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 282 Basic Life Support ambulances, 35 Patient Transport Ambulances, 40 Kilkari and 49 Advance Life Support Ambulances.
· 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 and to paralyzed patients or patients who are unable to move on their own.
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:
Emergency Call Number
· An easily accessible and affordable three digit emergency toll free phone no. '102' is installed in control rooms in all the Districts.
· The control room is established in the District Hospital Campus of each District. Whenever a call is made on No.102, 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
State Comparison of Calls between (2011-2012, 2012–2013, 2013-2014 and 2014-15)
Calls per vehicle per day
Average Response time
Average time taken in dropping the patient at health facility
Year wise Purchase of Ambulances-
The physical achievements in 2014-15 are as follows:
Roadside accident cases
Referral from one health facility to another
Financial Achievement for year
2014-15 (upto Feb 2015)
The NRHM, Haryana has done the following for publicity of toll free number 102.
· Radio Jingles on Referral Transport is already being aired during mid-news (Prime spot) on AIR.
· Regular Phone-in programs has also been recorded and aired.
· Posters and calendars on 102 and service provided under the scheme.
· Wall painting in villages.
· Boards at health facilities i.e subcentre, PHC, CHC, SDH and district hospital.
· The scheme of Referral Transport is widely discussed during PRI Sammelan etc.
· The advertisement of Referral Transport is given in Newspapers.
· To further enhance the publicity, the budget of Rs. 31,74,800/- has been sanctioned to the districts for placing boards highlighting the toll free number along the State and National highways and other roads.
• Trainings- The training of EMTs has been started in house with first batch being conducted from 16th March, 2015 of 24 EMTs. The module for the training has been prepared by GMCH-32 and training is being conducted at SIHFW on hi tech mannequins and simulators. 52 Emergency Medical Technicians trained in GVK Emergency Management and Research Institute, Hyderabad (Emergency Medical Technician certification in Basic Life Support, Advanced Cardiac Life Support, International Trauma Life Support & Advanced Life Support in Obstetrics)
- Safe Driving Skills Training- 719 drivers have been trained on vehicle maintenance
- 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.
• Free Transportation has been extended to under 5 year children.
• The Mobile Closed User Group (CUG) Sims has been provided to the whole staff of Referral Transport Scheme in the State.
• Information Education Communication (IEC) of Referral Transport is done along the Highways and the slums.
• 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 refuelling 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 State is purchasing 77 new ambulances.
• Online Referral Transport Application is available on National Health Mission Haryana Web Portal. The Ambulance Calls Data is being entered into this application since May 2014.
• The ambulances in the State are distributed according to the population. One ambulance is available on population of one lakhs.
• There are a total of 957 drivers and 729 Emergency Medical Technicians on our ambulances.
Study of Impact of Swasthya Vaahan Sewa
Recently, a study was conducted by PGIMER, Chandigarh on "Impact of referral transport system on institutional deliveries and its efficiency in Haryana, India". The study demonstrated a significant increase in the number of institutional deliveries in public sector institutions in districtsafter implementation of HSVS referral service in November 2009. While JSY and delivery hut schemes in Haryana started in May and Sep 2005 respectively, a more marked increase in number of deliveries in public sector institutions happened only after introduction of HSVS referral transport in 2009.
In the interrupted time series analysis below, it was found that institutional deliveries in Haryana has risen significantly after the introduction of HSVS service in Hisar. Pre slope, which is representative of pre-HSVS period, showed increasing trend in monthly institutional deliveries in Hisar. However, in the post-intervention period, while institutional deliveries increased (post-slope) in even further in districtHisar.