Evaluation of availability and utilization of obstetric care services and entitlements under Janani Suraksha Yojana in Mysore, India

2016-08-30T00-35-53Z
Source: International Journal of Community Medicine and Public Health
Hugara Siddalingappaa, Narayana Murthy M. R., Maya Mascarenhas, Varsha Hoogar, Pradeep T. S., Sulekha T., Prem K. Mony.
Background: To reduce maternal and infant deaths due to preventable causes by promoting institutional delivery, conditional cash transfer scheme, Janani Suraksha Yojana (JSY) program was launched in India. The aim of the study was to assess the availability and utilization of obstetric care services and monetary benefits under the scheme by pregnant women, completeness of services and timeliness of sanction of cash incentives and its effect on institutional deliveries in the study area. Design of the study was community based cross- sectional survey. Methods: Mixed method research done in four Primary Health Centre (PHC)s selected by stratified random sampling method using survey and Focussed Group Discussion methods. Statistical analysis was univariate and bivariate analysis using SPSS. Results: Among 510 mothers interviewed, registration of pregnancies was 100% and 99.6% mothers had more than three ANC check ups. Institutional delivery rate was 98.8%. Among the 484 scheme eligible, 385 (79.5%) had got JSY money. Reason for not getting the money were, lack of documents, bank accounts, not linking UID (Aadhar) number to the bank account and delay was due to shortage of funds in the PHC. Conclusions: CPSMS was the major method of disbursement (65%). Most of the mothers got money after three to four months delay. 63% of the study participants in the study area had got full range of obstetric care services recommended through JSY.


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