Student Dissertation

Agency : JSY; Janani Suraksha Yojana; Control on Incentive

Objective : To access the expenditure pattern of JSY incentive by the urban beneficiaries in Bhavnagar district.

Background : Reproductive health has always been a (should be ‘a’) serious concern all over the world. As most of the women lose their life during the delivery or after delivery due to the complications from delivery. So, to cater to the needs of pregnant women many programs have been launched by the Government. And one of such ambitious projects was Janani Suraksha Yojana. Launched in 2005, it is a centrally sponsored scheme in which incentives are provided to the mother on institutional deliveries. For JSY all the states of India are segregated into high performing state and low performing state. The mothers residing in low performing states receive Rs 1400 on institutional delivery and the mothers of high performing state receive Rs 700 for the same. Though evaluation of this scheme indicate that it has succeeded in increasing the use of antenatal care services and institutional deliveries and reducing perinatal and neonatal deaths (Lim et al., 2010; UNFPA, 2009). However, information tends to be limited to the challenges the beneficiaries face in receiving this amount. Moreover, information regarding the utilisation pattern of the incentive in urban areas is also insufficient. This study was conducted to understand the purpose for which incentives are being used

Methodology : A descriptive study with a cross-sectional study design was conducted on the urban beneficiaries of two talukas of Bhavnagar. These talukas were selected based on their performance in institutional delivery recorded in HMIS. The 217 beneficiaries were then identified with the help of urban ASHAs and a structured questionnaire was used to record their responses. The information was then recorded, cleaned, coded and analyzed using SPSS software.

Findings : The study depicts, the majority (56 percent) of women belonged to the age group 20-24. It was also documented that 54 percent of women were Hindu; 33 percent were Muslims and only 13 percent belonged to another religious group. Furthermore, nearly half of the study group (47 percent) belonged to schedule caste followed by general caste i.e. around 42 percent. Analysis pertaining to years of schooling revealed that more than two-fifth (42 percent) of the respondents had primary level schooling, while only two percent of the respondent had no formal schooling. Most of the women (83.9 percent) under the study were housewives. Moreover, it was also observed that around 40 percent of the respondent had an annual income between Rs. 15000-20000. Analyzing the various ways in which the incentive was spent, it was also observed that nearly half of the beneficiaries (43 percent) saved the amount they received for future use, while 19 percent of the spent it on buying nutrient supplements. One fourth (25 percent) of the beneficiaries spent it in purchasing household commodities whereas 7 percent of the beneficiaries reported that their husband or the men-folks of the family have spent it

Recommendations : JSY has benefited the urban population but as observed in the study the incentive money was not dispersed properly at a time which actually affected the utilization pattern of incentive. It is also observed that the incentive money is not being used as per the guideline.


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