Women’s Perception of Quality and Satisfaction with Maternal Health Services

Study Report by PHFI,USAID & MCH Star


India has made significant progress in decreasing the maternal mortality rate (MMR) from 437 in 1992-1993 to 212 in 2007-09 [IIPS 1995, ORGCC 2011a], yet the country still accounts for 19% of maternal deaths worldwide [WHO, 2012]. Efforts have been initiated under Reproductive and Child Health, phase II (RCH-II) to improve maternal survival, including Janani Suraksha Yojana (JSY), the conditional cash transfer (CCT) scheme for institutional deliveries implemented since 2005. Institutional deliveries in India have since expanded from 53% of all deliveries in 2005 to 73% in 2009-10 [UNICEF, 2005, 2009]. Similarly in Jharkhand, institutional deliveries have increased from 19% in 2005 to 40% in 2009-10 [UNICEF, 2005, 2009]. Several evaluation studies have acknowledged JSY as the most visible maternal health program and most effective in terms of generating demand. However, evidence is needed to determine women’s satisfaction with service provided by public health system and what other facilitators of women’s satisfaction should be strengthened (or barriers removed) to support long-term demand and generate changes in health-seeking behavior. This study was designed to explore women’s perceptions of quality and satisfaction with maternal health care. The findings will be of value in the design and strengthening of service improvements that are responsive to women’s needs and perceptions and result in improved access to and utilization of safe maternal health services.

Kind find attached the full version of the report