Out of pocket expenditure and source of funding for the maternal and neonatal health care in Dindori District, MP

Under the National Rural Health Mission (NRHM), Janani Suraksha Yojana (JSY) was launched in 2005 as a conditional cash transfer scheme. It was replaced by Janani Shishu Suraksha Karyakram (JSSK) in 2012, to reduce the out of pocket (OOP) expenditure incurred during the delivery by individuals. The present study aims to estimate the average OOP expenditure for the health-seeking behavior and neonatal health care services in the district of Dindori, Madhya Pradesh. And, to study the source of funding and coverage of JSSK on maternal & child health care services.

This study used primary data collected using a structured interview scheduled from the eight villages of two different blocks of Dindori district of Madhya Pradesh with having highest and lowest institutional delivery. Univariate and Bivariate analysis has been done to fulfill the objective of the study using software STATA version 13.

Average expenditure on ante natal care was INR 281. The mean expenditure for delivery was around INR 544. The mean expenditure during post natal acre was INR 811 with most of the expenditure INR 629 share was on medicine. Average expenditure on child health was INR 927. The money spent for delivery and complications were from three major sources are from government scheme, through savings, and through borrowing money from others with or without interest.

From the study, it was found that after completion of almost six years of JSSK, one of the very ambitious programs of Government of India which target to reduce OOP to nil, is not fully successful till date.