A woman, as everyone knows, usually gives birth to a baby after nine months of pregnancy, but in Bihar 298 women claim to have delivered two to five children in a span of 60 days - at least that's what records of incentives amount given to new mothers under a government scheme show. A woman gets around Rs.1,000 when she gives birth under the government's Janani Suraksha Yojana but a...

The Janani Suraksha Yojana, a path-breaking conditional cash transfer initiative launched in 2005 to encourage deliveries at government health care facilities, has achieved some of its goals. It was launched at a time when India accounted for 20 per cent of maternal and 31 per cent of neonatal deaths in the world. Benefits started accruing a year after the scheme came into operation — the number of deliveries in government...

Many did not use health centres for institutional deliveries  The Mission’s goal is to achieve 100 per cent institutional deliveries by 2012 Long term targets were not prescribed by 17 States The Comptroller and Auditor General (CAG) has criticised the National Rural Health Mission (NRHM) for “hampering” the smooth implementation of the Janani Suraksha Yojana – maternity benefit scheme — by delays and irregularities in the payment of incentives. In its latest...

A Human Rights Watch report emphasises the need for a system of recording and investigating all maternal deaths.  THE maternal mortality ratio (MMR) is calculated by the number of maternal deaths for every 100,000 births. Consider this: In 2005, India’s MMR was 16 times that of Russia, 10 times that of China and four times higher than that in Brazil. Why should there be such high maternal mortality rates in...

Despite the government’s efforts to reduce maternal deaths by encouraging deliveries at health centres, the system continues to fail poor women. I gave birth in the developing world, in South Africa, to be precise. South Africa was in the spotlight recently when a government-commissioned report showed a 20 per cent increase in the number of deaths from pregnancy-related causes between 2005 and 2007 over the previous three-year period. The report...