Regular Antenatal Care Visits Predict Good Knowledge Among Post-natal Mothers Regarding Entitlements of Health Programs in Western India

Abstract

Janani-Shishu Suraksha Karyakram (JSSK) and Janani Suraksha Yojana (JSY) were launched with the objective of increasing institutional deliveries. But, its knowledge among the post-natal mothers is not known. This research evaluated the knowledge of two national health programs among post-natal mothers and found out the predictors of good knowledge about the entitlements of these programs. A cross-sectional study was conducted on a sample of consecutively recruited 339 post-natal mothers who had delivered in a tertiary care hospital of western India. Data were collected from November 2016 to February 2017 by interview method using a questionnaire with questions about knowledge regarding the entitlements of JSSK and JSY. Multivariable analysis was carried out for predictors of good knowledge. Among the 339 post-natal mothers, 30% had a good knowledge regarding JSSK. Only 24% had heard about JSSK; 54% knew regarding free transport to the place of delivery; only 22% and 13%, respectively knew about free inter-facility transport in case of complications for pregnant women and sick infants, while 96% knew regarding free drop-back facility. Only one-fourth of the mothers knew regarding monetary benefit under JSY, while 28% of them had actually received the benefit. The number of antenatal care visits, having an occupation and belonging to Hindu religion significantly predicts good knowledge among postnatal mothers regarding JSSK. Knowledge among the post-natal mothers regarding the entitlements of JSSK and JSY is less while comparing with published literature and needs improvement. Regular ante-natal care (ANC) visits might improve their knowledge of these programs. There is a need to create awareness among hospital staff for the provision of reimbursement of costs incurred by post-natal mothers. There is also a need to carry out demand generation activities among mothers regarding the entitlements of JSSK and JSY.

Intra-natal Care Practices in Rural Areas of Gaya District, Bihar

“…[19] Also, a study conducted by Rupani et al in Gujarat showed that 24% of mothers were aware of JSSK. [20] Around 93% of beneficiaries stayed for less than 48 hours, indicating poor health-seeking behavior of the community and implementation issues from the health facilities. Further, discharge within 48 hours could be attributed to demand and supply issues.…”

Improving maternal nutrition in public health facilities by strengthening the dietary component of Janani Shishu Suraksha Karyakram – A government of India programme

“…The mothers had to pay an extra amount ranging from INR 12 to 700 for their foods. Rupani et al (2019) carried out a cross-sectional descriptive study in Sir Takhtsinhji hospital of Bhavnagar in Gujarat and found that 99.7% of the mothers were aware of the JSSK free diets provided during the stay, out of which 96.0% of mothers reported that they were offered free foods, whereas 16.0% of the mothers opted for homemade foods during their stay. To date, there are no studies reporting on the nutrient content analysis of the foods served through the JSSK programme.…”

Utilization of Janani Shishu Suraksha Karyakram and estimation of out of pocket expenditure: A prospective follow-up study among mothers and newborns in Chittoor

“…Evidence suggests that regular antennal check-ups helps in imparting good knowledge on the entitlements of health programs. [ 24 ] Angadi et al . also reported from south Indian settings that nuclear families, and low education of the beneficiaries or their husbands are associated with incurring high OOPE.…”