印度喜马偕尔邦锡尔默尔县公共部门设施中“母婴安全保障计划”下机构分娩服务的利用情况
Utilization of Services Under Janani Shishu Suraksha Karyakram for Institutional Deliveries in the Public Sector Facilities, Sirmaur District, Himachal Pradesh, India.
作者信息
Tyagi Uvi, Pattabi Kamaraj, Kaur Prabhdeep
机构信息
Directorate of Health Services, Government of Himachal Pradesh, Shimla, India.
ICMR School of Public Health, National Institute of Epidemiology, Chennai, Tamil Nadu, India.
出版信息
Indian J Community Med. 2016 Jan-Mar;41(1):65-8. doi: 10.4103/0970-0218.170992.
BACKGROUND
Janani Shishu Suraksha Karyakram (JSSK) was initiated in 2011 to reduce the out of pocket expenditure for pregnant women. We estimated the proportion of mothers who received JSSK benefits and out of pocket expenditure (OOP) if any in Sirmaur, Himachal Pradesh.
MATERIALS AND METHODS
We did cross sectional survey in public sector facilities among 156 consecutive mothers using structured questionnaire. We computed the proportion of mother who received the benefits and the median OOP expenditure.
RESULTS
Among 156 mothers surveyed, 93 (60%) received the full benefits during hospital stay and 29 (19%) received full transport benefits. Free diagnostics and drugs were given to 149 (96%) and 134 (86%) respectively. Overall, 63 (40%) had median OOP Rs 210 during hospitalization and 127 (81%) had median OOP of Rs 420 during transport.
CONCLUSION
JSSK benefitted the mothers utilizing the public sector facilities however drugs, consumables and transport contributed to the OOP expenditure.
背景
“贾纳尼什舒苏拉克沙卡里亚克拉姆”（JSSK）于2011年启动，旨在减少孕妇的自付费用。我们估计了喜马偕尔邦锡尔毛尔地区享受JSSK福利的母亲比例以及如有自付费用（OOP）的情况。
材料与方法
我们使用结构化问卷对公共部门设施中的156名连续分娩的母亲进行了横断面调查。我们计算了享受福利的母亲比例以及自付费用的中位数。
结果
在接受调查的156名母亲中，93名（60%）在住院期间获得了全部福利，29名（19%）获得了全额交通福利。分别有149名（96%）和134名（86%）获得了免费诊断和药品。总体而言，63名（40%）在住院期间自付费用中位数为210卢比，127名（81%）在交通方面自付费用中位数为420卢比。
结论
JSSK使利用公共部门设施的母亲受益，然而药品、耗材和交通导致了自付费用。
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