Lok Sabha Question No. 5697 (UNSTARRED), answered on 2017-04-07
Subject: Mobile Ambulance Service
Ministry: HEALTH AND FAMILY WELFARE
Asked by: VISHNU DAYAL RAM, RITI PATHAK, SATISH CHANDRA DUBEY, MD. BADARIDDOZA KHAN, JANAK RAM, FEROZE VARUN GANDHI, VIKRAM USENDI

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

## LOK SABHA UNSTARRED QUESTION NO. 5697 TO BE ANSWERED ON 7 th APRIL, 2017

## MOBILE AMBULANCE SER VICE

## 5697. SHRI VISHNU DAYAL RAM:

SHRIMATI RITI PATHAK:

SHRI SATISH CHANDRA DUBEY:

SHRI MD. BADARUDDOZA KHAN:

SHRI JANAK RAM:

SHRI FEROZE VARUN GANDHI:

SHRI VIKRAM USENDI:

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 corrective  steps  taken  by  the  Government in  this  regard, State/UT - wise;
- (c) whether the Government is mulling to introduce app based and hi - techambulance services for immediate life support in case of an emergency and if so, the details thereof;
- (d)  whether  mobile  vans/dispensaries/ units  are  currently  functioning  in  certain State  of  the country, if so, the details thereof and funds allocated during the last three years and the current year for the same including the proposals received from the States/UTs to start such services; and
- (e)  whether  the  Government  proposes to  formulate  any  scheme  for  financing Ambulance Service, if so, the details thereof and the criteria/guidelines fixed in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a) & (b): Public  health  and  hospitals  being  a  State  subject,  no  such  data  is  maint centrally.
- (c): Public health and hospitals being a State subject, the primary responsibility to healthcare including ambulance services lies with the State Governments. However, under the National Health Mission (NHM), technical and financial support is prov ided to States/UTs to strengthen their healthcare systems including support for ambulanceservices including Advance Life  Support  (ALS)  ambulances,  based  on  the  proposals  made  by  the  States/UTs  in  th Programme Implementation Plans (PIPs).

State/UT - wisedetails of ambulances (usually Dial - 108/Dial - 102) and empaneled vehicles under NHM are at Annexure -I.

(d): State/UT - wise details of Mobile Medical Units (MMUs) areatAnnexure-II.

Details of fundsapprovedtowardsNational MMUs under Health System Strengthening during the last three years and the current year are at Annexure -III.

Details of theproposals received from the States/UTs , in the form of PIPs are available at URL: http://nhm.gov.in/nrhm - in - state/state - program- implementation - plans - pips.html .

(e): Ambulances under the National Ambulance Service are already being financed under th NHM. Proposals received from States/UTs for am bulance under the NHM, are appraised on the basis  of  population  to  be  served  and  average  response  time,  average  kilometres  covere ambulance per day and patients transported per day by existing fleet of ambulances.

## Ambulances Operational under NHM (as on September 2016)

| Sl.no.   | State/UTs         |   Dial 108 |   Dial 102/104 |   Other patients transport vehicle (empaneled) |   Total Ambulances underNHM |
|----------|-------------------|------------|----------------|------------------------------------------------|-----------------------------|
| 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 |                                           2484 |                        2484 |
| 6        | Madhya Pradesh    |        606 |              0 |                                            974 |                        1580 |
| 7        | Orissa            |        420 |            471 |                                              0 |                         891 |
| 8        | Rajasthan         |        633 |            600 |                                              0 |                        1233 |
| 9        | Uttar Pradesh     |        988 |           2270 |                                              0 |                        3258 |
| 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         |         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 |            364 |                                              0 |                         364 |
| 23       | Karnataka         |        711 |              0 |                                            200 |                         911 |
| 24       | Kerala            |         43 |              6 |                                             75 |                         124 |
| 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 |                                           2557 |                        2557 |
| 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 |            192 |                                              0 |                         192 |
| 35       | Lakshadweep       |          0 |              0 |                                              0 |                           0 |
| 36       | Puducherry        |         11 |              0 |                                              0 |                          11 |
|          | All India         |       7557 |           8793 |                                           6623 |                       22973 |

## Annexure-II

## Mobile Medical Units (MMUs)  Operational under NHM (as on September 2016)

| Sl.no.   | State/UTs         |   MMUs |
|----------|-------------------|--------|
| 1        | Bihar             |      7 |
| 2        | Chhatisgarh       |     12 |
| 3        | Himachal Pradesh  |      0 |
| 4        | Jammu & Kashmir   |     11 |
| 5        | Jharkhand         |     94 |
| 6        | Madhya Pradesh    |     74 |
| 7        | Orissa            |      5 |
| 8        | Rajasthan         |    206 |
| 9        | Uttar Pradesh     |      0 |
| 10       | Uttarakhand       |      6 |
| 11       | Arunachal Pradesh |     16 |
| 12       | Assam             |     50 |
| 13       | Manipur           |      9 |
| 14       | Meghalaya         |      4 |
| 15       | Mizoram           |      9 |
| 16       | Nagaland          |     11 |
| 17       | Sikkim            |      4 |
| 18       | Tripura           |      4 |
| 19       | Andhra Pradesh    |    277 |
| 20       | Goa               |      0 |
| 21       | Gujarat           |     67 |
| 22       | Haryana           |      9 |
| 23       | Karnataka         |     18 |
| 24       | Kerala            |     25 |
| 25       | Maharashtra       |     50 |
| 26       | Punjab            |     33 |
| 27       | Tamil Nadu        |    407 |
| 28       | Telangana         |      0 |
| 29       | West Bengal       |     52 |
| 30       | A&N Island        |      0 |
| 31       | Chandigarh        |      7 |
| 32       | D&N Haveli        |      1 |
| 33       | Daman & Diu       |      0 |
| 34       | Delhi             |      2 |
| 35       | Lakshadweep       |      0 |
| 36       | Puducherry        |      4 |
| India    | All               |   1474 |

Annexure-III State-wise details of State Program Implementation Plan Approvals for the component National

## Mobile Medical Units under Health System Strengthening for the FY 2013-14 to 2016-17 (Rs. In lakh)

| S.No.                              | State                              | 2013-14   | 2014-15   | 2015-16       | 2016-17       |
|------------------------------------|------------------------------------|-----------|-----------|---------------|---------------|
| A. High Focus States               | A. High Focus States               |           |           |               |               |
| 1                                  | Bihar                              | 1,944.00  | 1,584.00  | 1,306.88      | 1,148.40      |
| 2                                  | Chattisgarh                        | 720.00    | 720.00    | 113.00        | -             |
| 3                                  | Himachal Pradesh                   | -         | 190.08    | -             | -             |
| 4                                  | Jammu & Kashmir                    | -         | 308.00    | 790.07        | 163.90        |
| 5                                  | Jharkhand                          | 2,472.00  | 2,424.00  | 2,580.30      | 2,256.00      |
| 6                                  | Madhya Pradesh                     | 2,179.00  | 2,363.63  | 3,467.63      | 3,031.09      |
| 7                                  | Orissa                             | -         | -         | 88.67         | 63.94         |
| 8                                  | Rajasthan                          | 3,484.56  | 3,854.40  | 3,745.72      | 4,091.35      |
| 9                                  | Uttar Pradesh                      | -         | -         | 27.54         | 45.22         |
| 10                                 | Uttarakhand                        | 296.55    | 270.00    | 224.00        | 245.23        |
|                                    |                                    | 11,096.11 | 11,714.11 | 12,343.81     | 11,045.13     |
| Sub Total B. NE States             | Sub Total B. NE States             |           |           |               |               |
| 11                                 | Arunachal Pradesh                  | -         | 201.60    | 201.60        | 240.48        |
| 12                                 | Assam                              | 703.94    | 1,493.19  | 1,854.95      | 2,105.00      |
| 13                                 | Manipur                            | 137.70    | 153.60    | 185.63        | 179.54        |
| 14                                 | Meghalaya                          | 178.85    | 178.85    | 242.85        | 107.73        |
| 15                                 | Mizoram                            | 205.55    | 223.15    | 229.85        | 301.12        |
| 16                                 | Nagaland                           | 174.51    | 178.38    | 178.96        | 152.97        |
| 17                                 | Sikkim                             | 84.00     | 84.00     | 84.00         | 85.33         |
| 18                                 | Tripura                            | 100.03    | 99.12     | 108.00        | 91.62         |
|                                    |                                    | 1,584.58  | 2,611.89  | 3,085.84      | 3,263.79      |
| Sub Total C. Non-High Focus States | Sub Total C. Non-High Focus States |           |           |               |               |
| 19                                 | Andhra Pradesh                     | -         | 257.54    | 426.92        | 976.55        |
| 20                                 | Goa                                | 6.44      | -         | -             | -             |
| 21                                 | Gujarat                            | 889.50    | 609.82    | 646.20        | 775.16        |
| 22                                 | Haryana Karnataka                  | 120.82 -  | 148.18 -  | 204.90 200.00 | 132.86 721.62 |
| 23 24                              | Kerala                             | 195.90    | 154.00    | 154.00        | 111.40        |
| 25                                 | Maharashtra                        | 1,120.54  | 1,385.14  | 1,175.07      | 1,124.83      |
| 26                                 | Punjab                             | 360.00    | 606.86    | 606.86        | 606.86        |
| 27                                 | Tamil Nadu                         | 3,604.62  | 4,047.64  | 3,745.04      | 3,571.00      |
| 28                                 | Telangana                          | -         | 153.94    | 803.40        | 322.73        |
| 29                                 | West Bengal                        | 1,887.60  | 1,540.00  | 1,320.00      | 1,392.00      |
|                                    | Sub Total                          |           |           |               |               |
|                                    |                                    | 8,185.42  | 8,903.12  | 9,282.39      | 9,735.01      |
| D. Small States/UTs                | D. Small States/UTs                |           |           |               |               |
| 30                                 | Andaman & Nicobar Islands          | -         | -         | -             | -             |
| 31                                 | Chandigarh                         | 23.91     | -         | -             | -             |
| 32                                 | Dadra & Nagar Haveli               | -         | 16.86     | 16.86         | 15.24         |
| 33                                 | Daman & Diu                        | -         | -         | -             | -             |
| 34                                 | Delhi                              | 180.23    | -         | -             | -             |
| 35                                 | Lakshadweep                        | -         | -         | -             | -             |
| 36                                 | Puducherry                         | 76.77     | 84.53     | 84.54         | 85.24         |
|                                    | Sub Total                          | 280.91    | 101.39    | 101.40        | 100.48        |
|                                    | Grand Total                        | 21,147.02 | 23,330.51 | 24,813.44     | 24,144.41     |