[Answered] Analyze the role of Centre-State relations in the effective implementation of national health projects like the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY).

Introduction: Contextual Introduction

Body: Highlight the role of the Centre-State in the effective implementation of PMSSY

Conclusion: Way forward

The Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) was introduced in 2003 by the Ministry of Health and Family Welfare. It aimed to address regional disparities in the accessibility of affordable and dependable tertiary healthcare services while also enhancing infrastructure for high-quality medical education nationwide.

Role of Centre-State relations in the effective implementation of PMSSY

  • Policy Formulation and Planning: The central government spearheads the formulation of policies and planning for national health projects like PMSSY. However, successful implementation necessitates collaboration and input from state governments to ensure alignment with local healthcare needs and priorities. Centre-State coordination plays a crucial role in the initial stages of designing projects that address regional disparities and caters to diverse healthcare requirements across states.
  • Resource Allocation and Funding: While the central government provides substantial funding for national health projects, including PMSSY, state governments also contribute through budget allocations. Centre-State cooperation is essential to ensure the equitable distribution of resources and optimal utilization of funds. Clear communication and mutual agreement on resource allocation help prevent disparities in healthcare infrastructure and services between states.
  • Infrastructure Development: PMSSY aims to bolster healthcare infrastructure by establishing new medical colleges, upgrading existing institutions, and enhancing tertiary care facilities. Collaboration between the Centre and states is vital in identifying suitable locations for new institutions, acquiring land, and coordinating construction activities. Effective Centre-State relations facilitate the timely completion of infrastructure projects, ensuring that healthcare services reach underserved areas.
  • Human Resource Management: Training and deploying healthcare professionals are pivotal to the success of PMSSY and other national health initiatives. While the central government oversees policy frameworks and guidelines for human resource management, state governments are responsible for the recruitment, training, and deployment of healthcare personnel. Collaboration between the Centre and states is crucial to address staffing shortages, improve workforce skills, and ensure adequate staffing levels at healthcare facilities.
  • Monitoring and Evaluation: Regular monitoring and evaluation are indispensable to assess the impact and effectiveness of PMSSY in improving healthcare delivery. Centre-State cooperation is necessary for data collection, reporting, and performance evaluation. Collaborative efforts help identify challenges, address bottlenecks, and make necessary adjustments to project implementation strategies.


The effectiveness of PMSSY hinges on a robust collaboration between the Centre and States. Clear communication, delineated responsibilities, and a focus on sustainable outcomes are pivotal for realizing the project’s goal of enhancing nationwide access to high-quality healthcare.

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