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LATEST NEWS UPDATES | ‘Bad roads, lack of transport at night force Jharkhand women to deliver at home’ -Bindu Shajan Perappadan

‘Bad roads, lack of transport at night force Jharkhand women to deliver at home’ -Bindu Shajan Perappadan

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published Published on Aug 18, 2012   modified Modified on Aug 18, 2012
-The Hindu

One in five women who die during childbirth globally belong to India: WHO

Bad roads, poor connectivity and unavailability of transport at night continue to force more than one- third of pregnant women in Jharkhand to deliver at home.

“More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,” noted a study, conducted by Public Health Foundation of India (PHFI) and United Kingdon-based London School of Hygiene and Tropical Medicine, and the University Of Aberdeen, that was released on Friday.

The study was conducted among 500 new mothers from Jharkhand. Ninety-five per cent of these women belonged to the Scheduled Castes, Scheduled Tribes and Other Backward Caste categories. Almost 85 per cent belonged to households with a monthly income of Rs.5,000 or less, and more than half or 53 per cent were illiterate.

The project, funded by USAID and supported MCH-STAR initiative, explores what women really value when seeking delivery-related care and their current status of satisfaction with care in the context of the Janani Suraksha Yojana (JSY) programme. As per the latest World Health Organisation statistics, one in five women who die during childbirth globally belong to India. The Centre introduced the JSY scheme in 2005 to reduce maternal deaths.

As per the scheme, women are assured a sum of Rs.1,400 if they opt for institutional delivery. As per UNICEF statistics, the scheme has been successful in attracting women to facilities for delivery, leading to expansion in proportion of institutional deliveries in India from 53 per cent of all deliveries in 2005 to 73 per cent in 2009-10.

“Though the scheme has attracted a large number of women to opt for institutional delivery, the question remains as to whether they are really getting the care they want. It is also important to know how this compares with the care received by women who deliver at home,” said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.

“The study found that 40 per cent of the women spent more than Rs.1,400 [the conditional cash transfer amount provided through JSY] on delivering at the institution. The cost is mainly due to buying drugs and injections, which often have to be procured from outside the facility. There is also demand for informal payment by the facility staff, leading to an increase in cost. The fear of abuse also keeps women away from healthcare centres. One out of seven women who preferred a home delivery cited the fear of abuse as the reason for not opting for an institutional delivery. Twelve per cent of women who opted for institutional delivery reported abusive behaviour from the staff,” said PHFI senior research associate Aradhana Srivastava.

Understanding women’s level of satisfaction with health services is critical for improving the quality of services. National Health Systems Resource Centre, Advisor (Health Systems), P. Padmanabhan added: “The Ministry of Health and Family Welfare is formulating guidelines for supportive supervision for quality monitoring of health services in facilities. Equal importance needs to be given to client feedback.”

40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections

12% women who opted for institutional delivery reported abusive behaviour from staff

The Hindu, 18 August, 2012, http://www.thehindu.com/todays-paper/tp-national/article3787432.ece


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