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Impact of Janani Suraksha Yojana on Institutional Delivery Rate and Maternal Morbidity and Mortality: An Observational Study in India

Journal of health, population and nutrition, 2012-12, Vol.30 (4), p.464-471 [Peer Reviewed Journal]

Copyright © 2012 International Centre for Diarrhoeal Disease Research ;COPYRIGHT 2012 BioMed Central Ltd. ;Copyright Intenational Centre for Diarrhoeal Disease Research, Bangladesh Dec 2012 ;INTERNATIONAL CENTRE FOR DIARRHOEAL DISEASE RESEARCH, BANGLADESH 2011 ;ISSN: 1606-0997 ;EISSN: 2072-1315 ;PMID: 23304913

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Title:
Impact of Janani Suraksha Yojana on Institutional Delivery Rate and Maternal Morbidity and Mortality: An Observational Study in India
Author: Gupta, Sanjeev K. ; Pal, Dinesh K. ; Tiwari, Rajesh ; Garg, Rajesh ; Shrivastava, Ashish K. ; Sarawagi, Radha ; Patil, Rajkumar ; Agarwal, Lokesh ; Gupta, Prashant ; Lahariya, Chandrakant
Subjects: Adult ; Anemia ; Cash ; Childbirth & labor ; Death ; Delivery, Obstetric ; Demographic aspects ; Eclampsia ; Female ; Financing, Government ; Gender equality ; Haemorrhage ; Health care delivery ; Health facilities ; Health Promotion - methods ; Humans ; India ; India - epidemiology ; Maternal Health Services - statistics & numerical data ; Maternal Mortality ; Maternal mortality rates ; Monetary incentives ; Morbidity ; Morbidity-Mortality ; Mortality ; Mothers ; Motivation ; Observational research ; Original Papers ; Patient Acceptance of Health Care ; Patient outcomes ; Pregnancy ; Pregnancy Complications - epidemiology ; Pregnancy Complications - mortality ; Pregnancy Complications - prevention & control ; Risk factors
Is Part Of: Journal of health, population and nutrition, 2012-12, Vol.30 (4), p.464-471
Description: The Government of India initiated a cash incentive scheme—Janani Suraksha Yojana (JSY)—to promote institutional deliveries with an aim to reduce maternal mortality ratio (MMR). An observational study was conducted in a tertiary-care hospital of Madhya Pradesh, India, before and after implementation of JSY, with a sample of women presenting for institutional delivery. The objectives of this study were to: (i) determine the total number of institutional deliveries before and after implementation of JSY, (ii) determine the MMR, and (iii) compare factors associated with maternal mortality and morbidity. The data were analyzed for two years before implementation of JSY (2003-2005) and compared with two years following implementation of JSY (2005-2007). Overall, institutional deliveries increased by 42.6% after implementation, including those among rural, illiterate and primary-literate persons of lower socioeconomic strata. The main causes of maternal mortality were eclampsia, pre-eclampsia and severe anaemia both before and after implementation of JSY. Anaemia was the most common morbidity factor observed in this study. Among those who had institutional deliveries, there were significant increases in cases of eclampsia, pre-eclampsia, polyhydramnios, oligohydramnios, antepartum haemorrhage (APH), postpartum haemorrhage (PPH), and malaria after implementation of JSY. The scheme appeared to increase institutional delivery by at-risk mothers, which has the potential to reduce maternal morbidity and mortality, improve child survival, and ensure equity in maternal healthcare in India. The lessons from this study and other available sources should be utilized to improve the performance and implementation of JSY scheme in India.
Publisher: Bangladesh: ICDDR,B: Centre for Health and Population Research
Language: English
Identifier: ISSN: 1606-0997
EISSN: 2072-1315
PMID: 23304913
Source: GFMER Free Medical Journals
MEDLINE
PubMed Central
Bioline International
ProQuest Central

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Impact of Janani Suraksha Yojana on Institutional Delivery Rate and Maternal Morbidity and Mortality: An Observational Study in India

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