Author(s): Ajay Gaur1
CONTEXT: In 2005 the National Rural Health Mission (NRHM) introduced the Janani Suraksha Yojana with the objective of reducing maternal and neonatal mortality by promoting institutional delivery among poor women.
AIMS: Present study was carried out to assess the impact of Janani Suraksha Yojana (JSY) immediately after launch and five years after its implementation, on number of institutional deliveries and perinatal death.
SETTINGS AND DESIGN: It was an observational study conducted at tertiary care hospital.
METHODS AND MATERIAL: Records were collected with details of number of institutional deliveries, referred cases, booked case, rural cases, total births, live births, still births, for the year of 2003, 2004, 2006, 2007, 2010 and 2011. The perinatal deaths were calculated per thousand total births. Details regarding admission in Special Care Newborn Units (SCNU) were also noted.
RESULTS: It has been observed that number of institutional deliveries has increased by 31.76% in two years, which remained high to 26.78 % even after 5 years; percentage of live births has increased from 95.2% to 96.8% and 97.48 % respectively. Percentage of Still births has decreased from 4.76 to 2.99%, 2.22%. Perinatal Mortality was 64.86 in 2003-04 and has declined to 51.54 in 2006-07 and 31.97 the year 2010-11. Percent of booked cases, referred cases and women belonged to rural areas increased significantly.
CONCLUSIONS: It was seen that institutional deliveries, antenatal check-up, and referral of the women were influenced by JSY. It was also found to have a positive effect on decreasing perinatal deaths.