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-The World Bank
</div>
<p align="justify">
</p>
<p align="justify">
<em>STORY HIGHLIGHTS</em>
</p>
<p align="justify">
<em> </em>In the early 2000s, it was found that the causes of stagnant infant and maternal mortality rates in Tamil Nadu identified the lack of reliable, low cost, and accessible emergency transportation<br />
</p>
<p align="justify">
In September 2008, the Government of Tamil Nadu in partnership with GVK Emergency Management and Research Institute (EMRI) launched the free 108 emergency transportation service in the state.<br />
</p>
<p align="justify">
Since 2008, 108 has helped the government reduce the infant mortality rate from 35 to 22 per 1,000 live births as well as maternal mortality. It has also saved 120,271 road traffic accident victims through timely interventions.
</p>
<em>Government Project Website</em>
<p align="justify">
"Vanakkam! (hello) You have called the 108 ambulance service," said 25 year-old Lata speaking to the caller in an urgent, yet calm voice. She and her colleagues, at this call center located in the heart of Chennai city, have been busy since the morning answering relentless calls.
</p>
<p align="justify">
Lata's primary job as one of the 153 dynamic, young dispatch officers is to take calls of people reporting medical emergencies, locate and contact the nearest ambulance using the global positioning system (GPS) and dispatch it to the location. The 108 service is used mainly for road accidents, cardiac emergencies, serious injuries or for transporting pregnant women close to delivery. Now, with the common ‘108' phone number for ambulances, even the most remote parts of Tamil Nadu are covered.
</p>
<p align="justify">
One call ends, and another one is flashing on her screen. "On an average, I get about 150 calls in a daytime shift of nine hours. And within three minutes of taking the call, the emergency level is ascertained and the ambulance is dispatched," she said. However, Lata is not the one to complain about her busy schedule. "I feel very happy doing this, knowing that I am able to save so many lives every day," she said. Since its inception, the call center has responded to more than 4.05 million calls, 93% of them on the first ring!
</p>
<p align="justify">
<em>Delivering emergency care</em>
</p>
<p align="justify">
In the early 2000s, a study undertaken to identify the causes of stagnant infant and maternal mortality rates in Tamil Nadu identified lack of reliable, low cost, and accessible emergency transportation as a key concern. Tamil Nadu also recorded the largest number of road accident fatalities in India every single year since 2000 (18,000 in 2010 alone). The urgent need for a reliable emergency transportation, which would bring life-saving medical care within the golden hour to a road traffic accident victim, was irrefutable.
</p>
<p align="justify">
In September 2008, Government of Tamil Nadu in partnership with GVK Emergency Management and Research Institute (EMRI) launched the free 108 emergency transportation service in the state. With financing from the World Bank-supported Tamil Nadu Health Systems Project (TNHSP), 600 state-of-the art ambulances were assembled. The same project financed 30 smaller ambulances to operate in some of the inaccessible areas.
</p>
<p align="justify">
Ambulances are manned by medical technicians whose mission is to keep the patient alive until they reach the nearest hospital. They are trained on a curriculum developed by the Stanford School of Medicine. A pool of doctors provides constant support to the technicians on the road, helping them stabilize the patient and making the correct choice of a health facility.
</p>
<p align="justify">
Apart from providing basic life and cardiac support, the technicians are also trained in basic and advanced life support in obstetrics. They work with the Comprehensive Emergency Obstetric & Newborn Care Services initiative of the Tamil Nadu government and supported by the World Bank. At least two government hospitals in every district are equipped with fully functional obstetrics centers that provide antenatal, post natal and neonatal care.
</p>
<p align="justify">
The results of the 108 are promising. Since 2008, it has helped the government reduce the infant mortality rate from 35 to 22 per 1,000 live births. Since 2009-2010, the maternal mortality rate has also decreased from 85 to 79 per 100,000 live births. It has also saved 120,271 road traffic accident victims through timely interventions.
</p>
<p align="justify">
<em>Overcoming challenges</em>
</p>
<p align="justify">
Data from January 2014 indicates that in urban areas, a 108 ambulance reaches its beneficiary within 15 minutes of a call having ‘landed' on Lata or her colleagues' phone. It reaches rural areas within 21 minutes on account of narrow roads, poor signage, and other challenges.
</p>
<p align="justify">
The 108 service has been widely embraced by the citizens of the state-rich and poor alike. As of January 2014, it has serviced more than 3.1 million beneficiaries in a medical emergency. While the 108 responds to emergencies related to health, police and fire, by far its largest users are pregnant women (26.33%), who now easily access hospital facilities for a safe delivery at the hands of a qualified doctor or paramedic.
</p>
<p align="justify">
However, challenges remain. "In the rural areas of Tamil Nadu, the biggest challenge is reaching patients on time often due to bad road conditions and absence of street lights, especially in the hills," said B N Sridhar, regional chief operating officer for Tamil Nadu for GVK-EMRI.
</p>
<p align="justify">
The 108 service needs to reach out to as many emergencies as possible. And it has made a strong start. "With the 108 ambulance service, there is one life saved every 30 minutes," Mr. Sridhar proudly states.
</p>
<p align="justify">
<em>The World Bank, 10 March, 2014, <a href="http://www.worldbank.org/en/news/feature/2014/03/10/saving-one-life-every-30-minutes">http://www.worldbank.org/en/news/feature/2014/03/10/saving-one-life-every-30-minutes</a></em>
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Health | Saving One Life Every 30 Minutes </title>
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-The World Bank
STORY HIGHLIGHTS
In the early 2000s, it was found that the causes of stagnant infant and maternal mortality rates in Tamil Nadu identified the lack of reliable, low cost, and accessible emergency transportation
..."/>
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Health </h2>
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<h1 style="font-weight: 700;font-size: 14px;">
<a href="https://im4change.in/health/saving-one-life-every-30-minutes-24623.html" target="_blank">Saving One Life Every 30 Minutes</a>
</h1>
<br><small>March 28, 2014</small>
<p style="padding-top: 6px;">
-The World Bank
STORY HIGHLIGHTS
In the early 2000s, it was found that the causes of stagnant infant and maternal mortality rates in Tamil Nadu identified the lack of reliable, low cost, and accessible emergency transportation
In September 2008, the...</p>
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<a href="https://im4change.in/health/plan-panel-recognition-for-palliative-care-scheme-23883.html" target="_blank"><strong style="" >Plan panel recognition for palliative care scheme</strong></a>
<br><small>January 7, 2014</small>
<p style="padding-top: 6px;">
-The Hindu
Scheme will be extended to all taluk hospitals: Minister
THIRUVANANTHAPURAM (Kerala): The Planning Commission has recognised the palliative care programme being implemented in the State under Arogyakeralam as one among the best healthcare schemes in the country, Health Minister V.S. Sivakumar has said.
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<a href="https://im4change.in/health/over-9500-kids-born-in-ambulances-run-by-up-govt-23740.html" target="_blank"><strong style="" >Over 9,500 Kids Born in Ambulances Run by UP Govt</strong></a>
<br><small>December 24, 2013</small>
<p style="padding-top: 6px;">
-Outlook
Lucknow: The Uttar Pradesh government's 'Samajwadi Ambulance Service' may have been marred by controversy due to its name, but the ambulances under the scheme have seen the births of over 9,500 children in the state.
"The ambulance service, which started on September 14 last by Chief...</p>
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<a href="https://im4change.in/health/newborns-get-dropped-at-home-23576.html" target="_blank"><strong style="" >Newborns get dropped at home</strong></a>
<br><small>December 9, 2013</small>
<p style="padding-top: 6px;">
-The Hindu
Ramanathapuram (Tamil Nadu): After free and cashless deliveries,
newborn babies and mothers were transported back home free of cost by
the Government Headquarters hospital here, thanks to the implementation
of Janani-Shishu Suraksha Karyakram (JSSK) scheme.
The scheme rolled out by the Union Ministry of Health...</p>
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class="more-link"
style="float: right;" target="_blank">+ More...</a>
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<a href="https://im4change.in/health/mobile-phone-medically-yours-sreelatha-menon-21673.html" target="_blank"><strong style="" >Mobile phone: Medically yours-Sreelatha Menon</strong></a>
<br><small>June 23, 2013</small>
<p style="padding-top: 6px;">
-The Business Standard
Bihar's model of health care through mobile phones is finding many takers
Many things may be going wrong in India, but the one thing that has gone right is the reach of the mobile phone. It has bridged the divide between the rural and...</p>
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In the early 2000s, it was found that the causes of stagnant infant and maternal mortality rates in Tamil Nadu identified the lack of reliable, low cost, and accessible emergency transportation
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<br><small>March 28, 2014</small>
<p style="padding-top: 6px;">
-The World Bank
STORY HIGHLIGHTS
In the early 2000s, it was found that the causes of stagnant infant and maternal mortality rates in Tamil Nadu identified the lack of reliable, low cost, and accessible emergency transportation
In September 2008, the...</p>
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<br><small>January 7, 2014</small>
<p style="padding-top: 6px;">
-The Hindu
Scheme will be extended to all taluk hospitals: Minister
THIRUVANANTHAPURAM (Kerala): The Planning Commission has recognised the palliative care programme being implemented in the State under Arogyakeralam as one among the best healthcare schemes in the country, Health Minister V.S. Sivakumar has said.
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<br><small>December 24, 2013</small>
<p style="padding-top: 6px;">
-Outlook
Lucknow: The Uttar Pradesh government's 'Samajwadi Ambulance Service' may have been marred by controversy due to its name, but the ambulances under the scheme have seen the births of over 9,500 children in the state.
"The ambulance service, which started on September 14 last by Chief...</p>
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<br><small>December 9, 2013</small>
<p style="padding-top: 6px;">
-The Hindu
Ramanathapuram (Tamil Nadu): After free and cashless deliveries,
newborn babies and mothers were transported back home free of cost by
the Government Headquarters hospital here, thanks to the implementation
of Janani-Shishu Suraksha Karyakram (JSSK) scheme.
The scheme rolled out by the Union Ministry of Health...</p>
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<a href="https://im4change.in/health/mobile-phone-medically-yours-sreelatha-menon-21673.html" target="_blank"><strong style="" >Mobile phone: Medically yours-Sreelatha Menon</strong></a>
<br><small>June 23, 2013</small>
<p style="padding-top: 6px;">
-The Business Standard
Bihar's model of health care through mobile phones is finding many takers
Many things may be going wrong in India, but the one thing that has gone right is the reach of the mobile phone. It has bridged the divide between the rural and...</p>
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Health | Saving One Life Every 30 Minutes </title>
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<br><small>March 28, 2014</small>
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-The World Bank
STORY HIGHLIGHTS
In the early 2000s, it was found that the causes of stagnant infant and maternal mortality rates in Tamil Nadu identified the lack of reliable, low cost, and accessible emergency transportation
In September 2008, the...</p>
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-The Hindu
Scheme will be extended to all taluk hospitals: Minister
THIRUVANANTHAPURAM (Kerala): The Planning Commission has recognised the palliative care programme being implemented in the State under Arogyakeralam as one among the best healthcare schemes in the country, Health Minister V.S. Sivakumar has said.
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<br><small>December 9, 2013</small>
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-The Hindu
Ramanathapuram (Tamil Nadu): After free and cashless deliveries,
newborn babies and mothers were transported back home free of cost by
the Government Headquarters hospital here, thanks to the implementation
of Janani-Shishu Suraksha Karyakram (JSSK) scheme.
The scheme rolled out by the Union Ministry of Health...</p>
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<br><small>June 23, 2013</small>
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-The Business Standard
Bihar's model of health care through mobile phones is finding many takers
Many things may be going wrong in India, but the one thing that has gone right is the reach of the mobile phone. It has bridged the divide between the rural and...</p>
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-The World Bank
STORY HIGHLIGHTS
In the early 2000s, it was found that the causes of stagnant infant and maternal mortality rates in Tamil Nadu identified the lack of reliable, low cost, and accessible emergency transportation
In September 2008, the...
-The Hindu
Scheme will be extended to all taluk hospitals: Minister
THIRUVANANTHAPURAM (Kerala): The Planning Commission has recognised the palliative care programme being implemented in the State under Arogyakeralam as one among the best healthcare schemes in the country, Health Minister V.S. Sivakumar has said.
In a statement...
-Outlook
Lucknow: The Uttar Pradesh government's 'Samajwadi Ambulance Service' may have been marred by controversy due to its name, but the ambulances under the scheme have seen the births of over 9,500 children in the state.
"The ambulance service, which started on September 14 last by Chief...
-The Hindu
Ramanathapuram (Tamil Nadu): After free and cashless deliveries,
newborn babies and mothers were transported back home free of cost by
the Government Headquarters hospital here, thanks to the implementation
of Janani-Shishu Suraksha Karyakram (JSSK) scheme.
The scheme rolled out by the Union Ministry of Health...
-The Business Standard
Bihar's model of health care through mobile phones is finding many takers
Many things may be going wrong in India, but the one thing that has gone right is the reach of the mobile phone. It has bridged the divide between the rural and...
