Lok Sabha Question No. 4938 (UNSTARRED), answered on 2022-04-01
Subject: Mobile Medical Units under NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Riti Pathak, Dileshwar Kamait, Jugal Kishore Sharma, Navneet Ravi Rana

## GOVERNMENT OF INDIA

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

## LOK SABHA UNSTARRED QUESTION NO.4938 TO BE ANSWERED ON 1 ST  APRIL, 2022

## MOBILE MEDICAL UNITS UNDER NHM

## †4938. SHRIMATI RITI PATHAK:

## SHRI DILESHWAR KAMAIT:

SHRI JUGAL KISHORE SHARMA:

SHRIMATI NAVNEET RAVI RANA:

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

- (a) the details of the major healthcare programmes being implemented by the Government in the  country,  State/UT-wise  including  Bihar,  Jammu  and  Kashmir,  Maharashtra  and Madhya Pradesh;
- (b) whether the provision of Mobile Medical Units (MMUs) has been made under National Health Mission (NHM) in the country;
- (c) if  so,  the  details  thereof  along  with  MMUs  functioning  in  Bihar,  Jammu  and  Kashmir, Maharashtra and Madhya Pradesh, district-wise; and
- (d) the  funds  allocated  for  setting  up  MMUs,  State/  UT-wise  particularly  in  Amravati Parliamentary Constituency?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (DR. BHARATI PRAVIN PAWAR)

- (a) :  'Public  Health  and  Hospitals'  is  a  State  subject,  hence,  the  primary  responsibility  of providing  healthcare  services  to  the  people  of  the  county  lies  with  the  State  Governments. However, Ministry of Health and Family Welfare, Government of India provides technical and financial support to the States/UTs to strengthen the public healthcare facilities. Support is provided to States/UTs under the National Health Mission (NHM) for universal access to equitable, affordable & quality health care services to all citizens of the country based on the requirements  posed  by  States/UTs  in  their  Programme  Implementation  Plans  (PIPs)  and within  their  overall  resource  envelope.  Under  NHM,  States  are  supported  for  several interventions towards strengthening the primary healthcare services in the country.

Details of major healthcare programmes are implemented by the Government in the country, State/UT-wise  including  Bihar,  Jammu  &  Kashmir,  Maharashtra  and  Madhya  Pradesh  are given at Annexure-I .

- (b)  & (c):  NHM  has  the  provision  of  mobile  medical  Units  (MMUs).  Mobile  Medical  Units (MMUs) provide a range of health care services for populations living in remote, inaccessible, unserved and underserved areas mainly with the objective of taking healthcare service delivery to the doorsteps of these populations. With the launch of NUHM, the MMU services are also catering to the urban poor and vulnerable population and provide fixed services in areas where there  is  a  lack  of  adequate  infrastructure. There  are  total  1,658  MMUs  operationaized  for delivery of health carein India. There is no MMU support sought by Bihar & Madhya Pradesh under NHM. The functional MMUs in Jammu & Kashmir is 10 and in Maharashtra is 17. The District-wise MMUs functional in the states of Jammu & Kashmir and Maharashtra (through NHM support) are given at Annexure-II.
- (d):      Government  of  India  supports  states/UTs  by  providing  the  operational  cost  of  MMUs which are already purchased or where capital expenses are borne by state. The funds allocated by  National  Health  Mission  for  MMUs  are  available  in  the  Record  of  proceedings  (RoP)  of each state/UT. The year-wise RoPs are available at https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744. As reported by Maharashtra State, funds released for Amravati District MMU during the last 3 years is given below:-

| Financial Year   | Fund released for MMU(Amravati District)   |
|------------------|--------------------------------------------|
| 2019-20          | Rs. 24.52 Lakhs                            |
| 2020-21          | Rs. 24.52 Lakhs                            |
| 2021-22          | Rs. 72.91 Lakhs                            |

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## Details  of  major  healthcare  programmesbeing  implemented  by  the  Government  in  the country,  State/UT-wiseincluding  Bihar,  Jammu  &Kashmir,  Maharashtra  and  Madhya Pradesh

-  Ayushman  Bharat  -  Health  &  Wellness  Centres  (AB-HWCs): 1,50,000  Sub-  Health Centres (SHCs), Primary Health Centres (PHCs) and Urban Primary Health Centres (UPHCs) are  being  transformed  into  Ayushman  Bharat-  Health  and  Wellness  Centres  (AB-HWCs)  to deliver  twelve  packages  of  Comprehensive  Primary  Health  Care  (CPHC)  that  includes preventive,  promotive,  curative,  palliative  and  rehabilitative  services  which  are  universal. Another essential component of AB-HWCs is the roll out of tele-consultation services through 'eSanjeevani'.
-  National Free Drugs Initiative: provides essential drugs based on the level of public health facilities free of cost to all who access these facilities. States are assisted to set up robust IT backed  procurement,  quality  assurance,  warehouses,  and  supply  chain  systems  that  are benchmarked for key management processes with the best practices in this field.
-  Free Diagnostics Initiative (FDI): provides support to States/UTs to provide a set of essential diagnostics at various levels of care, free of cost (14 tests at Sub Centre/ Health and Wellness Centre level, 63 tests at PHC/ PHC-HWC level, 97 tests at CHC level, 111 tests at SDH level and 134 tests at DH level).
-  National  Ambulance  Services  (NAS): supports  emergency  medical  services  in  States/UTs through  a  functional  National  Ambulance  Service  (NAS)  network  linked  with  a  centralised toll-free number 108/102.
-  National  Mobile  Medical  Units  (NMMU): facilitates  access  to  public  health  care  at  the doorstep particularly to people living in remote, difficult, under-served and unreached areas to provide primary care services.
-  Pradhan MantriSurakshitMatrivaAbhiyan (PMSMA): States/ UTs are supported to ensure quality antenatal care to pregnant women in the country on the 9 th of every month.
-  Surakshit  Matritva  Aashwasan  (SUMAN): States/  UTs  are  supported  to  provide  assured, dignified, respectful and quality healthcare at no cost and zero tolerance for denial of services for  every  women and new-born visiting the public health facility in order to all preventable maternal and new-born deaths and morbidities and provide a positive birthing experience.
-  JananiSuraksha  Yojana  (JSY): promotes  institutional  delivery  among  pregnant  women especially  with  weak  socio-economic  status  i.e  women  from  Scheduled  Castes,  Scheduled Tribes and BPL households.  The other important health programmes/schemes with the focus to strengthen the health care systems to improve access are:
-  Ayushman  Bharat  -  PradhanMantri  Jan  ArogyaYojana(AB-PMJAY) which  provides health coverage up to Rs. 5.00 lakh per family per

yeartoaroundidentified10.74crorepoorandvulnerablefamiliesidentifiedbasedonSocioEconomicC asteCensus(SECC) data.

-  Fifteen Finance Commission: Health sector grants through local Governmenthas recommended  grants  aggregating  to  Rs.  70,051  Crores  over  the  period  of  five  years  (20212026) through local government to strengthen the healthcare system in states.
-  Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM ) with an outlay  of  Rs.  64,180  Crores  aims  to  fill  critical  gaps  in  public  health  infrastructure.  It  is  a Centrally Sponsored Scheme with some Central Sector components. The Centrally Sponsored Scheme  (CSS)  Components  includes  support  for  infrastructure  development  for  Sub-Health Centres,  Urban  Health  and  Wellness  Centres,  Support  for  3382  BPHUs,  Integrated  District Public Health Laboratories and Critical Care Hospital Blocks.
-  A Centrally Sponsored Scheme for 'Establishment of new Medical Colleges attached with existing district/referral hospitals' , under the Ministry has approved establishment of 157 new medical colleges in three phases. Out of these, 70 medical colleges have become functional till date. This Scheme aims to increase the availability of health professionals, reduce disparities in the  existing  geographical  distribution  of  medical  colleges  in  the  country,  promote  affordable medical education in the country and improve tertiary care in the Government sector which will benefit all citizens of the country, including women.
-  "Pradhan Mantri Swasthya Suraksha Yojana (PMSSY)' under the Ministry aims to correct regional imbalances in the availability of affordable/reliable tertiary healthcare services and also to augment facilities for quality medical education in the country benefitting all citizens of the country including women. PMSSY, a Central Sector Scheme, has two components - (i) setting up  of  AIIMS-like  institutions;  and (ii)  up-gradation  of  existing  State  Government  Medical College/Institutions.  As  on  date,  establishment  of  22  AIIMS  and  75  upgradation  projects  of GMCs/Institutes have been sanctioned under PMSSY.
-  Further,  initiatives  such  as Mission  ParivarVikas,  Adolescent  Friendly  Health  Clinics (AFHCs), Weekly Iron Folic Acid Supplementation (WIFS), Menstrual Hygiene Scheme, Facility Based Newborn Care (FBNC), Home Based Newborn Care Programme, Social Awareness  and  Actions  to  Neutralize  Pneumonia  Successfully  (SAANS),  Home  Based Care  for  Young  Child  (HBYC),  RashtriyaBalSwasthyaKaryakram  (RBSK),  Early Childhood  Development  (ECD),  Comprehensive  Abortion  Care(CAC),  Anemia  Mukt Bharat (AMB) strategy, Nutrition Rehabilitation Centre(NRC) program are supported to increase access to quality healthcare services. Support is also provided to strengthen Universal Immunization programme and introduction of new vaccines etc.

## District-wise details in Jammu-Kashmir and Maharashtra are given below:-

Jammu  &  Kashmir :-  Currently    10  MMUs  are  functional  in  the  remote  districts  of J&KVIZ.  Ananntnag,  Baramulla,  Kupwara,  Ramban,  Doda,  Kishtwar,  Reasi,  Udhampur, Rajouri and Poonch.

Maharashtra :-There are 70 MMU's in Maharashtra (60 in Tribal & Unserved area and 10 in Urban Area). There are 2 Mobile Medical Unit in Amravati Parliamentary Constituency, which  cover  5  Taluka  (Amravati  MMU-1  -  Chikhaldara&Dharni,  Amravati  MMU-2Anjangaon,Surji&Daryapur).

District namely Ahmednagar, Akola, Amravati, Aurangabad, Beed, Buldhana, Chandrapur, Dhule, Hingoli, Jalgaon, Kolhapur, Nanded, Palghar, Raigad, Satara, Sindhudurg, Solapur, Yavtmal,  Jalana  have  2  Mobile  Medical  Unit  (MMUs)  per  district  and  district  namely Bhandara, Gadchiroli-Sironcha, Gadchiroli -Etapalli, GadchiroliKorchi, GadchiroliDhanora,  Gondia  -ArjuniMorgaon,  Gondia  -Deori,  Gondia  -Salekasa,  Latur,  Nagpur, Nandurbar -Akkalkuwa, Nandurbar- Dhadgaon, Nandurbar -Taloda, Nashik, Osmanabad, Parbhani,  Pune,,  Ratnagiri,  Sangli,  Wardha,  Washim,  Thane  have  1  MMU  operational  in each  district.  The  corporation  namely  Aurangabad,  Nanded,  Nagpur,  Kolhapur,  Panvel, Mumbai MMU - 1, Mumbai MMU - 2, Mumbai MMU- 3, Mumbai MMU- 4, Mumbai MMU- 5 have 1 MMU operational each.