**Executive Summary**
This document is an answer provided by the Minister of State in the Ministry of Health and Family Welfare to the Lok Sabha Unstarred Question No. 1020 regarding infrastructural deficiencies in hospitals and medical colleges. The response indicates that the State Governments are primarily responsible for infrastructure maintenance. The document also outlines measures taken by the Central Government, including the implementation of National Quality Assurance Standards (NQAS) and Indian Public Health Standards (IPHS). The question was to be answered on 05.12.2025.
**Key Points / Main Content**
* **State Government Responsibility:**
* Public Health is a state subject.
* State Governments are responsible for the administrative control, including infrastructure maintenance, electrical safety, and sanitation of their hospitals.
* **Inspection Data:**
* As per NMC information, no inspections were carried out in medical colleges and affiliated hospitals specifically for infrastructure in 2025.
* **Budgetary Shortfalls:**
* Assessment of budget shortfalls for repairs is done at the state level; no centralized database exists.
* **Central Government Support:**
* The Ministry of Health and Family Welfare, through the National Health Mission and PM-ABHIM, provides technical and financial support to States/UTs for strengthening public healthcare, including infrastructure improvements.
* **Safety Measures:**
* The Government of India has implemented NQAS to enhance the quality of healthcare services in public health facilities.
* Total 44,239 health facilities are NQAS certified in the country as on 31st October 2025.
* IPHS have been developed to improve the quality of healthcare delivery, and the Ministry has launched the IPHS Dashboard for self-assessment and monitoring of compliance.
* 100% of healthcare facilities have been assessed for IPHS as on 28th November, 2025, with 61% scoring more than 50%.
* The Ministry issues advisories to States/UTs for obtaining fire safety NOCs.
* The Kayakalp awards encourage high standards of sanitation and waste disposal.
**Impact Analysis**
**State Governments**
* **Impact:** State Governments must continue to maintain and improve the infrastructure of hospitals and medical colleges under their administrative control.
* **Action Required:** State Governments should assess their infrastructure needs, utilize available resources, and submit proposals for support under the National Health Mission and PM-ABHIM.
**National Medical Commission (NMC)**
* **Impact:** NMC's role in providing data regarding inspections and potential non-compliance is critical.
* **Action Required:** Ensure future inspections of infrastructure are carried out and the findings are recorded.
**Ministry of Health and Family Welfare**
* **Impact:** The Ministry is responsible for providing support and guidance to State Governments, as well as implementing national standards for healthcare quality and safety.
* **Action Required:** Continue to provide technical and financial support to States/UTs, monitor the implementation of NQAS and IPHS, and issue advisories on fire safety.
Key Entities Referenced
Ministry of Health and Family Welfare: Central ministry responsible for health policy and family welfare in India. It provides technical and financial support to States/UTs for strengthening public healthcare.
National Health Mission: A centrally sponsored scheme that addresses the health needs of under-served rural and urban areas, providing financial and technical support to States/UTs.
Pradhan Mantri–Ayushman Bharat Health Infrastructure Mission (PM-ABHIM): Scheme aimed at strengthening the public healthcare system including for improvement of infrastructure and healthcare services.
National Quality Assurance Standards (NQAS): Framework established by the Ministry of Health and Family Welfare aimed at ensuring and enhancing the quality of healthcare services provided at public health facilities.
Indian Public Health Standards (IPHS): Standards developed by the Ministry of Health and Family Welfare (MoHFW) for primary and secondary healthcare facilities which provides a set of uniform standards envisaged to improve the quality of health care delivery in the country.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1020
TOBE ANSWERED ONTHE 05.12.2025
INFRASTRUCTURALDEFICIENCIES IN HOSPITALSAND MEDICAL
COLLEGES
†1020.SHRIIMRAN MASOOD:
Will the Minister of HEALTHANDFAMILYWELFARE be pleased tostate:
(a) the total number of Government hospitals and medical colleges and hospitals affiliated
to medical colleges in various States of the country that were inspected for
infrastructural deficiencies (such as roof collapse, dangerous electrical wiring, fire
safety violations) and service related deficiencies (sanitation, bio-medical waste
disposal, water/power supply) during the current year2025;
(b) the total number of hospitals found to be non-compliant with safety or services
standards along with the number of hospitals against which disciplinary actions or
punitive actionwas taken inthisregard;
(c) the details of budgetary shortfall (in rupees) identified for major repair works of
hospital infrastructure in all the States and the amount sanctioned for the said purpose;
and
(d) the measures being taken by the Government to protect vulnerable patients, especially
those undergoing treatment in medical colleges hospitals from infrastructural risks till
the repairwork iscompleted ?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND
FAMILYWELFARE
(SHRIPRATAPRAO JADHAV)
(a)& (b): Public Health is a state subject. The administrative control of State
Government Hospitals including their infrastructure maintenance, electrical safety and
sanitationlieswith the respective state governments.
As per information provided by National Medical Commission (NMC), during the
year 2025 no inspection have been carried out in medical colleges and hospitals affiliated to
medical colleges in various States of the country, specifically for inspecting infrastructuraldeficiencies (such as roof collapse, dangerous electrical wiring, fire safety violations) and
service relateddeficiencies (sanitation,bio-medicalwaste disposal, water/ power supply).
(c): Since the maintenance of infrastructure is the primary responsibility of the state
governments, the assessment of budget shortfalls for repairs is done at state level and no
centralizeddatabase iskept for thispurpose.
However, under the National Health Mission and Pradhan Mantri–Ayushman Bharat
Health Infrastructure Mission (PM-ABHIM), the Ministry of Health and Family Welfare
provides technical and financial support to the States/UTs to strengthen the public healthcare
system including for improvement of infrastructure and healthcare services based on the
proposals received in the form of Programme Implementation Plans (PIPs) under National
Health Mission. Government of India provides approval for the proposal in the form of
Recordof Proceedings(RoPs) aspernorms& available resources.The detailsare available in
public domainat:
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744
(d): To ensure the safety of Patients and to mitigate infrastructure risk, the Government
hastakenfollowing measures:
i. The Government of India has successfully implemented the National Quality
Assurance Standards(NQAS) which isa comprehensive framework established bythe
Ministry of Health and Family Welfare (MoHFW), aimed at ensuring and enhancing
the qualityof healthcare services providedat public healthfacilities.
NQAS providesa comprehensive framework aimed at enhancingthe qualityof care in
public health facilities by focusing on areas such as service provision, patient rights,
inputs, support services, clinical care, infection control, quality management. This
leadtobetterpatient outcomesandincreasedpublic trust inhealthcare services.
As on 31st October 2025, total 44,239 number of health facilities are NQAS certified
inthe country.
ii. The Indian Public Health Standards (IPHS) have been developed by MoHFW for
primary and secondary healthcare facilities which provides a set of uniform standards
envisaged to improve the quality of health care delivery in the country. They are a set
of uniform standards envisaged to deliver quality services to citizens with dignity and
respect. They provide guidance on the health system components such as population
norms, infrastructure, human resource, drugs, diagnostics, equipment, quality, and
governance requirementsfor delivering healthservices at these facilities.
The Ministry has developed an open-source toolkit and a web-based dashboard
(www.iphs.mohfw.gov.in) launched under IPHS on 28th June 2024 to facilitate self-
assessment by all levels of facilities including Ayushman Arogya Mandirs. The IPHS
Dashboard is designed to monitor public health facilities' compliance with the IPHS
2022 standards and offers real-time updates, enabling oversight and data-driven
decision-makingtoidentify gapsandfacilitatetimelyinterventions.As on 28th November, 2025 - 100% of healthcare facilities have been assessed for
IPHS.Among totalassessed facilities, 61% facilitieshave scored more than50%.
iii. The Ministry periodically issues advisories to all State/UTs for obtaining valid fire
safety NOCs from respective authorities.
iv. To promote cleanliness, hygiene and infection control, the Kayakalp awards
encourage Public Health Facilities to maintain high standards of sanitation and waste
disposal.
****