With the emerging significance
of the EMRI model as a preferred option for providing ERS across
most of the states in India, and its increasing support under the
NRHM, the Ministry of Health & Family Welfare, Govt. of India,
in November 2009, commissioned a review of EMRI scheme in selected
states of Andhra Pradesh, Gujarat and Rajasthan, through the NHSRC.
This appraisal would help the Ministry of Health & FW, Govt. of
India, in suggesting replication and improvement of the programme,
and also help build systemic linkages so as to maximise health
outcomes from this scheme. NHRC has conducted the study in 2009 in
three of the nine states- Andhra Pradesh, Gujarat and Rajasthan.
The second phase of the Study
was commisoned by NHSRC to IHS in June 2011 to do Primary data
collection in the form of interviews of people using the EMRI
services or other available ambulance services to reach either
public or private facilities which are sampled of government and
private facilities in three districts of Andhra Pradesh (Warrangal,
Anathapur, Visakhapatnam) through structured questionnaire designed
by NHSRC. The objectives of the second phase of the study were to (i)
Estimate the Efficiency and Effectiveness of Emergency Response
Services (ERS), (ii) Patern of use, (iii) Qulaity of Care, (iv)
Equity of Access etc. The interviews were conducted in selected
Government Hospitals (Medical College Hospitals, Dist Hospitals
& FRUs at the sub divisional and block level) and Private
Hospitals (Hospitals > 30 Beds, Maternity & Nursing Homes).
The study was completed and report submitted in August 2011.