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 282 Basic Life Support ambulances, 35 Patient Transport Ambulances, 40 Kilkari and 49 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 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:

  • 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 Centres 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 software.

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.

 

Control Room

·         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)

 

 

Performance Indicator:

Indicators

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

Calls per vehicle per day

1.2

2.08

3.2

4

3.3

3.2

Average Response time

NA

NA

18 minutes

19 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

 

Year wise Purchase of Ambulances-

Year

Ambulances Purchased

2009

132

2010

42

2011

17

2013

81

The physical achievements in 2014-15 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

542801

200526

26119

126241

36817

Total

2085902

772332

101147

453629

167501

 

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

6

2014-15 (upto Feb 2015)

2978

 

IEC
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.

 

Current Achievements:

      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.