Banerjee Rupsa, Singh Bhanu Shanker, Sahrawat Neha, Mehrotra Amit, Swain Sumant, Mishra Ram Manohar, Antony Piush, Aparna U, Jain B K, Neogi Sutapa Bandyopadhyay
International Institute of Health Management Research, New Delhi, Delhi, India.
UNICEF, Lucknow, Uttar Pradesh, India.
BMC Pregnancy Childbirth. 2025 Mar 15;25(1):294. doi: 10.1186/s12884-025-07416-3.
The Pradhan Mantri Matru Vandana Yojana (PMMVY) is India's flagship Maternity Benefit Programme to improve maternal nutrition and child health. This study evaluates the functional status of the scheme, knowledge regarding the scheme and its effect on pattern of service utilization in a north Indian state.
A three-pronged mixed-methods evaluation including household survey of beneficiary and non-beneficiary women, in-depth interviews of key stakeholders (district and state level program managers, program implementers and frontline workers) and review of secondary data from the PMMVY Common Application Software and state PMMVY dashboard was done. Household survey covered 1290 women, and 70 in-depth interviews were held with eligible women, and PMMVY managerial and implementation staff. Quantitative data was analysed using SPSS version 22.0, qualitative data was analysed thematically and triangulated with quantitative results for effective analysis and conclusion. The study received ethical approval from the Institutional Review Board of IIHMR Delhi.
A strong political commitment with requisite systems and resources across all levels was observed. Coverage of PMMVY was less in urban areas (53.1% as compared to overall coverage of 95.9%). Knowledge of the scheme was high among both beneficiary and non-beneficiary women (97.8% beneficiary women and 94.2% non-beneficiary women). Utilization of Maternal and Child Health (MCH) services were significantly poorer among non-beneficiary women for four antenatal check-ups (OR 0.74, 95% CI 0.55-0.99, p = 0.04), childbirth registration (OR 0.28, 95% CI 0.18-0.45, p < 0.001) and child immunization (OR 0.43, 95% CI 0.33-0.55, p < 0001). However, certain operational challenges were found related to beneficiary enrolment and use of PMMVY software, and a gap in intended and actual use of PMMVY incentive was observed (26.2% beneficiary women had spent the cash incentive on needs not related to nutrition or health).
Despite operational challenges, PMMVY has been effective in improving the utilization of health services like antenatal check-ups, childbirth registration and child immunization. The benefits of the scheme may be maximized by addressing those limitations in its delivery.
“总理产妇福利计划”（PMMVY）是印度改善孕产妇营养和儿童健康的旗舰产妇福利计划。本研究评估了该计划在印度北部一个邦的运行状况、关于该计划的知识以及其对服务利用模式的影响。
采用了三管齐下的混合方法评估，包括对受益和非受益妇女进行家庭调查、对关键利益相关者（地区和邦级项目经理、项目实施人员和一线工作人员）进行深入访谈，以及审查PMMVY通用应用软件和邦PMMVY仪表板中的二手数据。家庭调查涵盖了1290名妇女，并对符合条件的妇女以及PMMVY管理和实施人员进行了70次深入访谈。定量数据使用SPSS 22.0版本进行分析，定性数据进行主题分析，并与定量结果进行三角互证以进行有效分析和得出结论。该研究获得了德里IIHMR机构审查委员会的伦理批准。
观察到各级都有强有力的政治承诺以及必要的系统和资源。PMMVY在城市地区的覆盖率较低（53.1%，而总体覆盖率为95.9%）。受益和非受益妇女对该计划的知晓率都很高（受益妇女为97.8%，非受益妇女为94.2%）。非受益妇女在进行四次产前检查（比值比0.74，95%置信区间0.55 - 0.99，p = 0.04）、分娩登记（比值比0.28，95%置信区间0.18 - 0.45，p < 0.001）和儿童免疫接种（比值比0.43，95%置信区间0.33 - 0.55，p < 0.001）方面利用母婴健康（MCH）服务的情况明显较差。然而，发现了与受益人登记和PMMVY软件使用相关的某些操作挑战，并且观察到PMMVY激励措施的预期使用和实际使用之间存在差距（26.2%的受益妇女将现金激励用于与营养或健康无关的需求）。
尽管存在操作挑战，但PMMVY在提高产前检查、分娩登记和儿童免疫接种等卫生服务的利用率方面是有效的。通过解决该计划实施中的那些限制，可以使该计划的效益最大化。
