International Journal For Multidisciplinary Research

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National Ambulance Services in India: A Narrative Review

Author(s) Dr Kalpana Pawalia, Ms Diksha LNU, Dr Ashutosh Kothari, Dr Himanshu Bhushan
Country India
Abstract Background: A strong and effective emergency referral transport network is a prerequisite for a country's assured emergency ecosystem. Ambulances have grown exponentially since the start of National Ambulance Services under the National Health Mission (NHM) a decade ago. This paper aims to understand the referral systems, strategies and the progress and undertaken by the Government of India to upgrade and strengthen the referral transport system. Methods: We conducted a narrative review and secondary data analysis on referral transportation systems from government portals. Key Interviews were held with key stakeholders’ expertise in health systems. Results: The number of ambulances increased by 57.5 % from 2012 to 2022. Hitherto, 32.2 % of Advanced life support (ALS) ambulances have been shorted against population norms. Although the accessibility of referral services has improved, there is a significant gap in delivering timely in-transit service. Conclusions: The existing referral system requires the rational deployment of well-equipped BLS & ALS ambulances as per population norms with adequately trained staff or EMTs (Emergency Medical Technicians). A systematic plan for monitoring and accountability to ensure timely arrival within the “golden hour” is the need of the hour.
Keywords Referral transport, Ambulance Service, Emergency, Health System, Emergency Medical Technician
Field Sociology > Health
Published In Volume 5, Issue 5, September-October 2023
Published On 2023-09-18
Cite This National Ambulance Services in India: A Narrative Review - Dr Kalpana Pawalia, Ms Diksha LNU, Dr Ashutosh Kothari, Dr Himanshu Bhushan - IJFMR Volume 5, Issue 5, September-October 2023. DOI 10.36948/ijfmr.2023.v05i05.6517
DOI https://doi.org/10.36948/ijfmr.2023.v05i05.6517
Short DOI https://doi.org/gssfpx
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