Referral Transport Ambulance System in India
This is a documentation about the referral transport ambulance system set up by the government of Madhya Pradesh and UNICEF in India. From 2013 to 2016, this system has allowed the successful transport of over 4 million women and children to health institutions in the state of Madhya Pradesh alone. Guddi is standing outside the community health…, Reducing the Maternal Mortality Rate, In 2008, the state of Madhya Pradesh in India had the highest neonatal mortality rate and the fourth highest maternal mortality rate in the country. The Government of India and the state government have been committed to reducing these numbers for several years. They identified the need to address the three-delay model – three groups of factors…, How does it work?, 1. A beneficiary (pregnant mother, mother or child needing a check-up) contacts the call centre via the phone number for their district. 2. The call centre takes down the beneficiary’s information and contacts the driver for the local Janani Express vehicle. 3. The driver is given the locations for pick-up and drop off – and has the contact…, Sub-Health Centres, Another intervention that complements the transport system was to upgrade existing sub heath centers for 24 x 7 delivery services. These centres were set up to reduce the distance and travel time needed from remote villages as existing centers were limited in numbers and located primarily at district and block levels. Sub Health Centres The sub…, Call Centres, The communication hubs between the drivers, beneficiaries and the health centres are call centres set up in each district hospital. The call centre at the Shivpuri District Hospital is a simple room with a computer, a few phones, a printer, some logbooks and one operator around the clock. The operator, Mukesh Sharma tells us that this model of the…, Constant feedback loops, Call Center Operator: Mukesh shows on the online monitoring system, how many calls were missed in his district during the week. For him, monitoring the number of calls coming in, tracking the call conversion rate, kilometers travelled by each vehicle and closing of trips are some of the key data points to observe. The call centre operator is the…, Scale, With the technical support and catalytic funding from UNICEF this service was piloted in two districts of Guna and Shivpuri in 2007-08 and rapidly scaled up to all districts in the state of Madhya Pradesh by 2012. Dr. Gagan Gupta, Health Specialist at UNICEF who was behind the conceptualization of this model and was involved right from the pilot…, Looking Forward, While this transport system doesn’t solve all the problems faced in rural maternal health, it helps alleviate one of the bigger issues of access to institutional care. Nearly 8 out of 10 women in Madhya Pradesh are now giving birth in institutions, which is a big shift from 2007 when every second woman was delivering at home. More than half the…