Demand Side Factors Influencing Utilization of JSY

8/11/2019 Demand Side Factors Influencing Utilization of JSY

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Janani Suraksha YojanaJanani Suraksha Yojanais a scheme proposed by

the Government of India.

Launched on 12 April 2005Aims to decrease the neo-natal and

maternal deaths happening in the country bypromoting institutional delivery of babies.

It is a 100% centrally sponsored scheme whichintegrates cash assistance with delivery and post-delivery care


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Factors Influencing Demand for Health Services

Income

Price of alternate providers Supplementary costs (eg indirect costs)

Other factors Education

Quality of service Health status of population

Population structure

Morbidity profile


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Improved awareness

Encouraging more antenatal visits


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Education Education more than 8thstandard of the potential

users and that of their husbands and better socio-economic status showed better utilisation of services

Literacy rate for rural population is 67.8% (Census2011)

2 out of every 3 females in the country are literate


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Incentives Higher the incentives, higher the demand

Rs 1400 is given to mothers for institutional delivery


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Price of alternate providers If the dais and private health practitioners fees is high,

then demand for public health services is increased


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Financial barriers Though all the MCH care services are theoretically free

of cost but indirect and informal payments such as:

travel cost to and from the government facility,

leaving work to seek care,

and paying for prescribed medicines (as most of womenreported that government facility were short of medicalsupplies)

were reported as considerable barriers to accessing careand treatment


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Family practices and traditional

norms Household position and its environment are

significant determinants of use of any MCH care

Daughter in laws of family have very less say on theirown health and child care , they use to do what theirhusband and other member tell them to do and theyare the main decision maker regarding serviceutilization

Not accustomed to using prenatal care and werefamiliar with delivering at home like other women intheir families.


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Quality of ServicesWomens past experiences with poor-quality care or

unclear information in health facilities influencedfuture behaviours (Lubbock and Stephenson, 2008)

Poor communication or miscommunication withASHA and ANMs also contributed to womensmisperceptions and lack of understanding regardinghealthy behaviours and potential complications,

Documents

Demand Side Factors Influencing Utilization of JSY