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Chapter 8: Primary Care through a Public... > INNOVATIVE CHARACTERISTICS OF HMRI - Pg. 131

Primary Care through a Public-Private Partnership Motives for the Development of the Model In response to the inadequate emergency response system in Andhra Pradesh, Ramalinga Raju of Satyam Computers Services Ltd ("Satyam"), cre- ated the Emergency Management and Response Institute (EMRI) to provide emergency response services in the urban areas. EMRI's response sys- tem vastly improved the state's existing apparatus and soon the state government approached Mr. Raju to develop the same system for the rural areas, with the government funding 95 per cent of the costs of ambulance services in all districts of the state. Other states followed suit and EMRI soon expanded, now reflected in the 1,900 ambulances that are applied across 10 states, as of August 2009. EMRI quickly proved how a private organization with government funding can build a high-quality and efficient model in a short period of time. primary health center and that this population is de-linked from the public healthcare system. The Indian government has appointed Accredited Social Health Activist (ASHA) workers to provide basic health services in rural areas. These health- care workers are women, with limited training, who battle the constraining factors, such as long distances to primary health centers. Even in cases where these centers are within reach, they are often inadequately staffed and the monitoring of service provision insufficient. This inaccessibility is one of the primary problems which the HMRI Model intends to address. Successful identification of the deficiencies in the area of primary care provision, as well as the existing relationship of its founder and sister organization with the government, gave the team at HMRI the confidence to take the next steps and develop strategies to address these is- sues. The resulting partnership between HMRI and the state, which is 95 per cent funded by the