An Assessment on Functioning of Janani Suraksha Yojana in Anugul District of Odisha

The JSY Scheme was under implementation in Odisha since April 2006 and cash assistance was provided to the users with the changing rules at different times for mode of fund disbursement.

To review the implementation process of JSY in the Anugul district of Orissa and to provide inputs for any corrective actions.

A cross sectional study was conducted in Anugul district of Orissa during the month of October 2010.Thirty villages were selected using PPS (probability proportionate to population size) sampling and 300 women who have delivered in last 1 yr in any govt or accredited private institution formed the study population.

Total 309 respondents were interviewed. For 96.7% (299), the place of delivery was government health institutions. The ASHAs played a major role (95%) in motivating the women for institutional delivery.69% of beneficiaries had made arrangement for transportation to health facility at their own cost. In 52.8% (163) cases delivery was conducted by ANM/Nurse. Doctor conducted delivery in 45% (141). Only 10% of beneficiaries had a stay for mandatory 48 hrs in health facility. 60% of those who stayed for less than 48hrs in health institution stated that they were discharged from hospital due to lack of bed facility. 53.4% (160) of respondents found the condition of toilet satisfactory during their stay at health facility. 98.7% have received JSY cash incentive, 52% received the payment within 24–48 hrs where as 30% got it within one week. Most of the beneficiaries utilized JSY money in buying consumable products for the family (44.2%) or in purchase of drugs (39.9%).

IEC regarding availability of transport facility under JSY need to be strengthened. Infrastructure, supplies and human resources should be strengthened at all levels under the JSY. E transfer system should be adopted for payment of money and an account for beneficiary should be opened during pregnancy.