Regular Antenatal Care Visits Predict Good Knowledge Among Post-natal Mothers Regarding Entitlements of Health Programs in Western India

Document Type : Short Communication


Department of Community Medicine, Government Medical College Bhavnagar, Maharaja Krishnakumarsinhji Bhavnagar University, Gujarat, India


Janani-Shishu Suraksha Karyakram (JSSK) and Janani Suraksha Yojana (JSY) were launched with the objective of increasing institutional deliveries. But, its knowledge among the post-natal mothers is not known. This research evaluated the knowledge of two national health programs among post-natal mothers and found out the predictors of good knowledge about the entitlements of these programs. A cross-sectional study was conducted on a sample of consecutively recruited 339 post-natal mothers who had delivered in a tertiary care hospital of western India. Data were collected from November 2016 to February 2017 by interview method using a questionnaire with questions about knowledge regarding the entitlements of JSSK and JSY. Multivariable analysis was carried out for predictors of good knowledge. Among the 339 post-natal mothers, 30% had a good knowledge regarding JSSK. Only 24% had heard about JSSK; 54% knew regarding free transport to the place of delivery; only 22% and 13%, respectively knew about free inter-facility transport in case of complications for pregnant women and sick infants, while 96% knew regarding free drop-back facility. Only one-fourth of the mothers knew regarding monetary benefit under JSY, while 28% of them had actually received the benefit. The number of antenatal care visits, having an occupation and belonging to Hindu religion significantly predicts good knowledge among postnatal mothers regarding JSSK. Knowledge among the post-natal mothers regarding the entitlements of JSSK and JSY is less while comparing with published literature and needs improvement. Regular ante-natal care (ANC) visits might improve their knowledge of these programs. There is a need to create awareness among hospital staff for the provision of reimbursement of costs incurred by post-natal mothers. There is also a need to carry out demand generation activities among mothers regarding the entitlements of JSSK and JSY.


Main Subjects

  1. Maternal Health Division. Ministry of Health and Family Welfare. Government of India. Guidelines for Janani-Shishu Suraksha Karyakram (JSSK). India: New Delhi; 2011.
  2. Health and Family Welfare Department. Government of Gujarat. Janani Shishu Suraksha Karyakram. Government of Gujarat.  Published 2016. Accessed June 22, 2017.
  3. Kakkad KM, Patel MS, Patel S, Pritesh. Effect of “Janani Shishu Suraksha Karyakram” - a Government Health Beneficiary Scheme - on Admission Rate and Clinical Outcome in NICU in a Tertiary Care Hospital. Natl J Community Med. 2014;5(1):118-121. doi:10.4103/0019-557X.169655
  4. Health and Family Welfare Department. Government of Gujarat. Janani Suraksha Yojana. Government of Gujarat.  Published 2016. Accessed July 5, 2017.
  5. World Health Organization. Trends in Maternal Mortality: 1990 to 2015: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization; 2015.
  6. Office of the Registrar General and Census Commissioner of India. Sample Registration System SRS 2014-16: Maternal Mortality Ratio (MMR) Bulletin. New Delhi: Ministry of Home Affairs, Government of India; 2018.
  7. Office of the Registrar General and Census Commissioner of India. Sample Registration System SRS 2016: Chapter-4 Estimates of Mortality Indicators. New Delhi: Ministry of Home Affairs, Government of India; 2017.
  8. Randive B, San Sebastian M, De Costa A, Lindholm L. Inequalities in institutional delivery uptake and maternal mortality reduction in the context of cash incentive program, Janani Suraksha Yojana: Results from nine states in India. Soc Sci Med. 2014;123:1-6. doi:10.1016/j.socscimed.2014.10.042
  9. Mangulikar SK, Shinde P. A cross sectional study to assess the Knowledge and Practice about free transport service available under JSSK, among the Post-natal Mothers at a tertiary care Hospital in Maharashtra. Int J Interdiscip Multidiscip Stud. 2015;2(11):4-8.
  10. Singh V, Chavan S, Giri P, Suryavanshi S. Study on awareness and knowledge regarding Janani Suraksha Yojana (JSY) among ANC registered women in a primary health centre of tribal area of Thane District of Maharashtra. Int J Res Med Sci. 2014;2(1):122. doi:10.5455/2320-6012.ijrms20140225
  11. Angadi N, Davalgi S, Raghavendra S. Determinants of utilization of maternity benefit schemes among mothers in urban slums of Davangere city, Karnataka, India. Int J Community Med Public Health. 2016;3(3):651-657. doi:10.18203/2394-6040.ijcmph20160627
  12. Chandrakar A, Panda PS, Soni GP, Dixit S. Awareness regarding Janani Shishu Suraksha Karyakram (JSSK) among mothers: a community based cross-sectional study in rural area of Raipur district, Chhattisgarh. Int J Res Med Sci. 2017;5(10):4374-4379.
  13. Deshpande S, Gadappa S, Pagare S, Dhaduti R, Andurkar S. Awareness regarding Janani Shishu Suraksha Karyakram among pregnant women of Marathwada, Maharashtra, India. Int J Reprod Contraception Obstet Gynecol. 2016;5(6):1985-1991.
  14. Vikram K, Sharma AK, Kannan AT. Beneficiary level factors influencing Janani Suraksha Yojana utilization in urban slum population of trans-Yamuna area of Delhi. Indian J Med Res. 2013;138(3):340-346.
  15. Chatterjee S, Das D, Singh R, Basu A, Chakraborty A, Ghosh P. Awareness about Janani Shishu Suraksha Karyakram (JSSK) among pregnant mothers – a community based study in a rural area of West Bengal, India. IOSR J Dent Med Sci. 2015;14(9):1-5. doi:10.9790/0853-14940105.
  16. Dean AG, Arner T, Sunki G, et al. Epi Info, a database and statistics program for public health professionals.   Published 2011. Accessed January 14, 2017.
  17. International Institute of Population Studies (IIPS), Ministry of Health and Family Welfare, Government of India. National Family Health Survey - 4, 2015-16: District Fact Sheet for Bhavnagar (Gujarat, India). India: New Delhi; 2015.
  18. Ministry of Health & Family Welfare. Government of India. Janani Suraksha Yojana: Guidelines for Implementation. New Delhi: Ministry of Health & Family Welfare, Government of India; 2015.
  19. Miryani J, Vasundhara R. A study to assess the knowledge of antenatal mothers with regard to Janani Shishu Suraksha Karyakram (JSSK) in selected rural areas at Guntur District, A.P. Int J Nurs Care. 2018;6(1):39-43.
  20. Goyal R, Singh PL, Mudey A. Assessment of implementation status of Janani-Shishu Suraksha Karyakram (JSSK) for free referral transport services at selected public health facilities in Wardha district, of central India. Int J Cur Res Rev. 2014;6(16):29-34.
  21. Mondal J, Mukhopadhyay DK, Mukhopadhyay S, Sinhababu A. Does Janani Shishu Suraksha Karyakram ensure cost-free institutional delivery? A cross-sectional study in rural Bankura of West Bengal, India. Indian J Public Health. 2015;59(4):279. doi:10.4103/0019-557X.169655
  22. Tyagi U, Pattabi K, Kaur P. Utilization of services under Janani Shishu Suraksha Karyakram for institutional deliveries in the public sector facilities, Sirmaur District, Himachal Pradesh, India. Indian J Community Med. 2016;41(1):65. doi:10.4103/0970-0218.170992
  23. Tripathi N, Saini SK, Prinja S. Impact of Janani Shishu Suraksha Karyakram on out-of-pocket expenditure among urban slum dwellers in Northern India. Indian Pediatr. 2014;51:475-477. doi:10.2989/OSTRICH.2007.
  24. Health and Family Welfare Department. Government of Gujarat. Healthy Gujarat, Vibrant Gujarat: Launch of Khilkhilat Yojana. Government of Gujarat.  Published 2013. Accessed July 6, 2017.
  25. Mukhopadhyay D, Saren A, Biswas A, Panja T, Sinha N, Sinhababu A. Are institutional deliveries promoted by Janani Suraksha Yojana in a district of West Bengal, India? Indian J Public Health. 2012;56(1):69. doi:10.4103/0019-557X.96980
  26. Thongkong N, Poel E Van De, Roy SS, Rath S, Houweling TAJ. How equitable is the uptake of conditional cash transfers for maternity care in India? Evidence from the Janani Suraksha Yojana scheme in Odisha and Jharkhand. Int J Equity Health. 2017;16:48. doi:10.1186/s12939-017-0539-5
  27. Singh M, Soni N. A Study to assess the effectiveness of structured teaching programme (STP) On knowledge regarding Janani Shishu Suraksha Yojana (JSSY) among mothers. Int J Res Sci Innov. 2016;3(4):17-22.
Volume 8, Issue 8
August 2019
Pages 467-473
  • Receive Date: 07 October 2018
  • Revise Date: 04 May 2019
  • Accept Date: 07 May 2019
  • First Publish Date: 01 August 2019