Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 73
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 74
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

                trigger_error($message, E_USER_WARNING);

            } else {
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    <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f0fca17ce2e-trace').style.display = (document.getElementById('cakeErr67f0fca17ce2e-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr67f0fca17ce2e-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f0fca17ce2e-code').style.display = (document.getElementById('cakeErr67f0fca17ce2e-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f0fca17ce2e-context').style.display = (document.getElementById('cakeErr67f0fca17ce2e-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr67f0fca17ce2e-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700">&lt;</span><span style="color: #0000BB">head</span><span style="color: #007700">&gt;
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-The Hindu
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&lt;em&gt;One in five women who die during childbirth globally belong to India: WHO&lt;/em&gt;
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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.
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&amp;ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&amp;rdquo; 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.
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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.
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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.
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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.
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&amp;ldquo;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,&amp;rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.
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&amp;ldquo;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,&amp;rdquo; said PHFI senior research associate Aradhana Srivastava.
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Understanding women&amp;rsquo;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: &amp;ldquo;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.&amp;rdquo;
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&lt;em&gt;40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections&lt;/em&gt;
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&lt;em&gt;12% women who opted for institutional delivery reported abusive behaviour from staff&lt;/em&gt;
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-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.





&amp;ldquo;More than...&#039;,
	&#039;disp&#039; =&gt; &#039;&lt;div style=&quot;text-align: justify&quot;&gt;-The Hindu&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;One in five women who die during childbirth globally belong to India: WHO&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&amp;rdquo; 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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;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,&amp;rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;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,&amp;rdquo; said PHFI senior research associate Aradhana Srivastava.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;Understanding women&amp;rsquo;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: &amp;ldquo;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.&amp;rdquo;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;&lt;br /&gt;&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;12% women who opted for institutional delivery reported abusive behaviour from staff&lt;/em&gt;&lt;/div&gt;&#039;,
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-The Hindu
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&lt;em&gt;One in five women who die during childbirth globally belong to India: WHO&lt;/em&gt;
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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.
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&lt;br /&gt;
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&lt;div style=&quot;text-align: justify&quot;&gt;
&amp;ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&amp;rdquo; 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.
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&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
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.
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&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
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.
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
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.
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&amp;ldquo;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,&amp;rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&amp;ldquo;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,&amp;rdquo; said PHFI senior research associate Aradhana Srivastava.
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
Understanding women&amp;rsquo;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: &amp;ldquo;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.&amp;rdquo;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;em&gt;40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections&lt;/em&gt;
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&lt;em&gt;12% women who opted for institutional delivery reported abusive behaviour from staff&lt;/em&gt;
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-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.





&amp;ldquo;More than...&#039;
$disp = &#039;&lt;div style=&quot;text-align: justify&quot;&gt;-The Hindu&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;One in five women who die during childbirth globally belong to India: WHO&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&amp;rdquo; 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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;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,&amp;rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;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,&amp;rdquo; said PHFI senior research associate Aradhana Srivastava.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;Understanding women&amp;rsquo;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: &amp;ldquo;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.&amp;rdquo;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;&lt;br /&gt;&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;12% women who opted for institutional delivery reported abusive behaviour from staff&lt;/em&gt;&lt;/div&gt;&#039;
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-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.





&ldquo;More than..."/>
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                <strong>‘Bad roads, lack of transport at night force Jharkhand women to deliver at home’ -Bindu Shajan Perappadan</strong></h1>
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                <div style="text-align: justify">-The Hindu</div><div style="text-align: justify"><br /></div><div style="text-align: justify"><em>One in five women who die during childbirth globally belong to India: WHO</em></div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&rdquo; 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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;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,&rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;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,&rdquo; said PHFI senior research associate Aradhana Srivastava.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Understanding women&rsquo;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: &ldquo;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.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify"><em>40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections</em></div><div style="text-align: justify"><em><br /></em></div><div style="text-align: justify"><em>12% women who opted for institutional delivery reported abusive behaviour from staff</em></div>               </font>
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-The Hindu
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&lt;em&gt;One in five women who die during childbirth globally belong to India: WHO&lt;/em&gt;
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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.
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&amp;ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&amp;rdquo; 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.
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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.
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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.
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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.
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&amp;ldquo;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,&amp;rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.
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&amp;ldquo;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,&amp;rdquo; said PHFI senior research associate Aradhana Srivastava.
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Understanding women&amp;rsquo;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: &amp;ldquo;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.&amp;rdquo;
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&lt;em&gt;40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections&lt;/em&gt;
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&lt;em&gt;12% women who opted for institutional delivery reported abusive behaviour from staff&lt;/em&gt;
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-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.





&amp;ldquo;More than...&#039;,
	&#039;disp&#039; =&gt; &#039;&lt;div style=&quot;text-align: justify&quot;&gt;-The Hindu&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;One in five women who die during childbirth globally belong to India: WHO&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&amp;rdquo; 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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;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,&amp;rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;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,&amp;rdquo; said PHFI senior research associate Aradhana Srivastava.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;Understanding women&amp;rsquo;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: &amp;ldquo;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.&amp;rdquo;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;&lt;br /&gt;&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;12% women who opted for institutional delivery reported abusive behaviour from staff&lt;/em&gt;&lt;/div&gt;&#039;,
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	&#039;title&#039; =&gt; &#039;‘Bad roads, lack of transport at night force Jharkhand women to deliver at home’ -Bindu Shajan Perappadan&#039;,
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-The Hindu
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&lt;em&gt;One in five women who die during childbirth globally belong to India: WHO&lt;/em&gt;
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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.
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&lt;br /&gt;
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&amp;ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&amp;rdquo; 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.
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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.
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&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
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.
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&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
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.
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&amp;ldquo;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,&amp;rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&amp;ldquo;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,&amp;rdquo; said PHFI senior research associate Aradhana Srivastava.
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
Understanding women&amp;rsquo;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: &amp;ldquo;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.&amp;rdquo;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;br /&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;em&gt;40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections&lt;/em&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;em&gt;&lt;br /&gt;
&lt;/em&gt;
&lt;/div&gt;
&lt;div style=&quot;text-align: justify&quot;&gt;
&lt;em&gt;12% women who opted for institutional delivery reported abusive behaviour from staff&lt;/em&gt;
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-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.





&amp;ldquo;More than...&#039;
$disp = &#039;&lt;div style=&quot;text-align: justify&quot;&gt;-The Hindu&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;One in five women who die during childbirth globally belong to India: WHO&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&amp;rdquo; 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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;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,&amp;rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;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,&amp;rdquo; said PHFI senior research associate Aradhana Srivastava.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;Understanding women&amp;rsquo;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: &amp;ldquo;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.&amp;rdquo;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;&lt;br /&gt;&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;12% women who opted for institutional delivery reported abusive behaviour from staff&lt;/em&gt;&lt;/div&gt;&#039;
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-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.





&ldquo;More than..."/>
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                <strong>‘Bad roads, lack of transport at night force Jharkhand women to deliver at home’ -Bindu Shajan Perappadan</strong></h1>
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                <div style="text-align: justify">-The Hindu</div><div style="text-align: justify"><br /></div><div style="text-align: justify"><em>One in five women who die during childbirth globally belong to India: WHO</em></div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&rdquo; 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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;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,&rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;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,&rdquo; said PHFI senior research associate Aradhana Srivastava.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Understanding women&rsquo;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: &ldquo;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.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify"><em>40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections</em></div><div style="text-align: justify"><em><br /></em></div><div style="text-align: justify"><em>12% women who opted for institutional delivery reported abusive behaviour from staff</em></div>               </font>
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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.
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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.





&amp;ldquo;More than...&#039;,
	&#039;disp&#039; =&gt; &#039;&lt;div style=&quot;text-align: justify&quot;&gt;-The Hindu&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;em&gt;One in five women who die during childbirth globally belong to India: WHO&lt;/em&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&amp;rdquo; 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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;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,&amp;rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&amp;ldquo;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,&amp;rdquo; said PHFI senior research associate Aradhana Srivastava.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;Understanding women&amp;rsquo;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: &amp;ldquo;The Ministry of Health and Family Welfare is formulating guidelines for supportive supervision for quality monitoring of health services in facilities. 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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.
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&amp;ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&amp;rdquo; 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.
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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.
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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.
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&amp;ldquo;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,&amp;rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.
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One in five women who die during childbirth globally belong to India: WHO





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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.&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;&lt;br /&gt;&lt;/div&gt;&lt;div style=&quot;text-align: justify&quot;&gt;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. 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-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.





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                <strong>‘Bad roads, lack of transport at night force Jharkhand women to deliver at home’ -Bindu Shajan Perappadan</strong></h1>
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                <div style="text-align: justify">-The Hindu</div><div style="text-align: justify"><br /></div><div style="text-align: justify"><em>One in five women who die during childbirth globally belong to India: WHO</em></div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&rdquo; 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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;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,&rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;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,&rdquo; said PHFI senior research associate Aradhana Srivastava.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Understanding women&rsquo;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: &ldquo;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.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify"><em>40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections</em></div><div style="text-align: justify"><em><br /></em></div><div style="text-align: justify"><em>12% women who opted for institutional delivery reported abusive behaviour from staff</em></div>               </font>
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-The Hindu
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<em>One in five women who die during childbirth globally belong to India: WHO</em>
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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.
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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.
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Understanding women&rsquo;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: &ldquo;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.&rdquo;
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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.





&ldquo;More than...',
	'disp' => '<div style="text-align: justify">-The Hindu</div><div style="text-align: justify"><br /></div><div style="text-align: justify"><em>One in five women who die during childbirth globally belong to India: WHO</em></div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&rdquo; 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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;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,&rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;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,&rdquo; said PHFI senior research associate Aradhana Srivastava.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Understanding women&rsquo;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: &ldquo;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.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify"><em>40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections</em></div><div style="text-align: justify"><em><br /></em></div><div style="text-align: justify"><em>12% women who opted for institutional delivery reported abusive behaviour from staff</em></div>',
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	'title' => '‘Bad roads, lack of transport at night force Jharkhand women to deliver at home’ -Bindu Shajan Perappadan',
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-The Hindu
</div>
<div style="text-align: justify">
<br />
</div>
<div style="text-align: justify">
<em>One in five women who die during childbirth globally belong to India: WHO</em>
</div>
<div style="text-align: justify">
<br />
</div>
<div style="text-align: justify">
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.
</div>
<div style="text-align: justify">
<br />
</div>
<div style="text-align: justify">
&ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&rdquo; 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.
</div>
<div style="text-align: justify">
<br />
</div>
<div style="text-align: justify">
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.
</div>
<div style="text-align: justify">
<br />
</div>
<div style="text-align: justify">
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.
</div>
<div style="text-align: justify">
<br />
</div>
<div style="text-align: justify">
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.
</div>
<div style="text-align: justify">
<br />
</div>
<div style="text-align: justify">
&ldquo;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,&rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.
</div>
<div style="text-align: justify">
<br />
</div>
<div style="text-align: justify">
&ldquo;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,&rdquo; said PHFI senior research associate Aradhana Srivastava.
</div>
<div style="text-align: justify">
<br />
</div>
<div style="text-align: justify">
Understanding women&rsquo;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: &ldquo;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.&rdquo;
</div>
<div style="text-align: justify">
<br />
</div>
<div style="text-align: justify">
<em>40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections</em>
</div>
<div style="text-align: justify">
<em><br />
</em>
</div>
<div style="text-align: justify">
<em>12% women who opted for institutional delivery reported abusive behaviour from staff</em>
</div>',
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-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.





&ldquo;More than...'
$disp = '<div style="text-align: justify">-The Hindu</div><div style="text-align: justify"><br /></div><div style="text-align: justify"><em>One in five women who die during childbirth globally belong to India: WHO</em></div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;More than 80 per cent of these women who deliver at home are unable to arrange for transport to reach a healthcare facility,&rdquo; 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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">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.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;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,&rdquo; said PHFI senior public health specialist Sanghita Bhattacharyya, who led the study.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">&ldquo;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,&rdquo; said PHFI senior research associate Aradhana Srivastava.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">Understanding women&rsquo;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: &ldquo;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.&rdquo;</div><div style="text-align: justify"><br /></div><div style="text-align: justify"><em>40% women spent over Rs.1,400, amount given for institutional delivery, on medicines, injections</em></div><div style="text-align: justify"><em><br /></em></div><div style="text-align: justify"><em>12% women who opted for institutional delivery reported abusive behaviour from staff</em></div>'
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‘Bad roads, lack of transport at night force Jharkhand women to deliver at home’ -Bindu Shajan Perappadan

-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