Lok Sabha Question No. 3411 (UNSTARRED), answered on 2016-08-05
Subject: Emergency Medical Transportation Facility
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SHARAD TRIPATHI

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

## LOK SABHA UNSTARRED  QUESTION NO. 3411 TO BE ANSWERED ON 5 TH AUGUST, 2016

## EMERGENCY MEDICAL TR ANSPORTATION FACILITY

## 3411. SHRI SHARAD TRIPATHI:

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

(a)  the  present  status  of  emergency medical  transportation  facility  including emergency ambulance services in the country;

(b)  whether  the  Government  has formulated  any  criteria/ guidelines  for funding  the  projects related to emergency ambulance service for States/UTs;

(c) if so, the details thereof along with the funds allocated/ utilised during the last thre year, State/UT - wise;

(d) the number of proposals for financial assistance received along with the number of them cleared/ pending during the last three years, State/UT - wise; and

(e) the time by which the pending proposals are likely to be cleared?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WE LFARE (SHRI FAGGAN SINGH KULASTE)

(a) to (c) : Public  health  being  a  State  subject,  the  primary  responsibility  to  pr healthcare  services  lies  with  the  State  Governments.  However,  under  the  National  He Mission (NHM), technical and financial support is provided to States/UTs to strengthen their healthcare systems, including support for emergency ambulance services.

Under the Framework for Implementation of NHM, it is the endeavor to ensure univers access  to  emergency  medical  transportation  facilit y  with  response  time  of  not  more  than  30 minutes.  However,  the  support  under  NHM  is  provided  based  on  the  proposals  made  by  th States/UTs  in  their  Programme  Implementation  Plans  (PIPs)  within  their  overall  Resou Envelope.

State/UT - wise details of oper ational ambulances, including patient transport vehicles, ar provided at Annexure -I.

The  details  of  approvals  and  expenditures  during  the  last  three  year,  State/UT - wise towards Free Referral Transport and National Ambulance Service under NHM are provided at Annexure-II.

(d) & (e) : Proposals  for  financial  assistance  for  emergency  medical  transportation  fac were received from all the States/UTs during the last three years ,except Dadra & Nagar Haveli, Lakshadweep and Gujrat. Details of these proposals and their approvals, in the form of PIPs and Record of Proceedings  (ROPs) respectively,  are  available at  URL: http://nhm.gov.in/nrhm - in state/state - program- implementation - plans - pips.html .

No proposal for emergency medical transportation facility received during the last t years is presently pending for approval.

## Ambulances Operational under NHM (as on March 2016)

| Sl.no.   | State/UTs         |   Operational Ambulances |
|----------|-------------------|--------------------------|
| 1        | Bihar             |                      885 |
| 2        | Chhattisgarh      |                      539 |
| 3        | Himachal Pradesh  |                      320 |
| 4        | Jammu & Kashmir   |                      331 |
| 5        | Jharkhand         |                     2322 |
| 6        | Madhya Pradesh    |                     1594 |
| 7        | Orissa            |                      935 |
| 8        | Rajasthan         |                     1341 |
| 9        | Uttar Pradesh     |                     2952 |
| 10       | Uttarakhand       |                      248 |
| 11       | Arunachal Pradesh |                        0 |
| 12       | Assam             |                      931 |
| 13       | Manipur           |                       43 |
| 14       | Meghalaya         |                       42 |
| 15       | Mizoram           |                       60 |
| 16       | Nagaland          |                       75 |
| 17       | Sikkim            |                        0 |
| 18       | Tripura           |                        0 |
| 19       | Andhra Pradesh    |                      439 |
| 20       | Goa               |                       38 |
| 21       | Gujarat           |                      406 |
| 22       | Haryana           |                      375 |
| 23       | Karnataka         |                      911 |
| 24       | Kerala            |                       50 |
| 25       | Maharashtra       |                     3611 |
| 26       | Punjab            |                      242 |
| 27       | Tamil Nadu        |                      704 |
| 28       | Telangana         |                      316 |
| 29       | West Bengal       |                     2300 |
| 30       | A&N Island        |                        1 |
| 31       | Chandigarh        |                       15 |
| 32       | D&N Haveli        |                        0 |
| 33       | Daman & Diu       |                        7 |
| 34       | Delhi             |                      120 |
| 35       | Lakshadweep       |                        0 |
| 36       | Puducherry        |                       11 |
|          | All India         |                    22164 |

## Annexure - 2

Rs. In lakhs

## State/UTs-wise SPIP Approval & Expenditure towards Free Referral Transport and National Ambulance Service under NHM from the FY 2013-14 to 2015-16

| S.                                    |                                       | 2013-14                               | 2013-14                               | 2013-14                               | 2014-15                               | 2014-15                               | 2014-15                               | 2014-15                               | 2015-16                               | 2015-16                               | 2015-16                               | 2015-16                               |
|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|
| No                                    |                                       | Referral Transport                    | Referral Transport                    | National Ambulance Service            | National Ambulance Service            | Free Referral Transport National      | Free Referral Transport National      | Ambulance Service Free Referral       | Ambulance Service Free Referral       | Transport National Ambulance          | Transport National Ambulance          | Service                               |
| .                                     |                                       | SPIP                                  | Exp                                   | SPIP                                  | Exp                                   | SPIP                                  | Exp                                   | SPIP                                  | SPIP                                  | Exp                                   | SPIP                                  | Exp                                   |
| Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 | Exp A. High Focus States 0.00 8832.00 |
| 1                                     | Bihar                                 | 1120.10                               | 641.29                                |                                       | 544.40                                | 2320.42                               | 1818.03                               | 474.59                                | 5930.40                               | 3882.23                               | 392.40                                | 381.10                                |
| 2                                     | Chattisgarh                           | 157.50                                | 12.66                                 | 1228.40                               | 4463.93                               | 0.00 12.47                            | 4028.84                               | 6250.37                               | 300.00                                | 201.39                                | 0.00                                  | 3533.62                               |
| 3                                     | Himachal Pradesh                      | 28.43                                 | 8.41                                  | 722.40                                | 935.88 644.45                         | 279.31                                | 650.15                                | 645.20                                | 615.00                                | 426.15                                | 660.80                                | 660.80                                |
| 4                                     | Jammu & Kashmir                       | 613.25                                | 43.93                                 | 2034.48                               | 874.40                                | 439.51                                | 56.76                                 | 641.36                                | 874.38                                | 443.60                                | 858.58                                | 21.78                                 |
| 5                                     | Jharkhand                             | 243.17                                | 84.61                                 | 16.87 858.40                          | 34.10 2017.55                         | 2116.98                               | 2980.00                               | 7.84                                  | 2513.22                               | 2271.21                               | 2278.40                               | 6.64                                  |
| 6                                     | Madhya Pradesh                        | 0.00                                  | 0.00                                  | 2763.79                               | 6696.30                               | 3927.67                               | 4150.73                               | 3787.16                               | 5219.30                               | 5811.95                               | 2497.69                               | 8344.71                               |
| 7                                     | Orissa                                | 430.17                                | 1452.34                               | 0.00                                  | 3485.32                               | 4282.00 2423.40 1639.97               | 1411.20                               | 1545.53                               | 3031.12                               | 2880.48                               | 1079.37                               | 1044.72                               |
| 8                                     | Rajasthan                             | 650.00                                | 137.29                                | 2258.48                               | 2258.48                               | 7112.75 5271.16                       | 784.72                                | 1795.52                               | 5750.00                               | 4461.31                               | 3914.00                               | 2206.00                               |
| 9                                     | Uttar Pradesh                         | 351.28                                | 38.19                                 | 8043.03                               | 1602.41                               | 2814.05 253.59                        | 17580.55                              | 13962.90                              | 0.00                                  | 2.25                                  | 29228.92                              | 25146.15                              |
| 10                                    | Uttarakhand                           | 40.00                                 | 40.00                                 | 486.24                                | 212.20                                | 1160.00 773.88                        | 639.50                                | 609.88                                | 1276.00                               | 1053.24                               | 477.60                                | 599.45                                |
|                                       | Sub Total                             | 2513.79                               | 2937.53                               | 17018.90                              | 22267.51 30160.60                     | 17034.96                              | 34100.48                              | 29720.35                              | 25509.42                              | 21433.80                              | 41387.76                              | 41944.97                              |
| B. NE States                          | B. NE States                          | B. NE States                          | B. NE States                          | B. NE States                          | B. NE States                          | B. NE States                          | B. NE States                          | B. NE States                          | B. NE States                          | B. NE States                          | B. NE States                          | B. NE States                          |
| 11                                    | Arunachal Pradesh                     | 4.00                                  | 2.42                                  | 92.08                                 | 86.14                                 | 34.73                                 | 77.08                                 | 37.27                                 | 133.24                                | 71.90                                 | 65.80                                 | 61.30                                 |
| 12                                    | Assam                                 | 0.00                                  | 0.00                                  | 2822.40                               | 2936.16                               | 138.81 3980.00 1977.22                | 2034.00                               | 1756.20                               | 3530.54                               | 3992.74                               | 2946.56                               | 2575.33                               |
| 13                                    | Manipur                               | 0.00                                  | 1.28                                  | 265.20                                | 141.79                                | 321.88 216.12 291.90                  | 301.00                                | 114.95                                | 239.40                                | 355.64                                | 318.32                                | 777.22                                |
| 14                                    | Meghalaya                             | 15.50                                 | 1.57                                  | 110.88                                | 342.69                                | 51.97                                 | 110.98                                | 10.31                                 | 559.46                                | 92.47                                 | 126.88                                | 119.29                                |
| 15                                    | Mizoram                               | 0.00                                  | 0.00                                  | 139.69                                | 68.57                                 | 100.80 18.73                          | 170.13                                | 91.26                                 | 169.68                                | 16.91                                 | 142.31                                | 171.02                                |
| 16                                    | Nagaland                              | 43.25                                 | 10.11                                 | 82.90                                 | 52.31                                 | 234.21 122.10                         | 113.73                                | 33.04                                 | 100.87                                | 61.06                                 | 20.56                                 | 101.15                                |
| 17                                    | Sikkim                                | 7.60                                  | 4.89                                  | 22.01                                 | 2.02                                  | 47.50                                 | 36.70                                 | 57.62                                 | 63.60                                 | 36.64                                 | 163.52                                | 111.88                                |
| 18                                    | Tripura                               | 28.39                                 | 9.65                                  | 357.96                                | 17.12                                 | 57.96 562.50 245.67                   | 0.00                                  | 0.00                                  | 274.00                                | 274.14                                | 498.56                                | 0.00                                  |
|                                       | Sub Total                             | 98.74                                 | 29.92                                 | 3893.12                               | 3646.81                               | 5688.06 2714.04                       | 2843.62                               | 2100.64                               | 5070.79                               | 4901.50                               | 4282.51                               | 3917.19                               |
| C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              | C. Non-High Focus States              |
| 19                                    | Andhra Pradesh                        | 0.00                                  |                                       | 0.00                                  | 0.00                                  | 1531.69 1860.78                       | 2932.40                               | 4079.42                               | 921.84                                | 1744.59                               | 1118.40                               | 1901.69                               |
| 20                                    | Goa                                   | 294.00 0.00                           | 0.00                                  | 79.20                                 | 138.00                                | 62.50 24.10                           | 249.60                                | 209.99                                | 69.38                                 | 0.08                                  | 203.60                                | 27.99                                 |
| 21                                    | Gujarat                               | 162.50                                | 52.14                                 | 0.00                                  | 0.00                                  | 1075.43 1266.28                       | 0.00                                  | 0.00                                  | 867.39                                | 531.86                                | 0.00                                  | 0.00                                  |
| 22                                    | Haryana                               | 54.96                                 | 48.82                                 | 3573.56                               | 2109.94                               | 637.44 801.59                         | 2018.27                               | 2722.30                               | 680.61                                | 565.01                                | 3062.63                               | 2983.06                               |
| 23                                    | Karnataka                             | 0.00                                  | 0.00                                  | 4784.87                               | 212.51                                | 285.00 85.64                          | 1257.63                               | 3184.03                               | 635.00                                | 119.64                                | 1687.40                               | 890.94                                |
| 24                                    | Kerala                                | 24.94                                 | 30.60                                 | 1033.36                               | 579.88                                | 310.65 308.53                         | 2502.00                               | 206.26                                | 429.84                                | 401.74                                | 612.60                                | 0.00                                  |
| 25                                    | Maharashtra                           | 0.00                                  | 0.00                                  | 7809.20                               | 8762.00 5137.27                       | 4270.28                               | 2872.00                               | 17560.10                              | 5285.62                               | 3108.67                               | 2028.38                               | 2028.38                               |
| 26                                    | Punjab                                | 0.00                                  | 0.54                                  | 0.00                                  | 0.00                                  | 353.51 128.47                         | 0.00                                  | 0.00                                  | 492.27                                | 210.78                                | 0.00                                  | 0.00                                  |
| 27                                    | Tamil Nadu                            | 0.00                                  |                                       | 2025.20                               | 2530.33                               | 4500.00 5762.09                       | 1408.05                               | 5052.31                               | 3144.17                               | 2162.05                               | 2679.20                               | 1110.49                               |
| 28                                    | Telangana                             | 0.00                                  | 449.33 0.00                           |                                       |                                       | 1109.50                               | 2594.40                               | 758.40                                | 635.36                                | 247.80                                | 758.40                                | 758.62                                |
| 29                                    | West Bengal                           | 0.00                                  | 16.72                                 | 0.00                                  | 1091.09 0.00 6447.00                  | 5964.45                               | 0.00                                  | 0.00                                  | 6347.69                               | 6257.27                               | 1250.00                               | 15.19                                 |
|                                       | Sub Total                             | 536.40                                | 598.14 19305.39                       | 14332.66                              | 21431.58                              | 21581.69                              | 15834.35                              | 33772.81                              | 19509.17                              | 15349.50                              | 13400.61                              | 9716.36                               |
| D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   | D. Small States/UTs                   |
| 30                                    | A & Nicobar Islands                   | 0.00                                  |                                       | 0.00                                  | 0.00                                  | 39.83                                 | 0.00                                  | 0.00                                  | 0.00                                  | 0.14                                  | 0.00                                  | 0.00                                  |
| 31                                    | Chandigarh                            | 0.00 0.00                             | 0.00                                  | 122.68                                | 0.00 10.13 0.00                       | 0.00                                  | 38.42                                 | 10.36                                 | 0.00                                  | 0.00                                  | 65.28                                 | 23.54                                 |
| 32                                    | Dadra & Nagar Haveli                  | 1.20                                  | 0.95                                  | 0.00                                  | 29.40                                 | 0.00                                  | 0.00                                  | 0.00                                  | 17.25                                 | 3.46                                  | 3.90                                  | 0.00                                  |
| 33                                    | Daman & Diu                           | 0.00                                  | 5.18                                  | 68.07                                 | 0.00 57.71                            | 0.00 0.32                             | 20.57                                 | 15.41                                 | 0.00                                  | 0.00                                  | 21.40                                 | 23.82                                 |
| 34                                    | Delhi                                 | 20.00                                 | 0.15                                  | 3040.00                               | 872.58                                | 0.00 0.00                             | 648.00                                | 288.00                                | 0.00                                  | 0.00                                  | 988.00                                | 288.00                                |
| 35                                    | Lakshadweep                           | 0.40                                  | 0.00                                  | 0.00                                  | 0.00                                  | 6.25 0.22                             | 0.00                                  | 0.00                                  | 1.70                                  | 0.22                                  | 0.00                                  | 0.00                                  |
| 36                                    | Puducherry                            | 0.00                                  | 0.00                                  | 86.97                                 | 90.65                                 |                                       | 32.20                                 | 69.94                                 | 50.00                                 | 16.80                                 | 10.00                                 | 41.77                                 |
|                                       | Sub Total                             | 21.60                                 | 6.28                                  | 3317.72                               | 1031.07                               | 35.00 6.61 70.65 46.98                | 739.19                                | 383.71                                | 68.95                                 | 20.62                                 | 1088.58                               | 377.13                                |
| Grand Total                           |                                       | 3170.53                               | 3571.87                               | 43535.13                              | 41278.05                              | 57350.89 41377.67                     | 53517.64                              | 65977.51                              | 50158.33                              | 41705.42                              | 60159.46                              | 55955.64                              |

Note:

2. Above mentioned Expenditure figures are as reported by States/UTs and includes expenditure against Central Release, State share & unspent balances at the beginning of the year.

3. The above figures are as per FMR reported by State/UTs.