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AUTHORíS REPLY
Year : 2016  |  Volume : 60  |  Issue : 1  |  Page : 88-89  

Does Janani-Shishu Suraksha Karyakram ensure cost-free institutional delivery? A cross-sectional study in rural Bankura of West Bengal, India


1 MBBS Student, Department of Community Medicine, BS Medical College, Bankura, India
2 Associate Professor, Department of Community Medicine, College of Medicine and Sagar Dutta Hospital, Kolkata, India
3 Associate Professor, Department of Community Medicine, College of Medicine and Sagar Dutta Hospital, Kolkata; Associate Professor, Department of Community Medicine, Malda Medical College, Durgapur, West Bengal, India
4 Professor, Department of Community Medicine, IQ City Medical College, Durgapur, West Bengal, India

Date of Web Publication23-Feb-2016

Correspondence Address:
Dipta K Mukhopadhyay
Lokepur, Near NCC Office, Bankura - 722 102, West Bengal
India
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Source of Support: None, Conflict of Interest: None


PMID: 26911225

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How to cite this article:
Mondal J, Mukhopadhyay DK, Mukhopadhyay S, Sinhababu A. Does Janani-Shishu Suraksha Karyakram ensure cost-free institutional delivery? A cross-sectional study in rural Bankura of West Bengal, India. Indian J Public Health 2016;60:88-9

How to cite this URL:
Mondal J, Mukhopadhyay DK, Mukhopadhyay S, Sinhababu A. Does Janani-Shishu Suraksha Karyakram ensure cost-free institutional delivery? A cross-sectional study in rural Bankura of West Bengal, India. Indian J Public Health [serial online] 2016 [cited 2019 Nov 13];60:88-9. Available from: http://www.ijph.in/text.asp?2016/60/1/88/177353

Sir,

We profusely thank the authors for showing keen interest in our study and for their valuable suggestions and critical observations on it. [1]

We do agree that assessing economic impact, though beyond the scope of our study, would be revealing. However, it would need a completely different study design (such as a before-after comparison as done by Tripathi et al.). [2]

It may be noted that spending on health is not only dependent on the economic status of the family but as well on several other known and unknown factors like awareness, education, accessibility to health care, aspiration for quality services, etc. [3],[4],[5],[6] We collected information about the economic status of the participants in our study and we did report the direct and indirect costs for institutional childbirth in families with or without Below Poverty Line (BPL) cards, the widely used marker of poverty in India. [1] Similarly, in Table 1, we reported itemized costs for childbirth in Block Primary Health Centers (BPHCs), although, we could not further classify the costs for vaginal and cesarian section (C.S.) deliveries as there were no C.S. deliveries at BPHCs. [1] We agree that it would be better if we could describe the amenities available at different health institutions in detail, it became evident that investigations did not constitute a considerable portion of direct costs (median cost being INR 0.0).

We entirely agree with the opinion spelt that a comprehensive study with larger sample size covering a more logical spatial distribution of health institutions could bring out a more revealing account relating to our objective in the study.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
   References Top

1.
Mondal J, Mukhopadhyay DK, Mukhopadhyay S,Sinhababu A. Does Janani Shishu Suraksha Karyakram ensure cost-free institutional delivery? A cross-sectional study in rural Bankura of West Bengal, India. Indian J Public Health 2015;59:279-85.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Tripathi N, Saini SK, Prinja S. Impact of Janani Shishu Suraksha Karyakram on out-of-pocket expenditure among urban slum dwellers in northern India. Indian Pediatr 2014;51:475-7.  Back to cited text no. 2
    
3.
Mohanty SK, Srivastava A. Out-of-pocket expenditure on institutional delivery in India. Health Policy Plan 2013;28:247-62.  Back to cited text no. 3
    
4.
Bonu S, Bhusan I, Rani M, Anderson I. Incidence and correlates of 'catastrophic' maternal health care expenditure in India. Health Policy Plan 2009;24:445-56.  Back to cited text no. 4
    
5.
Kesterton AJ, Cleland J, Sloggett A, Ronsmans C. Institutional delivery in rural India. The relative importance of accessibility and economic status. BMC Pregnancy Childbirth 2010;10:30.   Back to cited text no. 5
    
6.
Xu K, Saksena P, Holly A. The Determinants of Health Expenditure: A Country Level Panel Data Analysis. Geneva, Switzerland: World Health Organization; 2011. p. 1-28.  Back to cited text no. 6
    




 

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