The GVK EMRI maternal and neonatal transport system in India: a mega plan for a mammoth problem


      Maternal and infant mortality has been a major concern in India with the Government taking serious efforts to achieve the Millennium Development Goals by 2015. Ganapathy Venkata Krishna Reddy Emergency Management and Research Institute (GVK EMRI) is one such effort and is the country's first emergency service provider working under the public–private partnership model to provide emergency response services and quality pre-hospital care to any sick person, pregnant mothers, and sick neonates. Since the introduction of the emergency medical services, institutional deliveries have increased in all states and union territories where the ambulances have been deployed and the majority of mothers have been provided the required emergency care at the appropriate time. This in turn has helped in considerably reducing the maternal mortality. GVK EMRI has partnered with the government of Tamil Nadu and deployed specialized neonatal ambulances to ensure safe transport of newborns. The safe transport of sick, vulnerable neonates and the improvement in survival of transported neonates over the years advocate scaling up of this program to other states, which would greatly contribute towards reducing infant and neonatal mortality.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Seminars in Fetal and Neonatal Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • World Health Organization. Regional Office for Europe
        Emergency medical services systems in the European Union: report of an assessment project co-ordinated by World Health Organization.
        WHO Regional Office for Europe, Copenhagen2008
        • Skandalakis P.N.
        • Lainas P.
        • Zoras O.
        • Skandalakis J.E.
        • Mirilas P.
        “To afford the wounded speedy assistance”: Dominique Jean Larrey and Napoleon.
        World J Surg. 2006; 30: 1392-1399
        • Gaston S.R.
        Accidental death and disability: the neglected disease of modern society. A progress report.
        J Trauma. 1971; 11: 195-206
        • Alagappan K.
        • Holliman C.J.
        History of the development of international emergency medicine.
        Emerg Med Clin North Am. 2005; 23: 1-10
      1. Access Health International. GVK Emergency Management Research Institute: operating the 108 emergency care model. Case study.

        • Maine D.
        Too far to walk: maternal mortality in context.
        Soc Sci Med. 1994; 38: 1091-1110
        • Hohlagschwandtner M.
        • Husslein P.
        • Klebermass K.
        • Weninger M.
        • Nardi A.
        • Langer M.
        Perinatal mortality and morbidity. Comparison between maternal transport, neonatal transport and inpatient antenatal treatment.
        Archs Gynecol Obstet. 2001; 265: 113-118
        • Kollée L.A.
        • Brand R.
        • Schreuder A.M.
        • Ens-Dokkum M.H.
        • Veen S.
        • Verloove-Vanhorick S.P.
        Five-year outcome of preterm and very low birth weight infants: a comparison between maternal and neonatal transport.
        Obstet Gynecol. 1992; 80: 635-638
        • Jena B.
        • Bharadwaj D.
        • Rao G.V.
        Strategy towards achieving a safe motherhood in India: a cases study of GVK-EMRI. Health, poverty and human development: perspectives and issues.
        • IIPS
        National Family Health Survey (NFHS-3), India.
        International Institute for Population Sciences, Mumbai2005–06
        • National Rural Health Mission (NRHM)
        All India executive summary: status as on 31st March 2013.
        NRHM, 2013
        • Office of Registrar General, India
        Special bulletin on maternal mortality in India 2004‒06.
        (Sample Registration System)2009
        • Office of Registrar General, India
        Special bulletin on maternal mortality in India 2007‒09.
        (Sample Registration System)2011
        • Office of Registrar General, India
        Special bulletin on maternal mortality in India 2010‒12.
        (Sample Registration System)2013
        • Office of Registrar General, India
        Maternal mortality ratio bulletin 2011–13.
        (Sample Registration System)2015
      2. Child Health Division. Indian Newborn Action Plan, 2014. Ministry of Health and Family Welfare, Government of India.

        • Zodpey S.
        • Paul V.K.
        State of India’s Newborns (SOIN) 2014 ‒ a report.
        Public Health Foundation of India, All India Institute of Medical Sciences and Save the Children, New Delhi2014