title: Impact of Janani Shishu Suraksha Karyakram on out-of-pocket expenditure among urban slum dwellers in northern India.
abstract: OBJECTIVE
  To assess the impact of Janani Shishu Suraksha Karayakaram (JSSK) on out-of-pocket expenditure during perinatal period in an urban slum area of Chandigarh, India.
  
  
  METHODS
  Data on out-of-pocket expenditure were collected retrospectively from 425 women who gave birth during June 2010 to June 2012.
  
  
  RESULTS
  Out-of-pocket expenditure for delivery decreased from Rs. 5342 to Rs. 3565 between pre and post-intervention period. There was no significant difference in catastrophic health expenditures between pre-JSSK (21.2%) and post-JSSK (15.6%) periods (P=0.15).
  
  
  CONCLUSIONS
  Strengthening of implementation of JSSK is required to ensure universal access for natal care.
authors.affiliation: National Institute of Nursing Education and *School of Public Health, PGIMER, Chandigarh, India. Correspondence to: Dr Shankar Prinja, Assistant Professor of Health Economics, School of Public Health, PGIMER, Chandigarh 160 012, shankarprinja@gmail.com.
authors.forename: Neetu
authors.initials: N
authors.lastname: Tripathi
authors.forename: Sushma Kumari
authors.initials: SK
authors.lastname: Saini
authors.forename: Shankar
authors.initials: S
authors.lastname: Prinja
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric / Q000191:economics* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D008427:Maternal Health Services / Q000191:economics* / Q000331:legislation & jurisprudence; D009313:National Health Programs / Q000191:economics / Q000331:legislation & jurisprudence; D011204:Poverty Areas; D011247:Pregnancy; D011295:Prenatal Care / Q000191:economics* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012923:Social Class; D014505:Urban Population / Q000706:statistics & numerical data*; D055815:Young Adult