Lok Sabha Question No. 5611 (UNSTARRED), answered on 2019-07-26
Subject: Ambulance Service
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Venkatesh Netha Borlakunta, Geetha Viswanath Vanga, Vishnu Dayal Ram

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

## LOK SABHA UNSTARRED QUESTION NO. 5611 TO BE ANSWERED ON 26 TH JULY, 2019

## AMBULANCE SERVICE

## 5611. SHRI VENKATESH NETHA BORLAKUNTA: SHRIMATI VANGA GEETHA VISWANATH: SHRI VISHNU DAYAL RAM:

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

- (a) whether the Government has taken note of shortage of Ambulance services in the count so, the details thereof;
- (b)the number of death of patients reported due to failure of ambulances to reach the hos time, State/UT - wise; and
- (c)  whether  the  Government  provides  financial  assistance  to  States  for  running  ambul services  including  104  and  108  ambulance  serv ice ,  if  so,  the  details  thereof,  State/UT - wise particularly in Andhra Pradesh and Telangana?

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

- (a): Public health and hospitals being a State subject, the primary responsibility to p ambulance  services  lies  with  the  respective  State  Governments/UTs.  However,  under  th National Health Mission (NHM), technical and financial support is provided to Sta tes/UTs to strengthen  their  healthcare  systems  including  support  for  emergency  medical  transport patients under Dial 108, Dial 102/104 ambulance services, and other patient transport veh based  on  the  proposals  made  by  the  States/UTs  in  their  Progr amme  Implementation  Plans (PIPs) within their overall resource envelope.

Under  Dial  108,  States  are  supported  for  both  Basic  Life  Support  (BLS)  and  th Advanced Life Support (ALS) Ambulances. Norms for support include one ALS Ambulance for an average fi ve Lakh population and one BLS Ambulance for over one lakh population. However, if the average utilisation per ambulance per day is higher than 4 tr 120 kms travelled) for densely populated areas and 3 trips (or 80 kms travelled) for Hill areas, th en the states can be supported for additional ambulances.

As per NHM - MIS, State/UT - wise  number of Dial - 108  and  Dial - 102/104 ambulances and  empanelled  vehicles  operational  under  NHM  as  on  31 st March,2019  is  given  at Annexure -I.

(b) : The data on n umber of death of patients reported due to failure of ambulances to rea the hospitals in time, is not maintained centrally.

(c): A statement showing State-wise approval of funds for National Ambulances Service for Financial Year 2019-20 including Andhra Pradesh and Telangana, is at Annexure-II.

## Details of Ambulances Operational under NHM as on 31 st March, 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           | 239        | 369            | 0                                  | 608                         |
| 3        | Himachal Pradesh       | 200        | 125            | 0                                  | 325                         |
| 4        | Jammu & Kashmir        | 0          | 331            | 0                                  | 331                         |
| 5        | Jharkhand              | 300        | 0              | 1803                               | 2103                        |
| 6        | Madhya Pradesh         | 606        | 752            | 0                                  | 1358                        |
| 7        | Orissa                 | 512        | 492            | 0                                  | 1004                        |
| 8        | Rajasthan              | 730        | 587            | 0                                  | 1317                        |
| 9        | Uttar Pradesh          | 1488       | 2270           | 250                                | 4008                        |
| 10       | Uttarakhand            | 139        | 106            | 0                                  | 245                         |
| 11       | Arunachal Pradesh      | 0          | 123            | 0                                  | 123                         |
| 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          | 0              | 0                                  | 8                           |
| 18       | Tripura                | 0          | 0              | 0                                  | 0                           |
| 19       | Andhra Pradesh         | 439        | 0              | 0                                  | 439                         |
| 20       | Goa                    | 45         | 0              | 4                                  | 49                          |
| 21       | Gujarat                | 585        | 0              | 2                                  | 587                         |
| 22       | Haryana                | 359        | 0              | 0                                  | 359                         |
| 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              | 332        | 299            | 0                                  | 631                         |
| 29       | West Bengal            | 0          | 663            | 3410                               | 4073                        |
| 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          | 234            | 0                                  | 234                         |
| 35 36    | Lakshadweep Puducherry | 0 11       | 0 0            | 0 0                                | 0 11                        |
|          | All India              | 9305       | 10589          | 5957                               | 25851                       |

## Annexure-I

State-wise approval of funds including Andhra Pradesh and Telangana for National Ambulances Service (2019-20)

| SlNo   | State/Union Territory   |   Amount Approved (Rs. In as per RoP |
|--------|-------------------------|--------------------------------------|
| 1      | A&N Island              |                                 0    |
| 2      | Andhra Pradesh          |                              3955.9  |
| 3      | Arunachal Pradesh       |                                65.96 |
| 4      | Assam                   |                              6975.31 |
| 5      | Bihar                   |                              3797.5  |
| 6      | Chandigarh              |                                72    |
| 7      | Chhattisgarh            |                             11520    |
| 8      | D & N Haveli            |                                 0    |
| 9      | Daman & Diu             |                                 2    |
| 10     | Delhi                   |                               528    |
| 11     | Goa                     |                               180    |
| 12     | Gujarat                 |                              7223.04 |
| 13     | Haryana                 |                              4726    |
| 14     | Himachal Pradesh        |                              2752.54 |
| 15     | Jammu & Kashmir         |                                 0    |
| 16     | Jharkhand               |                              4857.36 |
| 17     | Karnataka               |                              3847.2  |
| 18     | Kerala                  |                                 0    |
| 19     | Lakshadweep             |                                 0    |
| 20     | Madhya Pradesh          |                             10701.4  |
| 21     | Maharashtra             |                              2833.38 |
| 22     | Manipur                 |                                50    |
| 23     | Meghalaya               |                                79.32 |
| 24     | Mizoram                 |                                31    |
| 25     | Nagaland                |                                48.66 |
| 26     | Odisha                  |                              7457.35 |
| 27     | Puducherry              |                                45    |
| 28     | Punjab                  |                                 0    |
| 29     | Rajasthan               |                              2312.1  |
| 30     | Sikkim                  |                               192    |
| 31     | Tamil Nadu              |                              4280.8  |
| 32     | Tripura                 |                                 0    |
| 33     | Telangana               |                               758.4  |
| 34     | Uttar Pradesh           |                             31183.2  |
| 35     | Uttarakhand             |                              1801.44 |
| 36     | West Bengal             |                              7000    |
|        | Total                   |                            119277    |