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Advances in Public Health
Volume 2014, Article ID 898502, 27 pages
Review Article

The Challenges Confronting Public Hospitals in India, Their Origins, and Possible Solutions

Centre for Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi, India

Received 11 January 2014; Revised 17 May 2014; Accepted 19 May 2014; Published 13 July 2014

Academic Editor: Gudlavalleti Venkata Murthy

Copyright © 2014 Vikas Bajpai. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Despite the implementation of National Rural Health Mission over a period of nine years since 2005, the public health system in the country continues to face formidable challenges. In the context of plans for rolling out “Universal Health Care” in the country, this paper analyzes the social, economic, and political origins of the major challenges facing public hospitals in India. The view taken therein holds the class nature of the ruling classes in the country and the development paradigm pursued by them as being at the root of the present problems being faced by public hospitals. The suggested solutions are in tune with these realities.