropriate referral and transport assistance. It is a centrally-sponsored scheme and links cash assistance with delivery and post- delivery care. An attempt has been made to assess the coverage of scheme, understand the process of financial disbursement, and establish association of socio- demographic factors with beneficiaries availing JSY. JSY was implemented in Roopnagar district in 2008. In 2008- 09, 922 mothers were given JSY incentive for home delivery and 392 were given incentive for institutional delivery. Present analytical study was conducted on pregnant mothers delivering baby with in period of 15th March to 15th April at District Hospital Roopnagar, with the help of a structured questionnaire and on providers through focus group discussions. 86 beneficiaries were interviewed. Informed consent was taken and analysis was done with the help of SPSS 20. 55 % of beneficiaries were in age group of 18-24. 42 % of them had education up to middle level. In addition, 21 % of them are illiterate. Nearly half of the population was from Sikh religion. 45 % of them were bearing there first baby whereas 12 % of them were giving birth to their third child. Only 37 % were aware about the scheme and rest 63 % were not. 96 % of beneficiaries registered for ANC. 94 % took IFA tablet whereas six percent of them did not. 68 % of beneficiaries were counselled by ASHA whereas 2/6th of them were not at all counselled. 2/6th of the mothers had been povided with the vehicle for transport and rest 4/6th had to reach the hospital at their own. Only eight out of 86 received their money at time of discharge. No association was found between JSY awareness and Socio-Demographic factors. JSY is doing well in providing some services like ANC, TT injection, IFA tablets, and Vaccinating children but it’s lagging behind on many fronts like timely disbursement of money, provision of transport. ASHA need a constant monitoring and supportive supervision so that they can provide better services.