Bharat Randive|Vishal Diwan|Ayesha De Costa
India’s Conditional Cash Transfer Programme (the JSY) to Promote Institutional Birth: Is There an Association between Institutional Birth Proportion and Maternal Mortality?
Ruxmaniben Deepchand Gardi Medical College|Umeå University|Ruxmaniben Deepchand Gardi Medical College|Karolinska Institutet|Karolinska Institutet
india accounts 19 global maternal deaths threequarters come nine states 2005 india launched conditional cash transfer cct programme janani suraksha yojana jsy reduce maternal mortality ratio mmr promotion institutional births jsy largest cct world nine states relatively lower socioeconomic levels jsy provides cash incentive women birthing health institution cash incentive intended reduce financial barriers accessing institutional care delivery increased institutional births expected reduce mmr thus jsy expected increase institutional births b reduce mmr states high proportions institutional births examine association service uptake ie institutional birth proportions b health outcome ie mmrdata sample registration survey india analysed describe trends proportion institutional births 2005 20062010 implementation jsy data annual health survey 20102011 284 districts mentioned nine states analysed assess relationship mmr institutional birthsproportion institutional births increased preprogramme average 20 49 5 years p005 bivariate analysis proportion institutional births small negative correlation district mmr r 011the multivariate regression model establish significant association institutional birth proportions mmr ci 010 068our analysis confirmed jsy succeeded raising institutional births significantly however unable detect significant association institutional birth proportion mmr indicates high institutional birth proportions jsy achieved inadequate reduce mmr factors including improved quality care institutions required intended effect