Abstract
OBJECTIVE: To analyse the impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio (MMR). DESIGN: Retrospective analysis of maternal mortality. METHODS: Analysis of all maternal deaths between January 2001 and December 2009. RESULTS AND DISCUSSION: The total number of deliveries has been steadily rising from 1,685 in 2001 to 3,957 in 2009. The MMR doubled from 1,500/100,000 live births in 2001 to 3,000/100,000 live births in 2006, then declined to 2,464/100,000 live births in 2009. Implementation of the various maternity benefit schemes has had no significant impact on the profile of dying mothers-admission-to-death interval. Deaths due to anemia and eclampsia have significantly increased (P < 0.05), whereas due to sepsis (P < 0.001) and hemorrhage (P < 0.05), deaths have significantly decreased. Almost 96 % of dying subjects received inadequate antenatal care. However, significantly less number (P < 0.001) of women are delivering at home. CONCLUSIONS: There is a need to stress the importance of good antenatal care in reducing MMR.