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Impact of Janani Surkasha Yojana(JSY) on beneficiaries in Allahabad District (U.P)

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Title Impact of Janani Surkasha Yojana(JSY) on beneficiaries in Allahabad District (U.P)
 
Creator SINH, AKANKSHA
 
Contributor Bose, Dr. Dipak Kumar
 
Subject null
 
Description Janani Suraksha Yojana (JSY) is a safe motherhood intervention under National
Health Mission. This ambitious scheme was launched on 12th April 2005, to intend &
encourage institutional delivery and provides access care during pregnancy in the postpartum
period thereby reduces maternal and infant mortality. Janani Suraksha Yojana (JSY) is a
100% centrally sponsored scheme and it integrates cash assistance with delivery and postdelivery
care. The success of the scheme would be determined by the increase in institutional
delivery among the poor families (Ministry of Health and Family Welfare, 2006). In Hindi
language, Janani means mother, Suraksha means protection and Yojana means scheme.
Evaluations of the JSY indicate that it has succeeded in increasing the use of antenatal care
services and institutional deliveries, and reducing perinatal and neonatal deaths (Lim et al.,
2010; UNFPA, 2009).This scheme came into existence as each year over 500,000 women
around the world die due to complications related to pregnancy and child birth and around ten
million children under the age of five die-two million in first day and another two million in
the remainder of the first month of life. Effective, affordable and practical intervention to
improve maternal, neonatal and child health (MNCH) exist, and have markedly reduced
mortality where implemented on a large scale. Research indicates that low-income countries
could substantially reduce the number of maternal and child deaths by implementing a
limited number of cost effective interventions at specific points in time.
The objective of the study was to describe the modus oprendi of JSY program for
analyzing its strength and weakness. To ascertain & compare the level of knowledge about
services rendered by the scheme and the practices followed by the respondents. To find out
the factors influencing the health practices among the respondents. To find out suitable
strategies to overcome the problems.
The Research Methodology opted for this research was Qualitative & quantitative
descriptive study with multistage sampling was done. In each block approximately 130
institutional deliveries take place every month. Therefore; 130×6= 780 and thus
780×4=3120.Thus 10 % of the total population i.e.312 beneficiaries were selected and with
the help of snow ball technique 312 non-beneficiaries were selected from the same block.
Therefore total respondents were 624 including both beneficiaries and non-beneficiaries.
Present study focuses on the knowledge, attitude & practices of the beneficiaries &
non-beneficiaries and many different results were revealed. Though there were all facilities
available at their doorstep; still there was lack in practices. It was due to lack of family
support, socio-economic status & other issues which was indirectly increasing the IMR &
MMR. Overall, institutional deliveries increased by (42.6%) after implementation, including
those among rural, illiterate and primary-literate persons of lower socioeconomic strata. The
main causes of maternal mortality were eclampsia, pre-eclampsia and severe anaemia both
before and after implementation of JSY. Anaemia was the most common morbidity factor
observed in this study. Among those who had institutional deliveries, there were significant
increases in cases of eclampsia, pre-eclampsia, polyhydramnios, oligohydramnios,
antepartum haemorrhage (APH), postpartum haemorrhage (PPH), and malaria after
implementation of JSY.
In this study it was founded that (38.46%) of the beneficiaries and (54.48%) of nonbeneficiaries
both belonged to age group between 25-29 whereas it was observed that late
pregnancies were less. (47.43%) of the beneficiaries and (49.67%) of the non-beneficiaries
were educated up to primary school they were able to read and write whereas it was observed
that (3.86%) beneficiaries and (5.15%) non-beneficiaries were educated up to intermediate.
Maximum (57.69%) of the beneficiaries & (32.69%) of non-beneficiaries were involved in
agriculture. Maximum (83.33%) of the beneficiaries and (95.19%) of the non-beneficiaries
belonged to Nuclear families whereas it was observed that (13.33%) belonged to joint
families. It was also observed during the study that (36.22%) of the beneficiaries had more
than 5 family members and (40.72%) of the non-beneficiaries had 4 family members in their
families whereas it was observed that (7.37%) beneficiaries and (1.92%) non-beneficiaries
had 3 members in their families. Majority (64.42%) of the beneficiaries annual income was
up to 50,000 as they belonged to labour class where their income was on daily wages and
(42.62%) non-beneficiaries were earning above 1,00,000 whereas it was observed that
(10.89%) beneficiaries were earning above 1,00,000 and (22.45%) non-beneficiaries were
earning up to 50,000 who preferred private institutes and other health institutions for delivery
as they are financially stable whom we have referred as non-beneficiaries in our research.
Maximum (92.62%) of the beneficiaries and (95.19%) non-beneficiaries belonged to
Hindu religion. Maximum (62.17%) of the beneficiaries was SC and maximum (69.87%)
non-beneficiaries belonged to SC. Majority (72.11%) of the beneficiaries & (88.34%) had
low standard of living whereas it was observed that (4.17%) beneficiaries & (8.66%)
belonged to high class.
Present study impact on Janani Suraksha Yojana on in its beneficiaries in Allahabad
District of Uttar Pradesh concluded that there were certain strength and weakness which were
found during the research work. Strength; Increased institutional deliveries, active
Participation of ASHAs, regular 3 ANC, full immunization, improved maternal & child
health & proper hygiene. Weakness: ASHAs motivated but still registration was not done
according to their expectations, facilities were poor & some were financially stable so they
preferred private institutes, during complication patient were referred to nearby district
hospital. Which was time consuming & risky for the patient. Their knowledge was good as
according to the expectation but as they were not prompt in availing facilities provided by the
scheme. Many of the beneficiaries were not aware that the scheme provides food during the
stay in the health center & they even avoided postnatal checkup as they felt it was not going
to benefit them.
 
Date 2018-04-13T04:48:35Z
2018-04-13T04:48:35Z
 
Type Thesis
 
Identifier http://krishikosh.egranth.ac.in/handle/1/5810043381
 
Language en
 
Format application/pdf
 
Publisher Shalom Institute of Health & Allied Sciences, FHS Sam Higginbottom University of Agriculture, Technology & Sciences Allahabad – 211007, India