Lok Sabha Question No. 520 (UNSTARRED), answered on 2018-07-20
Subject: Shortage of Health Transport Services
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SUKHBIR SINGH JAUNPURIA

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

LOK SABHA UNSTARRED QUESTION NO. 520 TO BE ANSWERED ON  20 TH JULY, 2018

## SHORTAG E OF HEALTH TRANSPOR T SERVICES

## 520. SHRI SUKHBIR SINGH JAUNAPURIA:

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

- (a) whether the Government is aware that there is huge shortage of health transport servic hearsevans for poor in the country;
- (b) if so, the details of availability of the same , Sta e - wise;
- (c) the detail of the amount allocated for various emergency health transport services dur last three years, State/ UT - wise; and
- (d) the steps taken/being taken by the Government to increase the number of emergency health transport services and hearse vans in the country?

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

- (a) & (b) : Public health and hospitals being a State subject, the primary responsibil provide health transport services lies with the respective State Governments. However, un National Health Mission (NHM), technical and financial support is provi ded to States/UTs to strengthen  their  healthcare  systems  including  support  for  ambulance  services  based  o proposals made by the States/UTs in their Programme Implementation Plans (PIPs) within t overall resource envelope.  State/ UT - wise number of ambulances under NHM is at Annexure - I.

The responsibility to provide services of hearse vans is within the remit of res State/UT Governments. However, for improving hearse vans services, a framework document for hearse services based on the availab le models from States for provision of such services in collaboration with State Governments/local bodies through district funding or in collab with charity bodies was developed to guide and facilitate operationalisation of hearse All  theState/UTs  have  been  advised  to  operationalise  required  hearse  services  in jurisdictions. The data regarding hearse vans is not maintained centrally.

Contd………

(c) : State/UT - wise  details  of  the  amount allocated for various emergency health transport services during the last three years is at Annexure - II .

(d) : As stated above, Public Health and Hospitals being a State subject. The responsibi provide emergency health transport services and hearse vans lies under the jurisdiction respective State Governments.  However, under National Health Mission (NH ), States/UTs are provided technical and financial support for strengthening their healthcare systems, incl emergency health transport services in the country. Further, Proposals received from States/UTs for ambulance under the NHM, are apprai sed on the basis of population to be served and average response time, average kilometres covered per ambulance per day and patients transporte day by existing fleet of ambulances.

……………….

## Annexure-I

| Status of Ambulances Operational under NHM (As on March 2018)   | Status of Ambulances Operational under NHM (As on March 2018)   | Status of Ambulances Operational under NHM (As on March 2018)   | Status of Ambulances Operational under NHM (As on March 2018)   | Status of Ambulances Operational under NHM (As on March 2018)   | Status of Ambulances Operational under NHM (As on March 2018)   |
|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|
| Sl.no.                                                          | State/UTs                                                       | Dial 108                                                        | Dial 102/104                                                    | Other patients transport vehicle                                | Total Ambulance under NHM                                       |
| 1                                                               | Bihar                                                           | 10                                                              | 1049                                                            | 53                                                              | 1112                                                            |
| 2                                                               | Chhattisgarh                                                    | 237                                                             | 363                                                             | 0                                                               | 600                                                             |
| 3                                                               | Himachal Pradesh                                                | 198                                                             | 126                                                             | 0                                                               | 324                                                             |
| 4                                                               | Jammu & Kashmir                                                 | 0                                                               | 331                                                             | 0                                                               | 331                                                             |
| 5                                                               | Jharkhand                                                       | 149                                                             | 0                                                               | 2581                                                            | 2730                                                            |
| 6                                                               | Madhya Pradesh                                                  | 606                                                             | 740                                                             | 0                                                               | 1346                                                            |
| 7                                                               | Orissa                                                          | 444                                                             | 491                                                             | 0                                                               | 935                                                             |
| 8                                                               | Rajasthan                                                       | 730                                                             | 587                                                             | 0                                                               | 1317                                                            |
| 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                                                             | 40                                                              | 0                                                               | 4                                                               | 44                                                              |
| 21                                                              | Gujarat                                                         | 585                                                             | 0                                                               | 0                                                               | 585                                                             |
| 22                                                              | Haryana                                                         | 352                                                             | 0                                                               | 0                                                               | 352                                                             |
| 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                                                               | 2960                                                            | 2960                                                            |
| 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                                                               | 265                                                             | 0                                                               | 265                                                             |
| 35                                                              | Lakshadweep                                                     | 0                                                               | 0                                                               | 0                                                               | 0                                                               |
| 36                                                              | Puducherry                                                      | 11                                                              | 0                                                               | 0                                                               | 11                                                              |
|                                                                 | All India                                                       | 8942                                                            | 9641                                                            | 6183                                                            | 24766                                                           |

Source: NHM- MIS report

Annexure-II

## Amount allocated for National Ambulance Services during the last three years

| Sl. No.   | State/UTs         | National Ambulance Services - Approvals (RS. in Lakh)   | National Ambulance Services - Approvals (RS. in Lakh)   | National Ambulance Services - Approvals (RS. in Lakh)   | National Ambulance Services - Approvals (RS. in Lakh)   | National Ambulance Services - Approvals (RS. in Lakh)   |
|-----------|-------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|
| Sl. No.   | State/UTs         | 2014-15                                                 | 2015-16                                                 | 2016-17                                                 | 2017-18                                                 | Total                                                   |
| 1         | A&N Island        | 0.00                                                    | 0.00                                                    | 25.00                                                   | 7.00                                                    | 32.00                                                   |
| 2         | Andhra Pradesh    | 2932.40                                                 | 1118.40                                                 | 1190.40                                                 | 1190.40                                                 | 6431.60                                                 |
| 3         | Arunachal Pradesh | 77.08                                                   | 65.80                                                   | 220.68                                                  | 375.95                                                  | 739.51                                                  |
| 4         | Assam             | 2034.00                                                 | 2946.56                                                 | 2244.92                                                 | 2445.33                                                 | 9670.81                                                 |
| 5         | Bihar             | 10650.03                                                | 6322.80                                                 | 11764.10                                                | 13797.10                                                | 42534.03                                                |
| 6         | Chandigarh        | 38.42                                                   | 65.27                                                   | 106.27                                                  | 72.00                                                   | 281.96                                                  |
| 7         | Chhattisgarh      | 4028.84                                                 | 4142.20                                                 | 4409.05                                                 | 5442.43                                                 | 18022.52                                                |
| 8         | D & N Haveli      | 0.00                                                    | 3.90                                                    | 0.00                                                    | 0.00                                                    | 3.90                                                    |
| 9         | Daman & Diu       | 20.57                                                   | 21.40                                                   | 25.79                                                   | 4.00                                                    | 71.76                                                   |
| 10        | Delhi             | 648.00                                                  | 988.00                                                  | 528.00                                                  | 875.80                                                  | 3039.80                                                 |
| 11        | Goa               | 249.60                                                  | 203.60                                                  | 130.70                                                  | 207.00                                                  | 790.90                                                  |
| 12        | Gujarat           | 0.00                                                    | 0.00                                                    | 1500.00                                                 | 4688.00                                                 | 6188.00                                                 |
| 13        | Haryana           | 2018.27                                                 | 3053.63                                                 | 3023.49                                                 | 3241.97                                                 | 11337.36                                                |
| 14        | Himachal Pradesh  | 650.15                                                  | 660.80                                                  | 863.20                                                  | 438.10                                                  | 2612.25                                                 |
| 15        | Jammu & Kashmir   | 56.76                                                   | 858.58                                                  | 1129.12                                                 | 2078.33                                                 | 4122.79                                                 |
| 16        | Jharkhand         | 2980.00                                                 | 2415.40                                                 | 1122.00                                                 | 2112.65                                                 | 8630.05                                                 |
| 17        | Karnataka         | 1257.63                                                 | 1686.96                                                 | 6444.32                                                 | 3327.56                                                 | 12716.47                                                |
| 18        | Kerala            | 2502.00                                                 | 612.60                                                  | 737.58                                                  | 126.94                                                  | 3979.12                                                 |
| 19        | Lakshadweep       | 0.00                                                    | 0.00                                                    | 0.00                                                    | 0.00                                                    | 0.00                                                    |
| 20        | Madhya Pradesh    | 4150.73                                                 | 2497.69                                                 | 2884.03                                                 | 4133.80                                                 | 13666.25                                                |
| 21        | Maharashtra       | 2872.00                                                 | 2028.38                                                 | 1827.00                                                 | 2248.80                                                 | 8976.18                                                 |
| 22        | Manipur           | 301.00                                                  | 318.32                                                  | 377.75                                                  | 280.68                                                  | 1277.75                                                 |
| 23        | Meghalaya         | 260.98                                                  | 126.88                                                  | 110.88                                                  | 153.52                                                  | 652.26                                                  |
| 24        | Mizoram           | 170.13                                                  | 142.31                                                  | 136.52                                                  | 71.72                                                   | 520.68                                                  |
| 25        | Nagaland          | 113.73                                                  | 20.56                                                   | 122.26                                                  | 100.68                                                  | 357.23                                                  |
| 26        | Odisha            | 1411.20                                                 | 1079.37                                                 | 1096.72                                                 | 1384.62                                                 | 4971.91                                                 |
| 27        | Puducherry        | 32.20                                                   | 10.00                                                   | 54.76                                                   | 43.20                                                   | 140.16                                                  |
| 28        | Punjab            | 0.00                                                    | 0.00                                                    | 428.00                                                  | 350.00                                                  | 778.00                                                  |
| 29        | Rajasthan         | 784.72                                                  | 3914.00                                                 | 2140.00                                                 | 2340.00                                                 | 9178.72                                                 |
| 30        | Sikkim            | 36.70                                                   | 163.52                                                  | 65.38                                                   | 50.64                                                   | 316.24                                                  |
| 31        | Tamil Nadu        | 1408.05                                                 | 2179.20                                                 | 2372.00                                                 | 3021.60                                                 | 8980.85                                                 |
| 32        | Tripura           | 0.00                                                    | 498.56                                                  | 278.00                                                  | 278.00                                                  | 1054.56                                                 |
| 33        | Telangana         | 2594.40                                                 | 758.40                                                  | 758.40                                                  | 758.40                                                  | 4869.60                                                 |
| 34        | Uttar Pradesh     | 17580.55                                                | 29228.92                                                | 29764.01                                                | 57225.17                                                | 133798.65                                               |
| 35        | Uttarakhand       | 639.50                                                  | 477.60                                                  | 842.40                                                  | 778.90                                                  | 2738.40                                                 |
| 36        | West Bengal       | 0.00                                                    | 1250.00                                                 | 400.00                                                  | 5415.43                                                 | 7065.43                                                 |
|           | Total             | 62499.64                                                | 69859.61                                                | 79122.73                                                | 119065.72                                               | 330547.70                                               |