Sociodemographic profile of beneficiaries and comparative evaluation of ante natal care services under JSY at different health care delivery system

Introduction: Janani Suraksha Yojana (JSY) is a safe Motherhood intervention proposed by the Government of India to decrease the neo-natal and maternal deaths by promoting institutional delivery of babies. About 56,000 women in India die every year due to pregnancy related complications. Similarly, every year more than 13 lakh infants die within 1year of the birth. MP classified under low performing states & JSY has completed more than seven years. So, there is a need of evaluation of demographic profile of the JSY beneficiaries and antenatal services under JSY. Materials and Methods: It is a Health Care Institute based observational cross-sectional study including randomly selected 200 JSY beneficiary mothers from the different health care delivery System i.e. PHC,CHC, District Hospital & Medical College Hospital; of Rewa district, Madhya Pradesh. JSY beneficiary mothers were interviewed and data collected and analyzed using epi info 2000. Chi square test was applied to assess the association between different levels of health care and quality of services. Results: Age at marriage of JSY beneficiary mothers was seen to be gradually increasing from rural to urban area. ASHA provided ANC, TT & IFA tablets in majority of study subjects as 39 (78%) in PHC & 44 (88%) in CHC while in urban areas, ‘other than ASHA' were also arranging such services. Increasing the level of health care system the number of ANC provided to the JSY beneficiary mothers were improved and it was statistically significant (x2=24.46, p=0.0001). It was seen that the number of ANC, number of TT & IFA tabs were provided more as shifting towards PHC Health care settings to Medical College Hospital Settings. Conclusion: JSY has definitely impacted upon the maternal and child health by providing health care to pregnant mother during ANC at different levels of Health Care Settings but uptake of JSY services are comparatively less at rural area.