Lok Sabha Question No. 241 (STARRED), answered on 2016-12-02
Subject: Ambulance Service
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAMESH BIDHURI, JITENDRA CHAUDHURY

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 241 TO BE ANSWERED ON THE 2 ND DECEMBER , 2016 AMBULANCE SERVICE

## †*241. SHRI RAMESH BIDHURI: SHRI JITENDRA CHAUDHURY:

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

- (a) the present status of emergency medical ambulance service in the count
- (b) whether the Government has formulated any scheme to fund the service, i so, the details thereof along with the criteria/guidelines laid down for f
- (c) the funds allocated/utilised for the scheme during the last three yea UT - wise;
- (d) the num ber of proposals received for financial assistance along with cleared/pending during the last three years, State/UT - wise; and
- (e) the time by which the pending proposals are likely to be cleared?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE ( SHRI JAGAT PRAKASH NADDA )

(a) to ( e):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 241* FOR 2 ND DECEMBER , 2016

(a)  &  (b)  The  provision  of emergency  medical  ambulance  service is the primary  responsibility  of  State  Governments.  However,  under  the  Nation Health  Mission  (NHM),  technical  and  financial  support  is  provided States/UTs  to  strengthen  their  healthcare  systems,  including  support emergency medical ambulance services , based on the proposals submitted by the States/UTs.

States/UTs  are  supported  for  strengthening  Emergency  Ambulance Services  on  the  basis  of  population  to  be  served  and  average  response average kilometres covered per ambulance per day and patients transported per day  by  existing  fleet  of  ambulances,  with  the  endeavor  to  ensure  univ access to emergency medical ambulance service within a time interval of minutes of the call.

State/UT - wise  details  of  operational  ambulances,  including  patie t ransport vehicles, are provided at Annexure - I

(c) The  details  of funds  approved  and  utilised  for towa ds  Free  Referral Transport  and  National  Ambulance  Service  under  NHM,  State/UT - wise  are provided at Annexure - II.

(d) & (e) Proposals for financial assistance for emergency medic transportation  facility  were  received  from  all  the  States/UTs  during  t three years, except Dadra & Nagar Haveli, Lakshadweep and Gujarat. Details these  proposals  and  their  approvals,  i n  the form  of  PIPs  and  Record  of Proceedings (ROPs), respectively, are available at URL: http://nhm.gov.in/nrhm - in - state/state - program- implementation - plans - pips.ht ml.

No proposal for emergency medical transportation facility received during last three years is presently pending for approval

## Ambulances Operational under NHM*

|   Sl.no. | State/UTs         |   Dial 108 |   Dial 102/104 |   Other patients transport vehicle |   Total |
|----------|-------------------|------------|----------------|------------------------------------|---------|
|        1 | Bihar             |         10 |            744 |                                 94 |     848 |
|        2 | Chhattisgarh      |        239 |            300 |                                  0 |     539 |
|        3 | Himachal Pradesh  |        199 |            125 |                                  0 |     324 |
|        4 | Jammu & Kashmir   |          0 |            331 |                                  0 |     331 |
|        5 | Jharkhand         |          0 |              0 |                               2558 |    2558 |
|        6 | Madhya Pradesh    |        606 |              0 |                                974 |    1580 |
|        7 | Orissa            |        420 |            468 |                                  0 |     888 |
|        8 | Rajasthan         |        741 |            600 |                                  0 |    1341 |
|        9 | Uttar Pradesh     |        988 |           2270 |                                  0 |    3258 |
|       10 | Uttarakhand       |        139 |            109 |                                  0 |     248 |
|       11 | Arunachal Pradesh |          0 |              1 |                                  0 |       1 |
|       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 |             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 |            375 |                                  0 |     375 |
|       23 | Karnataka         |        711 |              0 |                                200 |     911 |

## Annexure- I

| Sl.no.   | State/UTs   |   Dial 108 |   Dial 102/104 |   Other patients transport vehicle |   Total |
|----------|-------------|------------|----------------|------------------------------------|---------|
| 24       | Kerala      |         43 |              6 |                                 58 |     107 |
| 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 |                               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  |         11 |              0 |                                  0 |      11 |
|          | All India   |       7665 |           8636 |                               6423 |   22724 |

*Figures are provisional and upto 30 th June 2016.

State/UTs wise SPIP Approval & Expenditure towards Free Referral Transport and National Ambulance Service under NHM (FY 2013-14 to 2015-16)

## Annex-II

(Rs. In lakhs)

| S.No.   | State             | 2013-14                                                     | 2013-14                                                     | 2013-14                    | 2013-14                    | 2014-15                                                     | 2014-15                                                     | 2014-15                    | 2014-15                    | 2015-16                                                     | 2015-16                                                     | 2015-16                    | 2015-16                    |
|---------|-------------------|-------------------------------------------------------------|-------------------------------------------------------------|----------------------------|----------------------------|-------------------------------------------------------------|-------------------------------------------------------------|----------------------------|----------------------------|-------------------------------------------------------------|-------------------------------------------------------------|----------------------------|----------------------------|
| S.No.   | State             | Free Referral Transport for pregnant women and sick infants | Free Referral Transport for pregnant women and sick infants | National Ambulance Service | National Ambulance Service | Free Referral Transport for pregnant women and sick infants | Free Referral Transport for pregnant women and sick infants | National Ambulance Service | National Ambulance Service | Free Referral Transport for pregnant women and sick infants | Free Referral Transport for pregnant women and sick infants | National Ambulance Service | National Ambulance Service |
| S.No.   | State             | Approval                                                    | Exp                                                         | Approval                   | Exp                        | Approval                                                    | Exp                                                         | Approval                   | Exp                        | Approval                                                    | Exp                                                         | Approval                   | Exp                        |
| 1       | Bihar             | 0.00                                                        | 1120.10                                                     | 641.29                     | 544.40                     | 8832.00                                                     | 2320.42                                                     | 1818.03                    | 474.59                     | 5930.40                                                     | 3882.23                                                     | 392.40                     | 381.10                     |
| 2       | Chattisgarh       | 157.50                                                      | 12.66                                                       | 1228.40                    | 4463.93                    | 0.00                                                        | 12.47                                                       | 4028.84                    | 6250.37                    | 300.00                                                      | 201.39                                                      | 3667.20                    | 3533.62                    |
| 3       | Himachal Pradesh  | 28.43                                                       | 8.41                                                        | 722.40                     | 935.88                     | 644.45                                                      | 279.31                                                      | 650.15                     | 645.20                     | 615.00                                                      | 426.15                                                      | 660.80                     | 660.80                     |
| 4       | Jammu & Kashmir   | 613.25                                                      | 43.93                                                       | 16.87                      | 2034.48                    | 874.40                                                      | 439.51                                                      | 56.76                      | 641.36                     | 874.38                                                      | 443.60                                                      | 858.58                     | 21.78                      |
| 5       | Jharkhand         | 243.17                                                      | 84.61                                                       | 858.40                     | 34.10                      | 2017.55                                                     | 2116.98                                                     | 2980.00                    | 7.84                       | 2513.22                                                     | 2271.21                                                     | 2278.40                    | 6.64                       |
| 6       | Madhya Pradesh    | 0.00                                                        | 0.00                                                        | 2763.79                    | 6696.30                    | 4282.00                                                     | 3927.67                                                     | 4150.73                    | 3787.16                    | 5219.30                                                     | 5811.95                                                     | 2497.69                    | 8344.71                    |
| 7       | Orissa            | 430.17                                                      | 1452.34                                                     | 0.00                       | 3485.32                    | 2423.40                                                     | 1639.97                                                     | 1411.20                    | 1545.53                    | 3031.12                                                     | 2880.48                                                     | 1079.37                    | 1044.72                    |
| 8       | Rajasthan         | 650.00                                                      | 137.29                                                      | 2258.48                    | 2258.48                    | 7112.75                                                     | 5271.16                                                     | 784.72                     | 1795.52                    | 5750.00                                                     | 4461.31                                                     | 3914.00                    | 2206.00                    |
| 9       | Uttar Pradesh     | 351.28                                                      | 38.19                                                       | 8043.03                    | 1602.41                    | 2814.05                                                     | 253.59                                                      | 17580.55                   | 13962.90                   | 0.00                                                        | 2.25                                                        | 29228.92                   | 25146.15                   |
| 10      | Uttarakhand       | 40.00                                                       | 40.00                                                       | 486.24                     | 212.20                     | 1160.00                                                     | 773.88                                                      | 639.50                     | 609.88                     | 1276.00                                                     | 1053.24                                                     | 477.60                     | 599.45                     |
| 11      | Arunachal Pradesh | 4.00                                                        | 2.42                                                        | 92.08                      | 86.14                      | 138.81                                                      | 34.73                                                       | 77.08                      | 37.27                      | 133.24                                                      | 71.90                                                       | 65.80                      | 61.30                      |
| 12      | Assam             | 0.00                                                        | 0.00                                                        | 2822.40                    | 2936.16                    | 3980.00                                                     | 1977.22                                                     | 2034.00                    | 1756.20                    | 3530.54                                                     | 3992.74                                                     | 2946.56                    | 2575.33                    |
| 13      | Manipur           | 0.00                                                        | 1.28                                                        | 265.20                     | 141.79                     | 321.88                                                      | 216.12                                                      | 301.00                     | 114.95                     | 239.40                                                      | 355.64                                                      | 318.32                     | 777.22                     |
| 14      | Meghalaya         | 15.50                                                       | 1.57                                                        | 110.88                     | 342.69                     | 291.90                                                      | 51.97                                                       | 110.98                     | 10.31                      | 559.46                                                      | 92.47                                                       | 126.88                     | 119.29                     |
| 15      | Mizoram           | 0.00                                                        | 0.00                                                        | 139.69                     | 68.57                      | 100.80                                                      | 18.73                                                       | 170.13                     | 91.26                      | 169.68                                                      | 16.91                                                       | 142.31                     | 171.02                     |
| 16      | Nagaland          | 43.25                                                       | 10.11                                                       | 82.90                      | 52.31                      | 234.21                                                      | 122.10                                                      | 113.73                     | 33.04                      | 100.87                                                      | 61.06                                                       | 20.56                      | 101.15                     |
| 17      | Sikkim            | 7.60                                                        | 4.89                                                        | 22.01                      | 2.02                       | 57.96                                                       | 47.50                                                       | 36.70                      | 57.62                      | 63.60                                                       | 36.64                                                       | 163.52                     | 111.88                     |
| 18      | Tripura           | 28.39                                                       | 9.65                                                        | 357.96                     | 17.12                      | 562.50                                                      | 245.67                                                      | 0.00                       | 0.00                       | 274.00                                                      | 274.14                                                      | 498.56                     | 0.00                       |
| 19      | Andhra Pradesh    | 294.00                                                      | 0.00                                                        | 0.00                       | 0.00                       | 1531.69                                                     | 1860.78                                                     | 2932.40                    | 4079.42                    | 921.84                                                      | 1744.59                                                     | 1118.40                    | 1901.69                    |
| 20      | Goa               | 0.00                                                        | 0.00                                                        | 79.20                      | 138.00                     | 62.50                                                       | 24.10                                                       | 249.60                     | 209.99                     | 69.38                                                       | 0.08                                                        | 203.60                     | 27.99                      |
| 21      | Gujarat           | 162.50                                                      | 52.14                                                       | 0.00                       | 0.00                       | 1075.43                                                     | 1266.28                                                     | 0.00                       | 0.00                       | 867.39                                                      | 531.86                                                      | 0.00                       | 0.00                       |
| 22      | Haryana           | 54.96                                                       | 48.82                                                       | 3573.56                    | 2109.94                    | 637.44                                                      | 801.59                                                      | 2018.27                    | 2722.30                    | 680.61                                                      | 565.01                                                      | 3062.63                    | 2983.06                    |
| 23      | Karnataka         | 0.00                                                        | 0.00                                                        | 4784.87                    | 212.51                     | 285.00                                                      | 85.64                                                       | 1257.63                    | 3184.03                    | 635.00                                                      | 119.64                                                      | 1687.40                    | 890.94                     |
| 24      | Kerala            | 24.94                                                       | 30.60                                                       | 1033.36                    | 579.88                     | 310.65                                                      | 308.53                                                      | 2502.00                    | 206.26                     | 429.84                                                      | 401.74                                                      | 612.60                     | 0.00                       |

| S.No.   | State       | 2013-14                                                     | 2013-14                                                     | 2013-14                    | 2013-14                    | 2014-15                                                     | 2014-15                                                     | 2014-15                    | 2014-15                    | 2015-16                                                     | 2015-16                                                     | 2015-16                    | 2015-16                    |
|---------|-------------|-------------------------------------------------------------|-------------------------------------------------------------|----------------------------|----------------------------|-------------------------------------------------------------|-------------------------------------------------------------|----------------------------|----------------------------|-------------------------------------------------------------|-------------------------------------------------------------|----------------------------|----------------------------|
| S.No.   | State       | Free Referral Transport for pregnant women and sick infants | Free Referral Transport for pregnant women and sick infants | National Ambulance Service | National Ambulance Service | Free Referral Transport for pregnant women and sick infants | Free Referral Transport for pregnant women and sick infants | National Ambulance Service | National Ambulance Service | Free Referral Transport for pregnant women and sick infants | Free Referral Transport for pregnant women and sick infants | National Ambulance Service | National Ambulance Service |
| S.No.   | State       | Approval                                                    | Exp                                                         | Approval                   | Exp                        | Approval                                                    | Exp                                                         | Approval                   | Exp                        | Approval                                                    | Exp                                                         | Approval                   | Exp                        |
| 25      | Maharashtra | 0.00                                                        | 0.00                                                        | 7809.20                    | 8762.00                    | 5137.27                                                     | 4270.28                                                     | 2872.00                    | 17560.10                   | 5285.62                                                     | 3108.67                                                     | 2028.38                    | 2028.38                    |
| 26      | Punjab      | 0.00                                                        | 0.54                                                        | 0.00                       | 0.00                       | 353.51                                                      | 128.47                                                      | 0.00                       | 0.00                       | 492.27                                                      | 210.78                                                      | 0.00                       | 0.00                       |
| 27      | Tamil Nadu  | 0.00                                                        | 449.33                                                      | 2025.20                    | 2530.33                    | 4500.00                                                     | 5762.09                                                     | 1408.05                    | 5052.31                    | 3144.17                                                     | 2162.05                                                     | 2679.20                    | 1110.49                    |
| 28      | Telangana   | 0.00                                                        | 0.00                                                        |                            |                            | 1091.09                                                     | 1109.50                                                     | 2594.40                    | 758.40                     | 635.36                                                      | 247.80                                                      | 758.40                     | 758.62                     |
| 29      | West Bengal | 0.00                                                        | 16.72                                                       | 0.00                       | 0.00                       | 6447.00                                                     | 5964.45                                                     | 0.00                       | 0.00                       | 6347.69                                                     | 6257.27                                                     | 1250.00                    | 15.19                      |
| 30      | A&N Islands | 0.00                                                        | 0.00                                                        | 0.00                       | 0.00                       | 0.00                                                        | 39.83                                                       | 0.00                       | 0.00                       | 0.00                                                        | 0.14                                                        | 0.00                       | 0.00                       |
| 31      | Chandigarh  | 0.00                                                        | 0.00                                                        | 122.68                     | 10.13                      | 0.00                                                        | 0.00                                                        | 38.42                      | 10.36                      | 0.00                                                        | 0.00                                                        | 65.28                      | 23.54                      |
| 32      | D&N Haveli  | 1.20                                                        | 0.95                                                        | 0.00                       | 0.00                       | 29.40                                                       | 0.00                                                        | 0.00                       | 0.00                       | 17.25                                                       | 3.46                                                        | 3.90                       | 0.00                       |
| 33      | Daman & Diu | 0.00                                                        | 5.18                                                        | 68.07                      | 57.71                      | 0.00                                                        | 0.32                                                        | 20.57                      | 15.41                      | 0.00                                                        | 0.00                                                        | 21.40                      | 23.82                      |
| 34      | Delhi       | 20.00                                                       | 0.15                                                        | 3040.00                    | 872.58                     | 0.00                                                        | 0.00                                                        | 648.00                     | 288.00                     | 0.00                                                        | 0.00                                                        | 988.00                     | 288.00                     |
| 35      | Lakshadweep | 0.40                                                        | 0.00                                                        | 0.00                       | 0.00                       | 6.25                                                        | 0.22                                                        | 0.00                       | 0.00                       | 1.70                                                        | 0.22                                                        | 0.00                       | 0.00                       |
| 36      | Puducherry  | 0.00                                                        | 0.00                                                        | 86.97                      | 90.65                      | 35.00                                                       | 6.61                                                        | 32.20                      | 69.94                      | 50.00                                                       | 16.80                                                       | 10.00                      | 41.77                      |
|         | Grand Total | 3170.53                                                     | 3571.87                                                     | 43535.13                   | 41278.05                   | 57350.89                                                    | 41377.67                                                    | 53517.64                   | 65977.51                   | 50158.33                                                    | 41705.42                                                    | 63826.66                   | 55955.64                   |

3. The above figures are as per FMR reported by State/UTs.

Note: 1. SPIP stands for State Programme Implementation Plan 2. Above mentioned Expenditure figures are as reported by States/UTs and includes expenditure against Central Release, State share & unspent balances at the beginning of the year.