Assessment of service provided in implementation of janani shishu suraksha karyakram service in Pune, Maharashtra

• Author Details:   
• Vini Sivanandan
• Arun Pisal
• Raj Pol
• A. Prasik
• Vandana Shivnekar

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Health schemes such as Janani Shishu Suraksha Karyakram (JSSK) was introduced with the main objective to reduce infant and maternal death and high institutional delivery. The real challenge lies in the implementation of JSSK scheme in a diverse region where the geographical and background characteristics of beneficiaries varies considerably. The question arises, is there any constrains faced by service providers in implementing the JSSK service? In this paper, we evaluate the health schemes from the perspective of provider side and examine the constraints and difficulties in implementing JSSK service. The major objective of this study is to evaluate the functioning of the JSSK scheme and to understand the views and constraints of the health personnel about the implementation of JSSK in Pune district of Maharashtra. Findings suggest referral cases have considerably increased due to the availability of transport service resulting in a high number of referral cases in DH, SDH and WH. Hence, adequate measure should be in place to provide the services at the referring facilities itself as well as upgrade the infrastructure at the facilities referred. The condition of drivers needs to be addressed as in most of the visited facilities only one driver is available and is expected to be on duty 24 hours. Network issues are a hindrance in seeking health service in difficult to reach areas. Mechanism to identify availability of network beforehand and if possible, under CSR the network provider should be encouraged to provide free service and app for efficient networking of facilities in providing timely transport service.

Keywords: Janani Shishu Suraksha Karyakram, Health facilities, Service Providers, Transport