EMRI model - Indiagovernance.gov.in

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Study of Emergency Response Service (EMRI Scheme)AcknowledgementsThe study on Emergency Response Services, with specific reference to the EMRI model instates like Andhra Pradesh and Gujarat, had been commissioned under the National RuralHealth Mission (NRHM), Ministry of Health & Family Welfare, Government of India, in November2008, at the request of Shri G.C. Chaturvedi (Additional Secretary and Mission Director). Thestudy team expresses sincere thanks and gratitude to the Mission Directors and secretaries ofhealth of the three states Dr.Amarjeet Singh (Commissioner Health and Mission Director,Gujarat), Shri V. Srinivas (Secretary Family Welfare and Mission Director, Rajasthan) and thesenior health officials of Andhra - Shri LV Subramanyam, Shri Aggarwal and Shri Anil Punethafor their ready cooperation in facilitating the gathering of information and for readily discussingtheir perceptions and concerns with us. Also their comments on the study design and the finalreport are gratefully acknowledged.The study team would also like to thank the EMRI officials in Andhra, Mr. Venkat Changavalliand other officials, for providing us with all the documents required as well as share the basicdetails of the EMRI operations, during the interaction with the study team on December 23 rd ,2008, and on March 13 th 2009. Alongside, we are really grateful to Smt. Mona Khandhar (JS,GoG) for arranging the presentation and interaction with the Gujarat state and EMRI officials ata short notice and also for making available all the required documents, during the interactionwith the study team on January 9 th , 2009 and also for her comments on the final draft report.As we take the study further and get into the intricacies of EMRI operations across these states,we look forward to the same level of support and guidance from the Central, State and EMRIofficials.The NHSRC team that conducted the study comprised of Mr Gautam Chakraborty, Mr. Arun B.Nair and Ms. Riya Dhawan. The expert- advisors on the study team were Dr. C.K. George (IHSHyderabad), Dr. Muraleetharan (IIT Chennai and member of MSG-NRHM), Dr Barun Kanjilal(Professor, IIHMR Jaipur), and Dr. T. Sundararaman, (Executive Director, NHSRC). TheMission directors of the three states are part of the advisory committee of the study.Gautam Chakraborty,Team Leader, EMRI studyNational Health Systems Resource Centre (NHSRC)1
Study of Emergency Response Service (EMRI Scheme)ContentsAbbreviations 3I. Emergency Response Service (ERS): An Introduction 5II. Context of the EMRI Appraisal Study 6III. Findings of the Study 91. EMRI in Andhra Pradesh 92. EMRI in Gujarat 123. EMRI in Rajasthan 144. Comparative Analysis of Key Findings 15IV. Analysis & Discussions 181. Need and Utilisation of Services 182. Costing of EMRI Services 253. The Financing of EMRI 284. Governance and Management 30V. Recommendations 37VI. Conclusion 41Annex-A: EMRI appraisal for the state of Andhra Pradesh – list of documents 43Annex-G: EMRI appraisal for the state of Gujarat – list of documents 45Annex-R: EMRI appraisal for the state of Rajasthan – list of documents 48National Health Systems Resource Centre (NHSRC)2
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EMRI model - Indiagovernance.gov.in

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