The National Urban Health Mission was launched in 2013 with the aim of universalizing urban healthcare in India. While the complexities of the urban scenario present impediments that make provision of healthcare for its most marginalized populations a challenge for policymakers, there is widespread acknowledgement that the pace of implementation of the mission needs to be substantially improved if the most vulnerable are not to be passed over in the process of economic growth. For this goal to be achieved, there is need to better understand the obstacles to governance that hinder such execution. There is also need to recognize fully the gaps in capacities of decision makers and implementers that must be closed in order for effective implementation of the policies. The present research is second in a project series on urban healthcare. It aims to document the different frameworks of governance that oversee urban health in India in an attempt to flesh out the bottlenecks that policy makers and implementers face in rolling out services. It also seeks to explore the capacities of public health professionals and their training needs, with special focus on the administrative/managerial skills that often get overlooked. The overall objective of the study is to propose evidence based, practical strategies for accelerating the scale up of the urban health mission.