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Original Paper
Knowledge, awareness, and utilization pattern of services under Janani Suraksha Yojana among beneficiaries in rural area of Himachal Pradesh Prem Lal Chauhan, Dineshwar Dhadwal, Anjali Mahajan Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
A B S T R A C T Introduction: Safe motherhood is perceived as a human right, and the health sector is always encouraged to provide quality services to ensure the same. Government of India launched a scheme called Janani Suraksha Yojana (JSY) on April 11, 2005, under the flagship of National Rural Health Mission to reduce maternal and neonatal mortality, by promoting institutional deliveries for which financial incentives are provided to mothers delivering in the health facilities. Objective: To study the knowledge, awareness, and utilization pattern of services under JSY among the beneficiaries in rural area of Shimla, Himachal Pradesh, India. Materials and Methods: This cross‑sectional study was conducted among the 78 JSY beneficiaries residing in the rural field practice area of Indira Gandhi Medical College Shimla, Himachal Pradesh, India. These beneficiaries were interviewed with pretested, predesigned, semi‑structured close ended questionnaire by house‑to‑house visits, after obtaining informed consent. Results: Majority of the JSY beneficiaries (50; 64%) were in the age group of 20–25 years and 43 (55.1%) of them heard about the JSY scheme before the present pregnancy. Anganwadi workers 78 (100%) and female health workers (62; 79.5%) were the main sources of information. More than half of the study participants (44; 56%) had good knowledge about the scheme and 42 (53.85%) registered their name in health institution during the first trimester of last pregnancy. Forty‑four (56.4%) beneficiaries had undergone three antenatal checkups and only 11 (14.1%) of them received three postnatal (PN) visits. All the beneficiaries received the JSY incentives 1‑week the following delivery. Conclusions: Awareness regarding the JSY scheme, early antenatal registration, minimum three antenatal care visits, and three PN visits is still low among rural women which needs strengthening through intensification of IEC activities. Keywords: Antenatal check‑up, beneficiaries, institutional delivery, Janani Suraksha Yojana, Janani Suraksha Yojana incentive, postnatal care
INTRODUCTION India accounted for 19% of the globally estimated 287,000 maternal deaths in 2010.[1] Maternal mortality ratio of India has declined from 212/100,000 live births in 2007–2009 to 178/100,000 live births in Corresponding Author: Dr. Anjali Mahajan, Department of Community Medicine, Indira Gandhi Medical College, Shimla ‑ 171 001, Himachal Pradesh, India. E‑mail:
[email protected] Access this article online Quick Response Code: Website: www.cjhr.org DOI: 10.4103/2348-3334.165737
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2010–2012.[2] Most of the neonatal deaths in developing countries occur at home, unattended by skilled health professionals.[3,4] Janani Suraksha Yojana (JSY) scheme was launched in Himachal Pradesh 7 years back to reduce maternal and neonatal mortality in the state by promoting institutional deliveries.[5] The present study was undertaken to estimate the level of knowledge, awareness, and utilization pattern of services among the beneficiaries under the scheme. This is an open access article distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as the author is credited and the new creations are licensed under the identical terms. For reprints contact:
[email protected] Cite this article as: Chauhan PL, Dhadwal D, Mahajan A. Knowledge, awareness, and utilization pattern of services under Janani Suraksha Yojana among beneficiaries in rural area of Himachal Pradesh. CHRISMED J Health Res 2015;2:324-8.
© 2015 CHRISMED Journal of Health and Research | Published by Wolters Kluwer - Medknow
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Chauhan, et al.: Knowledge, awareness, and utilization pattern of services under JSY among beneficiaries in rural area of HP
Aims and objectives • To estimate the level of the awareness and utilization pattern of the JSY scheme among the JSY beneficiaries in the rural field practice area of Department of Community Medicine Indira Gandhi Medical College (IGMC), Shimla, Himachal Pradesh, India • To determine the association between knowledge and service utilization with various sociodemographic variables.
MATERIALS AND METHODS The present cross‑sectional study was conducted among the 78 beneficiaries of the JSY scheme residing in the rural field practice area of Department of Community Medicine IGMC, Shimla, Himachal Pradesh, India, who had delivered and utilized/availed the services under JSY in the previous 1‑year (w.e.f. April 1, 2012, to March 31, 2013). There were 822 deliveries registered in the rural field practice area during the same period and out of which 78 were eligible JSY beneficiaries who availed/ utilized the services under the JSY scheme. A baseline list of all the JSY beneficiaries was taken from the register of block accountant of Rural Training Health Centre. All the beneficiaries under JSY were interviewed by a pretested, semi‑structured, scheduled close ended questionnaire by the house‑to‑house visits after obtaining consent. Inclusion criteria • Beneficiaries who delivered in between April 1, 2012, to March 31, 2013 • Availed services under JSY and are permanent residents of Mashobra area • Willing to participate in the study. Exclusion criteria • Age
