Intra-natal Care Practices in Rural Areas of Gaya District, Bihar
Keywords:Institutional delivery, JSY, JSSK
Context: Antenatal care (ANC) effectively reduces infant and maternal mortality rates mainly by promoting institutional deliveries. In view of this, the Government of India introduced Janani Suraksha Yojna (JSY) in 2005 and Janani Shishu Suraksha Karyakram (JSSK) in 2011.
Aims: To estimate the proportion of home and institutional deliveries in the district, assess the impact of JSK and JSSY on institutional deliveries, and identify the different intranatal care providers.
Settings and Design: This cross-sectional study was conducted in the Gaya district, Bihar. A total of 657 females of the reproductive age group (15-49 years) were included in the study.
Methods and Material: Predesigned, pre-tested & semi-structured questionnaire was used to collect information on place of delivery, type of delivery, knowledge regarding JSY and JSSK schemes and source of information Statistical analysis used: Data was entered into excel sheets and analyzed using SPSS version 23 utilizing appropriate statistical methods.
Results: Out of 519 deliveries, 63% were institutional and 37% were home deliveries. About 91 and 11.4% of respondents were aware of JSY and JSSK schemes. There was a significant association between those who opted for institutional delivery and awareness regarding JSY and JSSK services.
Conclusion: Despite awareness and running of various government programs, the percentage of institutional deliveries is still less. An increase in institutional deliveries at primary care level through JSY and JSSK will not only decrease the Out of Pocket expenditure of the population but also help build faith in the government health facilities.
A S A R EPORODUCTIVE , M , N C A H (RMNCH+A) I - NHM (no date). Available at: https://nhm.gov.in/images/pdf/ RMNCH+A/RMNCH+A_Strategy.pdf (Accessed: March 30, 2023).
Patel BB, Gurmeet P, Sinalkar DR, Pandya KH, Mahen A, Singh N. A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a Tertiary Care Hospital of Pune, Maharashtra. Medical Journal of Dr. DY Patil University. 2016 May 1;9(3):354.
Newborn care (2023) UNICEF DATA. Available at: https://data. unicef.org/topic/maternal-health/newborn-care/ (Accessed: March 30, 2023).
Parlato RP, Darmstadt GL, Tinker A. Saving newborn lives, Initiative. Washington, DC. 2005.
State Health society bihar (no date). Available at: http://statehealthsocietybihar.org/survey _reports/AHS-Bihar_ Factsheet_2011-12.pdf (Accessed: March 30, 2023).
National Family Health Survey - 4 2015 -16 - rchiips.org (no date). Available at: http://rchiips.org/nfhs/pdf/nfhs4/ br_factsheet.pdf (Accessed: March 30, 2023).
Gupta RK, Shora TN, Verma AK, Jan R. Knowledge regarding antenatal care services, its utilization, and delivery practices in mothers (aged 15-49 years) in a rural area of North India. Trop J Med Res. 2015 Jul 1;18(2):89-94.
Singh VS, Chavan SS, Giri PA, Suryavanshi SR. Study on awareness and knowledge regarding Janani Suraksha Yojana (JSY) among ANC registered women in a primary health centre of tribal area of Thane District of Maharashtra. Int J Res Med Sci. 2014 Jan;2(1):122.
Census of India 2011. www.censusindia.gov.in
India (no date) The National Family Health Survey (NFHS-3) - India - Health Education to Villages. Available at: https:// hetv.org/india/nfhs/ (Accessed: March 30, 2023).
India District Level Household Survey 2012-2014 (no date) GHDx. Available at: https://ghdx.healthdata.org/record/ india-district-level-household-survey-2012-2014 (Accessed: March 30, 2023).
Office, N.S.S. (2017) Survey on morbidity and health care
- 60th round, India - Survey on Morbidity and Health Care 2004 - 60th Round. Available at: https://www.ilo.org/ surveyLib/index.php/catalog/175 (Accessed: March 30, 2023).
National Factsheet Coverage Evaluation Survey (no date).Available at: http://re.indiaenvironmentportal.org.in/files/National_Factsheet_30_August_no_logo.pdf (Accessed: March 30, 2023).
Kumar, R.K. (2018) Quality issues in HMIS Bihar -CM_ LIII_45_171118_Rajeev_Kamal_Kumar.PDF, EPW. Available at: https://www.academia.edu/37978120/Quality_Issues_in_ HMIS_Bihar_CM_LIII_45_171118_Rajeev_Kamal_Kumar_pdf (Accessed: March 30, 2023).
Kakkad KM, Patel MS, Patel S. Effect Of ‘Janani Shishu Suraksha Karyakram’–A Government Health Beneficiary Scheme-On Admission Rate and Clinical Outcome in NICU in A Tertiary Care Hospital. National Journal of Community Medicine. 2014 Mar 31;5(01):118-21.
Promoting institutional deliveries in rural India: The role of ... (no date). Available at: https://www.researchgate.net/ publication/29738426_Promoting_Institutional_Deliveries_ In_Rural_India_The_Role_of_Antenatal-Care_Services (Accessed: March 30, 2023).
Begum R, Joseph GA. A study on awareness of Janani Suraksha Yojana (JSY) among ANC registered women in Karimganj District. Asian J Multidiscip Stud. 2017 Jun;5:176-84.
Reddy N, Kishore S, Viswanatha P, Ranganath T, Shanmugapriya D. A study to assess the knowledge and utilization of Janani Suraksha Yojana among postnatal mothers attending the urban health centre of Bangalore medical college and research institute. Int J Community Med Public Health. 2016 Feb;3(2):512-6.
Chatterjee S, Das D, Singh R, Basu A, Chakraborty A, Ghosh P. Awareness about JSSK among pregnant mothers-a community based study in a rural area of West Bengal, India. IOSR-JDMS, Sept. 2015:2279-0861.
Rupani MP, Patel PM, Meena PR, Patel PP, Patel PA, Paragda PK. Regular antenatal care visits predict good knowledge among post-natal mothers regarding entitlements of health programs in western India. International Journal of Health Policy and Management. 2019 Aug;8(8):467.
Chandrakar A, Panda PS, Soni GP, Dixit S. Awareness regarding Janani Shishu Suraksha Karyakram (JSSK) among mothers: a community based cross-sectional study in rural area of Raipur district, Chhattisgarh. Int J Res Med Sci. 2017 Oct;5(10):4374-9.
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