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Performance of Janani Suraksha Yojana Under Nhm in Sarupathar Block Phc, Dist

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Performance of Janani Suraksha Yojana Under Nhm in Sarupathar Block Phc, Dist The International journal of analytical and experimental modal analysis ISSN NO:0886-9367 PERFORMANCE OF JANANI SURAKSHA YOJANA UNDER NHM IN SARUPATHAR BLOCK PHC, DIST. GOLAGHAT Submitted by: POLI BORUAH PhD Research Scholar, Economics Department, Dibrugarh University. List of abbreviation ANC - Antenatal care • ANM - Auxiliary Nurse midwife • ASHA - Accredited Social Health Activist • AWC - Anganwadi Centre • AWW - Anganwadi Worker • BPL - Below Poverty line • CHC - Community Health centre • IFA - Iron & Folic Acid • IMR - Infant Mortality Rate • JSY - Janani Suraksha Yojana • MO - Medical Officer • MMR - Maternal Mortality Rate • NIHFW National Institute of Health and Family welfare • NMBS - National Maternal Beneficiary Scheme • NHM - National Health Mission • NSSO - National Sample Survey Organization • OBC - Other Backward Caste • PHC - Primary Health Centre • PNC - Post Natal Care • PRI - Panchayati Raj Institution • PPP - Public Private Partnership • PW - Pregnant woman • SC - Sub Centre • VHSC - Village Health & Sanitation Committee • ABSTRACT: Janani Suraksha Yojana(JSY) is a 100 percent centrally sponsored scheme and it integrates cash assistance with delivery and post delivery care.It identified ASHA as a link between govt. and poor pregnent women to encourage institutional deliveries among the poor women. This paper will basically be focussed on how this scheme performs by fulfilling its objectives in Sarupathar Block PHC of Golaghat district, Assam. The main objectives of this study are : (1)To assess the role of ANM / ASHA in providing services to the beneficiaries Volume XII, Issue III, March/2020 Page No:2025 The International journal of analytical and experimental modal analysis ISSN NO:0886-9367 of the JSY .(2)To seek the opinion of ANMs / ASHAs regarding sufficiency of funds and timely disbursement of funds. (3)The extent to which the introduction of the JSY and ASHA s have helped in increasing * ANC checkups among Pregnant woman * Institutional delivery (4)The quality of services offered and the scope for improvement in the programme This study has been conducted through both primary as well as secondary sources of data. Key words: ASHA,ANM, Institutional delivery, JSY,PHC. INTRODUCTION: JSY is an ambitious scheme launched in April 2005, under the “National Health Mission”, the Government of India’s flagship health programme. The scheme is a safe motherhood intervention and seeks to reduce maternal and neo- natal mortality by promotion institutional delivery, i.e. by providing a cash incentives to mothers and let them to deliver their baby in a health facility. There is also provision for cost reimbursement for transport and incentives to ASHA s for encouraging mothers to go for institutional delivery. The scheme is fully sponsored by the Central Govt & is implemented in all states and union territories (Uts) with special focus on low performing states. There is provision for roping in the private sector by giving accreditation to willing private hospitals / Nursing homes for providing delivery services. Meaning of JSY: JSY under NHM is being opposed by way of modifying the existing National Maternity Benefit Scheme(NMBS).While NMBS is linked to provision of better diet for pw from BPL families,JSY itegrates the cash assistance with antenatal care during the pregnency period ,institutional care during delivery and immediate post natum period in a health centre by establishing a system of coordinated care by field level health worker . [ Source :Ministri of Health and Family Welfare ,Government of India] vision : 1.To reduce overall MMR and IMR 2.To increase institutional deliveries. [Source:Ministri Of Health And Family Welfare,Government of India] SIGNIFICANCE OF THE STUDY This paper emphasis on the performance of JSY under Sarupathar block by focusing on • Maternal care through quality ANC • Cash assistance to all eligible mothers for delivery care • Cash benefits to ASHA for facilitating institutional delivery OBJECTIVES OF THE STUDY The present survey is entrusted to study the following objectives: • To assess the role of ANM / ASHA in providing services to the beneficiaries of the JSY Volume XII, Issue III, March/2020 Page No:2026 The International journal of analytical and experimental modal analysis ISSN NO:0886-9367 • To seek the opinion of ANMs / ASHAs regarding sufficiency of funds and timely disbursement of funds • The extent to which the introduction of the JSY and ASHA s have helped in increasing * ANC checkups among Pregnant woman * Institutional delivery • The quality of services offered and the scope for improvement in the programme METHODOLOGY This paper is conducted on the basis of primary as well as secondary data.The primary data was collected through field survey. The secondary data was collected from various articles, reports, research papers, internet sources and sarupathar block PHC. REVIEW OF LITERATURE • According to the report on “Government of India, Ministry of Health and Family welfare Maternal Health Division Nirman Bhavan, New- Delhi, 2006” there should be the special dispensation for pregnant women from Low Performing States (LPS) like Uttar Pradesh , Uttaranchal , Bihar , Jharkhand , Madhya Pradesh, Chhattisgarh , Assam , J & K. Age certificate is an instrument that is available easily . Many LPS states have yet to get the process of birth registration organized in rural area. In view of this , for all BPL pregnant woman belonging to LPS states any kind of age certification would not be insisted upon for availing the benefits of JSY. • According to “NRHM common Review Mission 2007” reported that JSY has put pressures on the public health system, and to large extend of outpatient attendance in general - but it is more mixed where the patient attendance or surgeries or diagnostics etc. However, even in these though rate or improvement may not be commensurate, the trend is still upward. • The series of assessment study report on ASHA and JSY in different states of India (2007), discusses the status of ASHA and the JSY schemes after two years of implementation of the NRHM, the studies indicate that the training period was not according to the requirements of the program, that there was some delay in payment to ASHA and that 75% of the JSY beneficiaries had received funds within a week. The studies also highlight that in spite of the JSY funds related satisfaction being relatively high, it could not be cited as the major reason for the preference for intuitional delivery. From the above study it has been found that there is no clear cut picture about the performences of JSY ,perticularly in rural areas.So in this paper a small effort has been made to study about the performence Of JSY in Sarupathar Block PHC,of Assam. AREA OF THE STUDY This paper focuses on the performances of JSY under NHM in Sarupathar block PHC,Dist.Golaghat.Before we discuss about the performance of JSY here I mention a few lines about this area. In ancient time this valley was ruled by Dimasa,Kacharies and later by the Ahom .Many archeological monuments are still present in this area.The oldest Silalipi of assam is found here in Nagajuri Khanikar village.Famous Deopani Durga Mandir,and capital of Dimasa in Telesal is in the border of this valley.Hot water Galipung ,Dubarani Sivmandir,Budhist Temple are other places of importance. Volume XII, Issue III, March/2020 Page No:2027 The International journal of analytical and experimental modal analysis ISSN NO:0886-9367 Sarupathar Block PHC covers the entire area of Dhansiri Sub Division of Golaghat District. This beautiful fertile valley is situated in the South West part of Golaghat District. This valley is situated in between parts of Nagaland and Karbi Anglong. Its boundary are Nagalnd in the East, Karbi Anglong in the West and South, Golaghat in the North. The total population of this Block is about 216192 with an area of 108 Sq/KM. The population pattern of this valley is also colourful. Different tribes like Ahoms, Kacharis, Miri, Misssing, Nepalis, Boroos, Nagas apart from Biharis, Muslims, Manipuris live here. [Source: Sarupathar Block Office] Volume XII, Issue III, March/2020 Page No:2028 The International journal of analytical and experimental modal analysis ISSN NO:0886-9367 SOURCE: SARUPATHAR BLOCK OFFICE Table:1 Background of the SarupatharBlock PHC 1. Total Population : 216192 2. Male : 109780 3. Female : 106412 4. Total Rural Population: 199062 5. Total Urban Population: 17130 6. Total Literate Person: 126012 7. Total S.C. 4751 8. Male : 2451 9. Female : 2300 10. Total S.T. 24964 11. Male : 12818 12. Female : 12146 13. Total Village 315 14. Total Tea Garden 5 15. Total House hold 16. Total BPL families 15040 Nos 17. Major Town 2 Nos (Borpothar & Sarupathar) 18.Gaon Panchayat 21 Nos. Source: # Data as per survey through ASHA 2017-2018 Volume XII, Issue III, March/2020 Page No:2029 The International journal of analytical and experimental modal analysis ISSN NO:0886-9367 Performance of JSY under NHM in Sarupathar Block:- Janani Suraksha Yojana (JSY) under the overall umbrella of NRHM is bring propsed by way of modifying the existing National Maternity Benefit Scheme (NMBS) . Before we discuss about the performence of JSY in the study area we have to first look into the common features of this scheme. Features:- (1) States/ Uts have been classified into two categories based on the institutional delivery rate. The 10 states( Namely Uttar Pradesh , Uttaranchal , Bihar , Jharkhand , Madhya Pradesh, Chhattisgarh ,Rajasthan , Orissa, Assam , J & K) would constitute low performing states and the rest high performing states. (2) Cash assistance linked to institution delivery:- The benefits under the scheme would be linked to availing of antenatal check up by the pregnant woman and getting the delivery conducted in health centres / hospitals . While the beneficiaries will be encouraged to register themselves with the health workers at the Sub centre / AWC /PHC for availing of at least 3 Antenatal Checkups, Post natal care and neonatal care , the disbursement of enhanced benefits under the scheme will be linked to institutional delivery .
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