Indian Journal of Public Health

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 60  |  Issue : 2  |  Page : 118--123

A study on utilization of Janani Suraksha Yojana and its association with institutional delivery in the state of West Bengal, India


Dipta K Mukhopadhyay1, Sujishnu Mukhopadhyay2, Sarmila Mallik3, Susmita Nayak4, Asit Kumar Biswas5, Akhil Bandhu Biswas6 
1 Associate Professor, Department of Community Medicine, College of Medicine and Sagore Dutta Hospital, Kolkata, West-Bengal, India
2 Associate Professor, Malda Medical College, Kolkata, India
3 Professor and Head, Department of Community Medicine, Murshidabad Medical College, Kolkata, West-Bengal, India
4 Consultant, Management, Institute of Health and Family Welfare, Kolkata, West-Bengal, India
5 Chief Medical Officer of Health, Darjeeling, Government of West Bengal, Kolkata, West-Bengal, India
6 Professor, Department of Community Medicine, Institute of Health and Family Welfare, Kolkata, West-Bengal, India

Correspondence Address:
Sujishnu Mukhopadhyay
27/2A/1, Bakultala Lane, Kolkata - 700 042, West Bengal
India

Background: India launched the Janani Suraksha Yojana (JSY) on the principles of conditional cash transfer providing monetary incentive to needy women to improve access to institutional childbirth. Objectives: This study was conducted among JSY-eligible women who delivered between April 2012 and June 2012 to assess the utilization of cash incentives toward institutional delivery, along with other associated factors influencing institutional delivery. Methods: It was a cross-sectional, descriptive study conducted between July 2012 and May 2013 on 946 women selected through stratified random sampling of subcentres from better and worse performing districts of West Bengal. Results: 74.7% of the study population was JSY-eligible. 90.2% of those who took three antenatal check-ups (ANCs) and 36.8% JSY-noneligible women received cash. Government institutions were preferred for childbirth among all groups irrespective of JSY eligibility, receipt of cash, and number of antenatal visits. Overall, 78.8% opted for institutional delivery if they had received cash, which was significantly more than those who did not (64.5%). JSY-eligible women were 1.5 times more likely to deliver in government institutions compared to JSY-noneligible women. With no incentive, the likelihood of institutional delivery was halved. The distance of a 24 Χ 7 delivery hub beyond 5 km (74.8% vs. 81.8%), the religion of Islam (62.7% vs. 83.2%), and multiparity (63.9% vs. 83.6%) were significant deterring factors. Conclusion: Despite some inclusion and exclusion errors, cash incentive under JSY was associated with increased institutional delivery, especially in government institutions though there were other factors influencing the decision as well.


How to cite this article:
Mukhopadhyay DK, Mukhopadhyay S, Mallik S, Nayak S, Biswas AK, Biswas AB. A study on utilization of Janani Suraksha Yojana and its association with institutional delivery in the state of West Bengal, India.Indian J Public Health 2016;60:118-123


How to cite this URL:
Mukhopadhyay DK, Mukhopadhyay S, Mallik S, Nayak S, Biswas AK, Biswas AB. A study on utilization of Janani Suraksha Yojana and its association with institutional delivery in the state of West Bengal, India. Indian J Public Health [serial online] 2016 [cited 2020 Jun 4 ];60:118-123
Available from: http://www.ijph.in/article.asp?issn=0019-557X;year=2016;volume=60;issue=2;spage=118;epage=123;aulast=Mukhopadhyay;type=0