Cash transfer at child birth: Women end up paying higher at 'free of cost' public facilities

By Jag Jivan
Findings by two Jawaharlal Nehru University (JNU), New Delhi, scholars, Sampurna Kundu and Prof Sanghmitra Sheel Acharya, has revealed that despite the efforts of the Reproductive and Child Health Services, that provided free or nominal cost public health services, the average out of pocket expenditure (OOPE) per delivery in public health facilities has increased for many states.
Based on analysis of the National Family Heath Survey-5 data, the scholars say, while in “States like Manipur, Tripura, Mizoram and Assam, which are in the North-Eastern region, have shown increase in average OOPE per delivery in public health facilities over the past five years”, there has been a decline in West Bengal, where “the average OOPE per delivery in public health facilities is around Rs 2,700 for both urban and rural areas in West Bengal.”
As for other States, where OOPE has increased, the scholars say, it is observed that in urban areas it is higher than in rural, except for Tripura, where it is higher in rural areas. While Sampurna Kundu PhD scholar, Sanghmitra Sheel Acharya is professor at the Centre of Social Medicine and Community Health, School of Social Sciences, JNU.
The scholars say, this trend has been observed despite the fact that institutional births have increased in the past five years in public health facilities because of “improvement in the availability, accessibility and quality of public health facilities after government allotted higher budget under National Rural Health Mission (NRHM) by introducing Janani Suraksha Yojana (JSY) scheme.”

They add, “Institutional births have also increased in states like Manipur, Mizoram, Nagaland and Tripura in the North-Eastern states, where it has been mostly in the urban areas”, adding, “In West Bengal and Telangana, the increase in institutional births in public facilities has been drastic in the past five years”, mainly in the rural areas.
The scholars underline, “OOPE becomes higher when the the delivery is ceasarian in private institutions”, but latest estimates show that ceasarian delivery births in “public health facilities have increased in the last five years for almost all the States”, especially in urban areas.
Scholars underline, “The basic grounds of the conditional cash transfer by JSY will be lost if women has to pay in accessing the health services which is supposed to be free of cost. For the poor households especially will be pushed more towards poverty.”
They add, “In years to come if OOPE for reproductive health purposes continues to increase then women might deter from availing services from public health facilities despite of the cash incentive scheme.”

Comments

Delhi Jal Board under fire as CAG finds 55% groundwater unfit for consumption

By A Representative A Comptroller and Auditor General (CAG) of India audit report tabled in the Delhi Legislative Assembly on 7 January 2026 has revealed alarming lapses in the quality and safety of drinking water supplied by the Delhi Jal Board (DJB), raising serious public health concerns for residents of the capital.

Advocacy group decries 'hyper-centralization' as States’ share of health funds plummets

By A Representative In a major pre-budget mobilization, the Jan Swasthya Abhiyan (JSA), India’s leading public health advocacy network, has issued a sharp critique of the Union government’s health spending and demanded a doubling of the health budget for the upcoming 2026-27 fiscal year.

Iswar Chandra Vidyasagar’s views on religion as Tagore’s saw them

By Harasankar Adhikari Religion has become a visible subject in India’s public discourse, particularly where it intersects with political debate. Recent events, including a mass Gita chanting programme in Kolkata and other incidents involving public expressions of faith, have drawn attention to how religion features in everyday life. These developments have raised questions about the relationship between modern technological progress and traditional religious practice.

Stands 'exposed': Cavalier attitude towards rushed construction of Char Dham project

By Bharat Dogra* The nation heaved a big sigh of relief when the 41 workers trapped in the under-construction Silkyara-Barkot tunnel (Uttarkashi district of Uttarakhand) were finally rescued on November 28 after a 17-day rescue effort. All those involved in the rescue effort deserve a big thanks of the entire country. The government deserves appreciation for providing all-round support.

Pairing not with law but with perpetrators: Pavlovian response to lynchings in India

By Vikash Narain Rai* Lynch-law owes its name to James Lynch, the legendary Warden of Galway, Ireland, who tried, condemned and executed his own son in 1493 for defrauding and killing strangers. But, today, what kind of a person will justify the lynching for any reason whatsoever? Will perhaps resemble the proverbial ‘wrong man to meet at wrong road at night!’

Jayanthi Natarajan "never stood by tribals' rights" in MNC Vedanta's move to mine Niyamigiri Hills in Odisha

By A Representative The Odisha Chapter of the Campaign for Survival and Dignity (CSD), which played a vital role in the struggle for the enactment of historic Forest Rights Act, 2006 has blamed former Union environment minister Jaynaynthi Natarjan for failing to play any vital role to defend the tribals' rights in the forest areas during her tenure under the former UPA government. Countering her recent statement that she rejected environmental clearance to Vendanta, the top UK-based NMC, despite tremendous pressure from her colleagues in Cabinet and huge criticism from industry, and the claim that her decision was “upheld by the Supreme Court”, the CSD said this is simply not true, and actually she "disrespected" FRA.

Zhou Enlai: The enigmatic premier who stabilized chaos—at what cost?

By Harsh Thakor* Zhou Enlai (1898–1976) served as the first Premier of the People's Republic of China (PRC) from 1949 until his death and as Foreign Minister from 1949 to 1958. He played a central role in the Chinese Communist Party (CCP) for over five decades, contributing to its organization, military efforts, diplomacy, and governance. His tenure spanned key events including the Long March, World War II alliances, the founding of the PRC, the Korean War, and the Cultural Revolution.

'Threat to farmers’ rights': New seeds Bill sparks fears of rising corporate control

By Bharat Dogra As debate intensifies over a new seeds bill, groups working on farmers’ seed rights, seed sovereignty and rural self-reliance have raised serious concerns about the proposed legislation. To understand these anxieties, it is important to recognise a global trend: growing control of the seed sector by a handful of multinational companies. This trend risks extending corporate dominance across food and farming systems, jeopardising the livelihoods and rights of small farmers and raising serious ecological and health concerns. The pending bill must be assessed within this broader context.

Climate advocates face scrutiny as India expands coal dependence

By A Representative The National Alliance for Climate and Environmental Justice (NACEJ) has strongly criticized what it described as coercive actions against climate activists Harjeet Singh and Sanjay Vashisht, following enforcement raids reportedly carried out on the basis of alleged violations of foreign exchange regulations and intelligence inputs.

Search This Blog