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Study of Emergency Response Service (EMRI Scheme)Indicators Andhra Pradesh Gujarat Rajasthanemergencies transportedCalculated from:Annex 15-A:Emergency Call DailyReport 03 November20089. Resources contributed by EMRI 70 ambulances, callcentre (building &equipment), GISsoftware forbackend supportData Source:10. Total Capital cost perAmbulanceCalculated from:11. Total Operating cost perambulance (annualised)Calculated from:Annex 3-A (powerpointpresentation of EMRIservices in AP, 20 th Feb2009)Rs.11 lacs(Rs. 21 lacs in 1 styear)Annex 4-A (Latestperiodic data (April-December 2008), andAnnex 5-A (Balancesheet for the year 2007-08)Rs. 12.59 lacsAnnex 4-A (Latestperiodic data (April-December 2008), andAnnex 5-A (Balancesheet for the year 2007-08)Annex 7-G (Emergencyresponse centre dailyreport for Gujarat dated31/12/2008)GIS software forbackend supportAnnex 2-G (MOUbetween GoG and EMRI)Rs.11.18 lacs(Rs. 28.27 lacs in 1 styear)Annex 5-G (Auditedquarterly utilisationcertificates andstatements ofexpenditure for quarterending Sep ’07 andquarter ending Dec ’08)Rs. 6.68 27 lacs(Rs. 11.37 lacs in the1 st year)Annex 5-G (Auditedquarterly utilisationcertificates andstatements ofexpenditure for quarterending Sep ’07 andquarter ending Dec ’08)12. Operating cost per trip Rs. 565/- Rs. 635/-(Rs. 2,872/- in the 1 stCalculated from:13. Share of EMRI in operatingcostAnnex 4-A (Latestperiodic data (April-December 2008), andAnnex 5-A (Balancesheet for the year 2007-08)none in the currentfinancial year (2008-09)year)Annex 5-G (Auditedquarterly utilisationcertificates andstatements ofexpenditure for quarterending Sep ’07 andquarter ending Dec ’08),and Annex 6-G(Ambulance wiseemergency dataset dated14/01/2009)5%As per clarifications byEMRI, this is becauseof an error in bookingthe amounts. In effect,there had been notransfer of funds fromAnnex 8-R (Daily calland despatch report bytype of emergencydated 18-02-2009)GIS software forbackend supportAnnex 1-R (MOUbetween GoR and EMRI)Rs. 34.06 lacs(it is the 1 st year ofoperations)Annex 3-R (Auditedreport of EMRIRajasthan for threequarters till 31 st Dec ’08)Rs. 11.96 lacsAnnex 3-R (Auditedreport of EMRIRajasthan for threequarters till 31 st Dec ’08)Rs. 2,700/-Annex 3-R (Auditedreport of EMRIRajasthan for threequarters till 31 st Dec’08), and Annex 8-R(Daily call and despatchreport by type ofemergency dated 18-02-2009)0.00%As per clarifications byEMRI, this is becauseof an error in bookingthe amounts. In effect,there had been notransfer of funds from27 Rs. 3.34 lakhs for the 6-month period from April to September 2008. This is very low as EMRI Gujarat has yet toundertake the full investment in terms of the supporting infrastructure and staff needed to run the number ofambulances that is operational. For example, whereas the operational staff to ambulance ratio is around 7 for bothAP and Rajasthan, it is 5 for Gujarat.National Health Systems Resource Centre (NHSRC)17
Study of Emergency Response Service (EMRI Scheme)Indicators Andhra Pradesh Gujarat RajasthanCalculated from:14. Salaries of service providers(operational staff) aspercentage of total operatingcostCalculated from:15. Administrative overheads aspercentage of total operatingcostCalculated from:16. Direct vehicle/ambulanceoperations and maintenancecost as percentage of totaloperating costCalculated from:17. Ratio of staff (operational staff)to AmbulanceCalculated from:IV. Analysis & Discussion1. Need and Utilization of Services:EMRI to state’soperationsEMRI to state’soperationsAnnex 5-G (Auditedquarterly utilisationcertificates andstatements ofexpenditure for quarterending Sep ’07 andquarter ending Dec ’08)27.30% 41.89% 46.51%Annex 4-A (Latestperiodic data (April-December 2008)Annex 4-A (Latestperiodic data (April-December 2008), andAnnex 5-A (Balancesheet for the year 2007-08)Annex 5-G (Auditedquarterly utilisationcertificates andstatements ofexpenditure for quarterending Sep ’07 andquarter ending Dec ’08)Annex 3-R (Auditedreport of EMRIRajasthan for threequarters till 31 st Dec ’08)Annex 3-R (Auditedreport of EMRIRajasthan for threequarters till 31 st Dec ’08)31.37% 27.26% 38.32%Annex 4-A (Latestperiodic data (April-December 2008), andAnnex 5-A (Balancesheet for the year 2007-08)Annex 5-G (Auditedquarterly utilisationcertificates andstatements ofexpenditure for quarterending Sep ’07 andquarter ending Dec ’08)Annex 3-R (Auditedreport of EMRIRajasthan for threequarters till 31 st Dec ’08)41.33% 30.85% 15.17%Annex 4-A (Latestperiodic data (April-December 2008), andAnnex 5-A (Balancesheet for the year 2007-08)Annex 5-G (Auditedquarterly utilisationcertificates andstatements ofexpenditure for quarterending Sep ’07 andquarter ending Dec ’08)Annex 3-R (Auditedreport of EMRIRajasthan for threequarters till 31 st Dec ’08)7.41 per ambulance 5.24 per ambulance 6.87 per ambulanceState wise headcountof EMRI as on28/02/2009, and AnnexA-6 (NationalPerformance DailyReport 17 Feb 09)State wise headcount ofEMRI as on 28/02/2009,and Annex A-6 (NationalPerformance DailyReport 17 Feb 09)State wise headcount ofEMRI as on 28/02/2009,and Annex A-6 (NationalPerformance DailyReport 17 Feb 09)a. Popular: Undoubtedly the service is popular. This is based on reports in the media andthe perceptions of all authorities met, and the wide spread political support the projectenjoys. It is also based on the testimonies of many public health observers andNational Health Systems Resource Centre (NHSRC)18
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