Background: Despite the improvement in health system response to various disasters, research is still in its infancy in Indian subcontinent. Objective: This paper provides an overview of the Healthcare Administrative challenges & Solutions of disaster health management in India, with its aim to promote the efficient & effective healthcare response for reducing disaster–related mortality and morbidity. Design: A systematic scoping review method was used to access the recent progress of and challenges and their solution to disaster management in India. Results: The review found that since last decade considerable progress has been achieved in India. However, there remain challenges. It hinder effective health disaster responses, including low standards of disaster–resistant infrastructure safety, underdeveloped triage skills, poor emergency coordination between hospitals, lack of portable diagnostic equipment and, the lack of specific disaster plans, surge capacity, and psychological interventions. Other challenges are the fragmentation of the emergency health service system, a lack of specific legislation for emergencies, disparities in the distribution of funding, and inadequate cost–effective considerations for disaster rescue. Robust Policy on disaster management and strengthening of National disaster management authority is demand of the day. Conclusions: The challenges can be overcome by implementing strict policy strategies at multiple levels (e.g. community, hospital, and healthcare system level).