Impact of Janani Suraksha Yojana on Postpartum Contraception: Evidence from Two Selected Districts in Assam
DOI:
https://doi.org/10.18311/jeoh/2024/42018Keywords:
Contraception Adoption, Janani Suraksha Yojana, Logistic Regression, Maternal Healthcare Benefit, Postpartum Contraceptive CounsellingAbstract
This study explores the association between the receipt of JSY benefits and postpartum contraception use among reproductive-aged women in Assam who belong to the age group 18-49 years. The study is exclusively based on primary data collected from a sample of 260 reproductive-aged women residing in the two districts of Assam viz., Jorhat and Cachar. Surveyed women considered in the study were those who had experienced at least one live birth within the two years preceding the survey. Sample respondents were divided into two groups: those who received JSY benefits and those who did not. A binary logistic regression model is used to quantify the effect of JSY on postpartum counselling and postpartum contraception. The study findings reveal a positive impact of JSY on women’s postpartum contraception adoption within the study area. The possibility of receiving counselling on postpartum contraception and adopting postpartum contraceptives was 13.89 times and 14.94 times greater for those respondents who did not benefit from the JSY. The study reveals that JSY not only promotes institutional childbirth but also enhances postpartum contraceptive counselling and the adoption of postpartum contraceptive methods among the beneficiary women.
Downloads
Metrics
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Puna Das, Pradip Brahmachary
This work is licensed under a Creative Commons Attribution 4.0 International License.
Accepted 2024-06-19
Published 2024-08-26
References
Santhya KG, Zavier AJF. How conditional cash transfers to promote institutional delivery can also influence postpartum contraception: Evidence from Rajasthan, India. IJGO. 2013; 123:e43-e46. https://doi.org/10.1016/j.ijgo.2013.08.003
Acharya R, Jejeebhoy SJ, Santhya KG, Zavier AJF. Effects of the Janani Suraksha yojana on maternal and new-born care practices: Women’s experiences in Rajasthan. New Delhi: Population Council; 2011. https://doi.org/10.31899/ pgy1.1014
Health and Family Welfare Assam. [internet]. Janani Suraksha Yojana. National Health Mission. Available from: https://nhm.assam.gov.in/schemes/janani-suraksha-yojana
Alano A, Hanson L. Women’s perception about contraceptive use benefits towards empowerment: A phenomenological study in Southern Ethiopia. PLOS ONE. 2018; 13(9):1-15. https://doi.org/10.1371/journal.pone.0203432
Ministry of Health and Family Welfare Janani Suraksha Yojana. National Health Mission; 2024. Available from: https:// nhm.gov.in/index1.php?lang=1&level=3&lid=309&sublinkid= 841#:~:text=The%20scheme%2C%20launched%20 on%2012,delivery%20and%20post-delivery%20care
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-3), India; 2007.Available form: http://rchiips.org/NFHS/factsheet_ NFHS-4.shtml
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-5), India; 2021. Available from: http://rchiips.org/NFHS/factsheet_ NFHS-4.shtml
MoHFW | Increase in Institutional Deliveries under Janani Suraksha Yojana (JSY). Press Information Bureau of India; 2021.
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), India; 2016. Available from: http://rchiips.org/NFHS/factsheet_ NFHS-4.shtml
Emmanuela G, Joseph AH, Lalit D, Margaret CH, Stephen SL, Spencer LJ. India’s Janani Suraksha yojana, a conditional cash transfer programme to increase births in health facilities: An impact evaluation. The Lancet. 2010; 375:20092023. https://doi.org/10.1016/s0140-6736(10)60744-1
Sharma RK, Sharma R, Singh P. Impact of Janani Suraksha Yojana (JSY) on institutional delivery: Evidence from Madhya Pradesh. J Family Med Prim Care. 2012. 1(1), 43.
Bachloo T, Bhardwaj A, Kumar R, Mukherjee AK. Utilization and perception of health services under Janani Suraksha Yojana among mother in a rural area of Ambala district, Haryana. IJMS Pub Health. 2016; 5(8):1639-1643. https://doi.org/10.5455/ijmsph.2016.27112015273
Dongre A. Can conditional cash transfers impact institutional deliveries: Evidence from Janani Suraksha yojana in India. SSRN Electronic Journal. 2012. https://doi.org/10.2139/ssrn.2196361
Behera BK, Kalhan M, Malik JS, Punia A, Sachdeva S. Utilization of health services under Janani Suraksha Yojana in rural Haryana. IJMPH. 2013; 3(3):176-179. https://doi.org/10.4103/2230-8598.118977
Chellan R, Paul L. Impact of Janani Suraksha Yojana on institutional delivery in empowered action group states. SE Asia J Pub Health. 2014; 3(2):4-18 https://doi.org/10.3329/ seajph.v3i2.20033
Costa AD, Lindholm L, Randive B, Sebastian MS. Inequalities in institutional delivery uptake and maternal mortality reduction in the context of the cash incentive program, Janani Suraksha yojana: Results from nine states in India. Soc Sci Med. 2014; 123:1-6. https://doi.org/10.1016/j.socscimed.2014.10.042
Jackson TP, Mazumdar S, Mills A. Financial incentives in health: New evidence from India’s Janani Suraksha yojana. J Health Econ. 2015; 43:154-169. https://doi.org/10.1016/j.jhealeco.2015.07.001
Kumar V, Gupta SC, Khan AM, Kaushal SK, Mishra SK. A study on the effect of Janani Suraksha Yojana on antenatal registration and institutional deliveries in the Agra district of Uttar Pradesh. IJ Pub Health. 2015; 59(1):54-57. https:// doi.org/10.4103/0019-557x.152865
Biswas AK, Biswas AB, Mukhapadhaya DK, Mukhapadhaya S, Malik S, Nayak S. A study on utilization of Janani Suraksha yojana and its association with institutional delivery in the state of West Bengal, India. IJPH. 2016; 60(2):118-23. https://doi.org/10.4103/0019-557x.184543
Pallikadavatha S, Rahamana MM. How much do conditional cash transfers increase the utilization of maternal and child health care services: New evidence from Janani Suraksha Yojana in India. EHB. 2018; 31():164-183. https://doi.org/10.1016/j.ehb.2018.08.007
Mukharjee S. Cash transfer scheme and economic burden on maternity in India: Lessons from Janani Suraksha yojana; 2016. p. 444-445. https://doi.org/10.1093/eurpub/ckw175.030
Mukherjee S, Singh A. Has the Janani Suraksha Yojana (A conditional maternity benefit transfer scheme) succeeded in reducing the economic burden of maternity in rural India: Evidence from the Varanasi district of Uttar Pradesh. JPHR. 2018; 7(957):1-8. https://doi.org/10.4081/jphr.2018.957
Choudhury PK, Mishra PS, Veerapandian K. Impact of socio-economic inequity in access to maternal health benefits in India: Evidence from Janani Suraksha Yojana using NFHS data. PLOS ONE. 2021; 16(3):1-17. https://doi.org/10.1371/journal.pone.0247935
Kumar P, Mishra PS, Srivastava S. Regional inequality in the Janani Suraksha yojana coverage in India: A geo-spatial analysis. IJEH. 2020; 20(24):1-14. https://doi.org/10.1186/ s12939-020-01366-2
Mahapatra B, Singh A. The Consequences of unintended pregnancy for maternal and child health in rural India: Evidence from Prospective Data. Matern Child Health J. 2013; 17(3), 493-500. https://doi.org/10.1007/s10995-0121023-x
Hazarika P. Janani Suraksha Yojana and its impact on maternal health condition: An analysis in Assam. IJEBR. 2017;5(8):187-193. Available from: www.eprawisdom.com
Banu S. Performance of Janani Suraksha Yojana on maternal health of Assam. IJERD. 2018; 1(2):1-5. https:// doi.org/10.5958/2249-6270.2018.00004.1
Baruah R, Mahanta TG, Phukan R. Impact of Janani Suraksha Yojana on institutional delivery in Assam: IJ Pub Health. 2014; 58(1):68
WHO | Pregnancy, childbirth, postpartum and newborn care: A guide for essential practice 3rd edition World Health Organization, Geneva; 2015. Available from: https://iris.who.int/bitstream/handle/10665/249580/9789241549356-eng.pdf?sequence=1