Toll Free for Admission 1800-3010-5700

Strengthening Janani Suraksha Obstetric Help Lines and Referral Support for EMoC Services In Rajasthan: A Case Study in Unicef Intervention Districts


  • Shilpi Sharma
  • Agency : EMoC, Janani Suraksha, Obstetric Help Lines, SWOT Analysis
  • Objective : To conduct a stakeholder analysis with impetus on local governance in implementing Janani Suraksha Obstetric   Helpline   programme   and   referral   transport scheme in the study districts; To conduct the SWOT analysis  of  Janani Suraksha Obstetric Helpline  program and referral transport in the study districts; and to identify the gaps for strengthening the Janani Suraksha Obstetric Helpline programme and referral transport.
  • Background : Not Available
  • Methodology : Tonk and Dhaulpur districts of Rajasthan carried out for study. Data collected through  Secondary review,In-depth review, Focus Group Discussion, Review of Project MIS, Review of press/web clippings, Review of reports submitted to UNICEF and field Trip Reports
  • Findings : This model identifies the three crucial delays: in deciding  to  seek  care,  in  reaching  a  health  center  or hospital, and in actually receiving care after arrival. Most of the maternal deaths in developing countries are due to three  delays  namely,  the  first  delay  which  is  delay  in taking decision to seek medical care, second delay in reaching  medical  facility  with  adequate  care,  and  third delay in receiving quality Emergency Obstetric Care. Availability  of  and  accessibility  to  emergency  obstetric care (EmOC) services are, therefore, essential to save the women’s lives.  Emergency obstetric care (EmOC) is the most effective strategy for Maternal Mortality Rate reduction. When compared to national averages, the state of Rajasthan is lagging behind with regard to numerous maternal and child health indicators. The Janani Suraksha Obstetric Helpline aims to improve maternal & neonatal survival in Rajasthan. The intervention was rolled out for timely transportation of women and sick newborns to nearest health facility during pregnancy, labour or six weeks after delivery. The intervention is a public-private partnership wherein services of the vehicles for transport are  provided  by  earmarked  individuals  or  private enterprises in the locality after District Health Society invites the bid for the same. The Janani Suraksha Obstetric Helpline entails not only to minimize the three delays but also intends to generate activism in the districts regarding maternal health as well provide quality care for neonatal and obstetric emergencies. This paper intends to study the programme  in  Dhaulpur  and  Tonk  districts  where  the JSOH was rolled out because of its low performance on maternal health indicators. The study entails to conduct stakeholder analysis and SWOT analysis to under stand from the managerial viewpoint.
  • Recommendations : Seeking  support  from  State government and making arrangements for better coordination among these stakeholder groups. Trepidation amongst the taxi operators must be addressed by using more regularised vehicles. Stakeholder support among the Health providers and ANMs. Improvise EmOC service delivery at health facilities.  
To conduct a stakeholder analysis with impetus on local governance in implementing Janani Suraksha Obstetric Helpline programme