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Utilization of Janani Suraksha Yojana (JSY)-in Jaipuria Hospital, Jaipur (Rajasthan)

  • Kalpna Verma
  • Agency : Janani Suraksha Yojana (JSY), Institutional Deliveries, Utilization of Money, Maternal Mortality, ASHA
  • Objective : 1. To assess the utilization of JSY services provided under the scheme in District Hospital.
    2. To assess the awareness of beneficiaries about Janani Surksha Yojana (JSY).
    3. To study overall involvement of doctors and JSY in charge.

  • Background : Janani Suraksha Yojana (JSY) scheme was launched in India in 2005 with the objective of reducing maternal mortality by promoting institutional deliveries. Increasing the coverage of maternal and newborn interventions is essential if Millennium Development Goals (MDG) 4 and 5 are to be reached with a view to reduce the maternal and neonatal mortality through institutional deliveries

  • Methodology :
    It was a cross sectional descriptive study. The present study was conducted in Jaipuria hospital, Jaipur during 1st febuary to 30th April 2012 with a sample of 159 beneficiaries and hospital staff. All interactions were held in locally spoken language. Questionnaire, Interview and Focus Group Discussion of beneficiaries were the tools used for collecting information regarding the utilization of JSY services. Collected data was analyzed and expressed in percentages.

  • Findings : Respondents belonging to scheduled cast ware 55%. 30% of the respondents arranged their own/hired vehicle for transportation for delivery. Only 17.33% were motivated by ANM/ DAI/ASHA/AWW for institutional delivery. Decision of expenditure depends upon husband in one third of the cases. Majority of beneficiary mothers were availing cash payment (100%). The arrangement of vehicle for transport is still a major issue of concern. In many cases the complications were not handed properly and were refer red to SMS.

  • Recommendations : Each year, approximately eight million women suffer from pregnancy-related complications and over half a million die. Around 99% of all maternal deaths occur in developing countries. Two third of maternal deaths in 2000 occurred in world's 13 poorest countries. In Jaipuria hospital, 13% of the mothers stayed only for a day or less. Only 12% beneficiaries received blood during their delivery from the institution. 87% of the women stayed for 3 days in the institution after delivery as per the JSY guidelines. About 70% of the women were given JSY benefit of more than Rs 1250/-which indicates that less benefit are given in the Urban Area where the no. of institutional deliveries is higher than in rural area. 45% beneficeasies are availing free diagnosis and 100% vaccination. According to Statistical Report, Registrar General of India (RGI), 2004, Maternal Mortality Rate (MMR) of India in 2001-2003 was 301 per lakh live births. In developing countries like India, the health care services are not equally distributed. The organizational structure requires several other deterrents. The unreliability of finding the healthcare provider, costs for transport and wages foregone, etc. make it cheaper for beneficiaries to get the treatment from local facilities. Proper utilization of JSY scheme shows the success of scheme.

To assess the utilization of JSY services provided under the scheme in District Hospital.