MOBILE MEDICAL UNITS (MMUs)
Health & Family Welfare Department, Government of Karnataka under NRHM was running 28 Mobile Medical Units (MMUs) form 2009 to 2012, later they were shifted to Karnataka Health System Development Reforms Project and were run up to June 2014. The said MMUs were providing Primary Health Care Services at the door step of communities living in difficult to reach, hilly areas which were unserved or underserved. The Taluk Health Officers (THO) had identified unserved and remote villages in identified taluks/areas in consultation with District Health & Family Welfare Officers and the CEOs of Zilla Panchayats. MMUs were established to cater to the health needs of these villages. Each MMU was covering 8-12 villages on fixed days and had service points in the said villages.
1 To provide quality Primary Health Care and selected Secondary Care Services, including referral services as per objectives of NRHM and GOK.
2 To contribute to the achievement of improvements in CBR, CDR, IMR, MMR and TFR and other health goals in the area by reducing the Infant and Maternal Mortality and communicable diseases like malaria, T.B, AIDS, pneumonia, diarrhea and dysentery.
3 To provide essential health care services for chronic illness such as such as Diabetes Mellitus, Hypertension, Epilepsy, Chronic Bronchitis, Chronic Bronchial Asthma, Chronic Arthritis, Acid Peptic Disease (Gastritis) etc.
4 To provide minimum Laboratory Investigation such as Urine for Albumin & Sugar, Pregnancy test, Blood Sugar level estimation, Hemoglobin estimation etc.
5 To create awareness regarding communicable and non-communicable diseases and their prevention through IEC activities.
6 To Provide Family Planning Services, mainly Spacing Methods.
OPERATION OF MMUS:
MMUs were operated through Public Private Partnership by engaging Consultancy Services. The selected Firms had established MMUs with a suitable Vehicle, necessary with equipment and Man Power. The NGOs were paid fixed payment upon satisfactory deliverables.
SERVICES PROVIDED BY MMU:
Some of the main services that were provided by MMUs were as follows:
1. Curative Services for common illnesses and chronic illness.
2. First Aid.
3. Referral Services.
4. Family Planning Services.
5. Antenatal and Postnatal Care Services.
6. Immunization services.
7. Counselling on all matters, in particular HIV/AIDS.
8. Implementation of National Health Programs.
9. Health Education Activities and Environmental Sanitation.
10. Minimum routine laboratory investigations.
11. Management of Bio Medical Waste (collection, storage and disposal).
12. Extensive health related IEC activities and other services.
13. Samples collection for special investigation like sputum examination for AFB, Blood smear for Malaria Parasite & Elisa test, etc.
14. Screening and regular follow up treatment of all chronic illnesses like diabetes mellitus, hypertension, chronic respiratory diseases, epilepsy, chronic arthritis and acid peptic diseases and others, free of cost.
15. Shifted any emergency patient to the nearest FRU during their visits to the village and maintained the record with detail address and the cause of emergency in the register and log book of the vehicle.
16. Provided feedback regarding any constraints or to modify the present system to the THO, DHO or DPMO in writing.
17. Attended the periodical meetings organized by Health Department as and when called, with a progress report and required information, represented by the competent authority of the Consultant.
18. Participated/implemented State or National Programs as per the set guidelines.