Janani Suraksha Yojana

Janani Suraksha Yojana is a scheme proposed by

the Government of India.
Launched on 12 April 2005
Aims to decrease the neo-natal and
maternal deaths happening in the country by
promoting institutional delivery of babies.
It is a 100% centrally sponsored scheme which
integrates cash assistance with delivery and post-
delivery care
What is a demand?

It is the willingness to consume backed by an ability to pay

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

Improved awareness
Encouraging more antenatal visits
Education
Education more than 8
th
standard 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% (Census
2011)
2 out of every 3 females in the country are literate
Incentives
Higher the incentives, higher the demand
Rs 1400 is given to mothers for institutional delivery
Price of alternate providers
If the dais and private health practitioners fees is high,
then demand for public health services is increased
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 women
reported that government facility were short of medical
supplies)
were reported as considerable barriers to accessing care
and treatment
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 their
own health and child care , they use to do what their
husband and other member tell them to do and they
are the main decision maker regarding service
utilization
Not accustomed to using prenatal care and were
familiar with delivering at home like other women in
their families.
Quality of Services
Womens past experiences with poor-quality care or
unclear information in health facilities influenced
future behaviours (Lubbock and Stephenson, 2008)
Poor communication or miscommunication with
ASHA and ANMs also contributed to womens
misperceptions and lack of understanding regarding
healthy behaviours and potential complications,