Poor access to health facilities is one of the main concerns of rural communities. Journeys to health centers and hospitals are generally long, taking many hours. Transport of the pregnant women for delivery at institution and seeking treatment for pregnant women and neonates is often so difficult that trips are delayed to the last minute, causing unnecessary suffering and loss of life.Again these situations are aggravated in the remote and Left Wing Extremism (LWE) affected districts like Narayanpur.

UNICEF works in partnership with Ramakrishna Mission at most difficult areas of Narayanpur District since 2011. As an innovative project this has been initiated during 2015.

This innovative action was initiated to facilitate transfer of cases to facilities where no health service is extended by any agencies in Abujmarh region of Narayanpur District which is densely forested areas with no roads . Cases includes Pregnant women, chronically ill, malnourished children and OPD patients where access and security is an issue affecting the lives of women & children.

Performance: (April 2015 to August 2015)

 

ResultAs a proof of concept UNICEF Chhattisgarh implemented the Motorcycle ambulances project at Narayanpur Block of Narayanpur District, one of LWE districts . Implementation of the Pilot has confirmed the potential, showing the trailer can provide an effective, low-cost ambulance service for transporting pregnant women and sick neonates at the health facility and address issues of equity for the most vulnerable tribal population of the state .The trailer made motor cycle ambulance has been located at a village Sub health-centre and operated mainly between the village and Narayanpur District Hospital.Specification of the Ambulance

Materials & Methods

The “Emergency Transport Facility” through toll-free number ‘108’ has the largest coverage for referral transport in the state but the remote areas of LWE Districts have not been fully covered due to lack of proper road connectivity and difficulty in telephone network. This has been further affected due to LWE activities in these areas.AIM - To increase the proportion of institutional deliveries, treatment facilities for sick neonates, children and treatment facilities for most vulnerable populations

Problem Statement

Introduction

While the transport services may transport all pregnant women, irrespective of the potential or actual complication, the success of such a system should be measured by the proportion of complications averted and lives saved.

Conclusion

MOTORCYCLE AMBULANCE IN HARD TO REACH AREAS OF CHHATTISGARHImproved access to Health Services

Engine

Type 4-stroke, oil cooled, single cylinder

Displacement 200 - 250 ccMax. Power 20 - 25 Pa.sMax. Torque 18 -25 Nm

Dimensions

Length (mm) 2000 – 2055

Width (mm) 720 – 825Height (mm) 810 – 1165Ground clearance (mm)

160 – 170

Wheelbase (mm)

1300 – 1400

Kerb Weight (kg) 145 – 160

Dimension and sketch

This programme is being implemented through local partnership with NGO for hiring of motor cycle ambulance driver who has valid 2-wheeler driving license. A basic First-aid training has been provided to the driver for attending the patient while receiving and during travel. The cases are being referred from the villages either to district hospital or Primary Health Center.

Coverage of the Services

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250202

171

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