AROGYA KAVACHA 108:

“ArogyaKavacha” 108 Emergency service was started in the state of Karnataka on November 1, 2008, by the Karnataka Health and Family Welfare Department under a Private Public Partnership through an MOU signed with GVK EMRI.

The Role and Mission of ‘108’ is to save lives by providing a comprehensive ‘Emergency Response Service’ to those in Medical, Police or Fire emergencies, through a single integrated number - 108. We operate 24 x 7 and 365 days of the year with a fleet of 711 well equipped ambulances. The ambulances are manned by a trained Emergency Medical Technician (EMT) and a trained driver (Pilot). This service is available across the length and breadth of Karnataka i.e., all the 30 Districts.

The Ambulances are stationed strategically in all Districts and taluks across Karnataka so they can reach the incident location within the shortest possible time anywhere in the state. The services are operated through a centralized Emergency Response Center located at Bangalore. At present there is one ambulance for every 85000 populations with a total of 711 Ambulances throughout the state.

This service can be utilized by any individual who requires emergency help (Medical, Police, or Fire) irrespective of his economic status, caste, creed, color, ethnicity, gender, and/or literacy levels. The process of calling for an ambulance is simplified to such an extent that a call to the toll-free number ‘108’ with details of emergency, the number of people involved and the incident location supported with a landmark; would trigger an ambulance dispatch . This is an absolutely FREE SERVICE starting from the phone call till the point of reaching the hospital.

The medical emergencies can be availed for Accident and Trauma (Vehicular and non vehicular), complaints related to Cardiac, Respiration, Diabetes, pregnancy, Stroke/Convulsions, Suicide attempts, Poisoning cases, Assault/Violence, Animal Attacks, Neonatal, Building Collapse, Fire, Burns, hazardous material ingestion etc.,

From the date of inception till December 2015, 4,99,62,317 calls are attended, 5,258,616 emergencies are attended and out of this 16,43,306 pregnant women have utilized the services and Total Number of Lives Saved 1,44,700 lives are saved.

1

Janani SurakshaVahini:

JananiSurakshaVahiniProgramme was initiated under NHM in 2009-10 to ensure 24/7 round the clock, free referral transport between the facilities for pregnant women and sick neonates/ infants.

Out of the existing ambulances of the CHCs/ THs/ DHs one ambulance of each facility was designated as JSV Ambulance. At present there are 180 JSV Ambulances.

Drivers are outsourced by District Health Societies from Manpower Agencies by calling tenders as per KTPP Act.

3 drivers (1 Regular and 2 Out sourced) are given to each vehicle to work in 8 th

hourly shifts. Total number of beneficiaries under JSV from April 2015 to December is 25515.

.Nagu-Magu:

To provide Drop Back facility for post postnatal mothers and new born from Government Health Facilities to their residence, 200 drop back vehicles called as “Nagu-Magu” were inaugurated on 5th February 2014. The Nagu-Magu vehicles are deployed one each at the District Hospital and Taluka Level Hospitals.

2

Drivers for Nagu-Magu Vehicle are outsourced by District Health Societies from Manpower Agencies by calling tenders as per KTPP Act. Total number of beneficiaries under Nagu-Magu from April 2015 to December 2015 is 58362.

Bike Ambulances:(First Response Unit):

The Bike Ambulances/ First Response unit (FRU) is inaugurated on 15 th of April 2015 by Government of Karnataka. It is the “Platinum Ten Minutes” trauma care initiative aimed at reducing deaths due to road accidents. It is an unique initiative and is the first of its kind to be taken up by the State Government in our Country.

The first aid and medical care during the “Platinum Ten Minutes” is paramount to save the life of an accident victim, hence the pioneering attempt to start motorbike ambulance service.

The motorbike ambulance service is another pilot and pioneering initiative to ensure first aid to the victims during the Golden Hour.

They are useful for negotiating the small streets and heavy traffic in the large urban areas where it would be difficult to move ambulances through crowds. The fleet of high-powered touring motorcycles are available when required to respond to various trauma/medical incidents. The Bike ambulances will be currently deployed in Bangalore (19 Nos), Mangalore (2 Nos), and one each to the corporation areas of Mysore, Kalburgi, Belagavi, Hubli-Dharwad, Davanagere, Tumkur, Vijayapura ,Shimoga and KolarDistricts where heavy traffic congestion and narrow streets would be easily overcome by the agile nature of the bikes. The programme will be implemented through GVK-EMRI who are already experience in providing such services through Arogya Kavacha-108. Riders are paramedics or EMTs who are recruited and trained on managing emergencies. Motorbike ambulance drivers would be fully trained in rendering first aid and would start resuscitation measures to save the victim.

Two-wheelers by virtue of their size could manoeuvre through narrow and busy roads and reach accident spots with ease while they would be followed by a fully equipped four-wheel ambulance for shifting the victim to a nearest hospital for further treatment if necessary.

3

Bike ambulance is able to respond to a medical emergency much faster than an ambulance or a car in heavy traffic which can increase survival rates for patients suffering cardiac arrest/ accident/ other emergencies.

Totally 2220 emergencies (minor trauma and accidents) are attended by the bike ambulances from the date of inception out of which 81 are critical cases and 1637 cases are referred to 4 wheeler ambulance.

13.1.4.10 AROGYA VANI-104:

The Government of Karnataka has started the Arogya Sahayavani-104 service with the moto of reaching the unreached, to provide all the health care services available in the public sector.

Those patients residing in the remote rural villages, who cannot access the medical doctors in the hospitals, can now contact with the doctors through Arogya Sahayavani-104. “104” is a toll free number through which people can avail consultation for minor ailments, counseling services, information on services available in public Health facilities, directory services (Eye bank, Blood Bank) and grievance redressal (Services, Epidemics, Corruption, Hygiene, Drugs and Diagnostics, ASHA grievances, etc., )

Arogya Sahayavani-104 call center is situated at IT ParkHubli with 100 seater capacity. People (Citizens) from any part of the state can avail their service by calling 104 should the clock throughout the year. From the date of inspection till date 67,04,425 calls are received at the call center. Around 75 deaths are averted from inspection. At present around 20000 calls per day on an average is being received at the call center.

Vatsalya Vani:4

For the first time in India, A Three way call conferencing structure for Mother Child tracking system called “VatsalyaVani” is launched in Karnataka by Hon’ble Chief Minister Shri. Siddaramaiah on 21st September 2015. This programme is implemented through Arogya Sahayavani-104.

Karnataka has achieved the Millennium Development Goals. Maternal Mortality Rate of Karnataka is 133/lakh live births & Infant Mortality Rate is 31/1000 live births. Our State under the leadership of Hon’ble Chief Minister Sri Siddaramaiah& Health Minister Sri U T Khader is a step ahead of all the other states in the MCTS Programme by bringing in the unique three way call conferencing structure for Mother Child tracking system called “VatsalyaVani”.

To reduce Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR), “VatsalyaVani” would monitor and offer medical advice/counseling to the pregnant women throughout the pregnancy period at appropriate times. Likewise every child will be monitored at specified intervals to ensure it receives complete immunization. As a result complement other efforts to increase institutional deliveries, Prevent drop outs, improve delivery services etc., in the direction of reducing MMR and IMR.

VatsalyaVani call center will offer the below services throughout the state:1. Monitor all pregnant woman and child through ANC/PNC advice.2. Promote, protect and maintain the health of the mother and child through advice e.g.

nutrition, health & wellbeing.3. Providing information of various government health programs and schemes and their

entitlements4. Identify and track High Risk Pregnancies and low weight birth babies.5. Motivate mothers for Institutional Delivery and family planning methods. 6. Arrange and monitor transfer to nearest delivery point through state ambulances.7. Eliminate home deliveries.8. Track Immunization status.9. Prevent dropouts.

Ensure complete service delivery.

Growth Trend of Calls received at Arogya Sahayavani-104 from Inception till January 2016

5

Jun'13

Aug'13

Oct'13

Dec'13

Feb'14

Apr'14

Jun'14

Aug'14

Oct'14

Dec'14

Feb'15

Apr'15

June'15

Aug'15

Oct'15

Dec'15

0

100000

200000

300000

400000

500000

600000

700000

3613

262

068

6859

171

011

1033

5910

8305

1003

2997

879

8017

799

405

1377

5314

7592

1280

5311

5792

1255

6612

7039

1604

1318

4299

1961

7521

1958

2316

03 3039

4331

9697

3211

9128

8787 36

8137

4029

7544

2820

6048

4351

6908

5206

9652

6014

Call type from Inception till January 2016

Call Type Calls

Directory Information 1495

Minor Ailment and Treatment 2839144

Serviced by Counseling Officer 71019

BLOOD BANK 2994

EYE BANK 400

Emergency 4338

Vatsalya Vani 97387

Grievances 19860

Serviced By Registration Officer 3726768

NLEP 282

RNTCP 3500

INDRADHANUSH 1268

6

7