Postnatal mothers and government health programs: a rural-urban cross-section study in India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20254057Keywords:
Schemes for women, Janani Suraksha Yojana, Pradhan Mantri Matru Vandana Yojana, Surakshit Matritva Aashwasan Yojana, Integrated Child Development Services, Balika Samridhi YojanaAbstract
Background: Government schemes for maternal and child health aim to improve the well-being of postnatal mothers and their children through financial, nutritional, and healthcare support. However, awareness and utilization remain inadequate, especially in rural areas, due to factors such as low literacy, poor communication, and accessibility issues. This study was conducted to assess and compare the awareness and utilization of these schemes among postnatal mothers in rural and urban areas of India.
Methods: This descriptive cross-sectional study was conducted from May 2025 to September 2025 in Pune city among postnatal mothers aged 18 to 35 years. A total of 146 mothers were selected using a non-probability convenient sampling technique. A participant information sheet was provided, and written informed consent was obtained from all participants. Data were collected using a self-administered questionnaire.
Results: Among 146 postnatal women with a mean age of 24.6 years for rural areas and 25.1 years for urban areas. Results showed that there were significantly less awareness and utilization of government schemes in rural areas than urban areas.
Conclusions: Awareness and utilization remain poor in rural areas and suboptimal in urban areas. Mission Indradhanush stands out, showing good utilization even with low awareness due to effective programme delivery.
Metrics
References
Mehta BS, Alambusha R, Misra A, Mehta N, Madan A. Assessment of utilisation of government programmes and services by pregnant women in India. PLoS One. 2023;18(10):e0285715:1-15. DOI: https://doi.org/10.1371/journal.pone.0285715
Timilsina S, Dhakal R. Knowledge on postnatal care among postnatal mothers. Saudi J Med Pharm Sci. 2015;1(4):87-92.
Behera S. Pradhan Mantri Matru Vandana Yojana (PMMVY): A review. Int J Home Sci. 2023;9(2):11-5.
Gupta A, Gupta S, Nongkynrih B. Integrated child development services (ICDS) scheme: a journey of 37 years. Indian J Commun Health. 2013;25(1):77-81.
Pal P. Government Planning and Schemes for Women’s in India. Int J Res Engineer, IT Soc Sci. 2019;9(1):209-16.
Singh A. Mission Indradhanush (MI) and Intensified Mission Indradhanush (IMI): The immunization programmes in India – a brief review. Gut Gastroenterol. 2018;1:1-2.
Bisht S, Agarwal A. India’s nutritional status under POSHAN Abhiyaan. Res J Commerce. 2024;115:1-5.
Bharti R, Raj TS. Awareness on ANC and PNC services among women of urban slum in Delhi. Int J Health Sci Res. 2019;9(6):223-33.
Begum R, Joseph GA. A study on awareness of Janani Suraksha Yojana (JSY) among ANC registered women in Karimganj District. Asian J Multidiscip Stud. 2017;5:176-84.
Choudhary M, Verma R, Jain S. Study of knowledge, attitude, practices and utilisation of existing health services by families with regard to newborn health at block level in rural India: a community-based, cross-sectional, observational study. Int J Contemp Pediatr. 2019;6(2):704-10. DOI: https://doi.org/10.18203/2349-3291.ijcp20190714
Rai RK, Singh PK. Janani Suraksha Yojana. WHO South East Asia J Public Health. 2012;1(4):362-8. DOI: https://doi.org/10.4103/2224-3151.207038
Kumar V, Misra SK, Kaushal SK, Gupta SC, Maroof KA. Janani Suraksha Yojana: its utilization and perception among mothers and health care providers in a rural area of North India. Int J Med Public Health. 2015;5(2):165-70. DOI: https://doi.org/10.4103/2230-8598.153829
Nandeep ER, Raju K, Ramesh V, Rao S. Comparison of Janani Suraksha Yojana and Arogya Laxmi Scheme in urban settlements of Hyderabad: assessment of antenatal, delivery, and postnatal outcomes. BMC Pregnancy Childbirth. 2024;24:63. DOI: https://doi.org/10.1186/s12884-024-06381-7
Kumar G, Choudhury P, Mishra A. Utilisation, equity and determinants of full antenatal care in India. BMC Public Health. 2019;19:672:1-10. DOI: https://doi.org/10.1186/s12884-019-2473-6
Girotra S, Sharma N, Bansal P. Utilization and determinants of adequate quality antenatal care in India. BMC Pregnancy Childbirth. 2023;23:6117:1-12. DOI: https://doi.org/10.1186/s12884-023-06117-z
Sardar SS, Patel A, Nair R. Conditional cash transfer for safe delivery in India: utilisation of Janani Suraksha Yojana, inequalities and determinants. BMC Public Health. 2025;25:20952:1-11. DOI: https://doi.org/10.1186/s12889-024-20952-5
Chi H, Jung S, Subramanian SV, Kim R. Socioeconomic and geographic inequalities in antenatal and postnatal care components in India, 2016–2021. Sci Rep. 2024;14:59981:1-14. DOI: https://doi.org/10.1038/s41598-024-59981-w
Mukhopadhyay DK, Mukhopadhyay S. A study on utilization of Janani Suraksha Yojana and its determinants in West Bengal. Indian J Public Health. 2016;60(2):118-23. DOI: https://doi.org/10.4103/0019-557X.184543
Sen S. Unintended effects of Janani Suraksha Yojana on maternal outcomes in India. Soc Sci Med. 2020;259:113-28. DOI: https://doi.org/10.1016/j.ssmph.2020.100619
Ramesh S, Kumar N, Devi R. Awareness and utilization of maternity benefit schemes among postnatal women in Bengaluru. Int J Community Med Public Health. 2016;3(7):1904-7.
Saha R, Kaur J, Gupta P. Institutional deliveries in India’s nine low-performing states: levels, determinants, and differentials. Glob Health Action. 2021;14(1):2001145:1-9. DOI: https://doi.org/10.1080/16549716.2021.2001145
Ghosh A, Singh S, Mondal S. Maternal health care in India: a reflection of ten years. Clin Epidemiol Glob Health. 2020;8(4):1185-92.
Kiplagat S, Coudray MS, Ravi K, Jayakrishna P, Krupp K, Arun A, et al. Evaluating a conditional cash transfer scheme in a maternal health care utilization program among rural pregnant women in Mysore district, India. Women's Health Reports. 2020;1(1):159-66. DOI: https://doi.org/10.1089/whr.2019.0021
Suratwala MT. Critical overview of Sukanya Samriddhi Yojna: tool for women empowerment. A Pathways of Viksit Bharat. 2024;2047:93-7.
Dhawan V, Chakraborty AB, Dhandore S, Dhalaria P, Agarwal D, Singh AK. Mission Indradhanush and Intensified Mission Indradhanush—Success Story of India’s Universal Immunization Program and the Role of Mann Ki Baat in Bridging the Immunization Gap. Indian J Commun Med. 2023;48(6):823-7. DOI: https://doi.org/10.4103/ijcm.ijcm_251_23
Bisht S, Agarwal A. India’s nutritional status under POSHAN Abhiyaan. Res J Commerce. 2024;15:115-20.
Reddy N, Kishore S, Viswanatha P, Ranganath T, Shanmugapriya D. A study to assess the knowledge and utilization of Janani Suraksha Yojana among postnatal mothers attending the urban health centre of Bangalore medical college and research institute. Int J Community Med Public Health. 2016;3(2):512-6. DOI: https://doi.org/10.18203/2394-6040.ijcmph20160442
Banerjee R, Singh BS, Sahrawat N, Mehrotra A, Swain S, Mishra RM, et al. Effect of India’s flagship conditional maternity benefit scheme on utilization of maternal and child health services: evidence from a statewide evaluation study. BMC Pregnancy Childbirth. 2025;25(1):294:1-12. DOI: https://doi.org/10.1186/s12884-025-07416-3
Verma A, Chaudhary SS, Nagergoje MM, Khan IA, Singh S, Awasthi S. Preferences and Practices regarding Delivery Place: A community-based cross-sectional study in Agra city, Uttar Pradesh. Indian J Commun Health. 2025;33(3):497-505. DOI: https://doi.org/10.47203/IJCH.2021.v33i03.016
Chandrakar A, Panda PS, Soni GP, Dixit S. Awareness regarding Janani Shishu Suraksha Karyakram (JSSK) among mothers: a community-based cross-sectional study in rural area of Raipur district, Chhattisgarh. Int J Res Med Sci. 2017;5(10):4374-8. DOI: https://doi.org/10.18203/2320-6012.ijrms20174561
Ministry Of Health & Family Welfare. Surakshit Matritva Aashwasan Yojana. 2019. Available at: https://www.myscheme.gov.in/schemes/suman. Accessed on 18 September 2025.
Ministry Of Health & Family Welfare. Janani Shishu Suraksha Karyakram. 2011. Available at: https://www.myscheme.gov.in/schemes/jssk. Accessed on 18 September 2025.