Marie Ng|Archana Misra|Vishal Diwan|Manohar Agnani|Alison Levin?Rector|Ayesha De Costa
An assessment of the impact of the JSY cash transfer program on maternal mortality reduction in Madhya Pradesh, India
Karolinska Institutet|Institute for Health Metrics and Evaluation|University of Washington|Government of Uttar Pradesh|Karolinska Institutet|Ruxmaniben Deepchand Gardi Medical College|Government of Uttar Pradesh|University of Hong Kong|Karolinska Institutet|Ruxmaniben Deepchand Gardi Medical College
indian janani suraksha yojana jsy program demandside program state pays women cash incentive deliver institution aim reducing maternal mortality jsy 54 million beneficiaries since inception 7 years ago although number studies demonstrated effect jsy coverage examined direct impact program maternal mortalityto study impact jsy maternal mortality madhya pradesh mp one indias largest provincesby synthesizing data various sources districtlevel maternal mortality ratios mmr 2005 2010 estimated using bayesian spatiotemporal model based mixed effects multilevel regression model applied assess impact jsy specifically association jsy intensity reflected 1 proportion jsysupported institutional deliveries 2 total annual jsy expenditure 3 mmr examinedthe proportion institutional deliveries increased 239 2005 559 2010 provincewide proportion jsysupported institutional deliveries rose 14 2005 80 2010 mmr declines districts varied 2 35 period despite marked increase jsysupported delivery multilevel models detect significant association jsysupported delivery proportions changes mmr districts results analysis examining association mmr jsy expenditure similarour analysis unable detect association maternal mortality reduction jsy mp high proportion institutional delivery program seem converted lower mortality outcomes lack significant impact could related supplyside constraints demandside programs like jsy limited effect supply side unable deliver care adequate quality