Janani Surakhya Yojana and ′At Birth′ immunization: A study in a tertiary level health center

Satapathy, Durga Madhab; Malini, DShobha; Behera, TR; Reddy, S Siva; Tripathy, Radha Madhab

doi:10.4103/0970-0218.58398

Cited by 6 publications

(4 citation statements)

References 2 publications

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“…[15] , [29] A small study using records from a tertiary level health center in the state of Orissa found that ‘at birth’ immunization (within 7 days of birth) increased significantly following the implementation of JSY at the health center. [30] In this study, ASHAs were cited by parents as the primary motivator for immunization.…”

Section: Discussionmentioning

confidence: 94%

More Evidence on the Impact of India's Conditional Cash Transfer Program, Janani Suraksha Yojana: Quasi-Experimental Evaluation of the Effects on Childhood Immunization and Other Reproductive and Child Health Outcomes

Carvalho

Thacker²,

Gupta

et al. 2014

PLoS ONE

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BackgroundIn 2005, India established a conditional cash transfer program called Janani Suraksha Yojana (JSY), to increase institutional delivery and encourage the use of reproductive and child health-related services.ObjectiveTo assess the effect of maternal receipt of financial assistance from JSY on childhood immunizations, post-partum care, breastfeeding practices, and care-seeking behaviors.MethodsWe use data from the latest district-level household survey (2007–2008) to conduct a propensity score matching analysis with logistic regression. We conduct the analyses at the national level as well as separately across groups of states classified as high-focus and non-high-focus. We carry out several sensitivity analyses including a subgroup analysis stratified by possession of an immunization card.ResultsReceipt of financial assistance from JSY led to an increase in immunization rates ranging from 3.1 (95%CI 2.2–4.0) percentage points for one dose of polio vaccine to 9.1 (95%CI 7.5–10.7) percentage points in the proportion of fully vaccinated children. Our findings also indicate JSY led to increased post-partum check-up rates and healthy early breastfeeding practices around the time of childbirth. No effect of JSY was found on exclusive breastfeeding practices and care-seeking behaviors. Effect sizes were consistently larger in states identified as being a key focus for the program. In an analysis stratified by possession of an immunization card, there was little to no effect of JSY among those with vaccination cards, while the effect size was much larger than the base case results for those missing vaccination cards, across nearly all immunization outcomes.ConclusionsEarly results suggest the JSY program led to a significant increase in childhood immunization rates and some healthy reproductive health behaviors, but the structuring of financial incentives to pregnant women and health workers warrants further review. Causal interpretation of our results relies on the assumption that propensity scores balance unobservable characteristics.

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Section: Discussionmentioning

confidence: 94%

More Evidence on the Impact of India's Conditional Cash Transfer Program, Janani Suraksha Yojana: Quasi-Experimental Evaluation of the Effects on Childhood Immunization and Other Reproductive and Child Health Outcomes

Carvalho

Thacker²,

Gupta

et al. 2014

PLoS ONE

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“…By contrast, with some exceptions, vaccination has not been rigorously analyzed to the same extent in the context of this program despite being a first-order policy concern. Some of the preliminary studies were confined to specific villages or hospitals in India (Deolalikar, Jamison, Jha, & Laxminarayan, 2008;Satapathy, Malini, Behera, Reddy, & Tripathy, 2009). Given the principal focus of the program on reproductive health, more research focuses on maternal health outcomes.…”

Section: Previous Research On the Impacts Of Jsymentioning

confidence: 99%

Cash‐based maternal health interventions can improve childhood vaccination—Evidence from India

Timilsina

2020

Health Economics

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Childhood vaccination has lagged in countries like India, despite its demonstrated positive effects on health outcomes like infant mortality. At the same time, many conditional cash transfer programs have been effective in improving health outcomes. We estimate the effect of the world's largest maternal health program, Janani Suraksha Yojana (JSY, maternal protection scheme), on childhood vaccination in India. We exploit exogenous variations in the expansion of the policy around the country and the fact that some key vaccines are given at or near birth to identify the effects of cash‐based maternal health policy on infant immunization. We find that JSY increased the probability of Bacillus Calmette–Guérin (BCG) and diphtheria, pertussis, and tetanus toxoid (DPT) vaccination among newborns and infants. However, we find almost no significant effects on the measles vaccine, which is administered several months after birth.

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“…The first formal statistical impact evaluation of JSY across the whole of India was conducted by . Prior assessments had been more descriptive in nature (Devadasan, Elias, John, Grahacharya, & Ralte, 2008), geographically limited (United Nations Population Fund (UNFPA) -India, 2009; Sharma et al, 2009), or had considered a limited set of outcomes (Satapathy, 2009). found large, significant positive effects of the JSY programme on antenatal care, institutional delivery, and skilled birth attendance.…”

Section: Introductionmentioning

confidence: 99%

The Impact of India’s Janani Suraksha Yojana Conditional Cash Transfer Programme: A Replication Study

Carvalho¹,

Rokicki

2018

The Journal of Development Studies

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In 2005 the government of India established Janani Suraksha Yojana (JSY), a conditional cash transfer programme to increase deliveries in health facilities. We reexamine an influential study published in 2010 on the effect of JSY on reproductive health coverage indicators and perinatal and neonatal mortality. We find the original authors' results to be replicable and robust to various changes in model specifications and analysis. Through the use of multilevel models, we find meaningful heterogeneity across states and districts in the effects of JSY on the probabilities of in-facility delivery and skilled birth attendance, and neonatal mortality rates.

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Janani Surakhya Yojana and ′At Birth′ immunization: A study in a tertiary level health center

Cited by 6 publications

References 2 publications

More Evidence on the Impact of India's Conditional Cash Transfer Program, Janani Suraksha Yojana: Quasi-Experimental Evaluation of the Effects on Childhood Immunization and Other Reproductive and Child Health Outcomes

More Evidence on the Impact of India's Conditional Cash Transfer Program, Janani Suraksha Yojana: Quasi-Experimental Evaluation of the Effects on Childhood Immunization and Other Reproductive and Child Health Outcomes

Cash‐based maternal health interventions can improve childhood vaccination—Evidence from India

The Impact of India’s Janani Suraksha Yojana Conditional Cash Transfer Programme: A Replication Study

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