Beyond the Maternity Hospital Question

 

Beyond the Maternity Hospital Question

 “The delay in Anantnag’s proposed maternity hospital raises wider questions about healthcare planning, maternal services and the unmet medical needs of South Kashmir.”

Prof. Dr Sheikh Mushtaq Ahmad & Peerzada Mohsin Shafi

A

nantnag has long been one of Kashmir’s most important historical, administrative and commercial centres. Its institutions serve not only the district itself but also people from across South Kashmir and Chenab area who depend on them for essential public services. Yet, when it comes to healthcare infrastructure, the region continues to face serious questions about the adequacy of specialised facilities and the pace at which essential projects are delivered.

The recent statement by Chief Minister Omar Abdullah that the land identified at Janglat Mandi is insufficient for the proposed 250 bedded Maternity and Child Care Hospital has brought these concerns into sharp focus. The Chief Minister has said that funds are available and an alternative site will be identified. While this assurance offers hope, it also raises a fundamental question about project planning. If the land is inadequate, why was this not established before the project reached this stage?

A hospital of this scale requires careful assessment of land, building design, emergency access, utilities and future expansion before implementation begins. If the selected site cannot accommodate the proposed facility, the administration must explain when this constraint was identified, what assessment was conducted and why the issue was not resolved earlier. Technical difficulties can arise in public projects, but uncertainty over such a basic requirement demands a clear explanation. The public deserves a transparent account of the decisions taken so far.

The chronology of the project makes the latest development particularly concerning. While the present proposal for a 250 bedded maternity facility took shape in 2024 and 2025, the broader issue of relocating Anantnag’s maternity hospital dates back more than a decade. The existing Sher Bagh facility was declared unsafe in 2014, yet it continues to serve patients, raising a fundamental question that what kind of engineering and administrative judgement allows a healthcare facility declared unsafe to remain operational for over a decade? Concerns about its condition, limited space and overcrowding have persisted for years.  

A proposal for a 200 bedded hospital at Janglat Mandi was submitted in December 2025, with the proposed capacity subsequently increased to 250 beds. The project then encountered difficulties concerning its proposed funding mechanism and the preparation of the Detailed Project Report. In March 2026, an allocation of approximately ₹86 crore was announced. Yet, by October 2026, the suitability of the site remained unresolved. The concern, therefore, is not merely about a delay in a recently proposed project, but about the persistence of a critical healthcare infrastructure gap for more than a decade, while the safety of mothers, newborns and healthcare workers demands urgent attention.

Further delay could also substantially increase the project's eventual cost. Rising construction costs, revised estimates and prolonged administrative processes can place additional pressure on public funds. The possibility of the cost doubling before construction begins deserves serious attention, although the actual escalation must be established through updated project estimates.

This sequence demands a thorough review of the planning and decision-making process. The administration must establish whether the land was assessed against the hospital’s actual requirements, whether alternative sites were considered and whether the increase in capacity necessitated a fresh assessment. Essential healthcare projects cannot be allowed to move from one unresolved obstacle to another while patients continue to wait. The people of Anantnag deserve clear answers, defined timelines and visible progress towards construction.

Maternity care cannot wait indefinitely for administrative decisions. Complicated pregnancies may require emergency surgery, blood transfusion and intensive monitoring, while newborns may need specialised neonatal care and immediate intervention. Such services require safe buildings, adequately equipped labour rooms, functional operation theatres and trained personnel. The government must expedite the new hospital while taking immediate measures to ensure safe and adequate services at the existing facility.

Anantnag’s healthcare challenge extends far beyond maternity services. Beyond the long-pending demand for a Maternity and Child Care Hospital (MCCH), which remains a pressing necessity given the inadequacy and reported safety concerns surrounding the existing facility, serious concerns also persist regarding the availability of specialised and critical care services across South Kashmir. Patients often have to travel to Srinagar for advanced treatment, adding to their financial burden and compounding the difficulties faced by families during medical emergencies. The proposal for a 500 bedded multispeciality medical college hospital at Dialgam deserves serious consideration by the Health and Medical Education Department. This is a broader vision for healthcare development in South Kashmir that has been advocated for more than a decade. Rather than limiting investment to a standalone maternity facility, the region's long-term needs should be assessed through the proposed development of a comprehensive hospital bringing maternity and child healthcare, general medicine, general surgery and allied specialities under one roof.

Srinagar’s tertiary hospitals remain indispensable to Jammu and Kashmir. However, Anantnag’s healthcare institutions serve not only South Kashmir but also patients from neighbouring districts and adjoining areas of the Jammu division, including Ramban, Doda and Kishtwar. This wider catchment area places additional demands on its healthcare infrastructure and specialised services. The objective is not to diminish the importance of Srinagar’s hospitals but to strengthen healthcare facilities in South Kashmir so that patients can receive appropriate treatment closer to home. A balanced healthcare system requires strong regional institutions alongside well-equipped referral centres.

The available land at GMC Anantnag Dialgam warrants a formal feasibility assessment for the proposed multispeciality hospital. If found suitable, it could accommodate future expansion and reduce referrals to Srinagar. The proposal to transfer MCCH at Sher Bagh and MMAMB Hospital at Janglat Mandi to the Health Services Department should also be examined to ensure continuity of care and efficient use of existing infrastructure.

The earlier proposal to shift maternity services to the Rehmat Alam building at Sarnal also deserves attention. Published reports indicate that the relocation did not proceed after a technical assessment found the structure unsuitable in its existing condition. This episode raises questions about the assessment of existing infrastructure, the use of public funds and the lessons incorporated into subsequent planning.

The wider issue is regional equity. Anantnag is a major centre whose healthcare institutions serve communities across South Kashmir. Its needs must be assessed against the population served, patient loads, specialist availability and referral patterns. Equity does not mean favouring one region over another. It means allocating public resources according to demonstrable need.

For the maternity hospital, the immediate priorities are clear. The administration must identify a suitable site, disclose the reasons for its selection, clarify the funding status and publish a realistic timeline for approvals, tendering, construction and commissioning. Responsibility for each stage should be clearly assigned. The existing maternity facility must also receive urgent attention while the new hospital is being developed.

The measure of governance is not the number of projects announced or reviewed but whether they become functional facilities that improve people’s lives. For a pregnant woman requiring emergency care, a hospital is not an abstract development promise. It is where timely treatment can protect her life and that of her child.

Anantnag does not need another assurance that its healthcare problems will eventually be resolved. It needs sound planning, transparent decisions and a credible timeline. If the land was inadequate, the government must explain why this was not established earlier. If the funds are available, it must explain what is preventing construction. Above all, the people of South Kashmir deserve healthcare infrastructure that reflects their needs and allows them to access essential treatment without avoidable delays.

                                                                               ********