Improving access to institutional delivery through Janani Shishu Suraksha Karyakram: Evidence from rural Haryana, North India

Salve, Harshal Ramesh; Charlette, Lena; Kankaria, Ankita; Sanjay, K; Krishnan, Anand; Kant, Shashi

doi:10.4103/0970-0218.205223

Cited by 20 publications

(24 citation statements)

References 15 publications

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“…Since the mid-2000s, India has witnessed a revolution in access to modern delivery facilities, spearheaded by the Janani Suraksha Yojana program introduced in 2005 21 and supplemented in 2011 with the Janani Shishu Suraksha Karyakram program. 22 These new policies offer in particular conditional cash transfers to encourage women to use free prenatal and postnatal care in modern health centers, with additional cash benefits for health workers in charge of the coordination in more vulnerable states. 23 , 24 The programs explain to a large extent the doubling of the proportion of institutional deliveries during the last decade ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

Trends, Regional Variations, and Socioeconomic Disparities in Cesarean Births in India, 2010-2016

Guilmoto

Dumont

2019

JAMA Netw Open

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Key Points Question What is the current proportion of cesarean births across India? Findings In this cross-sectional study of 699 686 adolescent girls and women aged 15 to 49 years, the cesarean birth rate was 17.2% in 2010 through 2016, with variations ranging from 3% to 70% according to regions and socioeconomic groups. Meaning India is characterized at the same time by a deficit of access to cesarean deliveries in poorer communities and the emerging overuse of cesarean delivery in more affluent regions and social groups.

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Section: Discussionmentioning

confidence: 99%

Trends, Regional Variations, and Socioeconomic Disparities in Cesarean Births in India, 2010-2016

Guilmoto

Dumont

2019

JAMA Netw Open

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“…In Chandigarh, due to less distance and good road connectivity, women have better access to the health facilities. Janani Shishu Suraksha Karyakaram (Safe Maternity and Newborn Care Program) has been implemented in Chandigarh also for improving the intra-partum care [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Level, causes, and risk factors of stillbirth: a population-based case control study from Chandigarh, India

Newtonraj

Kaur

Gupta

et al. 2017

BMC Pregnancy Childbirth

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BackgroundGlobally, India ranks first in the absolute number of stillbirths. Hence, the level, causes, and risk factors of stillbirths were estimated to facilitate designing of prevention strategy.MethodsCapture and recapture method was used to identify 301 stillbirths from 1st July 2013 to 31st August 2014 in Chandigarh Union Territory of India. Verbal autopsies (n = 181) were done at household level to identify causes of stillbirths. Risk factors were determined using case-control approach. Women who had a stillbirth in the past 3 months were enrolled as cases (n = 181) and those who had live-birth in same neighbourhood were included as controls (n = 181). Statistical differences in the distribution of characteristics of cases and controls were tested by t test and chi square test respectively for quantitative and categorical variables. In logistic regression models adjusted odds ratios (aOR) and 95% confidence intervals (CIs) were estimated for various risk factors.ResultsStillbirth rate was estimated to be 16/1000 birth. Antepartum causes were more common (68%) than intrapartum causes (32%). Among maternal conditions, hypertension (18.2%) and chorio-amnionitis (13.8%), and among foetal conditions, growth restriction (19.9%) and congenital anomalies (18.8%) were the leading causes. In about half of the stillbirths foetal (48%) and maternal (44.7%) causes were unidentifiable. Risk factors of stillbirths were: higher maternal age (aOR 1.1, 95%CI 1.0–1.2), vaginal delivery (aOR 8.1, 95%CI 2.6–26), induced labour (aOR 2.6, 95%CI 1.5–4.5), green or light brown liquor (aOR 2.0, 95%CI 1.1–3.8), preterm delivery (aOR 6.4, 95%CI 3.7–11) and smaller household size (aOR 1.2, 95% CI 1.1–1.3).ConclusionsStillbirth rate was high in Chandigarh Union Territory of India. Major causes and risk factors amenable to interventions were infections, hypertension, congenital malformations, foetal growth restriction, pre-maturity and household size. Therefore, better maternity ante-natal and intra-natal care is required to achieve a single digit stillbirth rate.Electronic supplementary materialThe online version of this article (10.1186/s12884-017-1557-4) contains supplementary material, which is available to authorized users.

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“…Few national health programmes also launched in the view of attaining desirable outcomes. 8 New initiatives like Pradhan Mandiri Surakshit Matritva Abhiyan should also concentrate in educating the women regarding pregnancy care. 9 Results also showed women generally are looked after and follow decisions of the husband when it comes to care seeking in pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Health care seeking behaviour of women during pregnancy in rural south India: a qualitative study

Vincent

Keerthana

Damotharan

et al. 2017

Int J Community Med Public Health

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Background: Antenatal care is an important indicator in any health system. Through our study we intended to assess the perception of pregnant women regarding health seeking behaviour and awareness about complications during pregnancy. Methods: A qualitative study was carried out in August 2016, among the 41 pregnant women over 27 weeks of gestation in a rural area of south India. Women were selected randomly from the routine surveillance system maintained by Pondicherry Institute of Medical Sciences – Rural Health Training Centre, Chunampet, Kancheepuram District. Interviews audio recorded. After verbatim, manual coding and analysis was done based on pre decided eight themes. Results: In general all the antenatal women aware of the importance of regular antenatal check up. Knowledge regarding complications and danger sign was not adequate. Most of the women in rural area seek care in government facility due to its availability, accessibility and affordability. Decision making in health care is mostly taken by their husbands. Transportation has been identified as a barrier in seeking health care. Conclusions: Although few of the antenatal mothers in the study population were aware about some complications of pregnancy, but in general knowledge among most of the women was inadequate. There is a need for creating awareness among the antenatal mothers about common complications in pregnancy. On the other hand, the notion of routine care seeking during the antenatal period seems to be well rooted among the study population which is a very good sign. It is a good opportunity and is foundational to all other interventions relating to betterment of antenatal care in the community.

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Improving access to institutional delivery through Janani Shishu Suraksha Karyakram: Evidence from rural Haryana, North India

Cited by 20 publications

References 15 publications

Trends, Regional Variations, and Socioeconomic Disparities in Cesarean Births in India, 2010-2016

Trends, Regional Variations, and Socioeconomic Disparities in Cesarean Births in India, 2010-2016

Level, causes, and risk factors of stillbirth: a population-based case control study from Chandigarh, India

Health care seeking behaviour of women during pregnancy in rural south India: a qualitative study

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