Background: Scheduled Caste (SC) and Scheduled Tribe (ST) communities in India remain socio-economically disadvantaged, with limited access to formal healthcare. Under the Ministry of AYUSH Scheduled Castes Sub-Plan/Tribal Sub-Plan (SCSP/TSP), the Central Council for Research in Unani Medicine delivers mobile outpatient services, but disease-wise morbidity from such programmes is rarely analysed.
Objective: To describe the morbidity pattern, sex-wise distribution and utilisation indicators of an SCSP/TSP mobile healthcare programme in Navi Mumbai, Maharashtra, and to compare them between 2024-25 and 2025-26.
Methods: A descriptive, retrospective, record-based analysis of annual programme reports from the Regional Research Institute of Unani Medicine covering weekly outreach clinics at five main spots. Utilisation indicators, spot-wise attendance and disease-wise frequencies were summarized descriptively.
Results: Outreach visits remained stable (223 vs 231; +3.6%), whereas total clinical attendance fell from 19,568 to 9,951 (−49.1%). This decline was attributable to the discontinuation of Turbe Colony, which contributed 57.9% of 2024-25 attendance; attendance at the four continuing spots rose by 2.6%. The new-to-follow-up ratio was similar (60.3:39.7 vs 58.1:41.9). Diabetes mellitus was the leading diagnosis in both years (778 and 773 cases). Gastrointestinal disorders formed the largest category (34.2% and 36.3% of leading morbidities), followed by musculoskeletal conditions (28.3% and 22.1%). Males predominated slightly for most conditions, except osteoporosis and whooping cough.
Conclusion: Morbidity was dominated by diabetes, gastrointestinal and musculoskeletal disorders. Aggregate attendance was highly sensitive to changes in site composition, supporting site-level monitoring. Chronic-disease follow-up, occupational health advice and water and food hygiene education should be prioritized.