Title: A Study on Utilisation of Janani Suraksha Yojana (JSY) Services in an Urban Slum in Bhubaneswar, Odisha
Authors: Ipsa Mohapatra, Sonali Kar, Amrita Kumari
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.101
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 pre-designed 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 ASH As 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.
Keywords: Janani Suraksha Yojana, antenatal, postnatal, utilisation, maternity, slum
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Ipsa Mohapatra
Assistant Professor, Dept of Community Medicine,
Kalinga Institute of Medical Sciences, Bhubaneswar
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