Maharashtra Health Minister Commits to Reviving Defunct First Referral Units
Health Minister Prakashrao Abitkar has pledged to address the critical issue of 64 out of 236 First Referral Units (FRUs) being non-operational across Maharashtra. The minister stated he would ensure these essential healthcare centers become functional soon, citing shortages of specialist doctors and infrastructural problems as primary causes.
Critical Role of First Referral Units in Maternal and Child Health
First Referral Units serve as vital healthcare centers providing 24-hour emergency and essential services under Maharashtra's maternal and child health program. These facilities are specifically designed to handle high-risk deliveries, perform caesarean surgeries, and offer specialized care for newborns. Currently, approximately 27% of these crucial centers remain defunct, creating significant gaps in emergency healthcare access.
Mandatory staffing requirements for every FRU include:
- A gynaecologist and obstetrician available around the clock
- An anaesthesiologist on constant duty
- A paediatrician providing continuous coverage
However, health department officials have identified a severe scarcity of specialist doctors as the main obstacle preventing these facilities from operating effectively. Additional challenges include ongoing construction projects and non-functional operation theaters that have forced some centers to close temporarily.
Minister's Action Plan for Immediate Resolution
During his visit to Pune on Wednesday, Minister Abitkar outlined a comprehensive action plan to address the crisis. "Immediate action will be taken to appoint specialist doctors in FRUs, ensure all centers are fully operational, establish blood storage centers, and coordinate with private hospitals," the minister declared. He emphasized that protocols would be implemented strictly to guarantee proper functioning of these essential healthcare facilities.
Regional Distribution of Non-Functional FRUs
Public health department statistics reveal concerning regional disparities in FRU functionality across Maharashtra:
- Nashik division leads with 24 closed FRUs
- Pune division follows with 8 non-operational centers
- Kolhapur has 7 defunct FRUs
- Thane and Chhatrapati Sambhajinagar each report 6 closed facilities
- Latur division contains 5 non-functional units
- Akola and Nagpur divisions each have 4 FRUs that are not operational
This geographical breakdown highlights the widespread nature of the problem affecting both urban and rural healthcare infrastructure across the state. The minister's commitment to reviving these facilities comes as welcome news for communities that have been deprived of essential emergency maternal and child health services.



