Effect of ‘Janani Shishu Suraksha Karyakram’ – A Government Health Beneficiary Scheme - on Admission Rate and Clinical Outcome in NICU in a Tertiary Care Hospital
Khyati M Kakkad, Megha S Patel, Snehal Patel, Pritesh.
"Introduction: Neonatal deaths ac-count for a major proportion of child deaths globally. Government of India has launched JSSK scheme on 1st June 2011 with an aim to re-duced maternal mortality rate and infant mortality rate (MDG).
Method: A retrospective observa-tional study was carried out to know the effect of JSSK scheme on work load, availability of expen-sive treatment modality and effect on outcome. Study was carried out by comparing one year time peri-od between SEP- 2011 to AUG 2012 (pre-JSSK year) and SEP-2012 to AUG–2013 (post-JSSK year, as it was implemented from Sept-2012 in the study hospital).
Results: After JSSK scheme institu-tional deliveries increased by 20.32% and registered deliveries by 20.77%. NICU admission rate was increased by 21.96% with a signifi-cant increase in preterm admission by 86.89%. Use of expensive mod-ern treatment modalities were in-creased by 3.97%. Neonatal death rate is reduced by 1.32% with sig-nificant decrease in preterm mor-tality by 12.99%. Most common causes of death in preterm in pre-JSSK period were septicaemia (41.76%), RDS (27.47%) and aspira-tion pneumonia (6.59%). While in post-JSSK period the most common causes were RDS (51.04%), sepsis (38.54%) and aspiration pneumonia (4.1%).
Conclusion: JSSK is successful in raising the number of institutional deliveries, booked obstetric prac-tice(hence a better antenatal care) and improved access to level III NICU care among the poor result-ing in a significant decrease in pre-term mortality rates.
"JSSK, NICU, neonates