top of page

By:

Rajendra Joshi

3 December 2024 at 3:50:26 am

Procurement first, infrastructure later

Procurement at multiples of market price; equipment before infrastructure; no accountability Kolhapur: Maharashtra’s Medical Education and Public Health Departments have been on an aggressive drive to expand public healthcare infrastructure. Daily announcements of new centres, advanced equipment and expanded services have reassured citizens long denied dependable public healthcare. Procurement of medical equipment, medicines and surgical supplies is reportedly being undertaken at rates two to...

Procurement first, infrastructure later

Procurement at multiples of market price; equipment before infrastructure; no accountability Kolhapur: Maharashtra’s Medical Education and Public Health Departments have been on an aggressive drive to expand public healthcare infrastructure. Daily announcements of new centres, advanced equipment and expanded services have reassured citizens long denied dependable public healthcare. Procurement of medical equipment, medicines and surgical supplies is reportedly being undertaken at rates two to ten times higher than prevailing market prices. Basic economics dictates that bulk government procurement ought to secure better rates than private buyers, not worse. During the Covid-19 pandemic, equipment and consumables were procured at five to ten times the market rate, with government audit reports formally flagging these irregularities. Yet accountability has remained elusive. The pattern is illustrated vividly in Kolhapur. The Dean of Rajarshi Shahu Government Medical College announced that a PET scan machine worth Rs 35 crore would soon be installed at Chhatrapati Pramilaraje (CPR) Government Hospital for cancer diagnosis. But a comparable machine is available in the market for around Rs 6.5 crore. A senior cancer surgeon at a major cancer hospital in western Maharashtra, where a similar machine was recently installed, remarked that the gap between what his hospital paid and what the government is reportedly paying was enough to make one ‘feel dizzy’. The label of a ‘turnkey project’ does not adequately explain a price differential of this magnitude. High Costs CPR Hospital recently had a state-of-the-art IVF centre approved at a sanctioned cost of Rs 7.20 crore. Senior fertility specialists across Maharashtra note that even a modern IVF centre with advanced reproductive technology equipment typically costs between Rs 2.5 crore and Rs 3 crore. The state’s outlay is reportedly approaching Rs 15 crore. Equipment arrived in June 2025 and lay idle for months owing to indecision about the site. Similarly, digital X-ray machines approved for CPR Hospital and a government hospital in Nanded; available in the market for roughly Rs 1.5 crore; were reportedly procured at Rs 9.98 crore per unit. Doctors in CPR’s radiology department, apprehensive about being drawn into potential inquiries, reportedly resisted accepting the equipment. One departmental head was transferred amid disagreements over signing off on the proposal. What’s Wrong These cases point to a deeper structural failure: Maharashtra has perfected what might be called the ‘equipment first, infrastructure later’ model. In any public hospital, the administrative sequence ought to be: identify space, create infrastructure, sanction specialist posts, and only then procure equipment. Compounding the procurement paradox is a parallel policy decision. On 20 December 2025, the state government decided to introduce radiology diagnostic services through a Public-Private Partnership model (PPP). Following this, an order issued on 6 February 2026 authorised private operators to provide PET scan, MRI and CT scan services at six government medical college hospitals: in Pune, Kolhapur, Miraj, Sangli, Mumbai and Baramati. CPR already has a 126-slice CT scan machine and a 3 Tesla MRI scanner, with another CT scan proposed. If the PPP arrangement proceeds, the hospital could simultaneously run one PET scan machine, two MRI scanners and three CT scan machines. Medical experts warn this could lead to unnecessary diagnostic testing simply to keep machines occupied, thus exposing patients to excess radiation while government-owned equipment gathers dust. A similar pattern was seen during the pandemic, when the Medical Education Department spent hundreds of crores on RT-PCR machines, only to award swab-testing contracts to a private company. Many of those machines remain unused today.

Driving Change

Once trapped by poverty and abuse, Sufina found freedom behind the wheel — and now helps women travel safely across Delhi.

The woman who once felt unsafe is now ensuring women travellers get home securely from Delhi’s airport, day or night. Among those providing this round-the-clock service is Sufina, a cab driver with the “Driven by Women for Women and Families” initiative.


Sufina, who now offers peace of mind and safe journeys to female passengers, was once deeply troubled herself. But she refused to give up. Pulling herself out of hardship, she not only became self-reliant but also an inspiration for marginalised women in society.


Partnering with the Sakha-Azaad Foundation, Sufina has scripted an extraordinary story. Sakha Consulting Wings launched this women-driven cab service for female passengers under the brand Women with Wheels. All drivers, including Sufina, received training in driving and self-defence through the Azaad Foundation.


Born Into Hardship

Living in East Delhi’s Anand Vihar, Sufina was married to a daily wage labourer at just 16. By 18, she was a mother. Poverty was crushing; meals were often scarce. Desperate to escape this misery, she began searching for a way out.


That was when she met a Sakha volunteer who suggested driver training. It became the turning point in her life. The road ahead, however, was anything but easy.


Breaking Free

Sufina was stepping into a male-dominated world, and it frightened her at first. Yet her hunger for financial independence gave her courage. In the early days, she faced strong opposition from both her husband and parents.


Before leaving for work, her husband would beat her and lock her inside the room to stop her from attending training. But Sufina refused to surrender. Teaming up with her mother, she found a way out. After her husband left for work, her mother would unlock the door. Before he returned, Sufina would quietly slip back home to avoid more conflict.


After completing her training, she worked as a private driver for nearly two years, continuing the same routine.


As her earnings, confidence and independence grew, so did her assertiveness — and with it, her husband’s suspicion. One day, when he raised his hand again, Sufina fought back. She told him she would not tolerate it anymore. Shocked, he stopped. He never hit her again.


Driving Change

Sufina believes the turning point in her marriage came when her husband fell seriously ill. She admitted him to a private nursing home and paid for his treatment from her own savings.


From then on, he began trusting her and valuing her work. Though the struggle had been painful, Sufina emerged stronger. She now asks a powerful question: Why must a woman endure so much just to prove herself?


Today, she is determined that her daughters should grow up with freedom and choice. In her community, she is respected and admired. Local girls and women see in her a path to self-reliance and dignity.


The woman who once lived in fear now helps other women travel without it — and in doing so, she is driving change far beyond Delhi’s roads.

Comments


bottom of page