Lok Sabha Question No. 2486 (UNSTARRED), answered on 2018-03-09
Subject: Mobile Medical Units under RGSM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SHARAD TRIPATHI

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 2486 TO BE ANSWERED ON 9 TH MARCH, 2018

## MOBILE MEDICAL UNITS UNDER RGSM

## 2486. SHRI SHARAD TRIPATHI:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the norms fixed regarding setting up of mobile medical units in the country under Rashtriya Gramin Swasthya Mission (RGSM);
- (b) the number of mobile medical units functioning in the country, State/UT - wise;
- (c) the number of proposals received by the Government from the States and Union Territories in this regard during each of the last three years; and
- (d) the steps taken by the Government egarding release of funds for the said pur pose?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): Setting up of MMUs under National Rural Health Mission (Now subsumed into Natio Health Mission) is based on population norm with 1 MMU pe r 10 lakh population subject to a cap of 5 MMUs/district. This has been estimated as follows:
- i ) District with population 10 lakhs -1 MMU
- ii ) District with population of between 10 lakhs and 20 lakhs -2 MMUs.
- iii ) District with population of between 20 lakhs and 30 lakhs -3 MMUs
- iv ) District with population of between 30 lakhs and 40 lakhs - 4 MMUs
- v) District with population of over 40 lakhs -5 MMUs

However, further relaxation has been available on a case to case basis for hilly/ areas, where the populations are widely dispersed and the geographical terrain is difficu

States are expected to map the nature of diversity of their conditions and ado suitable and sustainable model to suit their state specific needs. However, Sta tes have also been specifically requested to provide MMUs especially in areas inhabited by Particularly Tribal Groups (PVTGs) so as to provide primary health care facility close to their habi

Relaxation of norm of one MMU per 10 lakh population in cases where patients served through existing MMUs exceeds 60 patients per day in plain areas and 30 patients per d areas, on a case to case basis, have also been approved.

- (b): The number of mobile medical units functioning in th e country, State/UT - wise, is as per Annexure-I.
- (c): The number of proposals received from the States/UTs in thi  regard during each of the last three years is as per Annexure -II
- (d): Funds to States under NRHM Flexipool are released as lump - sum and not for individual activity. Statements showing approval and utilization of funds during the years 2014 - 15, 2015 - 16 and 2016 - 17 for MMUs are enclosed as Annexure -III.

## Annexure -I

| Mobile Medical Units (MMUs) operational under NHM As on Sept 2017   | Mobile Medical Units (MMUs) operational under NHM As on Sept 2017   | Mobile Medical Units (MMUs) operational under NHM As on Sept 2017   |
|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
| Sl.no.                                                              | State/UTs                                                           | Total MMUs                                                          |
| 1                                                                   | Bihar                                                               | 6                                                                   |
| 2                                                                   | Chhattisgarh                                                        | 12                                                                  |
| 3                                                                   | Himachal Pradesh                                                    | 0                                                                   |
| 4                                                                   | Jammu & Kashmir                                                     | 11                                                                  |
| 5                                                                   | Jharkhand                                                           | 98                                                                  |
| 6                                                                   | Madhya Pradesh                                                      | 144                                                                 |
| 7                                                                   | Odisha                                                              | 8                                                                   |
| 8                                                                   | Rajasthan                                                           | 206                                                                 |
| 9                                                                   | Uttar Pradesh                                                       | 0                                                                   |
| 10                                                                  | Uttarakhand                                                         | 5                                                                   |
| 11                                                                  | Arunachal Pradesh                                                   | 16                                                                  |
| 12                                                                  | Assam                                                               | 76                                                                  |
| 13                                                                  | Manipur                                                             | 9                                                                   |
| 14                                                                  | Meghalaya                                                           | 4                                                                   |
| 15                                                                  | Mizoram                                                             | 9                                                                   |
| 16                                                                  | Nagaland                                                            | 11                                                                  |
| 17                                                                  | Sikkim                                                              | 4                                                                   |
| 18                                                                  | Tripura                                                             | 0                                                                   |
| 19                                                                  | Andhra Pradesh                                                      | 52                                                                  |
| 20                                                                  | Goa                                                                 | 0                                                                   |
| 21                                                                  | Gujarat                                                             | 61                                                                  |
| 22                                                                  | Haryana                                                             | 9                                                                   |
| 23                                                                  | Karnataka                                                           | 72                                                                  |
| 24                                                                  | Kerala                                                              | 28                                                                  |
| 25                                                                  | Maharashtra                                                         | 40                                                                  |
| 26                                                                  | Punjab                                                              | 33                                                                  |
| 27                                                                  | Tamil Nadu                                                          | 415                                                                 |
| 28                                                                  | Telangana                                                           | 0                                                                   |
| 29                                                                  | West Bengal                                                         | 54                                                                  |
| 30                                                                  | A&N Island                                                          | 0                                                                   |
| 31                                                                  | Chandigarh                                                          | 0                                                                   |
| 32                                                                  | D&N Haveli                                                          | 1                                                                   |
| 33                                                                  | Daman & Diu                                                         | 0                                                                   |
| 34                                                                  | Delhi                                                               | 2                                                                   |
| 35                                                                  | Lakshadweep                                                         | 0                                                                   |
| 36                                                                  | Puducherry                                                          | 4                                                                   |
|                                                                     | All India                                                           | 1390                                                                |

Annexure-II No. proposals received from States/ UTs in Program Implementation Plan (PIP)

|                    | 2014-15   |   2015-16 |   2016-17 |
|--------------------|-----------|-----------|-----------|
| A & N Islands      | 0         |         0 |         0 |
| Andhra Pradesh     | 275       |        55 |        52 |
| Arunachal Pradesh  | 16        |        16 |        16 |
| Assam              | 55        |        92 |       185 |
| Bihar              | 80        |        80 |        80 |
| Chandigarh         | 7         |         7 |         0 |
| Chhattisgarh       | 30        |        37 |         0 |
| D &NHaveli         |           |         1 |         1 |
| Daman &Diu         | 0         |         0 |         0 |
| Delhi              | 8         |        10 |         0 |
| Goa                |           |         0 |         0 |
| Gujarat            | 67        |        73 |        67 |
| Haryana            | 10        |         9 |        11 |
| Himachal Pradesh   | 10        |         0 |         0 |
| Jammu& Kashmir     | 11        |        11 |        11 |
| Jharkhand          | 101       |       101 |       101 |
| Karnataka          | 0         |         0 |        50 |
| Kerala             | 21        |        21 |        21 |
| Lakshadweep Madhya | 0         |         0 |         0 |
| Pradesh            | 145       |       144 |       144 |
| Maharashtra        | 42        |        51 |        52 |
| Manipur            |           |         9 |         9 |
| Meghalaya          | 12        |         7 |         4 |
| Mizoram            | 9         |         9 |         9 |
| Nagaland           | 14        |        11 |        11 |
| Odisha             | 0         |         3 |         3 |
| Puducherry         | 4         |         4 |         4 |
| Punjab             | 33        |        33 |        33 |
| Rajasthan          | 202       |       202 |       206 |
| Sikkim             | 3         |         3 |         3 |
| Tamil Nadu         | 407       |       407 |       415 |

| Telangana     |   435 |   100 |   50 |
|---------------|-------|-------|------|
| Tripura       |     4 |     4 |    4 |
| Uttar Pradesh |     0 |   301 |   18 |
| Uttarakhand   |    15 |    15 |   15 |
| West Bengal   |    55 |    55 |   58 |
| Total         |  2071 |  1871 | 1633 |

## Annexure-III

## Statement showing details of SPIP Approval under National Mobile Medical Vans for FY 2014- 15 to 2016 - 17

## Rs. In Lakhs

| S.No.                    | State                    | 2014-15        | 2015-16        | 2016-17        |
|--------------------------|--------------------------|----------------|----------------|----------------|
| S.No.                    | State                    | SPIP Approvals | SPIP Approvals | SPIP Approvals |
| A. High Focus States     | A. High Focus States     |                |                |                |
| 1                        | Bihar                    | 1,584.00       | 1,306.88       | 1,148.40       |
| 2                        | Chhattisgarh             | 720.00         | 3,667.20       | -              |
| 3                        | Himachal Pradesh         | 190.08         | -              | -              |
| 4                        | Jammu & Kashmir          | 308.00         | 329.61         | 163.90         |
| 5                        | Jharkhand                | 2,424.00       | 2,580.30       | 2,256.00       |
| 6                        | Madhya Pradesh           | 2,363.63       | 3,467.63       | 3,031.09       |
| 7                        | Odisha                   | -              | 88.67          | 63.94          |
| 8                        | Rajasthan                | 3,854.40       | 3,745.72       | 4,091.35       |
| 9                        | Uttar Pradesh            | -              | 27.54          | 45.22          |
| 10                       | Uttarakhand              | 270.00         | 224.00         | 245.23         |
|                          | Sub Total                | 11,714.11      | 15,437.55      | 11,045.13      |
| B. NE States             | B. NE States             |                |                |                |
| 11                       | Arunachal Pradesh        | 201.60         | 201.60         | 240.48         |
| 12                       | Assam                    | 1,493.19       | 1,854.95       | 2,505.00       |
| 13                       | Manipur                  | 153.60         | 185.63         | 179.54         |
| 14                       | Meghalaya                | 178.85         | 242.85         | 107.73         |
| 15                       | Mizoram                  | 223.15         | 229.85         | 301.12         |
| 16                       | Nagaland                 | 178.38         | 178.96         | 152.97         |
| 17                       | Sikkim                   | 84.00          | 84.00          | 85.33          |
| 18                       | Tripura                  | 99.12          | 108.00         | 91.62          |
|                          | Sub Total                | 2,611.89       | 3,085.84       | 3,663.79       |
| C. Non-High Focus States | C. Non-High Focus States |                |                |                |
| 19                       | Andhra Pradesh           | 257.54         | 768.17         | 976.55         |
| 20                       | Goa                      | -              | -              | -              |
| 21                       | Gujarat                  | 609.82         | 646.20         | 775.16         |
| 22                       | Haryana                  | 148.18         | 198.01         | 132.86         |

| 23                  | Karnataka                 | -         | 200.00    | 721.62    |
|---------------------|---------------------------|-----------|-----------|-----------|
| 24                  | Kerala                    | 154.00    | 154.00    | 111.40    |
| 25                  | Maharashtra               | 1,385.14  | 1,175.07  | 1,124.83  |
| 26                  | Punjab                    | 606.86    | 606.86    | 606.86    |
| 27                  | Tamil Nadu                | 4,047.64  | 3,745.04  | 3,571.00  |
| 28                  | Telangana                 | 153.94    | 803.40    | 322.73    |
| 29                  | West Bengal               | 1,540.00  | 1,320.00  | 1,392.00  |
|                     | Sub Total                 | 8,903.12  | 9,616.75  | 9,735.01  |
| D. Small States/UTs | D. Small States/UTs       |           |           |           |
| 30                  | Andaman & Nicobar Islands | -         | -         | -         |
| 31                  | Chandigarh                | -         | -         | -         |
| 32                  | Dadra & Nagar Haveli      | 16.86     | 16.86     | 15.24     |
| 33                  | Daman & Diu               | -         | -         | -         |
| 34                  | Delhi                     | -         | -         | -         |
| 35                  | Lakshadweep               | -         | -         | -         |
| 36                  | Puducherry                | 84.53     | 84.54     | 85.24     |
|                     | Sub Total                 | 101.39    | 101.40    | 100.48    |
|                     | Grand Total               | 23,330.51 | 28,241.54 | 24,544.41 |

Note:

The above figures are as per FMR reported by State/UTs.