Maternal health outcomes following the implementation of Janani Shishu Suraksha Yojana (<scp>JSSY</scp>) at a tertiary healthcare center in Rajasthan

Mahala, Urmila; Mehta, Sharad

doi:10.1002/ijgo.12316

Cited by 4 publications

(3 citation statements)

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“…13 Cash incentive scheme-Janani Suraksha Yojana (JSY) initiated by government of India to promote institutional deliveries also proved to be very effective. [14][15][16][17] Similarly, community-based behaviour change management intervention program also demonstrated the improvement of maternal health quality. 18 Since India is a country of multi-culture with different ecological zones and diversified socio-economic conditions, there will a considerable variation in accessing safe mother-hood.…”

Section: Discussionmentioning

confidence: 94%

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Meta-analysis on maternal deaths and assessing significant factors for heterogeneity between states of India during 2016

Vanamail

2021

Int J Reprod Contracept Obstet Gynecol

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Objective of the study was to provide a more precise estimate of maternal mortality (MM), maternal mortality ratio (MMR) and to identify significant factors contributing for heterogeneity between the states in India. “Metaprop” procedure in STATA software, which are specific to binomial data was applied on state wise MM data published by sample registration system (SRS) during 2014-16. An overall MM estimate and potential sources of heterogeneity could be identified using meta-regression. Corrected estimates of MMR by states were compared. SRS published the MM data by 17 Major states. Overall reported MM was 8.8 per 100, 000 women. Estimate obtained by random effect model was 8.3 (95% CI: 5.9-11.1) per 100,000 women. Heterogeneity between states was very high (I2-statistics =91.9%), and egger regression revealed no reporting bias (p=0.672). Meta-regression analysis indicated that the percent women attending full antenatal care (ANC) visits found to be highly significant (p<0.001) for MM with inverse relationship implying that the states with a higher percentage of women with full ANC visits are likely to have lesser MM. While the estimate of MMR by SRS was 130 per 100,000 live births, corrected MMR was 123 (95% CI: 87-164) accounting for 26% reduction from previous estimate 167 obtained in 2013. This paper provided a precious estimate of both MM and MMR adjusted for sampling weight. Further, the importance of either full ANC visits or four ANC visits could be demonstrated for reduction in MMR on achieving the Millennium development goal (MDG) in the country.

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Section: Discussionmentioning

confidence: 94%

“…6 For better understanding of the MM and MMR situation in the country, the SRS presented the data by major states in the country, and these indicators were considered as outcome variables. To find out possible significant variables that may be associated with MM, following variables in the reproductive age group (15)(16)(17)(18)(19)…”

Section: Sourcementioning

confidence: 99%

Meta-analysis on maternal deaths and assessing significant factors for heterogeneity between states of India during 2016

Vanamail

2021

Int J Reprod Contracept Obstet Gynecol

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“…NHM has been reported to have led to a reduction in maternal and child mortality 6,16–18 . Demand‐side interventions have been reported to increase institutional deliveries and reduce maternal mortality 15,19–21 . However, many of these previous studies to evaluate the impact of NHM have methodological limitations.…”

Section: Introductionmentioning

confidence: 99%

Impact of National Health Mission on infant mortality in India: An interrupted time series analysis

Prinja

Sharma

Nimesh

et al. 2021

Health Planning & Management

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Government of India introduced National Rural Health Mission in 2005—now transformed into National Health Mission (NHM), to bring about architectural reforms in health sector. In this study, we evaluate the overall impact of NHM on infant mortality at national and state level. Annual data on infant mortality rate (IMR) from 1990 to 2016 were obtained from Sample Registration System bulletins. With reporting year 2009 considered as cut‐off point, a two‐step segmented time series regression analysis was conducted. Estimates of pre‐slope, post‐slope and change at the point of intervention were computed by applying auto‐regressive integrated moving average (1, 0, 0) while adjusting for trend and auto correlation. We found that while IMR reduced from around 80 to 34 per 1000 live births at the national level from 1990 to 2016, the annual rate of reduction increased from 1.6 per 1000 live births before NHM to 2.2 per 1000 live births after NHM. This is estimated to have averted 248,212 infant deaths in India, between 2005 and 2017. The rate of decline in IMR accelerated in 13 out of 17 larger states, most significantly in Andhra Pradesh, Gujarat, Assam, Haryana, Punjab and Uttar Pradesh. NHM has thus been successful in accelerating the overall rate of reduction in IMR in India. There is still a need to identify the determinants of variations at state level. We recommend strengthening of NHM in terms of funding and implementation.

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Impact of public health programs on maternal and child health services and health outcomes in India: A systematic review

Singh

Vellakkal

2021

Social Science & Medicine

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Maternal health outcomes following the implementation of Janani Shishu Suraksha Yojana (JSSY) at a tertiary healthcare center in Rajasthan

Abstract: JSSY appeared to be an effective program in improving maternal health; use of prenatal care and institutional deliveries increased following its implementation.

Cited by 4 publications

References 3 publications

Meta-analysis on maternal deaths and assessing significant factors for heterogeneity between states of India during 2016

Meta-analysis on maternal deaths and assessing significant factors for heterogeneity between states of India during 2016

Impact of National Health Mission on infant mortality in India: An interrupted time series analysis

Impact of public health programs on maternal and child health services and health outcomes in India: A systematic review

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