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Since the implementation of the JSY, institutional delivery proportion in MP increased from 31% in 2007 to 72% in 2012 (2).
Given that survey data may be more reliable than government data, we adjusted the estimated institutional (and home) delivery proportion reported by the Health Bulletin by a correction factor.
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It is different delivery proportions of heavy goods that are indicated by index factor analysis to cause the static load classification of railway administrations.
The rural districts that saw a steep rise in institutional delivery proportions experienced only small declines in MMR.
However, the implicit assumption that simply raising institutional delivery proportions will translate into a reduction in maternal mortality merits reconsideration.
There were large variations between districts, both in the increase in institutional delivery proportions and in MMR reduction, after JSY began.
The proposed method is clearly meant as a supplement to reporting of national crude preterm delivery proportions and especially well designed for easy international comparison.
Although the JSY has clearly led to an increase in institutional delivery proportions across the state, the ultimate goal of the program is to reduce maternal deaths.
Despite the marked increase in JSY-supported delivery, our multilevel models did not detect a significant association between JSY-supported delivery proportions and changes in MMR in the districts.
A number of scientific reports have failed to detect an effect of the JSY on reduction in maternal mortality 18 19 despite its clear success with sharply rising institutional delivery proportions.
National surveys (6– 8) have documented a steep increase in institutional delivery proportions since the JSY began, though Lim et al. first reported on the influence of the program on health outcomes (9).
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