Integrated Ambulance Service

Grantee: District Health Department Hafizabad

Description:

IAS project aimed at filling the gap of timely availability of medical service for Emergency Obstetric and New born Care (EmONC). The pilot was implemented by District Government of Hafizabad in partnership with Ufone, a telecommunications service provider in Pakistan. Previous research and empirical evidence showed that a mother or her child’s life was lost every 37 minutes in Pakistan due to delays caused by; (i) decision making by family members to transport the mother to hospital;(ii) affordability and availability of suitable transportation and;(iii) provision of immediate medical services. It could be reasoned that the second factor somewhat affected the other two. This experiment addressed this critical second factor of delay. The pilot developed a GIS enabled ambulance dashboard that provided door step facilities for EmONC. The ambulances were managed centrally by the DCO office and located through GIS mapping covering the entire rural area of Hafizabad. The paramedic/LHW associated with the ambulance was trained to provide basic services and at the same time was trained to notify the nearest hospital about the patient’s condition to ensure appropriate readiness. All of this communication between patient, driver and medical facility was tracked and recorded by a central control room.

Beneficiaries:

The experiment was carried out in District Hafizabad and it handled 5545 deliveries, 1098 medical emergencies and 248 road traffic accidents.

Results:

The project increased accessibility of EmONC by at least 25%. Almost 63.3% of Maternal, Newborn and Child Health (MNCH) complications were due to the transport barriers, IAS focused on eliminating this barrier and bringing down the Infant and Mother Mortality Rates.

Adoption and Scale-up:

The pilot displayed a strong public-private partnership model where initial seed funding by DDCF paved way for a private mobile provider to work with the district government. The integrated system was developed by Ufone, keeping in mind the easy scale-up and deployment across the province. The provincial government of the Punjab has scaled-up the pilot across the government under the project Mahfoz Maa.