ABSTRACT

The janani surakhya yojana (JSY), a flagship programme of the national health mission (NHM), was implemented to reduce maternal and neonatal mortality by promoting institutional delivery among marginalised pregnant women in India. This study provides an account of the challenges faced by tribal pregnant women in accessing reproductive health care services. Primary data was collected from various maternal health stakeholders and expectant mothers using qualitative methods. The study adopted data collection methods like focus group discussions (FGDs) and in-depth interviews regarding the programme implementation of JSY at Jaleswar. Secondary data were analysed to understand the effectiveness of government policy in improving maternal health. The study indicates that despite an elaborate programme of action, there is low community perception and trust in bio-medical (mostly) procedures among the tribal population. The government programmes rarely compliment the tribal cultural construction of pregnancy and child birthing with existing medical and professional discourse.

摘要

佳那尼苏拉基亚由旬(JSY) 是国家卫生使命 (NHM) 的旗舰计划，旨在通过促进印度边缘化孕妇的机构分娩来降低孕产妇和新生儿死亡率。本研究说明了部落孕妇在获得生殖保健服务方面面临的挑战。主要数据是使用定性方法从各种孕产妇健康利益相关者和准妈妈那里收集的。该研究采用了数据收集方法，如焦点小组讨论 (FGD) 和关于 Jaleswar 的 JSY 计划实施的深入访谈。分析二手数据以了解政府政策在改善孕产妇健康方面的有效性。研究表明，尽管制定了详尽的行动计划，部落人口对生物医学（主要是）程序的社区认知和信任度较低。政府计划很少用现有的医学和专业话语来赞扬怀孕和生育的部落文化建设。