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Original Article

Natl J Community Med. 2017; 8(2): 84-89


Estimation of Out of Pocket Expenditure Under Janani Shishu Suraksha Karayakram (JSSK) in Rural Block of Chhattisgarh: A Community Based Cross-Sectional Study

Aditi Chandrakar, Gopal P Soni, Ashish K Sinha, Kamlesh Jain, Prem S Panda, Somen K Pradhan.


Abstract

"Background: In order to reduce out-of-pocket expenditure during institutional delivery,Govt. of India has launched a nationwide ini-tiative - Janani Shishu Suraksha Karyakram (JSSK) which provides cashless services to pregnant mothers & sick infants accessing public health facilities.
Objectives: To estimate out of pocket expenditure (OOPE) among mothers who availed the benefits of JSSK.
Method: A community based cross sectional study was done in Dharsiwa block of Raipur district among 352 mothers having child less than one year using multistage random sampling method using predesigned pretested proforma from July 2015 to June 2016. Median OOPE was calculated and expressed in Indian National Rupee. (INR)
Result: Overall median OOPE during pregnancy was INR 1220 while during antenatal and natal period, median OOPE was INR 750, INR 300 respectively. Nil OOPE incurred for admission, stay and investigation but median OOPE for transport, medicine, food, informal payments and blood transfusion was INR 200, INR 550, INR 60, INR 500 and INR 1050 respectively. Total Median OOPE incurred by JSSK beneficiaries was highest in medical college and among those who underwent C-section delivery.
Conclusion: Mothers were benefitted with services mentioned under JSSK in the public health facilities; however drugs and transport contributed to the Out of Pocket expenditure."

Key words: Janani Shishu Suraksha Karyakaram , Out of Pocket Expenditure






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