Lok Sabha Question No. 4441 (UNSTARRED), answered on 2020-03-20
Subject: Unavailability of Ambulancesin Rural Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Geeta Kora

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

## LOK SABHA UNSTARRED QUESTION NO. 4441 TO BE ANSWERED ON 20 TH MARCH, 2020

## UNAVAILABILITY OF AM BULANCES IN RURAL AREAS

## 4441. SHRIMATI GEETA KORA:

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

- (a) whether a large number of people die in rural areas in the country due to unavailability of ambulancein emergency cases;
- (b) if so, the number of deaths in rural areas of the countr y including Jharkhand during the last three years and the current year, State/UT - wise;
- (c) whether the Government proposes to provide funds for procuring high tech ambulances to provide life support facilities to the patients in case of emergency; and
- (d) if so, the details thereof?

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

(a)to (c) : Public health and hospitals being a State subject, the primary responsibili provide ambulance service s to their people lies with the respective State Governments/UTs. However,  under  the  National  Health  Mission  (NHM),  technical  and  financial  support  i provided to States/UTs to strengthen their healthcare systems including support for emerg medical tra nsport of patients under Dial 108 based on the proposals made by the States/UTs their Programme Implementation Plans (PIPs) within their overall resource envelope. Supp is provided for both Advanced Life Support (ALS) ambulance and Basic Life Support (BLS) Ambulance. BLS is the basic model for emergency rescue services, which provides transport patients  who  do  not  require  ventilatory  support  or  cardiac  monitoring.  Whereas  AL ambulances  are  equipped  to  provide  advanced  services  including  ventilator y  support  and cardiac monitoring.

An ALS is supported for an average population of 5 Lakh and a Basic Life Support (BLS)  Ambulance  is  supported  for  over  one  lakh  population.  However,  if  the  averag utilization per ambulance per day is higher than 4 (or > 120 kms) for densely populated areas and 3 (or >80 kms) for Hilly areas, then the states can be provided with additional ambula

- ( d): A  statement  showing  State/UT - wise  details  of  ambulances  operational  under  National Health Mission as on 30 th September, 2019 is annexed.

Source: NHM-MIS report as on Sept 2019

## Annexure

## Statement showing Details of Ambulances Operational under National Health

A s on September 2019

| Sl.No.   | State/UTs         |   Dial 108 |   Dial 102/104 |   Other patients transport vehicle |   Total Ambulance under NHM |
|----------|-------------------|------------|----------------|------------------------------------|-----------------------------|
| 1        | Bihar             |          0 |           1049 |                                 53 |                        1102 |
| 2        | Chhattisgarh      |        218 |            371 |                                  0 |                         589 |
| 3        | Himachal Pradesh  |        198 |            125 |                                  0 |                         323 |
| 4        | Jammu & Kashmir   |          0 |            331 |                                  0 |                         331 |
| 5        | Jharkhand         |        337 |              0 |                               1803 |                        2140 |
| 6        | Madhya Pradesh    |        606 |            752 |                                  0 |                        1358 |
| 7        | Orissa            |        512 |            492 |                                  0 |                        1004 |
| 8        | Rajasthan         |        766 |            587 |                                  0 |                        1353 |
| 9        | Uttar Pradesh     |       2200 |           2270 |                                250 |                        4720 |
| 10       | Uttarakhand       |        140 |             94 |                                  0 |                         234 |
| 11       | Arunachal Pradesh |          0 |            149 |                                  0 |                         149 |
| 12       | Assam             |        387 |            316 |                                235 |                         938 |
| 13       | Manipur           |          0 |             43 |                                  0 |                          43 |
| 14       | Meghalaya         |         43 |              0 |                                  0 |                          43 |
| 15       | Mizoram           |          0 |             60 |                                  0 |                          60 |
| 16       | Nagaland          |          0 |             82 |                                  0 |                          82 |
| 17       | Sikkim            |          8 |              1 |                                  0 |                           9 |
| 18       | Tripura           |          0 |              0 |                                  0 |                           0 |
| 19       | Andhra Pradesh    |        439 |              0 |                                  0 |                         439 |
| 20       | Goa               |         50 |              0 |                                  4 |                          54 |
| 21       | Gujarat           |        585 |              0 |                                  2 |                         587 |
| 22       | Haryana           |        377 |              0 |                                  0 |                         377 |
| 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        |        936 |              0 |                                  0 |                         936 |
| 28       | Telangana         |        333 |            299 |                                  0 |                         632 |
| 29       | West Bengal       |          0 |            804 |                               2955 |                        3759 |
| 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       |          7 |              4 |                                  0 |                          11 |
| 34       | Delhi             |          0 |            200 |                                  0 |                         200 |
| 35       | Lakshadweep       |          0 |              0 |                                 14 |                          14 |
| 36       | Puducherry        |         11 |              0 |                                  0 |                          11 |
|          | All India         |      10092 |          10713 |                               5516 |                       26321 |