Vehicles operated by Kerala State Road Transport Corporation, Travancore Devaswom Board and Private parties are available to Pamba. Dolly service is available from Pamba to Sannidhanam for those who are unable to walk the heights.
As Sabarimala Ayyappa is ‘Nithya Brahmachari’ (celibate)women between the 10-50 age group are not allowed to enter Sabarimala. Such women who try to enter Sabarimala will be prevented by authorities. Only pilgrims who have observed Vrutham alone are allowed entry through the holly Pathinettampadi. They have to carry Irumudikettu (Pallikettu) also.
The Health Department of the Government of Kerala runs allopathy, homoeopathy and ayurvedic hospitals at Sannidhanam and Pamba during the pilgrimage season. A cardiology unit functions at the Neelimala ascent the Devaswom Board also runs a cardiology hospital at Pamba near the Pamba Maramath Complex, in cooperation with the Amritha Institute of Medical Sciences, Kochi.
There are Cardiology Centres at Appachimedu (Phone No. 04735-202050) and Neelimala (Phone No. 04735-203384).
Stretcher service is available at Appachimedu (Phone No. 04735-203350)
In addition to the above facilities, some organizations from and outside Kerala also conduct free medical camps for pilgrims during the Mandala pooja and Makaravilakku festivals. They are at Sannidhanam and Pamba, and also along the sides of the path leading to the Sannidhanam.
Sufficient ambulance services are also available at Pamba.