EMRI model - Indiagovernance.gov.in
EMRI model - Indiagovernance.gov.in
EMRI model - Indiagovernance.gov.in
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Study of Emergency Response Service (<strong>EMRI</strong> Scheme)Report of the 1 st Phase of the StudySTUDY OF EMERGENCY RESPONSE SERVICE (<strong>EMRI</strong> MODEL)IN SELECTED STATES IN INDIAI. Emergency Response Service (ERS): An IntroductionEmergency Response Service (ERS) is generally associated with medical services, policeemergency and fire service. This forms the core group of services to be provided. However,many other functions can be comb<strong>in</strong>ed to form a broader ‘package’ of ERS <strong>in</strong>clud<strong>in</strong>gemergencies like mounta<strong>in</strong> rescue, cave rescue, m<strong>in</strong>e rescue etc. Other emergencies likedisaster relief and fam<strong>in</strong>e relief form part of the civil emergency services.Historically, Emergency Response Services (ERS) are <strong>in</strong> practice s<strong>in</strong>ce 18th century (dur<strong>in</strong>g theNapoleonic times) when a pre-hospital system was designed to triage and transport the <strong>in</strong>juredfrom the field to aid stations 1 . An emergency call service was first launched <strong>in</strong> 1937 <strong>in</strong> the UKknown as the 999 emergency services. The key lesson, as evident from the experiences of suchERS worldwide and historically, is that these are not short run <strong>in</strong>vestments. Even after 70 yearsof operation, 999 required an <strong>in</strong>vestment of £10 million (GBP) on <strong>in</strong>frastructure and tra<strong>in</strong><strong>in</strong>g.This provides six k<strong>in</strong>ds of services: police, ambulance, fire, coastguard, cave and mounta<strong>in</strong>rescue 2 . The European counterpart to this service is the 112 number that also runs <strong>in</strong> the UKtoday along with its 999 phone l<strong>in</strong>e. The United States of America (USA) <strong>in</strong>troduced similarservice with the number 911 <strong>in</strong> 1968. It has been designated as the Universal EmergencyNumber for citizens throughout the US to request for emergency assistance. Today,approximately 96% of cont<strong>in</strong>ental USA is covered by 911. It is <strong>in</strong>tended as a nationwidetelephone number and gives the public fast and easy access to a Public Safety Answer<strong>in</strong>g Po<strong>in</strong>t(PSAP). 3In the Indian context, a much discussed and successful PPP <strong>model</strong> for ERS is the 108Emergency Service be<strong>in</strong>g managed and operationalised by <strong>EMRI</strong> (Emergency Managementand Research Institute) <strong>in</strong> many states <strong>in</strong> India like Andhra Pradesh, Gujarat, Uttarakhand, andRajasthan with around 1300 ambulances runn<strong>in</strong>g (as on December 2008) 4 . <strong>EMRI</strong> was set up asa registered society with 17 members and most of them were family members of Mr. Ramal<strong>in</strong>ga1 Source: Emergency medical services - Wikipedia, the free encyclopedia retrieved 2008-10-20092 Source: 999 celebrates its 70th birthday retrieved 2008-10-20093 Source: 9-1-1 Orig<strong>in</strong> & History | National Emergency Number Association retrieved 2008-10-294 As of March 2009 the number of ambulances has <strong>in</strong>creased to 1735 (Annexure: A-22)National Health Systems Resource Centre (NHSRC)5