Estimation of Out of Pocket Expenditure Under Janani Shishu Suraksha Karayakram (JSSK) in Rural Block of Chhattisgarh: A Community Based Cross-Sectional Study
Keywords:
Out of Pocket, OOP, Expenditure, Caeserian, OOPE, health expenditure, insuranceAbstract
Background: In order to reduce out-of-pocket expenditure during institutional delivery, Govt. of India has launched a nationwide initiative - Janani Shishu Suraksha Karyakram (JSSK) which provides cashless services to pregnant mothers & sick infants accessing public health facilities.
Objectives: To estimate out of pocket expenditure (OOPE) among mothers who availed the benefits of JSSK.
Method: A community based cross sectional study was done in Dharsiwa block of Raipur district among 352 mothers having child less than one year using multistage random sampling method using predesigned pretested proforma from July 2015 to June 2016. Median OOPE was calculated and expressed in Indian National Rupee. (INR)
Result: Overall median OOPE during pregnancy was INR 1220 while during antenatal and natal period, median OOPE was INR 750, INR 300 respectively. Nil OOPE incurred for admission, stay and investigation but median OOPE for transport, medicine, food, informal payments and blood transfusion was INR 200, INR 550, INR 60, INR 500 and INR 1050 respectively. Total Median OOPE incurred by JSSK beneficiaries was highest in medical college and among those who underwent C-section delivery.
Conclusion: Mothers were benefitted with services mentioned under JSSK in the public health facilities; however drugs and transport contributed to the Out of Pocket expenditure.
References
Suryakantha AH. Text book of Community Medicine with Recent Advances, 3rd ed.New Delhi: M/S Jaypee Brothers Medical Publishers. 2010 p 561.
WHO Maternal Mortality. Available at: http://www.who.int/mediacentre/factsheets/fs348/en/.(Accessed 24th Feb 2017)
Maternal Health UNICEF. Available at: http://unicef.in/Whatwedo/1/Maternal-Health (Accessed 24th Feb 2017)
Vora KS, Mavalankar DV, Ramani KV, Upadhyaya M, Sharma B, Iyengar S, Gupta V, Iyengar K. Maternal health situation in India: a case study. Journal of Health, Popula-tion and Nutrition. 2009 Apr 1:184-201.
Taneja D K. Health Policies and Programmes in India,15th ed. New Delhi:The Health Science Publisher;2017. p124
Ministry of Health and Family Welfare. Guidelines for Ja-nani-Shishu Suraksha Karyakram (JSSK). National Rural Health Mission, Maternal Health Division, Government of India, Nirman Bhavan, New Delhi June 2011.
Mohanty SK, Srivastava A. Out-of-pocket expenditure on institutional delivery in India. Health Policy Plan 2013; 28:247-62.
Tyagi U, Pattabi K, Kaur P. Utilization of services under Janani Shishu Suraksha Karyakram for institutional deliver-ies in the public sector facilities, Sirmaur District, Himachal Pradesh, India. Indian J community Med 2016 ;41(1):65-8
Suresh Sharma. Janani shishu suraksha karyakram and its repercussions on out of pocket expenditure, Internation-al Journal of Current Research 2015 ;7 (9), 20808-20815
International Institute for Population Sciences. India Na-tional Family Health Survey (NFHS-4), 2015-16. Internation-al Institute for Population Sciences; 2016
UNICEF. Coverage Evaluation Survey. All India report. Ma-ternal Care Services. Ministry of Health and Family Welfare, Government of India. New Delhi. India.2009.
Mondal J, Mukhopadhyay DK, Mukhopadhyay S, Sinhaba-bu 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):279-85
Modugu HR, Kumar M, Kumar A, Millett C. State and so-cio-demographic group variation in out-of-pocket expendi-ture, borrowings and Janani Suraksha Yojana (JSY) pro-gramme use for birth deliveries in India. BMC Public Health. 2012 ;12(1):1048
Kowalewski M, Mujinja P, Jahn A. Can Mother afford Ma-ternal Health Care Costs? User costs of maternity services in rural Tanzania. African Journal of Reproductive Health, April 2002; 6(1): 65-73.
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