Bharat Randive|Miguel San Sebastián|Ayesha De Costa|Lars Lindholm
Inequalities in institutional delivery uptake and maternal mortality reduction in the context of cash incentive program, Janani Suraksha Yojana: Results from nine states in India
Ruxmaniben Deepchand Gardi Medical College|Umeå University|Umeå University|Karolinska Institutet|Umeå University
proportion women giving birth health institutions increased sharply india since introduction cash incentive program janani suraksha yojana jsy 2005 jsy intended benefit disadvantaged population poor access institutional care childbirth bore brunt maternal deaths increase institutional deliveries following implementation jsy needs analysed equity perspective analysed data nine indian states examine change socioeconomic inequality institutional deliveries five years implementation jsy using concentration curve concentration index ci ci decomposed order understand pathways observed inequalities occurred disparities access emergency obstetric care emoc maternal mortality reduction among different socioeconomic groups also assessed slope relative index inequality used estimate absolute relative inequalities maternal mortality ratio mmr results shows although inequality access institutional delivery care persists reduced since introduction jsy nearly 70 present inequality explained differences male literacy emoc availability public facilities poverty emoc public facilities grossly unavailable compared richest division nine states poorest division 135 maternal deaths per 100000 live births 2010 mmr decreased areas since jsy declined four times faster richest areas compared poorest resulting increased inequalities findings suggest order cash incentive succeed reducing inequalities maternal health outcomes needs supported provision quality health care services including emoc improved targeting disadvantaged populations cash incentive program could considered