India's Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation

Lim, Stephen S; Dandona, Lalit; Hoisington, Joseph A; James, Spencer L.; Hogan, Margaret C.; Gakidou, Emmanuela

doi:10.1016/s0140-6736(10)60744-1

Cited by 639 publications

(718 citation statements)

References 23 publications

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“…NRHM initiatives include the following: the World Bank-supported Second Reproductive and Child Health (RCH-II) programme; the Janani Suraksha Yojana (JSY) programme, the recently-launched Janani-Shishu Suraksha Karyakram (JSSK) programme; and the Accredited Social Health Activist (ASHA) programme. These initiatives seek to improve access to maternal health care for marginalised women by establishing policies, guidelines, and entitlements that guarantee free care, referrals, and transportation, and stipulate standards for quality of care (Lim et al 2010, NRHM 2012.…”

Section: The Local Contextmentioning

confidence: 99%

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Improving maternal health through social accountability: A case study from Orissa, India

Papp

Gogoi²,

Campbell

2013

Global Public Health

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2As maternal health specialists accelerate efforts toward MDG5a, attention is focusing on how to best improve service accountability to target communities as a strategy for more effective policy implementation. We present a case study of efforts to improve accountability in Orissa, India, focusing on the role of local women, intermediary groups, health providers, and elected politicians. We highlight three drivers of success: 1) the generation of demand for rights and better services, 2) the leverage of intermediaries to legitimise the demands of poor and marginalised women, and 3) the sensitisation of leaders and health providers to women's needs. We use the concepts of critical consciousness, social capital, and 'receptive social spaces' to outline a social-psychological account of the pathways between accountability and service effectiveness.

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Section: The Local Contextmentioning

confidence: 99%

“…Better targeting of services to the poorest women is needed. Health systems struggle to cope with the increased demand for institutional deliveries and programme monitoring is weak (Vora et al 2009, Lim et al 2010.…”

Section: The Local Contextmentioning

confidence: 99%

Improving maternal health through social accountability: A case study from Orissa, India

Papp

Gogoi²,

Campbell

2013

Global Public Health

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“…Indeed, studies have been unable to detect a significant effect of the program on maternal mortality [11,12]. One way to investigate reasons for this discordance would be to study the QoC in facilities, especially the quality of processes related to intrapartum care, which might be achieved via clinical records.…”

Section: Introductionmentioning

confidence: 99%

Assessment of the quality of clinical documentation in India's JSY cash transfer program for facility births in Madhya Pradesh

Chaturvedi

Randive

Raven

et al. 2015

Intl J Gynecology & Obste

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Objective: To gain insight into the quality of care in facilities implementing the Janani Suraksha Yojana (JSY) cash transfer program in Madhya Pradesh, India, by reviewing the level of documentation in the clinical records of women who delivered. Methods: The present retrospective, descriptive study reviewed case records of women who delivered at 73 primary, secondary, and tertiary level facilities in three districts of Madhya Pradesh between 2012 and 2013. Twenty elements of care were assessed encompassing clinical history and admission details, care during delivery and postnatal period, and discharge details. Results: A total of 1239 records were reviewed. The extent of documentation varied among the elements assessed-e.g. 24 (1.9%) records documented advice at discharge, 171 (13.8%) documented postnatal blood pressure, 437 (35.3%) documented fetal heart rate, and 1220 (98.5%) documented admission date. The extent of documentation was better at higher level facilities. Conclusion: The quality of clinical documentation in the JSY program was found to be unacceptably poor in Madhya Pradesh. Improving staff skills and practices in clinical documentation and record keeping will be required to enable clinical processes to be assessed and quality of care to be improved.

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“…For instance, there is a concern about some of the consequences of the growing popularity of demand-side financing, now spreading rapidly from Latin America (Bradshaw, 2008;Lomelí, 2008) to Asia (Ahmed & Khan, 2011;Powell-Jackson et al, 2009) and Africa Obare et al, 2013). Effective demand-side financing can significantly increase the demand for services as it did under various programmes in Latin America (Frenk, González-Pier, Gómez-Dantés, Lezana, & Knaul, 2006;Lomelí, 2008) and more recently in India under the Janani Suraksha Yojana programme (Lim et al, 2010). But a push for universality through programme silos or demand-side financing should not compromise quality or violate human rights.…”

Section: Uhc -The Challenge Of Path Dependencementioning

confidence: 99%

Sexual and reproductive health and rights in changing health systems

2015

Reproductive Health Matters

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Sexual and reproductive health and rights (SRHR) are centrally important to health. However, there have been significant shortcomings in implementing SRHR to date. In the context of health systems reform and universal health coverage/care (UHC), this paper explores the following questions. What do these changes in health systems thinking mean for SRHR and gender equity in health in the context of renewed calls for increased investments in the health of women and girls? Can SRHR be integrated usefully into the call for UHC, and if so how? Can health systems reforms address the continuing sexual and reproductive ill health and violations of sexual and reproductive rights (SRR)? Conversely, can the attention to individual human rights that is intrinsic to the SRHR agenda and its continuing concerns about equality, quality and accountability provide impetus for strengthening the health system? The paper argues that achieving equity on the UHC path will require a combination of system improvements and services that benefit all, together with special attention to those whose needs are great and who are likely to fall behind in the politics of choice and voice (i.e., progressive universalism paying particular attention to gender inequalities).Keywords: sexual and reproductive health and rights; universal health coverage/care; quality of care; accountability; equity Introduction Sexual and reproductive health and rights (SRHR) are centrally important to health outcomes in all countries. Sex and reproduction define unique and specific health needs for girls and women over the entire life course. Whether, how and to what extent these health needs are met by the health system depends on the extent to which girls' and women's human rights are respected, protected and fulfilled. Throughout the life course, the sexual and reproductive rights (SRR) of girls and women -to bodily autonomy and integrity, to choice in relation to sexuality and reproduction, to freedom from coercion, discrimination and violence or fear of violence, to safety, satisfaction and pleasureprofoundly shape their physical and mental health and well-being.

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India's Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation

Cited by 639 publications

References 23 publications

Improving maternal health through social accountability: A case study from Orissa, India

Improving maternal health through social accountability: A case study from Orissa, India

Assessment of the quality of clinical documentation in India's JSY cash transfer program for facility births in Madhya Pradesh

Sexual and reproductive health and rights in changing health systems

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