Offering primary healthcare through mobile medical units is an innovative way to reach the rural and the vulnerable population. The Andhra Pradesh mobile medical unit (APMMU) programme is one of the largest health outreach programmes in rural India.
- The purpose of MMUs is to provide basic primary care services to the population living in remote and underserved areas close to their homes.
- The APMMU programme started in 2016, is once-a-month, fixed day, free, community outreach service at the village level.
- A network of 292 MMUs offer primary healthcare services (non-emergency) to beneficiaries of all ages in 13,?523 villages across 13 districts of Andhra Pradesh state, India.
- The programme aims for equitable health access to the vulnerable and marginalised rural and tribal population.
- The programme scope includes providing promotive (health awareness camps), preventive (counselling of programme beneficiaries for a healthy lifestyle), diagnostic (random blood sugar, haemoglobin test, urine for protein, urine for sugar, malaria—rapid diagnostic test, urine pregnancy test), therapeutic (medicine prescription) and referral services (referral to nearby government health facilities for further diagnosis, confirmation and or treatment).
- Pregnant mothers and children get antenatal and postnatal check-ups. In addition to providing medical services, the MMU also conducts chlorination of the local water bodies in the village.
- The MMUs remain operational 24 days a month and deliver primary healthcare services to the rural and tribal population residing at least 5 km away from any public health facility.
- An MMU covers a village of approximately 1,500 population each in the morning (10:00 AM to 1:30 PM) and in the afternoon (2:30 PM to 5:30 PM) everyday.
- Overall 20,?000 beneficiaries are served for various acute and chronic health conditions in a day.
- There is no prior booking system and anyone can walk-in for availing the programme services.
- The programme service delivery is uniform across all MMUs and beneficiaries are not prioritised as this is a non-emergency healthcare programme.
- Additionally, every MMU is fitted with a global positioning system (for real-time location tracking), a biometric device (for staff attendance), an electronic medical record system and 51 types of medical instruments.
- The nurse has a laptop while the laboratory technician and the pharmacists have a tablet each to record patient data.
- The nurse uploads and synchronises the day’s data onto a central server at the day’s end.
- Data are directly fed into government dashboards and aggregated service utilisation information such as the number of patients served, and types of health conditions among beneficiaries and so on are presented on a near-real-time basis.
More details about Mobile Medical Units (MMUs) under NRHM and NUHM.
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