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Janni Surakha Yojana
Janni Surakha Yojana
BANGALORE KARNATAKA
Ms.JAYASHREE.G.R
NAME OF THE CANDIDATE Ist YEAR M.Sc. NURSING
AND ADDRESS RATHNA COLLEGE OF NURSING
1.
HASSAN
4. DATE OF
ADMISSION TO THE COURSE 13.07.2011.
“Only a prospective mothers knows what it is to carry, the onlookers notice her
illness and pity her, but she alone knows the travail”
- Mahatma Gandhi
The act of giving birth is the only moment when both pain and pleasure
converge at a moment of time. This experience of transformation from womanhood or
wifehood into motherhood is a privilege reserved exclusively for women. Hence this
transformation phase that is pregnancy and following childbirth has been contributed
to have a great impact on both maternal and infant health1.
Janani Suraksha Yojana, under the overall umbrella of National Rural Health
Mission (NRHM), has been proposed by a way of modifying the National Maternity
Benefit Scheme (NMBS). While NMBS is linked to the provision of better diet for
pregnant women from Below Poverty Line (BPL) families, Janani Suraksha Yojana
integrates cash assistance with antenatal care during the pregnancy period,
institutional care during delivery and immediate postpartum period in a health centre
by establishing systems of coordinated care by the field level health workers. The
Janani Suraksha Yojana is a 100 percent centrally sponsored scheme launched by the
Honourable Prime Minister of our country on April 12, 2005 for reducing maternal
and neo-natal mortality4.
JSY integrates cash assistance with delivery and post-delivery care. The
success of the scheme would be determined by the increase in institutional deliveries
among the poor families. The Yojana has identified The Accredited Social Health
Activist (ASHA), as an effective link between the Government and the poor pregnant
women in ten low performing states, namely the eight EAG states, Assam, Jammu and
Kashmir, and the remaining NE States. In other eligible states and UTs, wherever,
AWW and TBAs or ASHA-like activists have been engaged for this purpose, she can
be associated with this Yojana for providing the services4.
According to 2007 statistics the infant mortality rate in India was 34.6 deaths
per 1000 live births. The national average maternal mortality rate lies between 420-
540/1 lakh live births. It is recognised that Rajasthan is the state, which has highest
MMR in India, i. e., 670/one lakh live births8.
The poor health of the mother, including diseases that were not adequately
treated before or during pregnancy, is often a factor contributing to new born deaths
or to babies born too early and/or with low birth weight, which can cause future
complications. Governments have a responsibility to ensure that every woman has
access to quality maternity care, including prenatal and post-natal services12.
A cross-sectional study was conducted under Rural Health Training Centre and
Urban Health Training Centre of the field practice area of department of Community
Medicine.To find out the difference in utilization of Janani Suraksha Yojana in rural
areas and urban slums. A total of 227 married women in reproductive age (15-49
years), who delivered in government hospital were considered for the study out of
which 88 women belonged to rural areas and 139 women were from urban slums. Out
of the total number of married women who delivered at govt. hospital i.e. 227,
majority (78.42%) were registered with some health personnel. Out of these, 74.15%
women were registered with ASHA and maximum number (83.64%) of these women
belonged to urban slums. Only 29.21% women went for three or more ANC visits and
the proportion was higher (33.64%) in urban slums. Only 48.31% women consumed
hundred IFA tablets and the proportion was high (79.41%) in rural women. All the
women received complete TT immunization. The study shows that utilization of JSY
was found to be low in rural areas i.e. 38.7% .Thus, IEC activities should be
strengthened and ASHA’s work should be properly monitored14.
Reducing maternal and infant mortality rate is of prime importance for the
growth and development of the country. Even though the conveniences are made for
citizens, they are not utilising them up to the mark, which is rendered to them free of
cost. One such programme is Janani Suraksha Yojana, which provides cash assistance
for mother and her child’s better health. Hence the researcher felt to assess the
knowledge of the mothers regarding Janani Suraksha Yojana.
6.3 OBJECTIVES
6.5 ASSUMPTIONS
7.2.3 POPULATION
In the present study the population comprised of antenatal mothers.
7.2.4 SAMPLE
The antenatal mothers who are attending antenatal clinic, who fulfills the
inclusion criteria.
Mothers:
Exclusion criteria
Mothers:
7.2.13 VARIABLES
1. Independent Variable:
In the study there is no independent variable.
2. Dependent Variable:
3. Extraneous variable:
8. REFERENCES
1. The act of giving birth (cited on 2011 Nov 2nd) available at URL:
http://www.encyclopedia.com/doc/1G2-3497700412.htm.
10. Gupta.R.K. Institutional and non institutional deliveries in slum areas of Delhi
2005; 24: 147-152.
12. Khan.M.E. Avishek hazra .Impact of janani suraksha yojana on selected family
health behaviours in rural India. Family health J 2010 Aug; 56(1):12-15.
13. Nair k.s. Tejshree.Y.L. A rapid appraisal on functioning of janani suraksha
yojana in India. National institute of health and family welfare; 2007-08(4):1-
2.
14. Parul Sharma. Jayanti Semwal. Suraksha Kishore. A Comparative study of
utilization of janani suraksha yojana of rural and urban slum areas 2011; Vol
23(1):1-2.