|
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
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-557X.184543
|
|
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. |
