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El parto institucional es un proceso complejo, sobre todo desde la experiencia vivida de las madres de la zona rural de Perú. Objetivo. Develar las vivencias y expectativas de la mujer rural en el parto institucional en un hospital de Cajamarca. Metodología. Estudio con enfoque cualitativo con diseño fenomenológico. Se aplicó como técnica de recolección de datos la entrevista a profundidad, como instrumento se usó una guía de preguntas orientadoras relacionada con ¿cuáles son las vivencias y expectativas de la mujer rural frente al parto institucional en el Hospital Regional Docente de Cajamarca?, la cual ha permitido acercarse al fenómeno en estudio. Hallazgos. Se obtuvieron 5 discursos de puérperas que se atendieron el parto en este nosocomio, al momento de la recolección de datos. Los discursos fueron grabados y transcritos, procediendo a la elaboración de las unidades de significado con el respectivo análisis ideográfico y nomotético, dando origen a 52 unidades de significado, sintetizadas en 4 categorías, siendo: significado del parto para la mujer rural, necesidad de apoyo emocional y físico; el proceso del parto institucional y finalmente el nacimiento del bebé. A manera de cierre. Las vivencias y expectativas de las mujeres procedentes de la zona rural, revelan que se requiere un enfoque diferenciado en la atención de parto institucional.
Institutional childbirth is a complex process, especially from the lived experience of mothers in rural Peru. Objective. To reveal the experiences and expectations of rural women in institutional childbirth in a hospital in Cajamarca. Methodology. Qualitative study with phenomenological design. An in-depth interview was used as a data collection technique, and a guide of guiding questions related to the experiences and expectations of rural women regarding institutional childbirth in the Regional Teaching Hospital of Cajamarca was used as an instrument to approach the phenomenon under study. Findings. At the time of data collection, five speeches were obtained from puerperal women who attended childbirth in this hospital. The speeches were recorded and transcribed, proceeding to the elaboration of the units of meaning with the respective ideographic and nomothetic analysis, giving rise to 52 units of meaning, synthesized in 4 categories, being: meaning of childbirth for the rural woman, need for emotional and physical support; the process of institutional childbirth and finally the birth of the baby. By way of conclusion. The experiences and expectations of women from rural areas reveal the need for a differentiated approach to institutional childbirth care.
O parto institucional é um processo complexo, especialmente a partir da experiência vivida pelas mães na zona rural do Peru. Objetivo. Revelar as experiências e expectativas das mulheres rurais em relação ao parto institucional em um hospital de Cajamarca. Metodologia. Estudo qualitativo com desenho fenomenológico. Utilizou-se a entrevista em profundidade como técnica de coleta de dados, e um guia de perguntas orientadoras relacionadas às experiências e expectativas das mulheres rurais em relação ao parto institucional no Hospital Regional de Ensino de Cajamarca foi utilizado como instrumento, o que nos permitiu abordar o fenômeno em estudo. Resultados. No momento da coleta de dados, foram obtidos cinco discursos de mulheres no pós-parto que haviam dado à luz nesse hospital. Os discursos foram gravados e transcritos, procedendo-se à elaboração das unidades de significado com a respectiva análise ideográfica e nomotética, dando origem a 52 unidades de significado, sintetizadas em 4 categorias, sendo elas: significado do parto para a mulher rural, necessidade de apoio emocional e físico; o processo de parto institucional e, finalmente, o nascimento do bebê. À guisa de conclusão. As experiências e expectativas das mulheres das áreas rurais revelam a necessidade de uma abordagem diferenciada para a assistência ao parto institucional.
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Context: Antenatal care (ANC) effectively reduces infant and maternal mortality rates mainly by promoting institutional deliveries. In view of this, the Government of India introduced Janani Suraksha Yojna (JSY) in 2005 and Janani Shishu Suraksha Karyakram (JSSK) in 2011. Aims: To estimate the proportion of home and institutional deliveries in the district, assess the impact of JSK and JSSY on institutional deliveries, and identify the different intranatal care providers. Settings and Design: This cross-sectional study was conducted in the Gaya district, Bihar. A total of 657 females of the reproductive age group (15-49 years) were included in the study. Methods and Material: Predesigned, pre-tested & semi-structured questionnaire was used to collect information on place of delivery, type of delivery, knowledge regarding JSY and JSSK schemes and source of information Statistical analysis used: Data was entered into excel sheets and analyzed using SPSS version 23 utilizing appropriate statistical methods. Results: Out of 519 deliveries, 63% were institutional and 37% were home deliveries. About 91 and 11.4% of respondents were aware of JSY and JSSK schemes. There was a significant association between those who opted for institutional delivery and awareness regarding JSY and JSSK services. Conclusion: Despite awareness and running of various government programs, the percentage of institutional deliveries is still less. An increase in institutional deliveries at primary care level through JSY and JSSK will not only decrease the Out of Pocket expenditure of the population but also help build faith in the government health facilities. Most read articles by the same author(s) Mahendra Singh, Surekha Kishore , Bhavan Jain, Sanjeev Kishore, Pradeep Aggarwal, Shikhar K Verma , Prevalence of Diabetes Mellitus and its associated risk factors , Indian Journal of Community Health: Vol. 32 No. 1 (2020) Chandramani Singh, Bijit Biswas, Naveen KG, Haripriya Hari, Sanjay Pandey, Bijaya Nanda Naik, Epidemiological investigation of a food poisoning outbreak: a study among hostel dwelling students and resident doctors of a tertiary healthcare facility of India , Indian Journal of Community Health: Vol. 33 No. 3 (2021) Bhavan Jain, Seema Jain, Harivansh Chopra, Sunil Kumar Garg, Ganesh Singh, Chhaya Mittal, Impact of Sociodemographic factors on prevalence of overweight and obesity among adolescents of urban Meerut , Indian Journal of Community Health: Vol. 30 No. 1 (2018) Raj Shekhar, Ditipriya Bhar, Chandramani Singh, Awareness, Knowledge and Practices of Contraceptive Methods among Married Males of Slums of Phulwarisharif block of Patna District, Bihar , Indian Journal of Community Health: Vol. 31 No. 2 (2019)
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Background: Healthcare for mothers and children is a significant indicator of a country's well-being. In-dia is one of the nations that were experiencing a rather slow improvement in maternal and child health. Aims: The objective of this study is to analyse the changes in health infrastructure, government health expenditure, antenatal care, postnatal care, institutional delivery, Maternal Mortality Ratio (MMR) and the determinants of MMR in India. Methodology: The study is based on secondary data. It employs an Average Increasing Rate (AIR) and Average Reduction Rate (ARR), as well as a panel data random effect model. Results: Empirical results say MMR has a statistically significant inverse relationship with female litera-cy, Per capita Net State Domestic Product (PNSDP), and institutional delivery. The study concludes that after the introduction of NRHM and its constituent elements like JSY and JSSK, government expenditure on health, health infrastructure, the percentage of antenatal care, post-natal care, and institutional deliv-ery increased in most of the Indian states, thus helping to increase the pace of the reduction of MMR. However, state performance varies greatly. Conclusions: Policy alone will not provide the desired results; it is also critical to focus on education, particularly female literacy, and economic empowerment.
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The Government of India had launched the Janani Shishu Suraksha Karyakram (JSSK) Scheme in June 2011 to benefi t pregnant women during their ante-natal, intra-natal and post-natal period including the new-born up to age of one year. In this quasi-experimental (pre-test, post-test, control group design) study, a total of 60 mothers (30 each in experimental and control group) attending ante-natal clinic at district hospital, Faridabad were enrolled using simple random sampling (lottery method). A self-developed, pre-tested and validated tool based on knowledge and utilisation about JSSK scheme was used for data collection. Mean post-test knowledge scores of experimental group and control group were 22.4 and 12 respectively with a mean difference of 10.4. The obtained mean difference was found to be statistically signifi cant as evident from the ' t' value of 3.96 at 0.05 level of signifi cance. The mean post-test utilisation score of experimental group (23.57) was higher than the mean post-test utilisation scores of control group (20.6) with a mean difference of 2.97. The obtained mean difference was found to be statistically signifi cant as evident from the ' t' value of 3.96 at 0.05 level of signifi cance. Chi value computed between knowledge scores and utilisation scores of JSSK Scheme and selected demographic variables indicated that there was no signifi cant association. This shows that health education package was effective in enhancing the knowledge of participant mothers regarding JSSK health scheme so that they were able to utilise the scheme in a better way. There is a need of IEC activity to increase the knowledge of benefi ciaries to enhance the utilisation of JSSK health services.
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@#Introduction: The Janani Shishu Suraksha Karyakram (JSSK) is a government of India initiative for all pregnant women visiting public health facilities, with many free entitlements – free diet being one. After an in-depth study of existing dietary provisions in all community health centres, an elaborate cyclic-weekly nutritious menu was designed taking into consideration the latest recommendations (2019) by the Ministry of Family and Child Welfare, India to improve maternal health nutrition. Methods: The health functionaries from all ten community health centres of rural Vadodara were chosen for an in-depth estimation of the different meals served in the facilities. Standard measuring cups and spoons were used to measure the exact serving sizes for each person. Each meal served was supervised, checked and quantified in triplicate, while macro- and micronutrients were calculated using the Indian Food Composition Tables 2017 (Longvah et al. 2017). To bridge the gap in service delivery, two new models of cyclic-weekly menu were developed, keeping in mind the amount per mother per day as one hundred Indian rupees. Results: On average the foods served in the community health centres provided 69% of recommended energy intake, while mean recommended dietary allowance met for protein was 51%, calcium 18%, iron 50%, and fat 267%. Conclusion: The recommendations specified in this paper would improve the nutritional status of all pregnant and lactating women availing the services in rural health facilities, which would go a long way in ensuring safe and healthy motherhood.
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Background: India is the second most populous country in the world contributing to one fifth of global deaths among under 5-year-old children. Of these under 5 deaths, Infant mortality contributes to more than 89% and neonatal mortality is responsible for 70% of IMR. Of the many proximal determinants of neonatal mortality, inadequate utilization of health services and poor skills of health care providers contribute significantly. The lack of data constrains targeted interventions for these. This study is an attempt to analyze the existing data quality along with gaps in the reporting system to initiate timely course correction for improved programmatic outcomes.Methods: The labour room birth registries from 12 District hospitals and two Government Medical Colleges in the state of Himachal Pradesh (India) were analyzed. The data was extracted from archives in the State Child health Nodal Officer for the year 2017-2018 and 2018-2019.Results: Over these two years the proportion of institutional delivery has improved. The number of newborns resuscitated remained constant at 4.5%.' There was an improved coverage of birth dose immunization. Improvement in Antenatal Corticosteroids coverage among preterm laboring mothers was also observed.Conclusions: Continuous data analysis for improving its quality to take evidence informed decisions is needed.' Hands on skill improvement for staff is need of the hour to ensure timely and maximum returns on investment in reproductive and Child Health program.
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Background: Institutional delivery with appropriate delivery care is one of the key paths toward achieving maternal mortality ratio target of sustainable developmental goals-3. Delay in receiving timely and adequate care at health facility is deciding factor in reducing maternal mortality. Importance of closeness of health facility, cost at private hospitals, spiritual factors, social factors, etc., play a crucial role in deciding place of delivery. Important indicator of Reproductive, Maternal, Newborn Child plus Adolescent Health programme for antenatal care (ANC) is early registration of pregnancy, minimum three (upgraded to four) antenatal checkups, proportion of delivery conducted by skilled birth attendant, etc. Various demographic factors and ANC factors play a crucial role in selection of place of delivery. Objectives: The objectives of this study were to examine the demographic factors and ANC in determining place of delivery. Materials and Methods: This community-based cross-sectional retrospective study was conducted in eight Primary Health Centre areas of Jamnagar district of Gujarat during September 2015–August 2016. Multistage sampling was used and convenient samples of a total of 400 mothers who delivered during the past 6 months were taken as study participants. Chi-square test and Fisher’s exact test were used for analysis. Results: Among the study participant mothers, 384 (96%) had institutional delivery while 16 (4%) mothers were delivered at home. Statistically significant difference in place of deliveries was found among caste (P < 0.05), among different socioeconomic classes (P < 0.01), and among different education level of mothers (P < 0.01). Among 16 home deliveries, 10 (62.5%) were neither registered during antenatal period nor received Mamta Card. Conclusion: Increasing education level of females, 100% ANC registration, and minimum four ANC checkups are the key steps toward 100% institutional deliveries.
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Background: Robust emergency transport system is vital in the reduction of maternal mortality ratio (MMR) by curtailing delay and thus, it helps in reaching the sustainable development goals of MMR. The emergency management and referral institute (EMRI) model has shown good results in various states of India including Gujarat. There are some demographic and other reasons which may affect the choice of transport service for institutional delivery. Objective: The objective of this study was to assess the factors for utilization of 108 EMRI obstetric care services for institutional delivery in Jamnagar district of Gujarat. Materials and Methods: It was conducted in eight Primary Health Centre areas of different four talukas of Jamnagar district with a sample size of 384. Pregnant women whose institutional delivery occurred during past 6 months from the study date were included as the study population. The sampling frame consisted of a list of such woman recorded in E-Mamta from which samples were selected by systematic random sampling. Results: Among 384 institutional deliveries, 150 (39.1%) mothers used 108 EMRI for transport from their place to a health facility. Statistically significant higher utilization of 108 EMRI services was observed among scheduled caste (49.2%), scheduled tribe (42.8%), and among socioeconomic Class V (55.3%) followed by Class IV (45.2%). Absence of felt need was the major reason for not utilizing 108 EMRI. Among user, 78.7% were satisfied with the services of 108 EMRI. Conclusion: A total of 108 GVK EMRI has been the lifeline for transport of institutional deliveries for the socially disadvantaged and economically challenged community.
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Introduction: It is believed that empowered women can contribute to the health, productivity and benefit of the whole family and community and improved prospects for the next generation. The empowerment of women is a fundamental prerequisite for their health. With better reproductive health practices, women can go safely through pregnancy, child birth and fertility regulations. Objective: The main objective of this study is to investigate whether women empowerment in two study groups i.e., Northern states and Southern states of India is linked with their reproductive health practices. Data and Methodology: The data from the 2015-16 National Family Health Survey (NFHS-4) was used in the study. Women who were currently married or living with a partner were included in the analysis. Logistic regression analyses were conducted to examine the association between the reproductive health outcomes with the domains of women empowerment and other socio-economic and demographic variables. Results: Women‘s participation in household decision making having slightly higher percentage for a visit to family/ relatives in northern region under study, whereas the decision making in own health care as well as major and small household purchases were found higher in southern region. It can be surprisingly seen that women who justified refusing sexual intercourse to husband were significantly less likely to be assisted by a skilled person in delivery if overall Indian data is concerned, but no effect has been seen in northern and southern regions after the adjustment with socio-economic and demographic characteristics. The women who didn‘t support wife beating were more likely to use modern method of contraception in northern region.
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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.
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Introduction: Despite efforts by government and other agencies, neonatal mortality is still high in our country. Among all other reasons, lack of proper newborn care practices is one of the major contributors for such high rates of mortality. This study was undertaken to assess newborn care practices among mothers residing in slum areas. Material & Methods: A cross sectional study was carried out among 360 mothers of infants in slums of Kanpur. A pre designed and pre tested questionnaire was used. Percentages, chi-square & Fischer’s exact test was used to analyse data using SPSS. Results: Nearly 23.05% deliveries were conducted at home, mostly by untrained dais. Bathing the baby after birth was practiced in 44.45% of home deliveries. In case of home deliveries, eyes were cleaned in 69.95% cases , weight was taken in 29.02% newborns and cord was cut with unsterile blade in 19.2% cases. Turmeric powder with oil or ghee was applied on cord in 94% of home deliveries and in 17.3% of hospital deliveries after the child was brought home. A significant difference was seen in cord care practices in home and hospital deliveries. Early initiation of breast feeding and colostrum was given by 35.5% and prelacteal feed was given by 63.9%. Conclusion: Awareness regarding newborn care practices was good among mothers who delivered their babies in institutions, as depicted by various healthy practices followed by them which were significantly associated with institutional deliveries.
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Janani Suraksha Yojana (JSY) was launched in April 2005, to promote institutional deliveries through provision of cash assistance, transport, escort, and referral services. An observational cross-sectional study was conducted to assess the antenatal registrations, postnatal checkups, and institutional deliveries, and to compare the various social groups. Married women of the reproductive age group, having at least two children, were interviewed regarding antenatal care, delivery, and postnatal care in both pregnancies, latest as well as previous. Post JSY implementation, antenatal registrations increased from 61.79 to 96.34%, Deliveries at the Government Health Facility increased from 25.20 to 53.25% and postnatal check-ups increased from 45.93 to 69.51%. In the post-JSY-implementation phase, the Government Health Facility was preferred more by Scheduled Castes (SC), Scheduled Tribes (ST), Other Backward Classes (OBC) (SC/ST = 56.87%, OBC = 60.2%, and general = 43.68%), educated (Illiterate = 17.39%, Primary = 88.14, and Middle or above = 81.94%) and the lower socioeconomic classes (Lower SEC 71.83% and Upper lower and above = 45.71%) for their deliveries. It appears that the socially backward groups have benefi ted more from JSY.
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Background and objectives: Importance of maternal health has been recognized over the last decade, however information about the perception of illness and health care behavior of obstetric complication is lacking. So, this study was conducted to find out the prevalence of taking care during pregnancy and delivery, and to find out the association between sociodemographic characteristics and taking care during pregnancy and delivery. Material and Methods: The study is a cross-sectional study conducted among the residents of Rangeli VDC of Morang District in Eastern Nepal where 300 households were taken as subjects. Semi-structured questionnaire was used and face to face interview was conducted. Chi-square test was applied to find out the association between sociodemographic characteristics and taking care during pregnancy and delivery. Results: Almost forty percent of pregnant women have taken care during pregnancy and delivery i.e. delivery conducted in Health Care Center (HCC). Only 21.8% of women were applied antiseptics after cutting cord and sixty three percent of women have fed colostrums to their babies. All of the women with Brahmin/ Chhetri have conducted delivery in Health Care Center. The women with SLC and higher education have conducted delivery at HCC more (91.1%) than below SLC (51%) and illiterate (12.5%). The women with service have conducted delivery at HCC more than other occupational groups. Conclusion: The problem of taking care during pregnancy and delivery is common and has become a key public health concern for all. Lack of education and poor occupation of wife and husband led some of the respondents not taking care during pregnancy and delivery.
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Aims: The study was conducted to obtain information about place and mode of child delivery and compare unsafe deliveries between tribal and non-tribal areas. Study Design: This was a retrospective study with the follow up of registered pregnant women in the Primary Health Centers (PHC). Place and Duration of Study: The study was conducted in the PHCs of the State of Maharashtra, India. They were divided into two groups, tribal and non-tribal. The study was carried out in 2009-10. Method: A format was prepared to obtain details of delivery of children by women. The Auxiliary Nurse Midwives filled the format for all the pregnant women registered during calendar year 2008, through house to house visits in their respective areas. Results: More than one million pregnancies were registered. There were 21.88% home deliveries, of which 6.96% were not attended by a skilled birth attendant. About 5% of the babies were delivered through Cesarean section. The proportion of home deliveries (46.79%) and the absence of a skilled birth health professional (16.19%) were significantly higher in tribal areas. Even in institutional deliveries, interventional assistance was offered to lesser extent in these areas. The relative risk of undergoing unsafe delivery was 3.25 (95%, C.I. 3.20-3.29) in tribal PHCs. The district wise analysis Original Research Article British Journal of Medicine & Medical Research, 4(27): 4570-4581, 2014 4571 also supported the findings that home deliveries and overall unsafe deliveries were more in tribal districts. Conclusion: The study concludes that substantial number of women from tribal areas is exposed to unsafe deliveries.
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For assuring safe maternal and newborn health, institutional delivery was given paramount importance. In India, in spite of several efforts, lesser than 40% deliveries are conducted at health facilities, mostly at private sector. The present cross-sectional study aimed to fi nd out the determinants of preference for delivery at government hospitals in rural areas of Lucknow, a district in Uttar Pradesh. Multistage random sampling was used for selecting villages. From them, 352 recently delivered women were selected, following systematic random sampling. Overall, 84.9% of deliveries were conducted at health institutions. Out of them, 79.3% were at government hospitals. Applying multivariate logistic regression, Hindu women (odd’s ratio [OR] = 3.205), women belonging to lower socio-economic class (OR = 4.630) and late registered women (OR = 2.320) were found to be more likely to deliver at government hospitals. Attention should be given to religion, social status and timing of registration for ensuring higher fraction of deliveries at government set-up.
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Background & objectives: Janani Suraksha Yojana (JSY), a conditional cash transfer scheme introduced to improve the institutional delivery rates and thereby reduce the maternal and infant mortality was implemented in all States and Union Territories of India from 2007. The present study was carried out to identify the beneficiary level factors of utilization of JSY scheme in urban slums and resettlement colonies of trans-Yamuna area of Delhi. Methods: A cross-sectional community based survey was done of mothers of infants in the selected areas of the two districts by stratified random sampling on a population proportionate basis. Socio-demographic factors, antenatal services availed and distance of nearest health facility were studied. Outcome variable, a beneficiary, was a woman who had ever interacted with the ASHA of her area during the antenatal period of previous pregnancy and had child birth in an institution. Descriptive tables were drawn; univariate analysis followed by multiple logistic regression was applied for identifying the predictors for availing the benefits. Results: Of the 469 mothers interviewed, 333 (71%) had institutional delivery, 128 (27.3%) had benefited from JSY scheme and 68 (14.5%) had received cash benefits of JSY. Belonging to Hindu religion and having had more than 6 antenatal check ups were the significant predictors of availing the benefits of JSY. Conclusion: There is a need to improve the awareness among urban slum population about the utilization of JSY scheme. Targeting difficult to access areas with special measures and encouraging more antenatal visits were essential, prerequisites to improve the impact of JSY.
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Aims: Behavior change communication (BCC) has been recommended in maternal health however, little is known about its effectiveness in improving knowledge and utilization of services. This paper presents findings from Matlab, a rural area of Bangladesh to inform policy about the effect of focused BCC on maternal knowledge and institutional delivery rates. Study Design: Cohort Study. Place and Duration of Study: The study took place in Matlab, Bangladesh from the period 2003 to 2006. Method: The International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) introduced pictorial cards in 1996 to monitor all pregnant women in Matlab service area and to provide BCC during routine antenatal visits on pregnancy danger signs, birth planning and maternal nutrition. Maternal knowledge was measured by asking about complications shown on the pictorial cards during 1st and 2nd (or successive) antenatal visits. The pictorial card data were linked with the birth file data and the socioeconomic survey data of the year 2005 of Matlab Health and Demographic Surveillance Systems (HDSS) for analysis. Results: HDSS recorded 11,150 births during the study period but pictorial cards covered 10,657 women, and maternal knowledge data was available from 6,624 of these. Knowledge about all 5 danger signs increased from 8.9% to 34.2% between 1st and 2nd (or successive) antenatal visits (P <.001). Women with complete knowledge of all five pregnancy danger signs were 1.13 (Adjusted Odds: 1.13, 95% CI, 1.01-1.27) times more likely to have institutional deliveries than those without knowledge when the effect of socio-demographic co-variates were held constant. Conclusion: Focused BCC using pictorial cards during antenatal visits improves knowledge regarding 5 pregnancy danger signs which has clear implications for improving institutional delivery rates. We recommend implementation research to demonstrate the effect of focused BCC in improving knowledge and practice to address high maternal mortality in resource-poor settings.
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'Janani Suraksha Yojana (JSY)' was implemented in India to promote institutional deliveries among the poorer section of the society. A cross-sectional study was conducted in Bankura district among 324 women who delivered in last 12 months selected through 40 cluster technique to find out institutional delivery rate, utilization of JSY during antenatal period and relation between cash benefit under JSY during antenatal period and institutional delivery. Overall institutional delivery rate was 73.1% and utilization of JSY among eligible women was 50.5%. Institutional delivery (84.0%), consumption of 100 iron-folic acid tablets (46.0%) and three or more antenatal check-ups (91.0%) were better in women who received financial assistance from JSY during antenatal period than other women. After adjustment for socio-demographic factors, JSY utilization came out to be significantly (P=0.031) associated with institutional deliveries. The study showed that cash incentive under JSY in antenatal period had positive association on institutional deliveries.