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The Economics of Emergency Care

The 108 Ambulance Service

How the free 108 emergency ambulance service began in Andhra Pradesh in 2005 and spread across India through public-private partnerships.

108 is India’s emergency ambulance number in most states.

Origins

The 108 service began in Andhra Pradesh in 2005, run by EMRI (Emergency Management and Research Institute).

Spread

Most states adopted 108 through public-private partnerships, with operators like GVK EMRI and Ziqitza.

Free service

Ambulances are free for patients.

102

Many states run 102 ambulances for pregnant women and infants.

Challenges

  • Response times vary.
  • Some ambulances lack advanced equipment or trained staff.

112

India’s 112 number integrates police, fire and ambulance emergencies.

The free ambulance

A family calls 108 after an accident, and a free ambulance takes the injured to hospital.

Thinking ambulances in India are always paid

108 is free.

Key takeaways
  • 108 began in Andhra Pradesh in 2005.
  • It spread through PPPs.
  • It's free.
  • 102 serves pregnant women.
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