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Year : 2014 | Volume : 2 | Issue : 1 | Page : 40 - 41  


Short Communications
A Study on Awareness about Janani Suraksha Yojana (JSY) among rural married females

Prattyush Singh1, Megha Khobragade2, Anil Kumar3

1MPH scholar, 2Deputy Director, 3HOD Epidemiology National Center for Disease Control (NCDC), New Delhi, India

Abstract:

JSY is a safe motherhood intervention under the NRHM being implemented with the objective of reducing MMR and NMR by promoting institutional delivery among the poor pregnant women. The study was carried out in the villages Kirtanpur and Singahi among 212 and 342 married women respectively to assess the awareness about JSY among married rural women in rural area. Women who have delivered in the past one year were included. Women who have delivered their third child were excluded. Of the 75 women from Singhi village, who knew about JSY, 42(56%) women knew about ANC check-up being done under JSY scheme, 28(37.3%) women knew about Injection TT, 54(72%) women knew about institutional deliveries, 18(24%) women knew about transport assistance services, while 74(99%) knew about cash assistance. Of the 65 women in Kirtanpur village, 18(27.6%) women knew about ANC check-up, 17(26.2%) women knew about injection TT under this scheme, 41(63%) women knew about institutional deliveries, 24(36.9%) women knew about transportation assistance and 55(84.6%) women knew about cash assistance benefit. ASHA & ANM are the functionaries behind the knowledge of JSY among the rural folks. This was evident from the fact that the source of beneficiaries was 100% ANM/ASHA in both the villages.

Key words: Accredited Social Health Activist (ASHA), Janani Suraksha Yojana (JSY), National Rural Health Mission (NRHM),

Corresponding Author: Dr Megha P. Khobragade, Deputy Director, National Center for Disease Control (NCDC), New Delhi, India. Email: drmegha1603@gmal.com

Introduction:

Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Rural Health Mission (NRHM) being implemented with the objective of reducing maternal and neo-natal mortality by promoting institutional delivery among the poor pregnant women. The Yojana, launched on 12 th April 2005, by the Hon’ble Prime Minister, is being implemented in all states and Union Territories (UTs) with special focus on low performing states. JSY is a 100 % centrally sponsored scheme and it integrates cash assistance with delivery and post-delivery care. The success of the scheme would be determined by the increase in institutional delivery among the poor families.

The Yojana has identified Accredited Social Health Activist (ASHA), as an effective link between the Government and the poor pregnant women in l0 low performing states, namely the eight EAG states and Assam and J&K and the remaining north eastern States. In other eligible states and UTs, wherever, Anganwadi Worker (AWW) and Traditional birth Attendants (TBAs) or ASHA like activist has been engaged in this purpose, she can be associated with this Yojana for providing the services. Core strategy of the NRHM is to have a female (ASHA) for every village with a 1,000 population to act as an interface between the community and the public health system. As a volunteer she receives performance-based compensation for promoting a variety of primary health care services such as referral and escort services for institutional deliveries, universal immunization, DOTS treatment for tuberculosis or construction of sanitary toilets for mothers who deliver in a health facility.

Awareness about JSY is poor among females. Hence present study was undertaken to assess the awareness about JSY among married rural women in villages of Singahi and Kirtanpur of Uttar Pradesh.

Materials and Methods:

The study was carried out between 2nd April 2012 to 5th May 2012 in the villages Kirtanpur and Singahi of block Tejwapur of district Bahraich in the state of Uttar Pradesh. The survey covered 212 married women in the age group 19-45 in village Kirtanpur and 342 in village Singahi. Women who have delivered in the past 1 year were included in the study were included in the study. Women who have delivered their third child were excluded from the study. In order to collect the requisite data for the study a household and beneficiary schedule questionnaire was prepared and was pre-tested. Questionnaire consisted of 13 structured questions. It included demographic data about the family background and socio-economic aspects of the family, the education, and the basic knowledge and awareness about JSY. The objective type questions had single and multiple choice options.

Results:

Out of 342 women interviewed in Singahi Village, 75 were beneficiaries of JSY and out of 212 women from Kirtanpur village, 65 were beneficiaries.

Of the 75 women benefitted in Singahi Village, 75(100%) got information about JSY through ANM, 74(98.6%) got information through ASHA. Only 9(12%) women got information about JSY through friend while 20(26.6%) women said that the source of information about JSY was from a relative. Of the 65 women benefitted in Kirtanpur village, 65(100%) respondents said that source of information of JSY was ANM and/or ASHA, 15(23%) got information about JSY through friend and 19(29.2%) got information about JSY through relatives.

Of the 75 women from Singhi village, who knew about JSY, 42(56%) women knew about ANC check-up being done under JSY scheme, 28(37.3%) women knew about getting inj T.T under this scheme, 54(72%) women knew about institutional deliveries, 18(24%) women knew about transport assistance services, while 74(99%) knew about cash assistance at the time of study. Of the 65 women in Kirtanpur village, who knew about JSY, 18(27.6%) women knew about ANC check-up under JSY scheme, 17(26.2%) women knew about inj T.T under this scheme, 41(63%) women knew about institutional deliveries, 24(36.9%) women knew about transportation assistance and 55(84.6%) women knew about JSY cash assistance benefit.

Of the 75 women benefitted from this scheme in Singahi village, 64(85.3%) got deliveries done in a PHC while only 11(14.7%) delivered in a CHC. In Kirtanpur village, of the women who were benefitted 55(84.6%) delivered in a PHC while only 10(15.4%) women delivered in a CHC.

Discussion:

The present study conducted in the Kirtanpur & Singahi showed that, ASHA & ANM are the backbone of RCH activities & implementation of JSY scheme in the both the villages.  Similar findings were reported by a study carried out in Rajasthan, Orissa, Madhya Pradesh, Bihar & UP by GfK Mode New Delhi in. In the present study, it was found that pregnant females have PHC as the choice of place for delivery and CHC as the second choice whereas in the study by GfK, respondents have opted for CHC as the place of delivery. Parul Sharma et al [2] in their study found that 75.17% of women delivered in Government hospitals. Sandeep Sachadeva et al [3] reported that JSY mothers had less proportion of deliveries (54.16%) compared to non – JSY (72.36%).

Most of the respondents knew the scheme as it gives monetary gain if they opt for institutional delivery (84%), lesser females knew about the ANC checkups, TT vaccinaton & transportation services provided in the scheme Nearly all the beneficiaries were having the information about the scheme from ASHA & ANM, while in the study by Gfk ASHA was the main source of information for the females in the study area. In the village Kirtanpur 65 respondents were aware about the scheme and have taken the benefits of the scheme whereas in the village Singahi 75 respondents out of 342 knew about the scheme and got benefitted by the scheme. Respondents of older age group were less known to the scheme in comparison to the younger females of reproductive age group. It was noticed that relatives & friends of the respondents were not active source of information about the scheme. This study solicits the role of ASHA & ANM in both the villages, past studies also said that they have a major role and they are fulfilling it in the implementation of the JSY scheme. Vijay Kumar Singh et al [4] in their study found that 52.7% women were aware about JSY and only 17.2% of them were able to answer the correct name of the scheme. They obtained this knowledge mainly from ANMs (58.6%), AWWs (22.4%) and ASHAs (17.2%). About 54.5% women had the knowledge about the components of JSY.

The provisions of the JSY are instrumental in bringing down the MMR and IMR. If implemented in the right spirit the maternal and child health scenario will improve drastically. The outreach medical workers have a crucial role in improving the awareness, sensitizing the families and motivating the mothers. Both the villages where the study is conducted have active and fully devoted ASHA & ANM who made this JSY scheme popular among the females as noticed by the study. JSY have provided rural folks a ray of light for getting the pregnancy related services in their reach.

References:

  1. Janani Suraksha Yojana. Government of India, Ministry of Health and Family Welfare. Available at: http://jknrhm.com/PDF/JSR.pdf. Accessed on 24-04-2012
  2. Sharma P, Surekha K, Gupta SK, Semwal J. Effects of Janani Suraksha Yojana (A maternity benefit scheme) up – on the utilization of Antenatal care services in rural and urban slum communities of Dehradun. National J Community Med 2012;3(1):129-37.
  3. Sachdeva S, Malik JS. Assessment of maternal and child health (MCH) practices with a focus on Janani Suraksha Yojana (JSY). Global J Med Public Health 2012;1(6):1-9.
  4. Singh VS, Chavan SS, Giri PA, Suryavanshi SR. Study on awareness and knowledge regarding Janani Suraksha Yojana (JSY) among ANC registered women in a primary health centre of tribal area of Thane District of Maharashtra. International J Res Medical Sciences 2014;2(1):122-6.

 

 

 

 

Tables:

Table 1: Source of information, knowledge and place of delivery of JSY beneficiaries

 

Parameter                                            Singahi Village            Kirtanpur Village

                                                            (N = 75)                      (N = 65)

Source of information

            ANM                                       75 (100)                       65 (100)

            ASHA                                     74 (98.6)                      65 (100)

            Friend                                    09 (12)                         15 (23.1)

            Relative                                   20 (26.6)                      19 (29.2)

Knowledge about benefits

            ANC checkups                        42 (56)                         18 (27.7)

            TT injections                           28 (37.3)                      17 (26.2)

            Institutional deliveries              54 (72)                         41 (63.1)

            Cash assistance                       74 (98.6)                      55 (84.6)

Place of delivery

            PHC                                        64 (85.3)                      55 (84.6)

            CHC                                        11 (14.7)                      10 (15.4)

 

Source of Support: Nil. Conflict of Interest: None.





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