A Study on Implementation Status of Rajasthan Janani Sishu Surksha Yojna (RJSSY) at General Hospital Alwar
Agency : JSSY, ASHA, NRHM, ANM, YASHODA, JSY
To study the impact of JSSY on maternal care.
To study the
knowledge and utilization of RJSSY scheme among institutional delivered women.
To study the knowledge, attitude and practice
(KAP) of ASHA about JSSY
Background : Rajasthan state
government, on 12 September 2011launched the ambitious Janani Shishu
Suraksha Yojna in all the 33 districts of the state. The Scheme aims to bring
down maternal and child mortality rate in the state. Under the scheme, the
government has been providing free treatment and transport facility to pregnant
women and sick infants. Along with this, all the pregnant women were provided
medicines and other consumables before, during and till 6 months after the
delivery. Likewise, the sick infants were provided free medicines, free up to
30 days of their birth
The study was
conducted at district hospital Alwar and involved collection of primary data
for descriptive study.
A total of 2
medical officers, 15 ASHA workers, 24 Yashoda, and 105 recently delivered women
were interviewed using predesigned questionnaires.
The JSSY in
charge of Alwar District Hospital was also interviewed.
All the ASHA
accompanying the mothers for institytional deliveries were also interviewed.
(of past one year) was also collected from hospital records to understand the
effects of JSSY on maternal care.
Findings : Out of the total interviewed
beneficiaries, 86 percent hadreceived total cashless delivery services.
74 percent beneficiaries got the transport facility from institution to home
after the delivery and all the beneficiaries received free provisional diet
during their stay in the hospital. 100 percent beneficiaries received free
diagnostic service as blood and HIVcheck-up etc. 96 percent of the women stayed
for 48 hours in the institution after delivery as per the JSSY guidelines.
About 76 percent of the women were given the JSSY benefit of Rs 1400/- which
indicates that more benefits were given to people of rural areas. Almost all
women received free medicines from institution during the delivery and got care
for the sick or newborn for up to 30 days in the hospital. All the beneficiaries
were paid through cheque and no cash payment was done. Out of the 20 percent
beneficiaries who were aware about JSSY, 41 percent replied that ASHA was the
major source of information about JSSY for them. Out of 78 percent
beneficiaries who were aware about ASHA, only 31 percent replied that they
received any kind of counseling for breast feeding, nutritional practice, and
cashless delivery etc. were free in the Govt. hospitals. 74 percent of the
women replied that they were neither accompaned by ASHA and nor transportation
was arranged by ASHA Awareness regarding cash assistance given of it was found
that 87 percent beneficiaries were aware about it. Out of the total
beneficiaries about 74 percent were aware about the link person (ASHA).
ASHA have a poor
knowledge of JSSY related concepts, components and process. Hence it is
recommended that time to time training regarding latest guidelines and JSSY
should be given to the ASHA workers.
campaigning as done for polio using celebrities like Amitabh Bachhan. Should be
done for JSSY also as it can be a better communication medium to beneficiaries.
ASHA to deliver their services some target schemes can be started by the
Government like cash prizes or motivational prizes etc be given to them.
A Nodal officer
should be appointed to monitor the working of concerned staff involved in the
implementation of JSSY.
To study the impact of JSSY on maternal care. To study the knowledge and utilization of RJSSY scheme among institutional delivered women. To study the knowledge, attitude and practice (KAP) of ASHA about JSSY