A Study on Utilisation of Janani Suraksha Yojana (JSY) Services in an Urban Slum in Bhubaneswar, Odisha
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 1
Abstract
Janani Suraksha Yojana (JSY),a maternity-benefit scheme launched by GOI in April 2005;implemented in Odisha since April 2006.Despite this Odisha still accounts for high maternal mortality, which could be related to factors like non-utilization or under-utilization of services, especially amongst the urban slum population. The objectives were to study the awareness about JSY scheme among post-partum women & to examine va rious components of the utilisation of the scheme-ANC registration, ante-natal care, transport support-in them. A cross-sectional study was done in field-practise area of the medical college; Data collected through in-person interviews after obtaining informed consent, using a pre-tested predesigned questionnaire. All women who delivered in last one year were included. Data entered into Microsoft Excel & analysed with EpiInfo. Total of 229 mothers with infants identified,19refused to participate & 17providing partial answers excluded;193 taken for final analysis. Majority (75.13%)in age-group of 20-29 years;84.97% belonged to upper-middle & middle(lower middle) socio-economic class.96.89% were Hindus. Of 193,97% received ANC check-up and 6(3%)did not receive.IFA tablets distribution were the most common ANC services provided to the participants. Although 95% were counselled by ASHAs for institutional delivery, counselling about diet, rest, family planning were least consulted. Around 53 % were registered by end of first trimester.60% preferred Private Hospital for delivery. Only 7% went for home delivery.Of those having institutional delivery 91%delivered in government institutions& 81%beneficiaries had made arrangement for transportation to health facility at their own cost. Only three-fourth of women had their postnatal check-up.IEC regarding availability of transport under JSY needs to be strengthened. Majority of women ignored postnatal care. Counselling on aspects like nutrition and family planning needs focus.
Authors and Affiliations
Ipsa Mohapatra
Keywords
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