The cabinet members expressed their reservations over Public Sector Development Projects (PSDP 2018-19), for which additional funds were approved. To strengthen health service at National Highways, Provision of necessary facilities at health centers and announced such centers will work as emergency service together with Rescue 1122 and trauma centers. In this regard, the government also directed the Peoples Primary Health Institutes (PPHI) to take initial measures to implement the decision.

Road accidents continue to be a major threat and bring into question the interventions put in place to contain them. It is pitying that major parts of the Balochistan Highway had been ignored and no such centers are planned on the RCD Highway linking Naushki with Taftan border with Iran or up to Zahedan, the provincial Capital of Iranian Balochistan. This section of Highway is in deplorable condition and the road is eroded in rains years ago making it dangerous for the motorists and mainly for loaded trucks.

This section of the RCD Highway had never been repaired or upgraded once it was built decades ago. There were suggestions from the civil society activists that cases should be registered against the NHA for any major accidents involving death and destruction as the NHA failed to upkeep its highways in far flung areas.

Earlier, we suggest that the Government and the concerned department should launch a plan to educate the drivers about the traffic laws and more importantly to the needed traffic sense before driving a public transport vehicle. It is also important for the truck drivers that they should also be equally competent to drive the vehicle for long distances to deliver cargo from one part of the country to another.

The Government of Balochistan should open such schools in the public sectors and assign the trained traffic police officers to impart necessary training to the drivers before they get a licence to drive a vehicle. Such training schools should be opened in all the Divisional Headquarters first to facilitate the people in getting minimum training before they drive vehicles on the roads.

The Government and the policy makers in the field of road safety should realize their responsibility to train and educate the illiterate bus and truck drivers so that major road accidents should be reduced to minimum restoring the confidence of the common people using road transport as a reliable means of transport.

Highway accidents are a major example of how lack of healthcare facilities. Road accidents are very common among developing countries like Pakistan where hundreds of people lose their precious lives daily. Provincial government should train in Emergency Services and should hire the services of doctor who will also be housed in the complex.

The center should have an intensivist or an anesthetist trained in intensive care to manage the critical cases and stabilize victims till they can be transferred to tertiary care centers. It is therefore imperative that the provincial government also launch its own integrated ambulance service along the lines of Rescue 1122. This model should be replicated throughout Balochistan, with hospitals few and far between in Quetta, and with many patients needing immediate emergency care, having a life-saving ambulance fleet staffed with trained paramedics can significantly improve patient outcomes.

Emergency services should manage and resuscitate accident victims, provide the initial treatment, and document the clinical status of the patient which is so critical in the ultimate outcome of the patient. The idea of a small but powerful unit is to be able to treat the victim in the GOLDEN hour, a concept which believes that many lives can be saved if the patient arrives at dedicated trauma centers within the hour of the accident.