demand side factors influencing utilization of jsy
TRANSCRIPT
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
1/11
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
2/11
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
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
3/11
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
4/11
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
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
5/11
Improved awareness
Encouraging more antenatal visits
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
6/11
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
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
7/11
Incentives Higher the incentives, higher the demand
Rs 1400 is given to mothers for institutional delivery
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
8/11
Price of alternate providers If the dais and private health practitioners fees is high,
then demand for public health services is increased
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
9/11
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
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
10/11
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.
-
8/11/2019 Demand Side Factors Influencing Utilization of JSY
11/11
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,