Background: Government of India has launched "Janani Shishu Suraksha Karyakram" on 1st July 2011, to assure free and cashless services (including free transport) to all pregnant women and sick neonates accessing public health institutions. The objective of the study was to find out level of awareness regarding JSSK entitlement in pregnant women and to examine the association between different socio-demographic factors and awareness level. Methods: This was a cross sectional study was conducted in the Department of Obstetrics and Gynaecology. Govt. Medical College and Hospital, Aurangabad involving 1000 pregnant women attending antenatal clinic between September 2015 to March 2016. Questionnaire was given to assess the awareness about JSSK entitlements and if it was known to them, then the source of information was noted. Information regarding socio-demographic characteristics was noted. The study subject was considered as aware of the scheme, if she had heard about the scheme and had knowledge about certain key points of the scheme. One point each was given to all the correctly answered questions and mean was calculated. Subjects whose correctly answered questions were more than the mean value were considered to have good awareness level. Analysis was done using SPSS version 20. Chi-square test for association between awareness level and different socio-demographic factors. Significance level was considered at p value <0.05. Results: Among 1000 antenatal women, good awareness level regarding JSSK entitlements was seen in only 472 (47.2%) study subjects. Maximum awareness regarding JSSK entitlements was noted to be for Free vaginal delivery in 869 (86.90%) followed by free drugs and consumables to mother (73.4%) and free treatment for sick infants 662 (66.2%) and least awareness was noted for free drop back of sick infant from health facility to home (9%) and free caesarean section (9.6%). Not even a single woman answered all the 17 entitlements correctly. Only 13 (1.3%) women were able to answer 16 questions correctly. Advancing age, increasing level of education, member of nuclear family, increasing number of conception (gravidity) and advanced gestational age are significantly associated with the level of awareness. However, religion, socioeconomic status and occupation did not have any statistical significant association with the level of awareness regarding various entitlements of JSSK in antenatal women. Regarding the source of information, the most common source of information was from health personnel, followed by friends and family. None of the women reported that Radio, TV, Newspaper had contributed as a source of information. Conclusions: Awareness level of JSSK entitlements in the pregnant women in our study is low. Maximum awareness was noticed for the provision of free vaginal delivery whereas awareness for provisions like free caesarean section, free drop back facility to home, free provision of blood is very low. Further efforts are needed to increase the overall awareness of various entitlements o...
OBJECTIVE :- To assess the knowledge, attitude and practices about contraception among women seeking induced abortion.
Material & Methods: This is a cross sectional study conducted in Dept.of OBGY,GMCH, Aurangabad between the period October 2019 to March 2020 using predesigned pretested questionnaire in women seeking medical termination of pregnancy.
Observation:-Around 90% women were aware about contraception. Knowledge regarding tubectomy was more (77.66%) than other methods of contraception. Around 60% women were willing to use contraception and 70% women accepted contraception after counselling at the time of availing abortion services.
Conclusion: Overall awareness of contraception was about 90%. Overall acceptance of contraception was 70% and utilization of tubectomy, as a permanent method of contraception was high due to government initiatives and incentives . Fear of side effects of contraception was an important factor for contraception denial . Husband’s support in the choice of contraception plays an important role.
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