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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.

Warriors of Night

Updated: Oct 22, 2024

We name our daughters Durga, Lakshmi and Saraswati; we worship the divine feminine power in the temples but oppress, repress and even attack the feminine power amidst us. That is the irony in the way India sees its women.

After the safety of the daylight fades, women are seen as easy prey by the predators of the night.

We mark the nine nights of Navratri, the festival of the goddess, by celebrating the dedication and valour of nine real-life women who brave the challenges of the night to pursue their dreams.


Part - 4


Never felt unsafe

The singer says there has been a generational change over the last two decades

Never felt unsafe

Work has no timings for Aisha Sayed. Sometimes, she begins her studio recording at 12 AM and finishes by 5 AM; at other times, concerts and live shows start at 9 AM and she’s done by midnight. In her field of work as a performer and singer, Sayed is used to not getting a night’s sleep and often returning home when most of the city is set to wake up. “I have been travelling at night but I have never, ever, felt unsafe in Mumbai,” says the singer-performer who began her career at the age of 13 years. Her father spotted her talent for music and took her to meet a sound engineer who was their neighbour in Bandra. The family helped her get opportunities and from there, her career began.

Being among the top contenders in Indian Idol, season 3, in 2007 catapulted her to fame and it opened up a world of new performance opportunities across the country. “I was just 20 years then and I was travelling the world, performing at the most lavish weddings, staying at the most luxurious hotels and performing at big corporate gigs,” she says. Safety, while on work, is has never been an issue for her for the organizers arrange a security detail for the performers. “They escort us until we reach the room. And since we travel with our team in a big group, there is always safety in numbers,” says Sayed, who sings in 10 languages. Her peers have faced instances of audience members being rowdy. “Once in Delhi, a group of drunk men followed my colleague to her room and kept banging on her door late into the night. But I have been fortunate,” she says.

Work assignments have taken to varied places, from the most luxurious international destinations to far-off venues in the hinterland of India where she’s travelled through dark, dense forested areas. “I have driven through areas where the only light is that of your car’s headlights. Turn around and you see pitch darkness,” says Sayed. She’s always got a little prayer on her lips when travelling through these remote areas for miles together. She recalls a show in Chattisgarh where she had to travel for nine hours at a stretch through remote and forested areas. “No place in our country is as safe as Mumbai,” she stresses. She would know, considering her extensive travels. She advises women to travel in groups while in places that are unfamiliar or unknown and never to venture out at night alone. “Keep your family informed of your whereabouts,” she says.

While her agreements state that proper security at all times, Sayed says that she drives her own car if she’s out at night for parties or personal work but insists that the people of Mumbai are largely helpful and cooperative. A rickshaw driver who once drove to home in the wee hours of the night, after a recording, waited at her gate until the watchman let her in. Friends and colleagues have dropped her home several times.

Mumbai, she feels, has changed—and it’s for the better, in the past two decades. “Earlier, on buses and trains, men would use the crowd as an excuse to touch women inappropriately. That has gone down. There is a generational change that I see,” says Sayed. She used to take the BEST buses and trains to her training classes and for recordings in the early days of her career.

Her timings are inconsistent and her shows take her to various cities and towns. But the Mumbai-bred girl emphasizes that her city is very safe for women, despite the various incidents of violence. “Mumbai is the only place where a woman can wear what she wants, wear bright red lipstick, leave her hair open and look glamorous and still be safe.”

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