| Abstract: | Purpose: Administrative efficiency is a crucial determinant in the successful implementation of healthcare policies, particularly biomedical waste management (BMWM). This study examines the effectiveness of administrative mechanisms in implementing biomedical waste management rules in the Marathwada region of Maharashtra, focusing on selected municipal corporations. Design/Methodology/Approach: The study adopts a mixed-method research design combining quantitative and qualitative approaches. Data are collected from municipal corporations, healthcare institutions, and government reports. Secondary data from the Maharashtra Pollution Control Board (MPCB), municipal records, and policy documents are analyzed alongside primary survey-based perceptions of healthcare administrators and municipal officials. Findings: The study identifies significant gaps between policy formulation and implementation in biomedical waste management. Administrative inefficiencies such as lack of coordination, inadequate infrastructure, shortage of trained personnel, and weak monitoring mechanisms affect policy outcomes. However, municipal corporations with better administrative coordination and digital monitoring systems show relatively higher compliance. Research Limitations: The research focuses on selected municipal corporations in the Marathwada region, which may limit generalization to other regions. Practical Implications: The study suggests administrative reforms, capacity building, digital monitoring, and inter-departmental coordination to improve healthcare policy implementation and biomedical waste management practices.Originality/Value: This research contributes to public administration and healthcare governance literature by linking administrative efficiency with biomedical waste policy implementation in a regional context. |