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The article discusses the context of positioning and maximizing the output of district level health officers, rendering greater autonomy and streamlining their roles in department of public health in Maharashtra and attempts to articulate challenges faced by existing district level human resources for health (HRH) architecture and discussed possible changes to face these challenges. It cites recommendation for state health directorate to have a full-fledged HR department.

The authors explore their views on public health education in India. They highlight the need for public education to find solutions for multitude of public health problems through building the capacity of public health workforce. They cite a shift in public health education in India and mentions public health programs initiated by few institutions for both medical and nonmedical graduates. They propose building a public health cadre in state health services.