Lok Sabha Question No. 3274 (UNSTARRED), answered on 2022-08-05
Subject: Shortage of Ambulance Services
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kuruva Gorantla Madhav, Beesetti  Venkata Satyavathi

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

## LOK SABHA UNSTARRED QUESTION NO. 3274 TO BE ANSWERED ON THE 5 th AUGUST, 2022

## SHORTAGE OF AMBULANCE SERVICES

## 3274.  SHRI KURUVA GORANTLA MADHAV: DR. BEESETTI VENKATA SATYAVATHI:

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

- (a)  whether the  Government is aware that as per the World Health  Organisation, at least one ambulance  for  emergency  response  per  lakh  population  is  mandated  and  if  so,  the  details thereof;
- (b)  the  number  of  ambulances  available  under  the  Emergency  Response  Service  of  National Health Mission across the country; and
- (c) whether there is a shortage of ambulance services in the country and if so, the steps taken by the Government to meet the requirements of ambulance service in the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) to (c) Under National Health Mission (NHM), technical and financial support to the States are given as per the proposals submitted by the States/UTs in the form of  Programme Implementation Plans (PIPs) based on the requirements, including the provision for Dial 108, Dial  102/104,  Basic  Life  Support  (BLS)  and  Advance  Life  Support  (ALS)  ambulances  under National Ambulance Services (NAS), and the approvals are accorded as Record of Proceedings (RoP) to States/UTs.             As per the current norms, it is recommended to have at least one Basic  Life  Support  ambulance  at  a  population  of  one  lakh  and  one  Advanced  Life  Support ambulance for population of 5 lakhs.

Dial  108  is  an  emergency  response  system,  primarily  designed  to  attend  to  patients  of critical  care,  trauma  and  accident  victims  etc.  Dial  102  services  essentially  consist  of  basic patient  transport  aimed  to  cater  the  needs  of  pregnant  women  and  children,  though  other categories  are  also  taking  benefit  and  are  not  excluded.  Janani  Shishu  Suraksha  Karyakaram (JSSK)  entitlements  e.g.  free  transfer  from  home  to  facility,  inter  facility  transfer  in  case  of referral and drop back for mother and children are the key focus of 102 service. For Dial 102 service and Dial 108 service, operational cost is supported under NHM.

The  State/UT  wise  number  of  ambulances  supported  under  NHM  as  per  NHM-MIS report, as on 31 st March, 2022 (as reported by States/UTs) is placed at Annexure-I.

## Annexure-I

| State/UT wise number of Ambulances supported under NHMas per NHM-MIS report, as on 31 st March, 2022 (as reported by States/UTs)   | State/UT wise number of Ambulances supported under NHMas per NHM-MIS report, as on 31 st March, 2022 (as reported by States/UTs)   | State/UT wise number of Ambulances supported under NHMas per NHM-MIS report, as on 31 st March, 2022 (as reported by States/UTs)   | State/UT wise number of Ambulances supported under NHMas per NHM-MIS report, as on 31 st March, 2022 (as reported by States/UTs)   | State/UT wise number of Ambulances supported under NHMas per NHM-MIS report, as on 31 st March, 2022 (as reported by States/UTs)   | State/UT wise number of Ambulances supported under NHMas per NHM-MIS report, as on 31 st March, 2022 (as reported by States/UTs)   |
|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|
| Sl.no.                                                                                                                             | State/UTs                                                                                                                          | Dial 108                                                                                                                           | Dial 102/104                                                                                                                       | Other patients transport vehicle                                                                                                   | Total Ambulance /Patient Transport Vehicle underNHM                                                                                |
| 1                                                                                                                                  | Bihar                                                                                                                              | 0                                                                                                                                  | 1088                                                                                                                               | 84                                                                                                                                 | 1172                                                                                                                               |
| 2                                                                                                                                  | Chhattisgarh                                                                                                                       | 300                                                                                                                                | 325                                                                                                                                | 0                                                                                                                                  | 625                                                                                                                                |
| 3                                                                                                                                  | Himachal Pradesh                                                                                                                   | 204                                                                                                                                | 125                                                                                                                                | 0                                                                                                                                  | 329                                                                                                                                |
| 4                                                                                                                                  | Jammu &Kashmir                                                                                                                     | 209                                                                                                                                | 286                                                                                                                                | 0                                                                                                                                  | 495                                                                                                                                |
| 5                                                                                                                                  | Jharkhand                                                                                                                          | 337                                                                                                                                | 0                                                                                                                                  | 1633                                                                                                                               | 1970                                                                                                                               |
| 6                                                                                                                                  | Madhya Pradesh                                                                                                                     | 606                                                                                                                                | 854                                                                                                                                | 0                                                                                                                                  | 1460                                                                                                                               |
| 7                                                                                                                                  | Orissa                                                                                                                             | 630                                                                                                                                | 501                                                                                                                                | 0                                                                                                                                  | 1131                                                                                                                               |
| 8                                                                                                                                  | Rajasthan                                                                                                                          | 884                                                                                                                                | 600                                                                                                                                | 0                                                                                                                                  | 1484                                                                                                                               |
| 9                                                                                                                                  | Uttar Pradesh                                                                                                                      | 2200                                                                                                                               | 2270                                                                                                                               | 250                                                                                                                                | 4720                                                                                                                               |
| 10                                                                                                                                 | Uttarakhand                                                                                                                        | 272                                                                                                                                | 128                                                                                                                                | 0                                                                                                                                  | 400                                                                                                                                |
| 11                                                                                                                                 | Arunachal Pradesh                                                                                                                  | 90                                                                                                                                 | 150                                                                                                                                | 0                                                                                                                                  | 240                                                                                                                                |
| 12                                                                                                                                 | Assam                                                                                                                              | 800                                                                                                                                | 0                                                                                                                                  | 235                                                                                                                                | 1035                                                                                                                               |
| 13                                                                                                                                 | Manipur                                                                                                                            | 0                                                                                                                                  | 43                                                                                                                                 | 0                                                                                                                                  | 43                                                                                                                                 |
| 14                                                                                                                                 | Meghalaya                                                                                                                          | 50                                                                                                                                 | 0                                                                                                                                  | 0                                                                                                                                  | 50                                                                                                                                 |
| 15                                                                                                                                 | Mizoram                                                                                                                            | 0                                                                                                                                  | 62                                                                                                                                 | 3                                                                                                                                  | 65                                                                                                                                 |
| 16                                                                                                                                 | Nagaland                                                                                                                           | 0                                                                                                                                  | 80                                                                                                                                 | 0                                                                                                                                  | 80                                                                                                                                 |
| 17                                                                                                                                 | Sikkim                                                                                                                             | 8                                                                                                                                  | 1                                                                                                                                  | 0                                                                                                                                  | 9                                                                                                                                  |
| 18                                                                                                                                 | Tripura                                                                                                                            | 0                                                                                                                                  | 50                                                                                                                                 | 0                                                                                                                                  | 50                                                                                                                                 |
| 19                                                                                                                                 | Andhra Pradesh                                                                                                                     | 628                                                                                                                                | 0                                                                                                                                  | 0                                                                                                                                  | 628                                                                                                                                |
| 20                                                                                                                                 | Goa                                                                                                                                | 52                                                                                                                                 | 0                                                                                                                                  | 4                                                                                                                                  | 56                                                                                                                                 |
| 21                                                                                                                                 | Gujarat                                                                                                                            | 800                                                                                                                                | 0                                                                                                                                  | 2                                                                                                                                  | 802                                                                                                                                |
| 22                                                                                                                                 | Haryana                                                                                                                            | 635                                                                                                                                | 0                                                                                                                                  | 0                                                                                                                                  | 635                                                                                                                                |
| 23                                                                                                                                 | Karnataka                                                                                                                          | 711                                                                                                                                | 0                                                                                                                                  | 198                                                                                                                                | 909                                                                                                                                |
| 24                                                                                                                                 | Kerala                                                                                                                             | 315                                                                                                                                | 0                                                                                                                                  | 0                                                                                                                                  | 315                                                                                                                                |
| 25                                                                                                                                 | Maharashtra                                                                                                                        | 937                                                                                                                                | 2674                                                                                                                               | 0                                                                                                                                  | 3611                                                                                                                               |
| 26                                                                                                                                 | Punjab*                                                                                                                            | 0                                                                                                                                  | 0                                                                                                                                  | 0                                                                                                                                  | 0                                                                                                                                  |
| 27                                                                                                                                 | Tamil Nadu                                                                                                                         | 1168                                                                                                                               | 0                                                                                                                                  | 0                                                                                                                                  | 1168                                                                                                                               |
| 28                                                                                                                                 | Telangana                                                                                                                          | 426                                                                                                                                | 198                                                                                                                                | 0                                                                                                                                  | 624                                                                                                                                |
| 29                                                                                                                                 | West Bengal                                                                                                                        | 0                                                                                                                                  | 981                                                                                                                                | 2639                                                                                                                               | 3620                                                                                                                               |
| 30                                                                                                                                 | A&N Island                                                                                                                         | 0                                                                                                                                  | 1                                                                                                                                  | 0                                                                                                                                  | 1                                                                                                                                  |
| 31                                                                                                                                 | Chandigarh                                                                                                                         | 6                                                                                                                                  | 0                                                                                                                                  | 0                                                                                                                                  | 6                                                                                                                                  |
| 32                                                                                                                                 | D&N Haveli/Daman &Diu                                                                                                              | 7                                                                                                                                  | 4                                                                                                                                  | 0                                                                                                                                  | 11                                                                                                                                 |
| 33                                                                                                                                 | Delhi                                                                                                                              | 0                                                                                                                                  | 228                                                                                                                                | 9                                                                                                                                  | 237                                                                                                                                |
| 34                                                                                                                                 | Ladakh                                                                                                                             | 4                                                                                                                                  | 14                                                                                                                                 | 0                                                                                                                                  | 18                                                                                                                                 |
| 35                                                                                                                                 | Lakshadweep*                                                                                                                       | 0                                                                                                                                  | 0                                                                                                                                  | 0                                                                                                                                  | 0                                                                                                                                  |
| 36                                                                                                                                 | Puducherry                                                                                                                         | 11                                                                                                                                 | 0                                                                                                                                  | 0                                                                                                                                  | 11                                                                                                                                 |

*Note: No demand was placed by State/UT in the NHM PIP.

Source: NHM-MIS report as on 31 st March 2022.

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