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

Countrywide protest by gig workers puts spotlight on algorithmic exploitation

By A Representative A nationwide protest led largely by women gig and platform workers was held across several states on February 3, with the Gig & Platform Service Workers Union (GIPSWU) claiming the mobilisation as a success and a strong assertion of workers’ rights against what it described as widespread exploitation by digital platform companies. Demonstrations took place in Delhi, Rajasthan, Karnataka, Maharashtra and other states, covering major cities including New Delhi, Jaipur, Bengaluru and Mumbai, along with multiple districts across the country.

Swami Vivekananda's views on caste and sexuality were 'painfully' regressive

By Bhaskar Sur* Swami Vivekananda now belongs more to the modern Hindu mythology than reality. It makes a daunting job to discover the real human being who knew unemployment, humiliation of losing a teaching job for 'incompetence', longed in vain for the bliss of a happy conjugal life only to suffer the consequent frustration.

Budget 2026 focuses on pharma and medical tourism, overlooks public health needs: JSAI

By A Representative Jan Swasthya Abhiyan India (JSAI) has criticised the Union Budget 2026, stating that it overlooks core public health needs while prioritising the pharmaceutical industry, private healthcare, medical tourism, public-private partnerships, and exports related to AYUSH systems. In a press note issued from New Delhi, the public health network said that primary healthcare services and public health infrastructure continue to remain underfunded despite repeated policy assurances.

'Gandhi Talks': Cinema that dares to be quiet, where music, image and silence speak

By Vikas Meshram In today’s digital age, where reels and short videos dominate attention spans, watching a silent film for over two hours feels almost like an act of resistance. Directed by Kishor Pandurang Belekar, “Gandhi Talks” is a bold cinematic experiment that turns silence into language and wordlessness into a powerful storytelling device. The film is not mere entertainment; it is an experience that pushes the viewer inward, compelling reflection on life, values, and society.

When compassion turns lethal: Euthanasia and the fear of becoming a burden

By Deepika A 55-year-old acquaintance passed away recently after a long battle with cancer. Why so many people are dying relatively young is a question being raised in several forums, and that debate is best reserved for another day. This individual was kept on a ventilator for nearly five months, after which the doctors and the family finally decided to let go. The cost of keeping a person on life support for such extended periods is enormous. Yet families continue to spend vast sums even when the chances of survival are minimal. Life, we are told, is precious, and nature itself strives to protect and sustain it.

Penpa Tsering’s leadership and record under scrutiny amidst Tibetan exile elections

By Tseten Lhundup* Within the Tibetan exile community, Penpa Tsering is often described as having risen through grassroots engagement. Born in 1967, he comes from an ordinary Tibetan family, pursued higher education at Delhi University in India, and went on to serve as Speaker of the Tibetan Parliament-in-Exile from 2008 to 2016. In 2021, he was elected Sikyong of the Central Tibetan Administration (CTA), becoming the second democratically elected political leader of the administration after Lobsang Sangay.

Report exposes human rights gaps in India's $36 billion garment export industry

By Jag Jivan A new report sheds light on the urgent human rights challenges within India’s vast textile and garment industry, as global regulations increasingly demand corporate accountability in supply chains. Titled “Beneath the Seams,” the study reveals that despite the sector employing over 45 million people, systemic issues of poverty wages, unfair purchasing practices, and the exclusion of workers from decision-making persist, leaving millions vulnerable.

When resistance became administrative: How I learned to stop romanticising the labour movement

By Rohit Chauhan* On my first day at a labour rights NGO, I was given a monthly sales target: sixty memberships. Not sixty workers to organise, not sixty conversations about exploitation, not sixty political discussions. Sixty conversions. I remember staring at the whiteboard, wondering whether I had mistakenly walked into a multi-level marketing office instead of a trade union. The language was corporate, the urgency managerial, and the tone unmistakably transactional. It was my formal introduction to a strange truth I would slowly learn: in contemporary India, even rebellion runs on performance metrics.

Silencing the university: How fear is replacing debate in academic India

By Sunil Kyumar* “Republic Day is a powerful symbol of our freedom, Constitution, and democratic values. This festival gives us renewed energy and inspiration to move forward together with the resolve of nation-building”, said Prime Minister Narendra Modi on January 26, 2026. On this occasion, the Prime Minister also shared a Sanskrit subhashita— “Paratantryābhibhūtasya deśasyābhyudayaḥ kutaḥ. Ataḥ svātantryamāptavyaṁ aikyaṁ svātantryasādhanam.”

Search This Blog