Referal Transport

The Government of Haryana has launched a unique scheme to provide referral transport service on 14th November 2009. It is branded as “National Ambulance Services”. All the districts of Haryana are covered under the scheme. The objective is to provide pre-treatment care and transport to the patient in emergency and to increase institutional delivery by transporting pregnant women. The State has 234 Basic Life Support ambulances, 43 Patient Transport Ambulances, 25 Kilkari and 58 Advance Life Support Ambulances.

 Services Provided

·         Transportation of patient from site of accident or home etc. to nearest appropriate medical facility.

·         Transportation of patient from a medical facility to higher medical Facility.

·         Transportation back home within the district to women after delivery.

 Free transportation services are provided to the following:

·         Free transportation services are provided within the district to any patient in emergency, pregnant women, victims of road side accident, post natal cases in case of emergency till 6 weeks after delivery and sick child till 5 year of age and freedom fighters.

Salient features of the scheme:

·         Ambulances fitted with Global Positioning System (GPS) and stationed one each at District Hospital, Sub divisional Hospital, Community Health Centre and one for two Primary Health Centers and operational 24x7.

  • 24x7 Control room in each district hospital manned by control room operators for receiving the calls, mobilizing and monitoring of ambulances through Geographical Information System (GIS).
  • Daily reporting from control rooms to State HQ is being done regarding each call received at control room through the online Referral Transport Application.

 

 

Emergency Call Number

·         An easily accessible and affordable three digit emergency toll free phone no. '108' is installed in control rooms in all the Districts.

Control Room

·         The control room is established in the District Hospital Campus of each District. Whenever a call is made on No.108, it lands at the control room. The Control Room operator quickly collects the information from the caller. He identifies the nearest ambulance to caller's location and sends the ambulance to the beneficiary.

 Information Education &Communication (IEC)

·         The IEC activity was done initially at each health facility in the form of flex boards. The IEC activity has been started along the highways recently

Performance Indicators:-

Indicators

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

2015-16

2016-17

Calls per vehicle per day

1.2

2.08

3.2

4

3.3

3.2

3.3

3.3

Average Response time

NA

NA

18 minutes

19 minutes

15 minutes

15 minutes

15 minutes

15 minutes

Average time taken in dropping the patient at health facility

NA

NA

42 minutes

22 minutes

38 minutes

38 minutes

38 minutes

38 minutes

Year wise Purchase of Ambulances-

Year

Ambulances Purchased

2009

132

2010

42

2011

17

2013

81

2016

67

The physical achievements are as follows:

 Year

Total cases

Pregnant women

Roadside accident cases

Referral from one health facility to another

Other Emergencies

2009-10

53790

25891

4711

10265

12975

2010-11

252192

99075

13831

51364

46201

2011-12

366598

133548

14650

73275

16820

2012-13

403347

143046

18312

87047

19229

2013-14

467174

170246

23524

105437

35459

2014-15

544299

201777

26288

126936

37089

2015-16

506256

182771

27080

133863

28731

2016-17

467873

164431

28078

129461

26195

Total

3061529

1120785

156474

717648

222699

Financial Achievement for year

Sr. No.

Financial Year

Expenditure(in lakhs)

1

2009-10

786.57

2

2010-11

874.04

3

2011-12

1837.24

4

2012-13

1931.59

5

2013 -14

2848.06

 Achievements:

·         Trainings of EMTs- All EMTs have been trained in Trauma & Emergency Life Support training.

·         Trainings of Drivers:- Drivers working under Referral Transport have been trained in one day basic life support training and were also trained in safe driving skills.

Ø  Safe Driving Skills Training- 719 drivers have been trained on vehicle maintenance

Ø  Trauma and Cardiac Life Support at Govt. Medical College and Hospital-32, 744 drivers have been trained in providing basic life support to patients and how to respond to emergency calls.

·         The Mobile Closed User Group (CUG) Sims has been provided to all ambulances

·         Two Back home ambulances per district have been identified from the fleet of ambulances to be stationed at district hospital and will be utilised for back home branded as “KILKARI” ambulances.

·         The refueling of ambulances is done through petro cards in collaboration with IOCL.

·         There are 24 x 7 Control room in each district hospital manned by control room operators for receiving the calls, mobilizing and monitoring of ambulances through Geographical Information System (GIS).

·         The ambulances in the State are distributed according to the population. One ambulance is available on population of one lakhs.

·         Flagging off 67 New Patient Transport ambulance have been done in September 2016 and these ambulances have been replaced with old fleet.

·         Uniform have been given to drivers and EMTs working under Referral Transport Scheme.

·         11 New Advanced Life Support ambulances have been added in April 2017.