Lok Sabha Question No. 2873 (UNSTARRED), answered on 2018-12-28
Subject: Ambulance Service
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RITI PATHAK, ABHIJIT MUKHERJEE, KIRIT SOMAIYA

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

## LOK SABHA UNSTARRED QUESTION NO. 2873 TO BE ANSWERED ON 28 TH DECEMBER, 2018

## AMBULANCE SERVICE

## 2873. SHRIMATI RITI PATHAK: SHRI ABHIJIT MUKHERJEE: DR. KIRIT SOMAIYA:

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

(a) whether the Government hospitals n the country have no proper ambulances to cater to the needs of the patients, if so, the details thereof, State/UT - wise;

(b) the nu mber of people died during the last three years and the current year in rural areas of the country due to non-availability of ambulance service, State/UTwise;

(c) whether the Government has allocated funds for hi - tech ambulances having life support systemto the patients in emergency cases, if so, the details thereof;

(d) whether the Government has any proposal to introduce bike ambulance in various parts of the country, if so, the details thereof; and

(e)  the  steps  being  taken  by  the Government  to  makeavailable  ambulances at  each Government  hospital  to  cater  to the  needs  of  the  poor  patients  through  104 and  108 ambulance services in Andhra Pradesh in future?

## 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 ambulance services lies with the respective State Governments. However, under National Health Mission (NHM), technical and financial support is provided 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) with their overall resource envelope. The data on number of people died due to non - availability of ambulance services is not maintained centrally. However, a statement showing availabil number of ambulances State/UT - wise supported under NHM is at Annexure -I.

(c) : State/UT - wise details of the amount alloca ted for various emergency health transport services including Advance Life Support (ALS) and Basic Life Support (BLS) ambulances during the last three years is at Annexure -II.

(d) & (e) : As  stated  above,  Public  health  and  hospitals  being  a  State  subject primary responsibility  for availability  of  ambulances  in  Government  Hospitals  in  the  States and introducing bike ambulance services lies with the respective State Governments.

| Sl. No.   | State/UTs         |   Dial 108 |   Dial 102/104 |   Other patients transport vehicle |   Total Ambulance under NHM |
|-----------|-------------------|------------|----------------|------------------------------------|-----------------------------|
| 1         | Bihar             |         10 |           1049 |                                 44 |                        1103 |
| 2         | Chhattisgarh      |        239 |            363 |                                  0 |                         602 |
| 3         | Himachal Pradesh  |        200 |            126 |                                  0 |                         326 |
| 4         | Jammu & Kashmir   |          0 |            331 |                                  0 |                         331 |
| 5         | Jharkhand         |        210 |              0 |                               2581 |                        2791 |
| 6         | Madhya Pradesh    |        606 |            750 |                                  0 |                        1356 |
| 7         | Orissa            |        470 |            491 |                                  0 |                         961 |
| 8         | Rajasthan         |        730 |            587 |                                  0 |                        1317 |
| 9         | Uttar Pradesh     |       1488 |           2270 |                                150 |                        3908 |
| 10        | Uttarakhand       |        139 |            106 |                                  0 |                         245 |
| 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               |         45 |              0 |                                  4 |                          49 |
| 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 |            610 |                               2943 |                        3553 |
| 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         |       9038 |          10258 |                               6157 |                       25453 |

Source: NHM-MIS report as on June 2018.

Amount allocated for National Ambulance Services during the last three years

Annexure - II under NHM

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