Abstract of Dissertation

Keyword : Kasturba Poshan Sahay Yojana; Pregnant Women, Cash Incentives

Objective : The objectives of the study were: • To review the utilization rate of Kasturba Poshan Sahay in urban health centers HMIS of Valsad • To identify the supportive factors to achieve the utilization rate • To identify hindering factors, if any • To suggest ways to achieve the cent percent achievement

Background : Government of Gujarat has introduced Kasturba Poshan Sahay Yojana (KPSY) in 2008 in addition to other maternal health schemes like Janani Suraksha Yojna and Janani Shishu Surkasha Karyakrum (JSSK). In the KPSY financial assistance was to be provided to pregnant women who belong to the below poverty line to reduce maternal death and illness due to pregnancy-related complications. At the end of the first trimester, a woman who registered herself in Kasturba Poshan Sahay Yojana received a cheque of Rupees 2000/- as the first installment subjected to early registration of pregnancy on Mamta Divas. The registered pregnant women received a cheque of Rupees 2000/- within a week of delivery in a government institution. After completion of the full immunization schedule of the infant in Mamta Divas, the mother received a cheque of Rupees 2000/- for nutrition support.

Methodology : The study was a cross-sectional descriptive study conducted in seven Urban Health Centers of Valsad district of Gujarat. Secondary data was collected using HMIS records for reviewing the utilization of the scheme. In addition, 158 currently pregnant women and 200 lactating women were interviewed. Interview with Female health workers was also conducted.

Findings : Based on the secondary data for 2017-2018 about utilization of KPSY in terms of receiving first, second and third installments, the findings revealed that 12%, 9% and 7% women received the first, second and third installments respectively. Out of 158 currently pregnant women, 25% of them applied for KPSY scheme. Out of these registered women, 25% received their first installment. Out of 200 lactating women, 10% of women applied for KPSY scheme. Of these, all such women received their first installment but second and third installment was received by 73 percent and 63 percent women.

Recommendations : Cash incentives in KPSY was found itself a supporting factor while the hindering factors included: delayed payment, migration, and women having no bank account or even if they had, they could not give the details.