Indian Pediatrics

, Volume 51, Issue 6, pp 475–477 | Cite as

Impact of Janani Shishu Suraksha Karyakram on out-of-pocket expenditure among urban slum dwellers in Northern India

  • Neetu Tripathi
  • Sushma Kumari Saini
  • Shankar PrinjaEmail author



To assess the impact of Janani Shishu Suraksha Karayakaram (JSSK) on out-of-pocket expenditure during perinatal period in an urban slum area of Chandigarh, India.


Data on out-of-pocket expenditure were collected retrospectively from 425 women who gave birth during June 2010 to June 2012.


Out-of-pocket expenditure for delivery decreased from Rs. 5342 to Rs. 3565 between pre and post-intervention period. There was no significant difference in catastrophic health expenditures between pre-JSSK (21.2%) and post-JSSK (15.6%) periods (P=0.15).


Strengthening of implementation of JSSK is required to ensure universal access for natal care.


Cash transfer Economic evaluation Neonate 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Sample Registration System. Maternal Mortality in India: 1997–2003-Trends, Causes and Risk Factors. Available from:–2003.pdf. Accessed July 18, 2013.
  2. 2.
    Paul VK, Sachdev HS, Mavalankar D, Ramachandran P, Shankar MJ, Bhandari N, et al. Reproductive health, and child health and nutrition in India: meeting the challenge. Lancet. 2011;337:332–349.CrossRefGoogle Scholar
  3. 3.
    Dhingra N, Jha P, Sharma VP, Cohen AA, Jotkar RM, Bassani DG. Adult and child malaria mortality in India: a nationally representative mortality survey. Lancet. 2010; 376:1762–1774.CrossRefGoogle Scholar
  4. 4.
    Prinja S, Kumar MI, Pinto AD, Jan S, Kumar R. Equity in hospital services utilisation in India. Econ Polit Wkly. 2013;48:52–58.Google Scholar
  5. 5.
    Bonu S, Bhushan I, Rani M, Anderson I. Incidence and correlates of ‘catastrophic’ maternal health care expenditure in India. Health Policy and Planning. 2009;24:445–456.PubMedCrossRefGoogle Scholar
  6. 6.
    Prinja S, Aggarwal AK, Kumar R, Kanavos P. User charges in health care: evidence of effect on service utilization and equity from north India. Indian J Med Res. 2012;136: 868–872.PubMedCentralPubMedGoogle Scholar
  7. 7.
    Prinja S, Kumar R, Kanavos P. Health care inequities in north India: Role of public sector in universalizing health care. Indian J Med Res. 2012;136:145–155.Google Scholar
  8. 8.
    Prinja S, Aggarwal AK, Kumar R. Baseline Assessment of Access to Medicines in India: Report for Haryana and Punjab States. Chandigarh. Post Graduate Institute of Medical Education and Research. Chandigarh. 2013.Google Scholar

Copyright information

© Indian Academy of Pediatrics 2014

Authors and Affiliations

  • Neetu Tripathi
    • 1
  • Sushma Kumari Saini
    • 1
  • Shankar Prinja
    • 2
    Email author
  1. 1.National Institute of Nursing EducationPGIMERChandigarhIndia
  2. 2.School of Public HealthPGIMERChandigarhIndia

Personalised recommendations