Lok Sabha Question No. 191 (UNSTARRED), answered on 2018-02-02
Subject: Ambulance under NRHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SANKAR PRASAD DATTA

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 191 TO BE ANSWERED ON 2 ND FEBRUARY, 2018

## AMBULANCE UNDER NRHM

## 191. SHRI SANKAR PRASAD DATTA:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether a large number of people die due to unavailability of ambulance service during an emergency especially in rural areas;

(b) if so, the details thereof and the corrective steps taken by the Governm entin this regard, State - /UT- wise;

(c) the number of general as well as critical care ambulances provided  under National Rural Health Mission (NRHM) during each of the last three years and cu rent year, State/UT - wise; and

(d) whether the Government proposes to formulate any scheme for financing Ambulance Service under NRHM and ifso, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

(a)& (b): Public  health  an d  hospitals  being  a  State  subject,  the  primary  responsibility provide healthcare including  general  as well  as  critical care  ambulance  services  lies respective  State  Governments.  The  data  regarding  number  of  people  who  died  due  t unavailability of  ambulance  service  during  an  emergency  especially  in  rural  areas  is maintained centrally.

However, under the National Health Mission (NHM), technical and financial support provided to States/UTs to strengthen their healthcare systems including support for ambulance services including Dial - 108, Dial - 102 - Advance Life Support (ALS), Basic Life Support (BLS) ambulances, based on the proposals made by the States/UTs in their Programme Implementati Plans (PIPs) within their overall resource envelo pe.

(c) & (d) : As stated in reply to para (a) & (b) above, under NHM technical and financ support is provided to States/UTs, inter alia for ambulance services based on the proposa by the States/UTs in their Programme Implementation Plans (PIPs) within their overall resource envelope.

State/UT - wise  number  of  Dial - 108/Dial - 102  ambulances  and  empanelled  vehicles supported under NHM/NRHM (a sub - mission under NHM) during each of the last three years and current year are at Annexure.

## Ambulances Operational under NHM (as on March 2015 )

Source- MIS report received from States/UTs

## Annexure

| Sl.no.   | State/UTs         |   Dial 108 |   Dial 102/104 |   Other patients transport vehicle (empaneled) |   Total Ambulance under NHM |
|----------|-------------------|------------|----------------|------------------------------------------------|-----------------------------|
| 1        | Bihar             |         50 |            792 |                                             94 |                         936 |
| 2        | Chhattisgarh      |        238 |            300 |                                              0 |                         538 |
| 3        | HimachalPradesh   |        183 |            125 |                                              0 |                         308 |
| 4        | Jammu & Kashmir   |          0 |            331 |                                              0 |                         331 |
| 5        | Jharkhand         |          0 |              0 |                                           2438 |                        2438 |
| 6        | Madhya Pradesh    |        604 |              0 |                                            940 |                        1544 |
| 7        | Orissa            |        420 |            346 |                                             60 |                         826 |
| 8        | Rajasthan         |        464 |            400 |                                              0 |                         864 |
| 9        | Uttar Pradesh     |        988 |           1964 |                                              0 |                        2952 |
| 10       | Uttarakhand       |        139 |            109 |                                              0 |                         248 |
| 11       | Arunachal Pradesh |          0 |              0 |                                              0 |                           0 |
| 12       | Assam             |        380 |            316 |                                            235 |                         931 |
| 13       | Manipur           |          0 |             40 |                                              0 |                          40 |
| 14       | Meghalaya         |         42 |              0 |                                              0 |                          42 |
| 15       | Mizoram           |          0 |             60 |                                              0 |                          60 |
| 16       | Nagaland          |          0 |             75 |                                              0 |                          75 |
| 17       | Sikkim            |          0 |              0 |                                              0 |                           0 |
| 18       | Tripura           |          0 |              0 |                                              0 |                           0 |
| 19       | Andhra Pradesh    |        433 |              0 |                                            275 |                         708 |
| 20       | Goa               |         38 |              0 |                                              0 |                          38 |
| 21       | Gujarat           |        406 |              0 |                                              0 |                         406 |
| 22       | Haryana           |          0 |            399 |                                              0 |                         399 |
| 23       | Karnataka         |        711 |              0 |                                            200 |                         911 |
| 24       | Kerala            |         50 |              0 |                                              0 |                          50 |
| 25       | Maharashtra       |        937 |           2754 |                                              0 |                        3691 |
| 26       | Punjab            |        242 |              0 |                                              0 |                         242 |
| 27       | Tamil Nadu        |        704 |              0 |                                              0 |                         704 |
| 28       | Telangana         |        319 |              0 |                                            200 |                         519 |
| 29       | West Bengal       |          0 |              0 |                                           1802 |                        1802 |
| 30       | A&N Island        |          0 |              1 |                                              0 |                           1 |
| 31       | Chandigarh        |          0 |             10 |                                              0 |                          10 |
| 32       | D&N Haveli        |          0 |              0 |                                              0 |                           0 |
| 33       | Daman & Diu       |          3 |              4 |                                              0 |                           7 |
| 34       | Delhi             |          0 |            120 |                                              0 |                         120 |
| 35       | Lakshadweep       |          0 |              0 |                                              0 |                           0 |
| 36       | Puducherry        |         10 |              1 |                                              0 |                          11 |
|          | All India         |       7361 |           8147 |                                           6244 |                       21752 |

Ambulances Operational under NHM (as on March 2016 )

| Sl.no.   | State/UTs         |   Dial 108 |   Dial 102/104 |   Other patients transport vehicle (empaneled) |   Total Ambulance under NHM |
|----------|-------------------|------------|----------------|------------------------------------------------|-----------------------------|
| 1        | Bihar             |         49 |            742 |                                             94 |                         885 |
| 2        | Chhattisgarh      |        239 |            300 |                                              0 |                         539 |
| 3        | Himachal Pradesh  |        195 |            125 |                                              0 |                         320 |
| 4        | Jammu & Kashmir   |          0 |            331 |                                              0 |                         331 |
| 5        | Jharkhand         |          0 |              0 |                                           2322 |                        2322 |
| 6        | Madhya Pradesh    |        606 |              0 |                                            988 |                        1594 |
| 7        | Orissa            |        420 |            455 |                                             60 |                         935 |
| 8        | Rajasthan         |        741 |            600 |                                              0 |                        1341 |
| 9        | Uttar Pradesh     |        988 |           1964 |                                              0 |                        2952 |
| 10       | Uttarakhand       |        139 |            109 |                                              0 |                         248 |
| 11       | Arunachal Pradesh |          0 |              0 |                                              0 |                           0 |
| 12       | Assam             |        380 |            316 |                                            235 |                         931 |
| 13       | Manipur           |          0 |             43 |                                              0 |                          43 |
| 14       | Meghalaya         |         42 |              0 |                                              0 |                          42 |
| 15       | Mizoram           |          0 |             60 |                                              0 |                          60 |
| 16       | Nagaland          |          0 |             75 |                                              0 |                          75 |
| 17       | Sikkim            |          0 |              0 |                                              0 |                           0 |
| 18       | Tripura           |          0 |              0 |                                              0 |                           0 |
| 19       | Andhra Pradesh    |        439 |              0 |                                              0 |                         439 |
| 20       | Goa               |         38 |              0 |                                              0 |                          38 |
| 21       | Gujarat           |        406 |              0 |                                              0 |                         406 |
| 22       | Haryana           |          0 |            375 |                                              0 |                         375 |
| 23       | Karnataka         |        711 |              0 |                                            200 |                         911 |
| 24       | Kerala            |         50 |              0 |                                              0 |                          50 |
| 25       | Maharashtra       |        937 |           2674 |                                              0 |                        3611 |
| 26       | Punjab            |        242 |              0 |                                              0 |                         242 |
| 27       | Tamil Nadu        |        704 |              0 |                                              0 |                         704 |
| 28       | Telangana         |        316 |              0 |                                              0 |                         316 |
| 29       | West Bengal       |          0 |              0 |                                           2300 |                        2300 |
| 30       | A&N Island        |          0 |              1 |                                              0 |                           1 |
| 31       | Chandigarh        |          6 |              9 |                                              0 |                          15 |
| 32       | D&N Haveli        |          0 |              0 |                                              0 |                           0 |
| 33       | Daman & Diu       |          3 |              4 |                                              0 |                           7 |
| 34       | Delhi             |          0 |            120 |                                              0 |                         120 |
| 35       | Lakshadweep       |          0 |              0 |                                              0 |                           0 |
| 36       | Puducherry        |         10 |              1 |                                              0 |                          11 |
|          | All India         |       7661 |           8304 |                                           6199 |                       22164 |

Source- MIS report received from States/UTs

Ambulances Operational under NHM (as on March2017)

| Sl.no.   | State/UTs         |   Dial 108 |   Dial 102/104 |   Other patients transport vehicle (empaneled) |   Total Ambulance under NHM |
|----------|-------------------|------------|----------------|------------------------------------------------|-----------------------------|
| 1        | Bihar             |         10 |            744 |                                             94 |                         848 |
| 2        | Chhattisgarh      |        238 |            359 |                                              0 |                         597 |
| 3        | Himachal Pradesh  |        199 |            125 |                                              0 |                         324 |
| 4        | Jammu & Kashmir   |          0 |            331 |                                              0 |                         331 |
| 5        | Jharkhand         |          0 |              0 |                                           2657 |                        2657 |
| 6        | Madhya Pradesh    |        606 |              0 |                                            820 |                        1426 |
| 7        | Orissa            |        420 |            475 |                                              0 |                         895 |
| 8        | Rajasthan         |        637 |            588 |                                              0 |                        1225 |
| 9        | Uttar Pradesh     |       1488 |           2270 |                                              0 |                        3758 |
| 10       | Uttarakhand       |        139 |            109 |                                              0 |                         248 |
| 11       | Arunachal Pradesh |          0 |             94 |                                              0 |                          94 |
| 12       | Assam             |        380 |            316 |                                            235 |                         931 |
| 13       | Manipur           |          0 |             43 |                                              0 |                          43 |
| 14       | Meghalaya         |         43 |              0 |                                              0 |                          43 |
| 15       | Mizoram           |          0 |             60 |                                              0 |                          60 |
| 16       | Nagaland          |          0 |             80 |                                              0 |                          80 |
| 17       | Sikkim            |          0 |              0 |                                              0 |                           0 |
| 18       | Tripura           |          0 |              0 |                                              0 |                           0 |
| 19       | Andhra Pradesh    |        439 |              0 |                                              0 |                         439 |
| 20       | Goa               |         32 |              0 |                                              4 |                          36 |
| 21       | Gujarat           |        406 |              0 |                                              0 |                         406 |
| 22       | Haryana           |          0 |            364 |                                              0 |                         364 |
| 23       | Karnataka         |        711 |              0 |                                            200 |                         911 |
| 24       | Kerala            |         43 |              6 |                                              0 |                          49 |
| 25       | Maharashtra       |        937 |           2674 |                                              0 |                        3611 |
| 26       | Punjab            |        242 |              0 |                                              0 |                         242 |
| 27       | Tamil Nadu        |        755 |              0 |                                              0 |                         755 |
| 28       | Telangana         |        316 |              0 |                                              0 |                         316 |
| 29       | West Bengal       |          0 |              0 |                                           2664 |                        2664 |
| 30       | A&N Island        |          0 |              1 |                                              0 |                           1 |
| 31       | Chandigarh        |          6 |              9 |                                              0 |                          15 |
| 32       | D&N Haveli        |          0 |              0 |                                              0 |                           0 |
| 33       | Daman & Diu       |          3 |              4 |                                              0 |                           7 |
| 34       | Delhi             |          0 |            220 |                                              0 |                         220 |
| 35       | Lakshadweep       |          0 |              0 |                                              0 |                           0 |
| 36       | Puducherry        |         11 |              0 |                                              0 |                          11 |
|          | All India         |       8061 |           8872 |                                           6674 |                       23607 |

Source- MIS report received from States/UTs

## Ambulances Operational under NHM [(as on Sept 2017) during 2017 - 18]

| Ambulances Operational under NHM   | Ambulances Operational under NHM   | Ambulances Operational under NHM   | Ambulances Operational under NHM   | Ambulances Operational under NHM             | Ambulances Operational under NHM   |
|------------------------------------|------------------------------------|------------------------------------|------------------------------------|----------------------------------------------|------------------------------------|
| Sl.no.                             | State/UTs                          | Dial 108                           | Dial 102/104                       | Other patients transport vehicle (empaneled) | Total Ambulance under NHM          |
| 1                                  | Bihar                              | 10                                 | 799                                | 44                                           | 853                                |
| 2                                  | Chhattisgarh                       | 239                                | 363                                | 0                                            | 602                                |
| 3                                  | Himachal Pradesh                   | 198                                | 126                                | 0                                            | 324                                |
| 4                                  | Jammu & Kashmir                    | 0                                  | 331                                | 0                                            | 331                                |
| 5                                  | Jharkhand                          | 0                                  | 0                                  | 2581                                         | 2581                               |
| 6                                  | Madhya Pradesh                     | 606                                | 739                                | 0                                            | 1345                               |
| 7                                  | Orissa                             | 420                                | 487                                | 0                                            | 907                                |
| 8                                  | Rajasthan                          | 713                                | 586                                | 0                                            | 1299                               |
| 9                                  | Uttar Pradesh                      | 1488                               | 2270                               | 150                                          | 3908                               |
| 10                                 | Uttarakhand                        | 139                                | 109                                | 0                                            | 248                                |
| 11                                 | Arunachal Pradesh                  | 0                                  | 123                                | 0                                            | 123                                |
| 12                                 | Assam                              | 380                                | 316                                | 235                                          | 931                                |
| 13                                 | Manipur                            | 0                                  | 43                                 | 0                                            | 43                                 |
| 14                                 | Meghalaya                          | 43                                 | 0                                  | 0                                            | 43                                 |
| 15                                 | Mizoram                            | 0                                  | 60                                 | 0                                            | 60                                 |
| 16                                 | Nagaland                           | 0                                  | 80                                 | 0                                            | 80                                 |
| 17                                 | Sikkim                             | 0                                  | 0                                  | 0                                            | 0                                  |
| 18                                 | Tripura                            | 0                                  | 0                                  | 0                                            | 0                                  |
| 19                                 | Andhra Pradesh                     | 439                                | 0                                  | 0                                            | 439                                |
| 20                                 | Goa                                | 37                                 | 0                                  | 4                                            | 41                                 |
| 21                                 | Gujarat                            | 585                                | 0                                  | 0                                            | 585                                |
| 22                                 | Haryana                            | 360                                | 0                                  | 0                                            | 360                                |
| 23                                 | Karnataka                          | 711                                | 0                                  | 200                                          | 911                                |
| 24                                 | Kerala                             | 43                                 | 0                                  | 0                                            | 43                                 |
| 25                                 | Maharashtra                        | 937                                | 2674                               | 0                                            | 3611                               |
| 26                                 | Punjab                             | 242                                | 0                                  | 0                                            | 242                                |
| 27                                 | Tamil Nadu                         | 829                                | 0                                  | 0                                            | 829                                |
| 28                                 | Telangana                          | 316                                | 0                                  | 0                                            | 316                                |
| 29                                 | West Bengal                        | 0                                  | 0                                  | 2635                                         | 2635                               |
| 30                                 | A&N Island                         | 0                                  | 1                                  | 0                                            | 1                                  |
| 31                                 | Chandigarh                         | 6                                  | 9                                  | 0                                            | 15                                 |
| 32                                 | D&N Haveli                         | 0                                  | 0                                  | 0                                            | 0                                  |
| 33                                 | Daman & Diu                        | 3                                  | 4                                  | 0                                            | 7                                  |
| 34                                 | Delhi                              | 0                                  | 265                                | 0                                            | 265                                |
| 35                                 | Lakshadweep                        | 0                                  | 0                                  | 0                                            | 0                                  |
| 36                                 | Puducherry                         | 11                                 | 0                                  | 0                                            | 11                                 |
|                                    | All India                          | 8755                               | 9385                               | 5849                                         | 23989                              |

Source- MIS report received from States/UTs