Lok Sabha Question No. 2545 (UNSTARRED), answered on 2023-08-04
Subject: Mobile Medical Units (MMUs)
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Keshari Devi Patel, Vinayak Bhaurao Raut, Sanghamitra Maurya, Sanjay Haribhau Jadhav, Omprakash Bhupalsinh alias Pawan Rajenimbalkar

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA

## UNSTARRED QUESTION NO. 2545 TO BE ANSWERED ON 04 th AUGUST, 2023

## MOBILE MEDICALUNITS (MMUS)

## † 2545. SHRIMATI KESHARI DEVI PATEL:

SHRI VINAYAK RAUT:

DR. SANGHMITRAMAURYA:

SHRI SANJAY JADHAV:

SHRI OMPRAKASH BHUPALSINH

ALIAS PAWAN RAJENIMBALKAR

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the details of the major health programmes being implemented by the Government in the country, State/UT-wise including Maharashtra;
- (b) whether the provision for Mobile Medical Units (MMUs) has been made or proposed to be made under National Health Mission (NHM) in the country and if so, the details thereof;
- (c) the district-wise details of MMUs functioning in Maharashtra particularly in Parbhani and Dharashiv Parliamentary constituencies and in Uttar Pradesh, particularly in Badaun and Prayagraj Parliamentary constituencies;
- (d) the details of the funds allocated for setting up MMUs, State/UT-wise including in Ratnagiri Sindhudurg Parliamentary constituency;
- (e) whether Prayagraj and Badaun Parliamentary constituencies of Uttar Pradesh and Parbhani and Dharashiv Parliamentary constituencies of Maharashtra are also included under the same; and
- (f) if so, the details thereof and if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) The major health programmes implemented by the Government of India under NHM includes support for engaging of health human resource on contractual basis, National Ambulance Services, Mobile Medical Units, ASHAs, Infrastructure strengthening, operationalisation of Ayushman Bharat-Health and Wellness Centres (AB-HWCs) by transforming the existing Sub Centres and Primary Health Centres, 24 x 7 Services and First Referral facilities, Mera Aspataal, Kayakalp Award Scheme, Prime Minister's National Dialysis Programme, National Quality Assurance Standards implementation and related Activities, LaQshya Certification, Biomedical Equipment Maintenance and Management Programme, Free Diagnostics Service Initiative and Free Drugs Service Initiative. Further, initiatives such as Mission Parivar Vikas, Adolescent Friendly Health Clinics (AFHCs), Weekly Iron Folic Acid Supplementation (WIFS), Menstrual Hygiene Scheme, Facility Based Newborn Care (FBNC), Home Based Newborn Care Program, Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS), Home Based Care for Young Child (HBYC), Rashtriya Bal Swasthya Karyakram (RBSK), Rashtriya Kishor Swasthya Karyakram (RKSK), Early Childhood Development (ECD), Comprehensive Abortion Care (CAC), Anemia Mukt Bharat (AMB) strategy, Pradhan Mantri TB Mukt Bharat Abhiyaan (PMTBMBA), Nutrition Rehabilitation Centre (NRC) program and Universal Immunization programme.

(b) : Public health and hospital is a State subject. Under the National Health Mission (NHM), Government of India provides financial and technical support to States/UTs to strengthen their healthcare systems, including support for Mobile Medical Unit(MMU) based on the requirements posed by them their Programme Implementation Plans (PIPs), subject to availability of resources. Deployment of MMUs is based on a normal population norm with 1MMU per 10 lakhs population. However, further relaxation of norms is available on a case to case basis and where patients served though existing MMUs exceed 60 patients per day per MMU in plain area and 30 patients per day per MMU in hilly areas. As per NHM-MIS (as on 31.03.2023), State -Wise details of total number of MMUs under National Health Mission(NHM) all over country are given at Annexure-I.

(c) to (f): There are 31 and 170 MMUs approved for state of Maharashtra and Uttar pradesh respectively under National Health Mission (NHM). Out of 31 MMUs in Maharashtra, one approved for Parbhani constituencies and one for Dharashiv constituencies of Maharashtra. In Prayagraj and Badaun districts of Uttar Pradesh, 5 and 4 MMUs are respectively functioning. The district-wise details of MMUs in Maharashtra and Uttar Pradesh has been attached at Annexure- II and III respectively.

State/UT wise SPIP Approvals for National Mobile Medical Units under NHM during the period of F.Y. 2020-21 to 2022-23 has been attached at Annexure-IV. Further,the funds allocated for setting up for the MMU ' s in Ratnagiri and Sindhudurg constituency under National Health Mission (NHM) PIP approved by MOHFW, GoI is as follows:

In Sindhudurg, Rs. 2.82 Lakhs per MMU per month for one MMU has been approved in Record of Proceeding in FY 2022-23 and FY2023-24. In Ratnagiri, Rs. 2.45 Lakh per MMU per month for one MMU has been approved in Record of Proceeding in FY 2023-24.

## Details of Mobile Medical Units (Operational) under

## National Health Mission (NHM) as per latest MIS Report

|   S. No. | State                 |   Mobile Medical Units (MMUs) |
|----------|-----------------------|-------------------------------|
|        1 | Chhattisgarh          |                            30 |
|        2 | Himachal Pradesh      |                            12 |
|        3 | Jammu &Kashmir        |                            10 |
|        4 | Jharkhand             |                            56 |
|        5 | Orissa                |                             9 |
|        6 | Rajasthan             |                           299 |
|        7 | Uttar Pradesh         |                           170 |
|        8 | Uttarakhand           |                            17 |
|        9 | Arunachal Pradesh     |                            16 |
|       10 | Assam                 |                           130 |
|       11 | Manipur               |                             9 |
|       12 | Meghalaya             |                             4 |
|       13 | Mizoram               |                             9 |
|       14 | Nagaland              |                            11 |
|       15 | Andhra Pradesh        |                            67 |
|       16 | Gujarat               |                            74 |
|       17 | Haryana               |                            59 |
|       18 | Karnataka             |                             8 |
|       19 | Kerala                |                            35 |
|       20 | Maharashtra           |                            31 |
|       21 | Punjab                |                            33 |
|       22 | Tamil Nadu            |                           425 |
|       23 | West Bengal           |                            49 |
|       24 | D&N Haveli/Daman& Diu |                             3 |
|       25 | Delhi                 |                             2 |
|       26 | Ladakh                |                             1 |
|       27 | Puducherry            |                             4 |

Source: NHM-MIS reports as on March 2023

## Annexure-I

## District-wise details of MMUs in Maharashtra

| Mobile Medical Unit   | Mobile Medical Unit       | Mobile Medical Unit   |
|-----------------------|---------------------------|-----------------------|
| Sr. No                | Name of District          | Total                 |
| 1                     | Thane                     | 1                     |
| 2                     | Palghar                   | 2                     |
| 3                     | Raigad                    | 1                     |
| 4                     | Nashik                    | 1                     |
| 5                     | Dhule                     | 1                     |
| 6                     | Nandurbar                 | 2                     |
| 7                     | Jalgaon                   | 1                     |
| 8                     | Ahamednagar               | 1                     |
| 9                     | Pune                      | 0                     |
| 10                    | Solapur                   | 1                     |
| 11                    | Satara                    | 0                     |
| 12                    | Kolhapur                  | 1                     |
| 13                    | Sangli                    | 0                     |
| 14                    | Sindhudurg                | 1                     |
| 15                    | Ratnagiri                 | 1                     |
| 16                    | Chatrapati Sambhaji Nagar | 0                     |
| 17                    | Jalana                    | 2                     |
| 18                    | Parbhani                  | 1                     |
| 19                    | Hingoli                   | 1                     |
| 20                    | Latur                     | 0                     |
| 21                    | Dharashiv                 | 1                     |
| 22                    | Beed                      | 1                     |
| 23                    | Nanded                    | 1                     |
| 24                    | Akola                     | 0                     |
| 25                    | Amarawati                 | 2                     |
| 26                    | Buldhana                  | 0                     |
| 27                    | Washim                    | 0                     |
| 28                    | Yavatmal                  | 1                     |
| 29                    | Nagpur                    | 0                     |
| 30                    | Wardha                    | 1                     |
| 31                    | Bhandara                  | 1                     |
| 32                    | Gondia                    | 1                     |
| 33                    | Chandrapur                | 1                     |
| 34                    | Gadchiroli                | 3                     |

## District-wise details of MMUs in Uttar Pradesh

|   S. No. | Name of District   |   Total No. ofMMUs Operational |
|----------|--------------------|--------------------------------|
|        1 | Prayagraj          |                              5 |
|        2 | Ambedkar Nagar     |                              2 |
|        3 | Amethi             |                              3 |
|        4 | Auraiya            |                              2 |
|        5 | Azamgarh           |                              5 |
|        6 | Bahraich           |                              5 |
|        7 | Ballia             |                              4 |
|        8 | Balrampur          |                              3 |
|        9 | Banda              |                              2 |
|       10 | Barabanki          |                              4 |
|       11 | Bareilly           |                              4 |
|       12 | Basti              |                              4 |
|       13 | Budaun             |                              4 |
|       14 | Chandauli          |                              3 |
|       15 | Chitrakoot         |                              3 |
|       16 | Deoria             |                              4 |
|       17 | Etah               |                              2 |
|       18 | Ayodhya            |                              3 |
|       19 | Farrukhabad        |                              2 |
|       20 | Fatehpur           |                              4 |
|       21 | Ghazipur           |                              4 |
|       22 | Gonda              |                              4 |
|       23 | Gorakhpur          |                              5 |
|       24 | Hardoi             |                              5 |
|       25 | Jaunpur            |                              5 |
|       26 | Kannauj            |                              2 |
|       27 | Kanpur Dehat       |                              2 |
|       28 | Kanpur Nagar       |                              2 |
|       29 | Kashganj           |                              2 |
|       30 | Kaushambi          |                              2 |
|       31 | Kushinagar         |                              4 |
|       32 | Lakheempur Kheri   |                              3 |
|       33 | Lucknow            |                              2 |
|       34 | Maharajganj        |                              3 |
|       35 | Mathura            |                              2 |

|   36 | Mau              |   2 |
|------|------------------|-----|
|   37 | Mirzapur         |   3 |
|   38 | Muzaffarnagar    |   2 |
|   39 | Pilibhit         |   2 |
|   40 | Pratapgarh       |   4 |
|   41 | Rae Bareli       |   4 |
|   42 | Rampur           |   2 |
|   43 | Saharanpur       |   3 |
|   44 | Sant Kabir Nagar |   2 |
|   45 | Shahjahanpur     |   2 |
|   46 | Shamli           |   2 |
|   47 | Shrawasti        |   3 |
|   48 | Sidhardhnagar    |   5 |
|   49 | Sitapur          |   4 |
|   50 | Sonbhadra        |   4 |
|   51 | Sultanpur        |   4 |
|   52 | Unnao            |   4 |
|   53 | Varanasi         |   3 |

Annexure-IV State/UT wise SPIP Approvals for National Mobile Medical Units under NHM during the

period of F.Y. 2020-21 to 2022-23

|       |                                     |         |         | (Rs. in lakhs)   |
|-------|-------------------------------------|---------|---------|------------------|
| S.No. | State/UT                            | 2020-21 | 2021-22 | 2022-23          |
| 1.    | Andhra Pradesh                      | 1293.00 | 1246.20 | 1246.20          |
| 2.    | Arunachal Pradesh                   | 70.00   | 180.00  | 108.00           |
| 3.    | Assam                               | 4832.54 | 3607.13 | 3198.00          |
| 4.    | Bihar                               | 152.00  | 111.60  | 111.60           |
| 5.    | Chhattisgarh                        | 558.00  | 558.00  | 558.00           |
| 6.    | Dadra & Nagar Haveli and Daman &Diu | 6.00    | 2.50    | 0.00             |
| 7.    | Delhi                               | 0.00    | 0.00    | 15.00            |
| 8.    | Gujarat                             | 386.53  | 488.40  | 370.10           |
| 9.    | Haryana                             | 383.20  | 1087.43 | 1094.17          |
| 10.   | Himachal Pradesh                    | 215.40  | 189.70  | 166.00           |
| 11.   | Jammu and Kashmir                   | 76.20   | 60.00   | 155.00           |
| 12.   | Jharkhand                           | 2826.20 | 2639.82 | 1822.80          |
| 13.   | Karnataka                           | 1588.80 | 1574.40 | 1676.60          |
| 14.   | Kerala                              | 281.02  | 309.12  | 393.12           |
| 15.   | Ladakh                              | 15.00   | 6.00    | 6.00             |
| 16.   | Madhya Pradesh                      | 3716.00 | 0.00    | 0.00             |
| 17.   | Maharashtra                         | 1114.66 | 1338.00 | 540.00           |
| 18.   | Manipur                             | 69.25   | 37.00   | 27.00            |
| 19.   | Meghalaya                           | 184.97  | 256.69  | 0.00             |
| 20.   | Mizoram                             | 100.99  | 105.39  | 110.66           |
| 21.   | Nagaland                            | 82.30   | 75.24   | 79.99            |
| 22.   | Odisha                              | 69.60   | 31.80   | 127.28           |
| 23.   | Puducherry                          | 9.20    | 40.77   | 7.20             |
| 24.   | Punjab                              | 174.24  | 174.24  | 174.24           |
| 25.   | Rajasthan                           | 4444.24 | 5714.98 | 8222.40          |
| 26.   | Sikkim                              | 1.68    | 0.00    | 0.00             |
| 27.   | Tamil Nadu                          | 488.45  | 513.50  | 1096.50          |
| 28.   | Telangana                           | 40.00   | 0.00    | 0.00             |
| 29.   | Tripura                             | 14.67   | 0.00    | 0.00             |
| 30.   | Uttar Pradesh                       | 8788.55 | 6585.13 | 5264.40          |
| 31.   | Uttarakhand                         | 207.54  | 418.20  | 611.28           |
| 32.   | West Bengal                         | 1471.59 | 1060.20 | 1060.00          |

## Note:

1. The above data is as per the Financial Management Reports (FMRs) submitted by the States/UTs