RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCESBANGALORE KARNATAKASYNOPSIS PROFORMA FOR REGISTRATION OFSUBJECTSFOR DISSERTATION1.NAME OF THE CANDIDATEAND ADDRESSMs.JAYASHREE.G.RIst YEAR M.Sc. NURSINGRATHNA COLLEGE OF NURSING HASSAN2.NAME OF THE INSTITUTION RATHNA COLLEGE OF NURSINGB.M.ROAD, HASSAN,KARNATAKA.3.COURSE OF STUDY AND SUBJECTMASTER OF SCIENCE IN NUSING, OBSTETRICS AND GYNAECOLOGY..DATE OF ADMISSION TO THE COURSE 13.!".2!11.#.TITLE OF THE TOPIC$KNO%LEDGE ON JANANI SURAKSHA YOJANA AMONG ANTENATAL MOTHERS.& #.1STATEMENT OF THE PROBLEM$ A DESCRIPTIVE STUDY TO ASSESS THE KNO%LEDGE ON JANANI SURAKSHA YOJANA AMONG ANTENATAL MOTHERS IN SELECTED RURAL AREAS AT HASSAN DISTRICT %ITH A VIE% TO DEVELOP PAMPHLETS&6. BRIEF RESUME OF THE INTENDED STUDY; INTRODUCTIONOnly a prospective mothers knows what it is to carry, the onlookers notice herillness and pity her, but she alone knows the travail- Mahatma GandhiTheact of givingbirthis theonlymoment whenbothpainandpleasureconverge at a moment of time. This experience of transformation from womanhood orwifehood into motherhood is a privilege reserved exclusively for women. Hence thistransformation phase that is pregnancy and following childbirth has been contributedto have a great impact on both maternal and infant health1.Inanycommunity, mother andchildrenconstitute a prioritygroup; theycompriseapproximately71.1!ofthepopulationofthedevelopingcountries. InIndia women of the child bearing age constitute ""."! and children under 1# years ofage about $#.$! of the total population together they constitute nearly #7.#! of thetotal population. %other and children not only constitute a large group but they arealso a vulnerable or special ris& group. The ris& is connected with child bearing in thecase of women and survival in case of children". 'lobal observationshowsthat indevelopedregions%%(averagesat1$)1**,*** live births, in developing regions the figure is * for the same number oflive births. +rom commonly accepted indices, it is evident that infant, child and %%(arehighinmanydevelopingcountries. +urther muchof thesic&ness anddeathsamongmother andchildrenislargelypreventablebyimprovingthehealthofthemother and children".India contributes around"*percent of global births. ,achyear inIndia,roughly $* million women experience pregnancy and "7 million have a live birth. -fthese, an estimated 1, $.,*** maternal deaths and one million new born deaths occureach year, thus pregnancy/related mortality and morbidity continues to ta&e a hugetoll on the lives of Indian women and their new born. These considerations have led tothe formulation of specific health services for mother and child in India$.0ince 11#1, on voluntary basis with democratic manner, the 'overnment ofIndia, %inistryofHealthand+amily2elfare, hasimplementeddifferent typesofprogrammes for the improvement of maternal health, child health and family welfare.Inlight ofthemillenniumdevelopment goals3%4'5, 6ational 7opulation7olicy36775, and6ational Health7olicy36H75 the'overnment of India, %inistryofHealthand+amily2elfareplannedandlaunched6ational (ural Health%ission36(H%5 in 8pril "**#. 8ll the efforts under 6(H% are directly and indirectly aimedto provide accessible, affordable, and effective healthcare to all citi9ens andparticularly to the poor and vulnerable sections of the society

.8ccordingtothe needs, experiences andfeedbac&s, various changes andmodificationshavebeenincorporatedfromtimetotime. 0everal newapproaches,interventions, and alternatives were initiated to reduce maternal morbidity, mortalityratio and child mortality rate. %aternal and :hild Health 3%:H5, :hild 0urvival and0afe %otherhood 3:00%5, ;niversal Immunisation 7rogrammes 3;I75, -ral(ehydration 0olution 3-(05, dais< training, medical termination of pregnancy 3%T75,postpartumprogrammes, 6ational %aternal =enefit 0cheme 36%=05 and>anani0ura&sha ?o@ana3>0?5, areimportant andwell/&nowneffortsat bothcountryandstate level1.8s the health of the mothers is directly related to the childanani 0ura&sha ?o@ana has been launched with a view to bring down the maternaland infant mortality rate

.>anani 0ura&sha ?o@ana, under the overall umbrella of 6ational (ural Health%ission 36(H%5, has been proposed by a way of modifying the 6ational %aternity=enefit 0cheme 36%=05. 2hile 6%=0 is lin&ed to the provision of better diet forpregnant women from =elow 7overty Aine 3=7A5 families, >anani 0ura&sha ?o@anaintegrates cash assistance with antenatal care during the pregnancy period,institutional care during delivery and immediate postpartum period in a health centrebyestablishingsystemsofcoordinatedcarebythefieldlevel healthwor&ers.The>anani 0ura&sha ?o@ana is a 1** percent centrally sponsored scheme launched by theHonourable 7rime %inister of our country on 8pril 1", "**# for reducing maternaland neo/natal mortality

.>0?integrates cash assistance with delivery andpost/delivery care. Thesuccess of the scheme would be determined by the increase in institutional deliveriesamongthepoorfamilies. The ?o@anahasidentifiedThe 8ccredited0ocial Health8ctivist 380H85, as an effective lin& between the 'overnment and the poor pregnantwomen in ten low performing states, namely the eight ,8' states, 8ssam, >ammu andBashmir, andthe remaining 6,0tates.In other eligiblestatesand ;Ts,wherever,822 and T=8s or 80H8/li&e activists have been engaged for this purpose, she canbe associated with this ?o@ana for providing the services

.Theconcept ofhealthymotherandhealthybabyisanimportant aspect ofreproductivehealthcareprogramme. Inadevelopingcountryli&eIndia, poverty,illiteracy, multiple pregnancies and lac& of health facility ta&e their toll of motheranani 0ura&sha ?o@ana is one among them.'.1 NEED FOR THE STUDY,very pregnant woman hopes for a healthy baby and an uncomplicatedpregnancy. However, everyday, about1,#**womenand adolescent girlsdie fromproblems related to pregnancy and childbirth.,very year, some 1* million womenand adolescent girls experience complications during pregnancy, many of which leavethem and)or their children with infections and severe disabilities..8ccording to 2H-, globally estimating the maternal mortality rate, over #,**,*** die every year and in that 1,#** women in a day because of complications ofpregnancyandchildbirth.,ach year, approximatelyeight million women sufferpregnancy/related complications and over half a million die. 0ome 11 per cent of allmaternal deaths occur in developing countries. Two thirds of maternal deaths in "***occurredin 1$of the worldCs poorest countries.4uringthesameyear, India aloneaccounted for one Duarter of all maternal deaths..8ccording to 0tatistical (eport, (egistrar 'eneral of India, %aternal %ortality(ate 3%%(5 of India in"**1/"**$was $*1per la&hlive births. The state ofmaternal, new born and child health in India is of global importance; in "**#, morethan 7E,*** 3"*!5 of $E7 "** maternal deaths, and more than 1 million 3$1!5 of $Fmillion neonatal deaths occurred in India. The maternal mortality ratio declined fromabout #"* per 1**,*** live births in 1,11* to nearly "1* per 1, **,*** in "**# and theneonatal mortality rate decreased from # per 1*** live births in 111* to $E per 1***in "**#. 4espite this progress, the numbers of maternal and neonatal deaths remainedhighin south ,ast 8sia7.8ccording to "**7 statistics the infant mortality rate in India was $.. deathsper 1*** live births. The national average maternal mortality rate lies between "*/#*)1 la&h live births. It is recognised that (a@asthan is the state, which has highest%%( in India, i. e., .7*)one la&h live birthsE.7regnant women die in India due to a combination of important factors li&e,poverty, ineffective or unaffordable health services, lac& of political, managerial andadministrativewill.8llthis culminates in ahigh proportionofhome deliveriesbyuns&illed relatives and delays in see&ing care and this in turn adds to the maternalmortality ratios.The institutional delivery or delivery by s&illed personal playsma@or role in reducing %%( and I%(.In India, while 77! of pregnant womenreceive some form of antenatal chec&/up, only 1! deliver in an institution.,venthoughall servicesarefreeonly1$!ofthelowest incomeDuintiledeliversinahospital1.8cross/sectional study was conducted to determine the performance ofinstitutionaland non/institutional deliveries among ** households in the slums of4elhi. The results revealed that non/institutional deliveries were found to be about .percent. +actors such as Geconomic statusH were identified as the ones for preferencefor non/institutional deliveries. The researcher further concluded that improvement intheeconomicconditionofthepeoplemaypromoteinstitutional deliveries. Henceresearcher felt that there was a need to assess the &nowledge of mothers regarding>anani 0ura&sha ?o@ana as it provides financial assistance to the mothers1*.In Barnata&a the maternal mortality rate is 11#)one la&h live births and ran&sthird among states. 8ccording to the 0(0 1117, I%( in Barnata&a is #")1*** livebirths. In 'ulbarga district, the maternal mortality rate is 11# for every 1***deliveries and the infant mortality is ## for every 1*** deliveries. The infant mortalityrate in ;dupi 4istrict is eight)1*** whereas maternal mortality rate is .#)one la&h. In%angaloretheI%(is.#.#deaths)1***livebirthswith%%(of1/1*)"#**livebirths11.Thepoorhealthofthemother,includingdiseasesthatwerenotadeDuatelytreated before or during pregnancy, is often a factor contributing to new born deathsortobabiesborntooearlyand)orwithlowbirthweight, whichcancausefuturecomplications. 'overnmentshavearesponsibilitytoensurethat everywomanhasaccess to Duality maternity care, including prenatal and post/natal services1". In 8pril, "**#, in response to the slow and varied progress in improvement ofmaternal andneonatal health, the'overnment of Indialaunched>anani 0ura&sha?o@ana an additional conditional cash transfer scheme to incentivi9e women of lowsocioeconomic status togivebirthinahealthfacility. Theultimate goal of theprogramme is to reduce the number of maternal and neonatal deaths. >0? had a greatimpact in reducing maternal and newborn health morbidities and mortalities. 0ince thelaunch of >0?, the numbers of institutional deliveries have started increasing. 8gainstthe "7..1 Aa&h beneficiaries in "**./ *7, the number of beneficiaries @umped to #$.1$Aa&h in "**71$.%any women, including adolescents, have difficulty accessing Duality healthcareduetopoverty, distance, lac&of information, inadeDuateservicesorculturalpractices. 8 community based cross sectional study :onducted from >an "**1 to 4ec"**1 among $"1" women to explore the reasons of %issed opportunities of >anani0ura&sha ?o@ana benefits among the beneficiaries ofsolapur slum area-ut of $,"1"women $.* 311."*!5 were eligible for getting the benefit of >anani 0ura&sha ?o@ana.8mong the $.*only11E3$".7E!5 women got the benefit of >0?while, ""3.7.""!5 missed the opportunity of getting >0? benefit due to Aac& of information of>0? in $7.11! women followed by difficulty in getting the documents and card wasnot/filled in time by 86% were the common causes in "#.."! and 1#."1! womenrespectively. finding shows the poor I,:efforts inthe implementation of >0?,divulging most of the poor eligible women from their rights of >0? benefits. Hence,continuous I,: activity with active involvement of health service provider li&e 86%,%72isneeded.0othereisaneedtoassessthe&nowledgeofantenatal mothersregarding>anani 0ura&sha ?o@anaandtherebyimpartingthe&nowledgeabout thehealthcare facilities provided by the government7.8 cross/sectional study was conducted under (ural Health Training :entre and;rban Health Training :entre of the field practice area of department of :ommunity%edicine.To find out the difference in utili9ation of >anani 0ura&sha ?o@ana in ruralareas and urban slums. 8 total of ""7 married women in reproductive age 31#/1years5,who delivered in government hospital were considered for the study out ofwhich EE women belonged to rural areas and 1$1 women were from urban slums. -utof thetotal number of marriedwomenwhodeliveredat govt. hospital i.e. ""7,ma@ority 37E."!5 were registered with some health personnel. -ut of these, 7.1#!women were registered with 80H8 and maximum number 3E$..!5 of these womenbelonged to urban slums. -nly "1."1! women went for three or more 86: visits andthe proportion was higher 3$$..!5 in urban slums. -nly E.$1! women consumedhundred I+8 tablets and the proportion was high 371.1!5 in rural women. 8ll thewomen received complete TT immuni9ation. The study shows that utili9ation of >0?was foundtobe lowinrural areas i.e. $E.7!.Thus, I,:activities shouldbestrengthened and 80H8anani 0ura&sha ?o@ana, which provides cash assistancefor mother andher childanani 0ura&sha ?o@ana.'.2 REVIE% OF LITERATURE8surveywas conductedtohighlight thepreference of womenfor homedeliveries and utilisation of antenatal and postnatal health facilities in three districts ofBarnata&a. Theresult revealedthat inspiteoftheexposureofprimaryhealthcareservices, the deliveries conducted in the health institutions or deliveries assisted bythe trained personnel were very less. Time of delivery, illiteracy, economic conditionsofwomen, andcustomsofnatal home, transportationandplaceofstayofhealthwor&ers had contributed to this phenomenon. Aac& of health personnel and inadeDuatefacilities had also contributed to this. The researcher concluded that if women hadaccess to good antenatal services, adeDuate rest and nutrition during pregnancy andproper counselling, this problem could have been minimised by promotinginstitutional deliveries to reduce perinatal and neonatal mortality rates .1# 8 nationwide district/level household surveys done in "**"/* and "**7/*1 toassess theeffect of >0?oninterventioncoverageandhealthoutcomes. +indingsshows that implementation of >0? in "**7/*E was highly variable by state from lessthan#!to!of womengivingbirthreceivingcashpayments from>0?.Thepoorest and least educated women did not always have the highest odds of receiving>0? payments. >0? had a significant effect on increasing antenatal care and in/facilitybirths. In the matching analysis, >0? payment was associated with a reduction of $F7perinatal deaths per 1*** pregnancies and "F$ neonatal deaths per 1*** live births. Inthe with/versus/without comparison, the reductions were F1 perinatal deaths per 1***pregnancies and "F neonatal deaths per 1*** live births. The findings of thisassessment are encouraging, but they also emphasise the need for improved targetingof the poorest women and attention to Duality of obstetric care in health facilities1..8descriptivestudywasconductedin6.0.:.=. %edical :ollege, >abalpur3%.7. / India5 during "**./*7 to assess the social profile, &nowledge and utili9ationpattern of $** >0? beneficiaries. +indings show that among $** beneficiaries77...!belongedto below poverty line3=7A5 category. .7! oftherespondents arrangedtheir own ) hired vehicle for transportation for delivery. -nly 17.$$ ! were motivatedby 86% )4ai) 80H8) 822 for institutional delivery. It concludes that decision ofexpendituredependsuponhusbandinonethirdof cases andthearrangement ofvehicle for transport is still a ma@or issue of concern17.8descriptive study was conducted to evaluate the utilisation of >anani0ura&sha ?o@ana among the 1** beneficiaries in -rissa.=eneficiaries were selectedrandomly through probability proportionate to sample si9e 37705. The results revealedthat ma@or advantages of the >0? perceived by the beneficiaries were safe delivery at7H:s and :H:s, helpful in population control, payment of cheDue after delivery andfull protectionafterdelivery.Hencetheresearcherconcludedthat >anani 0ura&sha?o@ana is a safe motherhood intervention for the health and welfare of the mothers.1E 8 descriptive study was conducted to assess the effectiveness of >anani 0ura&sha?o@anaamong"**beneficiariesintheselecteddistrictsof(a@asthan. Theresultsrevealed that 17E beneficiaries received paymentin cash and "" by cheDue. Homedeliveries decreased. -verall status of 86:and 76:services also increased.0eventy/two percent of the beneficiaries were registered within three months,received three 86: chec&/ups, used I+8 tablets,postnatalchec&/up, received cashamount, and 80H8 was with them at the time of delivery. It concludes that 0eventypercent of the beneficiaries were pre/aware about at least one of the aims and visionof >anani 0ura&sha ?o@ana.118 study conducted to assess the gaps in delivery services and utili9ation ofresources at =asic and :omprehensive ,mergency -bstetric :are :entres, accreditedsub centres and private hospitals in district >aipur, (a@asthan. The study wasunderta&en during -ctober/4ecember "**E in $1 selected health facilities in district>aipur. 4atawas collectedbyfacilitysurvey, interviewof serviceproviders andbeneficiaries. (esult shows that there is an increase in institutional deliveriesfollowing implementation of >0?. Though the normal deliveries were conducted "hours by the =asic and :,m-:s however the necessary drugs were in short, supplyand use of partograph was absent at the health facilities. The Duality of emergencyobstetriccareservices was still poor duetothelac&of bloodstorageunits andanaesthetistsin:,m-:s. 7rivateaccreditedhospitalsfaredbetterastheyhadthemanpower and managed more complicated cases as compared to governmentfacilities. The study concludes that >0? is perceived as an effective scheme by thebeneficiaries but gaps inresources andlac&of Dualityof services needs tobeadeDuately dealt with"*.8study conducted to assess and evaluate the operational mechanism,utili9ation, non/utili9ation, awareness and perception of mothers on >anani sura&shayo@ana in two bloc&s each district of south -rissa. The study revealed that there was alac& of orientation of the health staff other than 80H8 on >0?. 80H8 played a ma@orrole in motivation for institutional deliveries in two third of the utili9ers, %ost of theutili9ers expressed problem of communication and transport. +urther no availability of"x7facilitiesandlac&ofstaffwerema@or deterrentsforprospectivemothersinaccessing >0?services. The studyrecommends for streamlining of funds flow,accreditationof privatehospitals, intensificationof I,:activities andcommunityleaders and women group for utili9ation of >0? benefits"1.8 cross/sectional study was conducted to review the implementation processof >0? in the state and to provide inputs for any corrective action in the three districtsof -rissa. The study revealed that at the district, bloc& and sub/centre level there wasashortageof medical andparamedical staff, inadeDuatefacilities for institutionaldelivery. However, available staff was well trained on various implementationprocedures under >0?. I,:activities were also being implemented efficiently.=eneficiaries revealed that H23+5 and 80H8s were playing the &eyroles ingeneratingawarenessregarding>0?.0till manynon/beneficiaries werenot awareaboutthe >0?. Hence the researcherconcludeswith two ma@or recommendationsI3i5 strengthening of infrastructure, supplies and human resources at all levels underthe>0?,and3ii50treamliningthefundflowmechanismat twolevelsI immediatecompensation to the beneficiary after the delivery and regular payments)salaries to the80H8.""STATEMENT OF THE PROBLEMG8 4,0:(I7TIJ,0T;4? T- 800,00TH,B6-2A,4',-6>8686I0;(8B0H8 ?->868 8%-6' 86T,68T8A%-TH,(0I60,A,:T,4(;(8A 8(,808TH800864I0T(I:T2ITH8JI,2T-4,J,A-778%7HA,T0.H'.3 OBJECTIVESThe ob@ectives are I To assess the &nowledge on >anani 0ura&sha ?o@ana among antenatalmothers in selected rural areas at Hassan district. Tofindout theassociationbetween&nowledgescoreswithselecteddemographic variables. To develop and distribute pamphlets on >anani 0ura&sha ?o@ana amongantenatal mothers.'. RESEARCH HYPOTHESISH1I There will be significant association between &nowledge scores withselected demographic variables on>anani 0ura&sha ?o@ana amongantenatal mothers.'.# ASSUMPTIONSThe investigator assumed thatI1. 8ntenatal mothers may have some &nowledge regarding >anani0ura&sha ?o@ana.". 7amphlets will enhance the &nowledge of the antenatal mothersregarding >anani 0ura&sha ?o@ana'.' OPERATIONAL DEFNITIONS K()*+,-.,/Inthisstudy, &nowledgereferstoresponsesgivenbytheantenatal mothers to the structured &nowledge Duestionnaire throughinterview schedule regarding >anani 0ura&sha ?o@ana as measured bytwopoint scales. A(t,(0t0+ M)t1,2s/In this study, it refers to the mothers who arepregnant for the first and second time and who are willing to participate instudy. R320+ 02,0/ In this study, it refers to a selected geographical area outsidecities and towns which comes under 8lur 7H:. The rural area is easilyreachable and is about 1. &ms away from the college. J0(0(4S3205s10 Y)60(0/Inthisstudy,it referstoanationali9edhealthprogramme,which provides cashassistance for antenatal mothers withantenatal care, institutional deliverywithcareandimmediatepostnatalcareinthehealthcentreitself, alsoreducesmaternal mortalityrateandinfant mortality rate. P0781+,ts/In this study it refers to a self/learning information materialpreparedbytheinvestigator inBannadaon>anani 0ura&sha?o@ana. Itprovides adeDuate and relevant information, criteria to be benefited for theantenatal mothers. '." CONCEPTUAL FRAME%ORK The study is based on =ec&er, 4rachman (H and Bircht T7 Health belief%odel 31175".! MATERIALS AND METHODS".1 SOURCE OF DATA%others who are attending the antenatal clinics of selected rural areas, Hassan.".2 METHODS OF COLLECTING DATA.".2.1 RESEARCH APPROACH4escriptive approach will be used to conduct the study.".2.2 RESEARCH DESIGN4escriptive design will be adopted to carry out the study.".2.3 POPULATIONIn the present study the population comprised of antenatal mothers.".2. SAMPLETheantenatal mothers whoareattendingantenatal clinic, whofulfills theinclusion criteria.".2.# SAMPLE SI9EThe sample for the present study consisted of 1** antenatal motherswho meet the inclusion criteria from selected rural areas of Hassan.".2.' SAMPLING TECHNI:U6on probability 7urposive sampling techniDue will be adopted to select thesamples.".2." SELECTION OF TOOLThe tool used to collect data consist of two sectionsS,ct4)( A/ socio demographic variables S,ct4)( B/ structured &nowledge Duestionnaire on >anani sura&sha yo@ana.".2.; CRITERIA FOR SAMPLE SELECTIONI(c+3s4)( c24t,240%othersI1. 'ravida 1and gravida " only.". 2ho could understand Bannada.$. 2ho are willing to participate in the study.. 2ho are available at the time of the data collection.E+,/In the study there is no independent variable.2. D,8,(-,(t V0240>+,/Bnowledge of antenatal mothers regarding @anani sura&sha yo@ana.3. E+,/8ge, religion,type of family, educational status of mothers,gravida,familyincome per year, historyof infant deathinthefamily, sources ofinformation, and distance from the referral unit are the extraneous variables inthis study. ".2.1 DATA ANALYSIS METHODThe collecteddata will be analy9edthroughdescriptive andinferential0tatistics.D,sc248t4?, st0t4st4cs/+reDuency, percentage, mean and standard deviation will be used todescribe demographic variables and &nowledge scores.I(@,2,(t40+ st0t4st4cs/:hi sDuare test will be used to find out the association between &nowledgescore and with selected demographic variables.".3. DOES THE STUDY RE:UIRE ANY INTERVENTIONS TO BECARRIED OUT ON PATIENTS OR OTHER HUMANSAThere is no need of any investigations or interventions on human beings or animals.".. HAS ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR INSTITUTIONA?es. 7ermissionwill beobtainedfromtheresearchcommittee of (athnacollege ofnursing ,authoritiesofHealth officer,8lur 7H:andsub@ectswhoareselected for the study.;.REFERENCES1. The act of giving birth 3cited on "*11 6ov "nd5 available at;(AIhttpI))www.encyclopedia.com)doc)1'"/$177**1".htm.". 7ar&.&7reventiveand0ocial medicine=anarsidaspublishers. >abalpur."1thedition. "*1*I$#/$..$. Narayanan Devadasan.Maya Annie Elias.8 conditionalcash assistanceprogrammeforpromotinginstitutional deliveriesamongthepoorinIndiaIprocess evaluation results. ,thno/med"**E; "315I "7E/"71.. %inistry of Health and +amily 2elfareI >anani 0ura&sha ?o@ana. 'uidelinesfor implementationI 'overnment of India. 3:ited on "*11 6ov 1st5 available at;(AIhttpI))mohfm.nic.in)nrhm)rch gidelines.>sy guidelines *1/*..pdf.#. (oumi 4eb.;tili9ation of 0ervices (elated to 0afe %otherhood among theTribal 7opulation of ,ast Bhasi Hills 3%eghalaya5I 8n -verview.,thno/%ed"**E; "3"5I 1$7/11... =asavanthappa. =.T. Text boo& of midwifery nursing. >aypee publishers. 1"thedition "**1IE/1.7. 2adgavehanmanta .J. 'a@annan %@atti. ;pendra tanu.%issed opportunitiesof @anani sura&shayo@anabenefits amongthebeneficiaries inslumareas.6ational @ournal on com medicine "*11; "315I1/".E. =asic indicatorsI health situation in south ,ast 8sia. 2orld Health-rganisation. 0outh ,ast 8sia region. :ommunity @ournal "**; #./"/$.1. Bhan.%.,. 8sho&&umar. Healthstatus of womeninIndia; ,videncefromnational health survey."*1* 8ugust; vol .I1/"1.1*. 'upta.(.B. Institutional and non institutional deliveries in slum areas of 4elhi"**#; "I 17/1#".11. 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Indiaune "*1*; vol $7#I"**1/"*"$.17. 0an@eevB'upta. 4ineshBumar7al.8ssessment of>anani0ura&sha ?o@ana3>0?5 in >abalpur, %adhya 7radeshI &nowledge, attitude and utili9ation patternof beneficiariesI a descriptive study.International >ournal of :urrent=iological and %edical 0cience "*11; 13"5I *. / 11.1E. Jaishali 80 .0he&ar T. ;tilisation of >0? among beneficiaries in -rissa. ,ast8fr %ed > "**1 >an; 7E31E5I#./E..11. 0harma (. >anani 0ura&sha ?o@anaI 8 study of the implementation status inselected districts of (a@asthan. %aternal :hild Health > "**E -ct; 11315I1#/$#."*. 0harma %7.0oni 0:.=hattacharya %.8n assessment of institutionaldeliveries under >0? in >aipur 4istrict. (a@asthan.Indian > 7ublic Health . "**1>ul/0ep; #$3$5I177/E"."1. Thansia B. 0eemanth H(.The operational mechanism, utili9ation, non/utili9ation, awareness and perception of mothers on @anani sura&sha yo@ana insouth -rissa. ,ast 8fr %ed > "**1 %ay; "E3115I./7.."". Teenashu%. Jen&ateshwar 8(. Implementationprocessof>0?in-rissa.,ast 8fr %ed > "**E >un; E13#5I#./...